202 5TH AVE S (2)SNOHOMISH CO.
FIRE PREVENTION
Serving Brier, Edmonds, and 1 12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Mozintlake Terrace Everett, WA 98208 OBRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
017 www.FireDistrictl.org Fax (425) 551-1272, El UNINCORPORATED
LOCATION:
202 5 th Avenue S 98020
BUSINESS NAME:
Bank of Washington
MAILING
ADDRESS:
202 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER:
EMERGENCY-1:
KEY ACCESS-2: Bank of Washington
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: R
FIRE SYSTEMS: FE 11 /
PHONE: 4257762265
HOME PHONE:
HOME PHONE:
4252755600
HOME PHONE:
FREQUENCY TSTATION &SHIFT
1 T"
2016* 17.-A
SCHEDULED
DATE DUE 0 Apr 2016
LIFIR ' 422 202
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
IF_ 7�_/6
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION 2nd RE -INSPECTION
EXTENSION FINAL RE -INSPECTION VIOLATIONS
2ATE D�E_'. ILE., GRANTED TO:
_q�T�D� DATE DUE: CITED:
PERSON PERSON
CONTACTED: CONTACTED: PERSON
CONTACTED:
.. . ..............
INSPECTOR:
INSPECTOR: 2
INSPECTOR:
2ATE: DATE., 3
-DATE: --FSS--UED
VIOLATIONS,*,'
15 PRE -CITATION 4
SENT NUMBER:
--- XL
DE 5
2 16 DATE: SO CTI
RETURN RECEIPT
'17 3 7 E
0
8 4 8 D�TE: DISP SITION: 7
LETTER NEEDED 0 YES NO LETTERNEEDED [] YES NO 8
/I Al M X Serving Briet; Edmonds
SNOHOMISH CO
V IF Mountlake Terraceand
%. - I �
TIRivAT
the Town of Woodway
www.FireDistrictl.org
DISTRI
LOCATION:
202 5th Avenue
BUSINESS NAME:
Bank of Washington
MAILING
202 5th Ave S
ADDRESS:
Edmonos
13USINESS OWNER:
Bank of Washington
I
EMERGENCY-1:
Ostrander, Harry
KEY ACCESS-2:
I/ -
PERSON CONTACTED: -A-
NAME OF INSPECTOJ&
4&_
FIRE
S'T'STENIS:
S
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257762265
98020
HOME PHONE: 4252755600
HOME PHONE: 4257762265
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
[] UNINCORPORATED
FREQUENCY I STATION & SHIFT_*)
366 17 A
SCHEDULED 04/01/12
DATE DUE 0 -
UFIR 0 592 4202
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE 1:1 1:1
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
A/
2 .............
2
3
3
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-INSPIECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:-
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
2ATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [I NO
LETTER NEEDED C] YES [I NO
8
FIRE DEPARTMENT COPY
CITY OF EDMON DS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98= - (425) 771-0215
FIRE DEPARTMENT
9 ()
t Is
LOCATION:
202 5!h Avenue
BUSINESS NAME:
Bank of Washington
MAILING
--Le- 5th Ave S
ADDRESS:
Edmonds
BUSINESS OWNER:
Bank of Washington
EMERGENCY- 1:
Ostrander, Harry
KEY ACCESS-2:
q
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257762265
FREQUENCY
STATION & SHIFT
366
17 D
SCHEDULED
DATE DUE 11
UF1R 0 592
4202
98020
HOME PHONE: 4252755600 Ar11VP
HOME PHONE:
HOME PHONE: 20
PERSON CONTACTED: _Aht /- Y CD s A-.y A-v�,_ INSPECTION DATE
NAME OF INSPECTOR: �?' /I t
—
FIRE FE T:/:O
S
'TSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS ENTER CODE ONLY ONCE
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies In the City of
Edmonds.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during our inspection which require attention to bring them into compliance
with the minimum standards adopted by the City of Edmonds.
Please call (425) 775-7720 within 30 days to schedule a reinspection.
Any overlooked hazards or violations of the fire regulations does not Imply approval of such condition or violation.
If you require additional Information or assistance, please contact this office by calling (425) 775-7720 between
the hours of 8 a.m. and 5 p.m., Monday through Friday.
BUSINESS COPY
_CITY OF EDMONDS
121 51H AVENUE N. - EDMONDS, WASHINGTON 98020,-.(425) 71-0215
FIRE DEPARTMENT
LOCATION: 202 5th Avenue S
BUSINESS NAME: Bank of Washington
MAILING 202 5th Ave S
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257762265
Auummoo: Edmonds 98020
BUSINESS OWNER: Bank of Washington HOME PHONE: 4252755600 v""
EMERGENCY-1: Ostrander, Harry HOMEPHONE: 4257762265
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 1, SHIFT
366
17 C
I
SCHEDULED
DATE DUE
LIFIR lo 592
4202
ACTWE '
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: 5__/[_)0
F:Ipr- F P 1) / C 5 Cl
SYSTEMS: A) 0A 0
A�FNUZ
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
lst RE -INSPECTION
DATE DUE*
2nd RE -INSPECTION
DATE DLIE-
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE-
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
C NTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE-CITAT10N
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4 18
LETTER NEEDED E] YES C] NO
DATE:
DISPOSITION:
7
8
k'UETTERNEEDED 0 YES C] NO
FIRE DEPARTMENT COPY
7
P q 4 "V V
4 OA 4 -4
0 0
TM Uwyntawn tte
J D irandbltng (gut td�h -new
)Mk b t
o Buflding pennit
conung soon for
for m'er num-mart
By SUE WALDBURGER
Enterprise reporter
Any day now 'Me Bank of
Washington expects to have a
building permit in hand for its
new branch building at 202 Fifth
Ave. S. in downtown Edmonds.
The new structure will house
operations for the Edmonds
branch that currently occupies
leased space at 303 Fifth Ave. S.
The single -story, 2,700-square-
foot building will fill the vacant
lot that formerly held an
AM/PM Mini Mart and gas sta-
tion. The Bank of Washington
will own the building it's con-
structing on land that, according
to permits filed at Edmonds City
Hall, is owned by BP West and
Coast Products, LLC.
. Construction will begin as
soon as the necessary perrhits
are in band, according to bank
CEO Gary Schmitt. Wilcox Con-
struction, a local firm whose
headquarters sit just south of the
project, is the builder.
Schmitt said construction
should take about five months,
which is about a month sborter
than the usual time frame for a
new branch.
Contributed photo
This drawing shows the building planned for the new Bank of
Washington location in Edmonds.
"We all agree we don't want to bank and the city are working on
tie up downtown Edmonds. Bob an agreement that will make the
Wilcox (owner of the construc- parking spaces available to the
tion company) is sensitive to that general public during non -bank
We'd like to be out of there be-
fore the holidays so there aren't
any issues with holiday.shop- PANE HELD
ping," Schmitt said.
The new branch will be a brick
structure with one entrance on 03MMUNOUY
Fifth Avenue and Dayton Street
A +1, f, — — fAwnrf1c Nominations sought
hours.
Shariug the parking lot is "just
the right thing to do," Schmitt
said. "Many of our customers are
downtown business people and
they have issues with parking.
We could have leased out the
spots ... but we think this is bet-
ter."
The Bank of Washington is a
full -service community bank with
headquarters in Lynnwood. It be-
gan in Edmonds as The Bank of
Edmonds and changed its name
in 2000 to better reflect its mar-
ket base.
There are six branches and
plans for a seventh one at Everett
Mall, Schmitt said.
According to the bank's Web
site, the board of directors con-
sist of Schmitt, representing the
bank; Mark Trumper, CEO of
MaverickLabel.Com; Gary
Jones, owner of Westgate Travel;
Stuart Sierer, first vice president
of Paine Webber; Elizabeth Cop -
stead, certified public accountant
with : Elizabeth Copstead PS;
William Sanden, -president of
Fortune Management Inc.;
. Michael Echelbarger, president
of Echelbarger Properties; Erik
Nelson, owner of Lynnwood
Honda;.Bob Drewel, executive
direttor of Puget Sound Region-
al Council; and Robert (Bob)
Wolfe, co -managing partner of
PNW Venture Associates.
an ano
the building housing Virinder-
Snohomish County is requesting that individuals
mere Real Estate and Tully's Cof-
fee. There will be a drive -up win-
zr_
with an interest'in Paine Field submit their name in
dow that exits onto Fifth Avenue
nomination for 'representative positions'on an Airport
or the alley to the west.
adviso `- board'c'alle'd the Paine Field Community
ry
No new employees are expect-
ed to be hired at the branch that
Council by June 15,2007..-
will be about 40 percent larger
-sent Schmitt
The Nine Field Community Council was formed
than the pre one,
in 1980 as -a result of the Airport§ Mediai6d Role
,said.
The new branch will have 11
Determination. A 'rimary purpose of the Community Council is to review,
p
parking spots. Schmitt said the
A iinAnm nor-rimminnelations to the Airport Director and/or affected
Computer m�stake puts..
,Stevens padents" Ms onUne
o Information had Security breach
'hppn Pynn-;Pd For more information, contact the hos-
C133%__;3a,
governme ' ntal entities with regard to the Airport, especially items impiactin g*
the spirit and letter of the Mediated Role Determination. In addition, the,.-
CommuhityCoUncilpribirnotes mutual'cooperation and understandin
between the Airport, residential communities, and airport users.
The Paine Field Community*Council includes ten voting members
comprised of four representatives of neighborhoods;two pilots affiliated.'
FINAL PROJECT APPROVAL FORM
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: (_� FIRE DEPARTMENT DATE
PLEASE SIGN
ENGI�NEERING DIVISION DATE
PLEASE SIGN
PLEASE SIGN
SITE ADDRESS
PLANNING DIVISION DATE
PERMIT # V0'1 - 6 z -7 � -ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to' determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
eoa,r
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
I .
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fomis:ocaprv1 3/25/04
E RE
DAT CEIVED
[PERMITEXPIRES
i CITY OF EDMONDS
SE PERMIT
ZONE `2 7
NUMBER
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CONSTRUCTION PERMIT APPLICATION
JOB SUITE/j
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OWNER N ME/NAME OF BUSINESS
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PLAT NAME/SUBDIVISION NO.
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LID NO.
LID FEE $
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MAILING ADDRESS
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972- _SF_ PL.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
EXISTING PROPOSED
Street Use Permit Req'd E3
inspection Required 13
CITY ZIP
TELEPHONE
(Z 7 0 1 3'
15b 3 7 C,3 Y2
REQUIRED DEDICATION— FT
Side.alk Required CI
Underground
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wiring required E3
NAME
METER SIZE
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NO. OF FIXTURES
PRV REQUIRED
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STATE LICENSE NUMBER EXPIRATION DATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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ADDITION COMMERCIAL COMPLIANCE OR
PROPOSED FRONT EtfA LIFK& REAR
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PARKING LO��%tINGft Att
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REPAIR 11 CYDS 1:1
REMARKS
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DEMOLISH 21 TANK OTHER
GARAGE RETAINING WALL F:RE SPRINKLER
CARPORT 11
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: e')1,0 7— _/r
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CHECKED BY
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OCCUPANT
GROUP
NUMBER
NUN
NUMBER Of
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SPECIAL INSPECTION JAREA
OCCUPANT
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UMBER
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1:1 YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
VALUATION
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc Engr. Review
tu PERMIT APPLICATION: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
cc Fire Inspection Receipt #
ALL CLAIMS
4 FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
0
A DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THg.OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL
Building Official or his/her Deputy: and Fees are paid. and
_R
IN VIOLAT!ON OF THE LABO CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMENS COMPENSAT
9�IRSIJRANCE AND RCW 18.27.
OFFICIALS SIGNATURE DAT
S 9 4U E 0
IGN I "U E (OWNER OR( Ej DATE SIGNED (425)
L
771-0220 _WELEASKD_ dY'
DATE�
ATTENTON EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR�GINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PNK-OWNER GOLD -ASSESSOR
09/03
PRESS..,,HARD -YOU ARE MAKING 4 COPIES
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0
2
I owe A FM 1~ =Ac�
me "AM NOTED -
APPROVED AS
Its =am ING'
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jll:�o m ILI 1111,1:1111ill
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FM" M, cc
Date:
0 _Cq SMA*10MaIDS
5TH AVENUE SOUTR
4,)c. So.
20'r= Of A A#
I
STREET FILE
CITY
OF
EDMONDS
121 5T
H AVENUE NORT H - EDMONDS,WA 9802-0
P I ION F. (42i�771-021-0-
FAV (425)771-0221
STATUS: ISSUED
mit # — ----------------
BUILDING
PERMIT
"k-pi ia fico il�p iqle-.3171312 00,7'
'�:P.rok' S*,
Parcel No: 27032300407700
PROPERTYOWNER
APPLICANT
CONTRACTOR
Bl' WEST COASI' PRODUCTS 1.1-C
ALEXIA fNIQUES
ESE CORPORATION
P 0 BOX 5015
1 101 1 WALLER RD
BUENA PARK, CA 90622 TACOMA. WA 98446
425-251-6222 253-535-3112
LICENSE #: eseco' '235QA EXP: 10/4/2006
JOB DESCRIPTION
RBIOVE 3 12K UNDER GROUND STORACE.TANKS
VALUATION: $0
PER -MIT TYPE: Commercial
PERMIT GROUP 70 -Tanks.,Tuel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY- N
OCCUPANT CROUP
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT-)
CODE:
OTHER: N ------- OTHER DESC:
ZONE BC
NUMBER OF STORIES: 0
VESTE 1) DA
]NUMBER OF DWELLING UNITS 0
EUSTV�G AREA
I ST FLOOR: 0 2ND FLOOR: 0
PRO PO S ED AREA
0 S'l- 1-1- OR. 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK- 0 OTHER: 0
13RD FLOOR: 0 GA RA GE: 0 DECK 0 OT 14ER: 0
FRONT SETBACK SIDESETBACK REARSETBACK
ZEQUIRED: PROPOSED. JREQUIRED� PROPOSElY =ED: PROPOSED:
AEIGHT ALLOWED:O PROPOSED�O IREQUIRED: P ROPOSF D,
3ET BACK NOT ES: SEPA DNS issued 6/2/06, appeal exp ires 6/16/06
I AGREE TO COMI'L Y W IT H CIT Y AN D ST ATE LAWS REGULAT I NG CONST RUCT ION A N D I N DO[ NG T HE W ORK AUT I IORIZED
T HEREBY, NO P E RSON W I Ll- BE EM P LOYED IN VIOLAT ION oF'r it I- LA BOR CODE OF T HE S`I* ATE OF WASHI NGT ON RELAT ING TO
WORKNIENSCOMPENSATION INSUIZ-,%NCE AND RCk%: 18:27,
T HIS A P P L I CAT ION I S NOT A P ERM IT LINT I L SIGN E 1) BY T HE BU I L DI NG OFFICIAL OR 111 S'HE R DE P UT Y A N D A L L FEES A RE PA ID.
/w
Signature Print Name Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPYA BUILDING OR STRUC`TU RE UNTIL A FINAL INSVE(7fION" Il AS BEENINIADE AND A PPROVAL ORA CERTIFICATE OF
OCCU'P.-%,\'CYI]ASBEI:NIGRANII-1).UBCI()9;IBCIIO IRC110
FIARCIRVE F—] APPLICANT F--j ASSESSOR 011 lEll
i f - -1
I S'�_ATUS: ISSUED CONDITIONS BLD20060649 I
• Fire Marshal must be present for lank work (till, removal-, or cap.)
• Sound[Noise originating front temporar.y construction sites as a result ofconstruction activity are exempt firomthe noise limits
of ECC Chapter 5.30 only during the hours of7:00am to 6.00pm on weekdays and 10:00ain and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activiles must comply Avith the
noise firnits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
]INSPECTIONS
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)
I BUILDING (425) 771-0220 E-Xl-. 1333 1 ENGINEERING (425)771-0220EXI'. 1326 1 FIRE(425) 771-0215 1
r— PUBLIC WORKS (425) 771-0235 1 PRFTREATMPNT (425) 672-5755 1 RECYCLING (425) 2754801 1
. F-Fire Final
.-�-PAVED ALLEY CAS"ERS
25'-G' DRVEwAy
P. L CITY OF EDMONDS lor
BUILDING DEPARTMENT 0 MAIN ST. SME ARCO
Tf
09 DAYTON S .
If
ASPINALT S Xg
PEED EUMP/ WORK,
AUX .ZcS,— 1TE
W W t 1
V) 16 6 ON —is
0, 1 1, Al NUT ST. I Vicinity Map EDMONDS
V
< V)
PLANTS TO RENALN 0 Globa/Alhance
:2 01 L,*
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P ID ELMP/
-TIC s
LLJ <
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Demolition Notes
NI 0DVTACT BP MAINTENANCE FOR COMPLETE DEMOLFTNPI SCOPE OF ATM. MINE CONDON AT GHA&
V)3115-3041. TFIE SITE ILAS PREVIOUSLY BEEN BEEN SHVIDOWN. EASTING FUEL DISPENSERS NA�
MUNIBIEER EN
U PREYOUSLYREMOVEDFRONIISI.ANDS. �EFUELUNESIIIERE EILON� CLEM OF PRODLICT BACK
8CENTHE TANK AI,D TKE TANKS �A BEEN PUMPED W AND MILE RI � SIGI � ALSO
REMOVED MOM "'E STE SHEET DSI-2 IS ATTACIlED FOR REFERENCE AND IS NOT AN ACCURATE
DE�RT"oN o TNE SCOPE 0, MDRN.
'L. CONTACT BP ENVRONNTU�. REPRESENTATIVE FOR DETAILS ON POSSIBLE GROU.DAATTER NANDUNG
P�T PAVING NTS PROCEDURES.
,."AS JHAUL ROUTE <D CONTRACTOR To DISPOSE OF EXISTING TCKHEIM 262 DISPEKSERS PREVOUSILY REMOVED AND
ASSOCIATED No D.X AND DISPOSE. REFIR TO IKOI OIN ShEET DS-2. REMOVE ALL. HPING
cOT,NEcTIGKS To MSTPE�SSN& ALL Noms " WrAES ME TO BE REMOVED ANTI GIVEN TO STORE
MAI OR DISPOSED or AS DIRECTED BY C-ER.
COWRACTDR SNALL REMOVE DUSTING CONCRETE DRM A4D TANK SLABS AS REQUIRED TO REMOVE
PETROLEUM EQUTPMI CONTRACTOR TO FIELD VERN DUSTING PRODUCT. VAPOR RECOVERY. VENT PII
AND ELECIR CONDUIT LOCATIONS BEFORE OE.OLFI ORK COMMENCES, LOCATIONS SJ,owIq ARE
ASSUMED.
DID NI.. R TO :NOVE EATSTING "SED CC �ETE PUMP ISLANDS AIKD BUMPER 1O!FTS,
L P. L - P1.M`TR` TO REMA. REMOVE AL1 PRO LCT. VENT AND VAPOR REI PIPING ENCOUNTERED INCLUDING ANY OLD E
STEE PIPINGIFFOUNDANDrOLEMAj_ GOVERNIN0�11USOCIONALREGULTEMENTSFOR �E RAEMMULN D
1 4 VENTS AIND DISPOSAL OF ME PIPING INCUI PROPER DOCWENI To M. PRODUCT ..ES NAVE ALREADY
BUN BLOMIN OUT. SEE � DSI-2 FOR DETAII.
REMOVE (3) IYJSFNG �ES 12,000 GALLOON 6 17 DIAMETER SINGLE Y(ALL FIBERGLASS TANKS-
's
ALL CASTING ASSOCATE T" TOP EQUIPMENT INCI RSERS. SUMPS. PPNTI ANIo"I"I
,V-8, 29-6- —A
SEE SHEET DSI-2 FOR R�OVAL AND DISPOSAL NSTRUCI TMxS ERE PREVIOUSLY EMIMTED AND
d. OsIDE.ALIK TRIPLE RINSED CONTRACTOR SIFIAL1 D-POSE OF ANY ADDMONX TANKS ENCOUNTERED. SEE SHEET DSI-2
(3D CONTRACTOR SIALJL GIVE BP ANIM A ENVRO�MENTAJ. CONSULTANT 7 DAY NOTICE PRUDIR To TANK REMI
11IE EWRONMEKTAI, CONSULTANT MR1 PROVIDE SOIL AND IIIATER SAMPLING AND AIR .0WoR%G
SERVICES. TNE CONTRACTOR WU. NOT BE RESPDKS�BUE FoFt TNE RETKOVAL OF ANY I SCIL.
BEYOND �T NECESSARY TG FAXIII REVOVAL OF TK IMPROVEMENTS. SEE SI4EET DSI-2.
<1) c NFITACTOR To sA* cUY MID REMOVE - —�Eous Asp�T AS s�N AND As AFFECTED BY
SYS DEMOI ACTTOFES OR AS CIRECITD BY OWNERS ENGINEER.
7-f
<D EXTSRNG = F T N� FENCE TO REMARK ON SITE ARDI ENTIRE WORX W� TO PNSVEpr,
)AUTHORIZED ENTRY WRING PRWECI DURUI NSTAU. F.E 101.10MING SIGNALS ON FENCING:
MT REROURED
2.) AUTHORTZED PERSI ONLY
MUST SION IN.
CWSED FOR CON �— BANNER
t
C1111 I MAP'" "I I ON SITE DURING IS CONI I-E OF IS IROJECT,
IS P LINL REG (3> CONTRACTOR S� BACNFU AL1 EXCAVATIONS )I1Y1 CLEAN FILL PURI ROM A REGODWEED
I I I I I ::I SUPPUER. FILL I BE MIXED YNITIN RIEUAINING PEA GRAVEL TO OBTAWN 95X COMPACI BMCNFu
I m REMAIN TESTING M ST BE WINE BY A VIRC PARTY. SUSCONFRACTOR. �E COMP�N REPORT IS REOUIRED
.—ow-w- THE CLOSI PAC�E. A� TI ME TO BE BACKTILL11) SNOOTH AND FLUSN TO GRADE.
(MD CONTRA4I To AS$ ME OTMER5 Wl� TRANSPORT AL1 EXCAVATE SOIL OFF SrrE- EXCAVATED SOIL IS TO BE
STOCKPEED ON SITE AND COVERED WH VSOtJEESi. CONTRACTOR ITU PROVIDE LOADER III OPERATOR TO
LOAD STOCKPILED SOIL ONTO TRUCKS. VOLUME OF SOL. 70 BE PROVIDED BY !ENVIRONMENT& CONSULTANT.
-7 --- H-1
CDCD PROTECT UND RGROUND REMEDIATION MONITORING WELLS MID MI ADJUST TO MATCH FATSK GRADES :-1- rZ.-m.-Mu-
-KI AND RESTORE CONDITIONS. OR AS DIRECTED BY 9P REMED— WNSUtTANT.
(32) DUE TO PROXMITTY OF TANKS To BUU:NG & PROPERTY UNES TO THE SOM SOU Wy PSoUIRE a
EDGE I -K 1:� STABtUZAMN. CONTACT BP FIELD ENG�NEEP FOR SOULS REPORTS AND SAFETY PROCEDURES. SrFE DEMOUTTIDN
K AND PUNING rMI
V4 2004 SERIES
AMERICAN STANDARDS
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UNIFORM HAZARDOUS11.
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2 Page 1
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WASTEMANIFEST
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15 Special Handling Instructions.and Additional Information
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16 GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by
proper shipping name and are classified, packed, marked, and labeled/placarded and are in all respects In proper condition for transport
according to applicable international and national government regulations
If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated lo the degree I have determined
to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which mlnlmizes the
present and future threat to human health and the environment; OR, If I am a small quantity generator. I have made a good faith effort to minimize my waste
generation and select the best waste management method lhat is available to me andDaQ can afford.
PrIntedfryped Name fto
Month Day Year
V
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17. Transporter 1 Acknowledgment of Receipt of Materials
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Signature Month Day Year
19 Discrepancy Indication Space
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ORIGINAL -RETURN TO GENERATOR Y,
SOUND TESTING, INC.' SERIAL NO. M- 7 9 17 2
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24 HOUR ST,,RVICE Page— of —
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Last Three (3) Loadings Tests Performed Time S�rvey Completed
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c,;'�,;�—Vu, luel. or manipulatio Of valves orclosuil g —Uluuns in Pipelines. tan., Of Companments subject
umt4ation. unless sp I n
and similar encl 2PProved on this Certificate, requires Inspection and a new Certificate for spaces so affected. All lines, vents, heating coils, valves,
sa
osed appurtenances shall be considered 'not fe, unless otherwise specifically designated. Movement of the vessel from its specific location voids the
Certificate unless shifting of the vessel within the facility has been specifically authorized on this Certificate.
STANDARD SAFETY DESIGNATIONS: (partial list,* Paraphriised from NFPA
ATMOSPHERE SAFE FOR WORKERS: In the compartment or space so desi 306, Subsections 43.1 through 4.3.6).
22 Percent I gnated (a) the oxygen content of the atmosphere is a, ��t
by vo um&; (b) the concentration of flammable materials is below 10 percent of the lower explosive limit; (c) any toxic materials i 19.5 Percent and not greater than
cargo, fuel, tank coatings, inerfing mediums, or fumigants are within permissible concentrall n I n the atmosphere associated writh
NOT SAFE FOR WORKERS: In the COMDartmAnt nr �n— 10 S a the time of the inspection.
I FACILITY IDENTIFICATION W��' '5asxt --------
TIER TWO I OPERATOR NAME __�m
EMERGENCY I BUSINESS PHONE: 425-775-5253
CRK HOME PHONE:
AND HAZARDOUS NAME I
ARCO FACILITY NO. 00822 NAME : MARAL PALOULIAN
CHEMICAL STREET ADDRESS: 202 FIFTH AVE S MAIL ADDRESS : 202 STH AVE SOUTH
INVENTORY CITY AND STATE: EDMONDS
WA 98020 1
SIC CODE: 5541 .. DUN & BRAD NO. 01-542-6723
EDMONDS
EMERGENCY CONTACT
WA 98020
---------------------------
SPECIFIC -----------------------------------------
I
INFORMATION FOR
BY CHEMICAL OFFICIAL
ID #
----------
NAME: D QUIXOTE ENTERPRISES INC
PHONE 206-775-5253
TITLE: MANAGER
24 HR. PHONE
USE
ONLY
DATE RECEIVED
NAME: ARCO MAINTENANCE
-------------- -
---------------------------------------
PHONE 1-800-ARCO-FIX
24 HR. PHONE 1-800-ARCO-FIX
IMPORTANT: READ ALL
---------------------------------------------------------------------
INSTRUCTIONS BEFORE COMPLETING FORM
REPORTING PERIOD: FROM JANUARY
------------------------------------------------------
------------------------------
1 TO DECEMBER 31, 1997
CHEMICAL DESCRIPTION
PHYSICAL AND HEALTH
HAZARDS
MAX DAILY
INVENTORY
AVG DAILY
STORAGE CODES AND LOCATIONS
NO OF DAYS (NON -CONFIDENTIAL)
----------------
CHECK ALL THAT APPLY
AMOUNT
CODE
AMOUNT
CODE
ON -SITE
DAYS STORAGE CODE
-------
- ------
STORAGE LOCATION
CAS: 009006-61-9---
X__FIRE
----------
36S ----- B14 ----------------------------------------------
CHEM. NAME PETROLEUM
SUDDEN RELEASE
NAPTHAS (Blended
OF PRESSURE
RECEIVED
Gasoline)
REACTIVITY
TYPE: LIQUID ONLY
X
FOAR 02 1998
MIXTURE:
IMMEDIATE (ACUTE)
---------------------
1 DELAYED (CHRONIC)
---- - ------------------------------------------
----------------------------------------------------
rDMOND9 FIRE DEPT.
CERTIFICATION: (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM
,FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS,
AND THAT BASED ON MY INQUIRY OF THOSE INDIVI UALS RESPONSIBLE FOR OBTAINING
THE INFORMATION, I BELIEVE THAT THE SUBMITTE INF R M TRUE, ACCURATE,
.AND COMPLETE.
DEREK REICHART ENVIRON. COMPLIANCE ADMIN
OWNER/OPERATOR OR AUTHORIZED REPRESENTATIVE SIGNATURE DATE SIGNED
i
OPTIONAL ATTACN'MENTS
I
I HAVE ATTiCHED
I
I HAVE ATTACHED A
SITE COORDINATE
ABBREVIATIONS
(CHECK ONE)
SITEPLAN
LIST OF
Wesffall, John
From -
Sent:
To:
Subject:
Smith, Mike.
Monday, July 24, 2006 11:26 AM
Westfall, John
Tank Removal @ 5th & Dayton//AM PM Mini Mart July 25, 2006
The three 12,000,gallon fuel tanks will be removed from the site tomorrow starting about -noon. Permit had been issued.
I have requested the following from the site super, Rex: rinse certificate of all three tanks; inerting tanks/who, when, with
what and levels in tank; where tanks are being hauled to; soil samples with. lab results on contamination and clean up
report.
I asked these documents be faxed to our office. Some will be available tomorrow, some not.
If you can will you check on these guys and make sure they do it right.
/ut- i T- 61'b 2eO(' C)K-45
L) I LO I A-)6' E;M (n-L, 1-1-1 ()-A)
6' L- /) 2'&0 6 06-4 (
1
STATE PLANNING, PROBATE
'abulous health benerits...
in Relief
* Pain Reduction
Stress Management
N
on
.14 Lou is an integral part o
our health regime. He ha
done full body massage in
our home now for over 5
years."
Sigrid Briscoe,
Lois Briscoe Kimball,
DougKimball
a Rio
UT dru
'(,-Z V
You should be.
Regular Chiropractic care
can bring you good health,
at an affordable price - In
fact, It's covered by most
insurance plans. It's natural
and safe, with NO negative
side effects.
Call now to schedule an
appointment for our new
Patient special.
(425) 774-1090
Jeffery Treadway, DC
uniuyea a wonclerful dinner,
chatting with the kids and
staff.
As the meal was wind-
ing down, camp supervisor
Michael Mathis moved the
F-77`1
MAYOR S VIIEW
�1� ........................
1 .. - -A 1- . - - --- - .. �%:
chael Mathis announced that at least - no longer diffe
we were being made honor_ ent. They are able to be "ju:
ary staff members and pre- kids," and to have fun doin
sented us with blue Camp it.
Phoenix hats and t-shirts. As Daybreakers, what a.
Each . of the youngsters honor it is to be able to hel
do just that.
s-
Want to bid on ALI
nCO site.? Take a number
2
B:y2ARY HAAKENSON
N . . r, CitY of Edmonds
* I ............................
Don't get sucked into the curious rumor
n1W about a couple of projects downtown.
The first is the potential sale of the now-bull-
f dozed AM/PM Property at 5th and Dayton.
S The closing of the station by ARCO started
a string of inquiries into how and when the
Property could be purchased.
A local attorney handled the
negotiations, and he may be
the only one who knows the
entire story, and I doubt if
he's talking.
One well-known down-
town developer bid on the
Property Additionally, a lo-
cal bank, the Bank of Wash-
ington, was an interested
bidder and apparently has won the battle.
The bank -wanted to build
a new branch on the site with ....
a drive -through. Currently,
the city code allows for drive -
through businesses at that lo- "The B
cation; however, an applicant
would have to apply for a con- washing
ditional-4se permit through
the city's hearing examiner. a bidde
Now add to the mix that the
city council is working on new appaMn
code language and standards Won the
for downtown, and they are
likely inclined to ban drive -
through 'businesses in that 0 0 0 0
Part of downtown. They will
hold public hearings in September on the S
changes.
Once the Bank of Washington learn6d'that c
the code could Possibly be changed, they put t
into play a strategy to expedite their plan be
fore the council could change the code. a
ti
Obviously, the site formerly held a gas sta- li
tion and would clearly contain some contami- cl
.nation. Whatever the contamination levels
were, we are accustomed to the practice of Ci
cleanup- - think of'the Unocal site,: f6r ex- , w(
ample - and we know that the Department of
Ecology has the responsibility for the cleanup
action and determining the cleanup levels.
No matter who buys the site, they have to
clean it to DOE standards. As a city, our re-
sponsibility lies in. making sure DOE has
signed off on the site before construction
begins and to make sure none of the public
right-of-way is contaminated.
Enter the developer who apparently wasn't
chosen as the winning bidder for the property,
asking the city council to become involved in
the cleanup action. Not necessary! As previ-
ously reported, DOE Will take care of that.
Have no fear that You will turn purple or
grow another nose if You walk by the site.
One thing is for sure: there still is plenty of
interest in the property and it won't be long
before a new building is constructed.
And, of course, there is Old Milltown! Re-
cently purchased and with plans in-house to
do a much -needed renovation.
While it's sad to see long-time tenants go
... their separate ways, it will be
good to see the old landmark
retain its charm and yet be
a modernp, functioning retail
ink of center for many years to come.
At last look, the boardwalk ten -
ton was ants are staying Put and look -
and ing forward to the remodel as
- well.
tly has For -good measure, let's talk
about the discussions that are
5attle" ongoing between the Port and
some property owners, in-
0 0. cluding the old Safeway/An-
tique Mail owner, to redevelop
- that area along with Harbor
quare.
Several meetings have been held with the
ity as an interested observer. A project of
lis scope will take years and an incredible
mount of planning. The consensus so far is
at a mixed -use development to include pub-
c amenities and walkways is the vision of
oice.
Look for a presentation before Edmonds
tY Council in October. And yes, if You are
ndering, building heights will be an issue!
sight distance or requiring the developer address the. issue in some other manner. Another issue was the
lack of sidewalks on 80th. He also recommended a left turn lane be installed on Olympic View Drive.
Mark Horn, Edmonds, displayed a map of the area, identifying the proposed PRD and his home and
explaining his primary concern was traffic. He questioned why the road needed to be a through street and
why it could not be constructed as a cul-de-sac. He urged the Council to be sympathetic to existing
residents' concerns.
Steve Vanswearingsen, Edmonds, recommended staff investigate whether the existing storm sewers in
the 80'h Avenue area would need to be upgraded as runoff into that low area was likely to cause flooding
during winter storms. He anticipated the cost to update the storm sewers could be substantial.
Paul Martinez, Edmonds, whose home was adjacent to the property being developed, referred to a
recent article in the Edmonds Beacon about this development and the developer's comment that the
neighbors did not accept change. He assured the neighborhood could accept change but wanted the
Council to ensure the development was an even gain.
Ray Martin, Edmonds, commended Councilmember Orvis' presentation. He expressed concern with
the change to the PRD ordinance that moved review to the Hearing Examiner. He asserted the Hearing
Examiner served at the Mayor's pleasure and would do what staff and,the mayor wanted him to do. He
also asserted Councilmembers Marin and Olson would do what the Mayor told them to do. He recalled
City Attorney Scott Snyder's recommendation that the phrase "compatibility with the neighborhood" was
not specific enough; Mr. Martin recommended that phrase be returned to the code with more specifics.
He summarized the Council needed to revise the variance and PRD provisions and return review to the
roperty at 202 5h Avenue, explaining the Council via
Executive Session sought access to information regarding the environmental condition of the property,
information he also had available via a confidentiality agreement, making it a difficult subject to discuss
in public. His environmental consultant met with the Department of Ecology (DOE) and obtained the
following public information: the site is listed on both the ecology and leaking underground storage tank
list and the confirmed and suspected contamination site list. Two specific issues of concern are soil
contamination — the allowable limit for gasoline in the soil is 33 milligrams per kilogram and the
contamination of the soil on that site is as high as 5,300 milligrams per kilogram, over 175 times the
allowable limit. The groundwater contamination is allowed as much as 800 parts per billion, the site has
7,500 parts per billion, 10 times the allowable groundwater contamination. As a result of groundwater
samples they would not be surprised to find raw gasoline, floating on the groundwater on that site. He
summarized he was not asking the Council for any action, he only wanted to make this data a matter of
public record and understood staff would be considering options. Mayor Haakenson advised DOE was
responsible for cleanup and staff did not have any options. DOE set the clean up standards and the City
could not allow anything to occur on the site until DOE cleaned the site. Mr. Gregg disagreed staff did
not have any options.
Roger-Hertri617Edmonds, referred to-Exedutive Session information he obtained regarding Edmonds
School District dealings with the City and a $7 million offer made by the Council which was
subsequently refused by the District. He relayed the District suggested the City provide $7 million cash
and a contract for the balance. According to the records, the requirement was $7.3 million, $330,000
more to purchase the entire property. Unfortunately Councilmember Moore and Plunkett were not
present at the meeting. Council President Dawson was ambivalent about increasing the offer to $7.3
million and later said it would be a change in the policy and that $7 million was the originally agreed
Edmonds City Council Draft Minutes
August 22, 2006
Page 12
Page 1 of I
Smith, Mike
From: Alexia Inigues [ainigues@barghausen.com]
Sent: Thursday, April 27, 2006 9:08 AM
To: Smith, Mike
Cc: File
Subject: FW: dispenser removal at ARCO Edmonds WA/ Job No. 2403
Mike,
Please see below regarding the contractor that removed the dispensers from service.
If you need any other information please contact me.
Alexia Inigues
Barghausen Consulting Engineers, Inc.
From: Condon, Michael W [ma ilto: Michael. Condon@ bp.com]
Sent: Wednesday, April 26, 2006 7:19 AM
To: Alexia Inigues
Cc: Bruce Creager; David Carroll; File; Greg Sleister
Subject: RE: Bond Form for demolition of ARCO Edmonds WA/ 3ob No. 2403
Alexia -
The company that removed them was Evergreen Environmental Service; I've cc'd Greg Sleister - feel free to
contact him if any questions (425-787-8987). Lines were blown -down, tanks emptied and cleaned, etc.
Hope that helps
Mike
4/27/06
Z10 7-r S—rLX
Wesffall, John
From: Tomberg, Thomas
Sent: Tuesday, December 13, 2005 10:57 AM
To: Fire Dept Group
Subject: FW: AM/PM downtown gas station closure
12/13/05
FYI. Thanks. TT
----- Original Message -----
From: Gerend, Jennifer
Sent: Tuesday, December 13, 2005 10:51 AM
To: Peggy Olson (electpeggy@comcast. net); Maud Moore (maurinmark@comcast. net); Michael Plunkett (E-mail); Richard Marin; Dave
Orvis; Deanna Dawson; Wilson, Jeff
Cc: Chave, Rob; Graf, Jeannine; Tomberg, Thomas; Bowman, Duane; Clements, Dan; Clifton, Stephen; Gerend, Jennifer; Haakenson,
Gary; Mcintosh, Brian; Miller, Noel; Stern, David
Subject: AM/PM downtown gas station closure
Some of you will surely be getting questions about the AM/PM gas station on 5th Avenue South, so I thought I would share
with you what I know.
Raffi and Maral, the very nice couple who owns this property and the business, have some financial difficulties and are
closing. As of Friday, ARCO will apparently be putting up a fence around the site. The gas station will be dismantled, and
the tanks will ultimately be removed and any contamination cleaned up.
In the next coming days, Raffi and Maral will be selling off as much of their inventory as possible in the mini -market. It
would be nice for people to wish them well.
There is a plan for an investor to help the couple sell off the property. I will keep you posted on this. Should you know
possible buyers interested in the site, feel free to refer them through me for now.
I will keep you posted on any new information regarding this important site downtown.
Jennifer Gerend, AICP
Economic Development Director
City of Edmonds
121 5th Ave. N.
Edmonds, WA 98020
tel. 425-775-7740
----------------------------------------
TIER TWO I FACILITY IDENTIFICATION
EMERGENCY
AND HAZARDOUS
CHEMICAL
INVENTORY
CRK
NAME ARCO FACILITY NO. 00822
STREET ADDRESS: 202 FIFTH AVE S
CITY AND STATE: UNDN WA 98020
SIC CODE: 5541 DUN & BRAD NO. 01-542-6723
--------------------------- W -4D- SL -4 � _923 ----------
OPERATOR NAME BUSINESS PHONE: 425-775-5253
HOME PHONE:
NAME : MARAL PALOULIAN
MAIL ADDRESS : 202 5TH AVE SOUTH
EDMONDS WA 98020
-----------------------------------------------------------------
EMERGENCY CONTACT
SPECIFIC ---------------------------------------------------
INFORMATION
FOR
NAME: D QUIXOTE ENTERPRISES INC
TITLE: MANAGER
BY CHEMICAL
OFFICIAL
ID #
PHONE 206-775-5253
24 HR. PHONE
USE
DATE RECEIVED
NAME: ARCO MAINTENANCE
---------------------------------------------------------------
ONLY
:
PHONE 1-800-ARCO-FIX
24 HR. PHONE 1-800-ARCO-FIX
IMPORTANT: READ
----------------------------------------
ALL
INSTRUCTIONS BEFORE COMPLETING FORM
.....................
------------------
....
----------------------------------------------------
REPORTING PERIOD: FROM JANUARY
-------------------------------------------------------
1 TO DECEMBER 31, 1998
I
I PHYSICAL AND HEALTH
I
MAX DAILY
INVENTORY
AVG DAILY
STORAGE CODES AND LOCATIONS
NO OF DAYS (NON -CONFIDENTIAL)
CHEMICAL DESCRIPTION
I HAZARDS
AMOUNT
AMOUNT
ON -SITE
------------------------------------------------------------------------------------------------------------------
I CHECK ALL THAT APPLY
CODE
CODE
DAYS STORAGE CODE
STORAGE LOCATION
CAS: 008006-61-9
1 X FIRE
1 04
03
365 1 B14
m_w -----------------
CHEM. NAME PETROLEUM
NAPTHAS (Blended
Gasoline)
TYPE: LIQUID ONLY
MIXTURE:
SUDDEN RELEASE
OF PRESSURE
REACTIVITY
X IMMEDIATE (ACUTE)
DELAYED (CHRONIC)
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CERTIFICATION: (READ AND SIGN AFTER COMPLETING ALL SECTIONS)
I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND AM
FAMILIAR WITH THE INFORMATION SUBMITTED IN THIS AND ALL ATTACHED DOCUMENTS
AND THAT BASED ON MY INQUIRY OF THOSE INDIVIDUALS RESPONSIBLE FOR OBTAININ6
THE INFORMATION, I BELIEVE THAT THE SUBMITTE 7 S TRUE,;/ACCURATE,
AND COMPLETE. U
DEREK REICHART ENVIRON. COMPLIANCE ADMIN
OWNER/OPERATOR OR AUTHORIZED REPRESENTATIVE SIGNATURE DATE SIGNED
OPTIONAL ATTACHMENTS (CHECK ONE)
— I HAVE ATTACHED A SITE PLAN
I HAVE ATTACHED A LIST OF
SITE COORDINATE
ABBREVIATIONS
RECEIVED
JAN 29 1998
EDMONDS FIRE DEPT,
CITY OF EDIVIONOB HARVE H. HARRISON
MAYOR
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
FIRE DEPARTMENT
August 16, 1983
Attention -Mr. Jim Fordan
Edmonds Mini Market
202-5th Avenue South
Edmonds, WA 98020
Dear Mr. Fordan,
SUBJECT: OUTSIDE HOSE BIB
Recently your business has experienced gasoline spills in
the area around the pump island. Since your business is totally
self-service, I feel that an occasional incident is bound to
occur. In 'Order that operators of your establishment can dis-
perse small spills in a timely mannor, I must require that a
domestic type hose bib be provided.
The bib with hose attached should be located and have enough
hose attached so that all areas of the pump island can be reached.
. If you have any questions, please feel free to contact this
office between 8 a.m. and 5 p.m., Monday through Friday.
Sincerely,
A :n V . _UA c6mk��
Gar L. McComas
Fire Marshal
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FORM NO. MEM. 88T
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A P P L I C A T 1 0 N
To -.CITY OF EDMONDS FIRE DEPARTMENT
For Permit
Jack F. Cooper, Chief
Fire Department
Civic Center
Edmondst Washington 98020
Dear Sir:
Date May 11, 1971
In conformity with the terms of the Fire Code, application is hereby
made to store, use or maintain the following specific materials or processes:
- Installation of storage tanks
The materials or processes are at the following specific locations at
the below address:
8,000 gallon tank at 202 - 5th Avenue South
6,000 gallon tank at 24200 - 76th Avenue West
Name of Firm of Company Martens Construction, Inc
Address - - Street and Number 9414 Stone Avenue North Seattle, WA 98103
Signature
Title
IF APPLICATION IS FOR SALE OR USE OF FIREWORXS, FILL OUT REVERSE,,nDE ALSO-.
efd 11-70