20010780.pdfDATE RECEIVED/ 151
el
I
PERMIT EXPIRES
F
CITY OF EDMONDS
--E PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JAoDBDPEll ll'TEIAPTI
OZ�� NAMEIA.ME 01 IUS�NEIS
PLAT NAMEISUB01VISION NO.
LOT NO,
L�ON
L DFEE$
MAILINGADDRESS
1 -3s-
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
==- U
P.-K d 0
VIP-
EXISTING � PROPOSED —
s"..' - P"uh RKd 0
A %:.d 0
P.: 0
CITY 1p
T�EPH�E
_I -76 A L4;? -7
RE UIRED DEDICATION— FT
NAME
J.�EMA
I
ADDRESS
WNERJC.NTFA.T.R RESPONSIBLE FDA lR.SI!.NC0NTF0..NAIN�GE
TELEPHONE
MRE MAMMAL
NAME
riusttt PRESENT
"P: A co co T-',
"MOVA
-ANK WrR.O.
ENGINEERING! F!
E
A
Z\ �;t a G
FIRE REVIEWED BY
DATE
CITY ZIP
Z
0
ITELEPHONE
STATE LICENSE NUMBER
EXPIRATION D�TE
-11ED =
VARIANCE OR 011
SHORIUNE OR ADS1
INIPICTI N
REDD
BOND
POSTED
T-' L-c oc� oso Lk 10110103
Ong-
OYES - No
HEIGHT
p
SERA REVIEW
SIGN AREA
AC40 PARCEL NO,
COMPLETE I EXEMPT
I
ALLOWED PROPOSED
ALLOWED , PROPOSED
ca
~A '0
EXp
0 m
NEW
RESIDENTIAL
PLUMBING I MECH
LOT COVERAGE
A OWED PROPOSED
REQUIRED SO SACKS (FT.)
FRONT SIDE REAR
PROPOSED BE KS (Fr -
TBAC
FRONT UR SIDE REAR
In
C] ADDITION
C MPLIANCEOR
CHANGE OF USE
-
1
86,
RA RKING LOT A EA DATE
REMODEL
0 SIGN
REDID I IFOW..D
rNN1113RIVIEWEDOY
FENCE
A
C] REPAIR GRADING CYDS X FT)
-MEMARKU
a
DEMOLISH J�3<4ANK OTHER
fj
v
I -
GARAGE r-1 RETAININGWALL RENEWAL
C3
i.
r
CARPORT
(TYPE OF USE. BUSINESS OR CTIVITY)EXPI.AIN:
CHECKED BY
TION
E
OCCUPANT
.-Up
0 -n
-n jo
W
NUMBER
OF
NUMBERO
D NGr
1,99,
CRITICAL- IJ V�
A
RNAW
OCCUPANT
mm
SP�CIJALEIONSPECTOR
AREA
9
o
STORIES
UWELLI
NITS
NUEA
R UP -1 yes
E r I
LOAD
0
DESCRISEWORKTO BE DONE
0
C
REMARKS
PROGRESS INSPECTIONS PER UBC IONFINAL INSPECTION REO'D
11
(a
& w
pk dk Ce- �,A-j
5
M 0
z
VALUATION
FEE
PLAN CHECK FEE
z
HEAT SOURCE GLAZING %
LOT SLOPE %
BUILDING
40—
PLAN CHECK NO:
IVESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
D OU
2 ETC)WILLRE IRE
OMAlN (CURB% SIDEWALKS. DRIVEWAYS MARQUEES
M SEPARATE PERMISSION. —
UnCHARGE
PERMIT APPLICATION: 1800AYS
PERMIT LIMIT. I YEAR - ROVIDEO WORK IS STARTED WITHIN 1800AYS
P
SEE SA 'K OF PINK PERMIT FOR MORE INFORMATION
r
ENG. REVIEW FEES
. .... — —
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN NTEREST. AGREES TO �NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
MONDS. WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
A LCLAIMSFORDAWGESOFWHATEVER NATURE, ARISING DIR-1-
INSPECTION FEE
FRO THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT,SHALL NOT BE
DEEMED TOMODIFY.WAiVE OR REDUCEANY REOUIREMENTOFANY C Ty ORDINANCE
PI -AN CHECK DEPOSIT
IRECEIPT
NORLIMIT INANYWAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.-
CEIP704,;?l
r
1 1
TOTAL AMOUNT DUE
IR
'5—
I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLItATION
GIVEN IS CORRECT, AND AT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
TH �j
_..,�PPROVAL
THE OWNER. I AGREE TO COM PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
-,I
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
G TO
IN VI LATION OF THE LABOR CODE OF THE STATE 01 WASHINGTON RELATING TO
FOR INSPECTION
"".Pi p- P-IdId.
WORKMEN S COMPENSATION INSURANCEAND FCW 18.27
SIGNAT E K���
DA E SIGNED
(425)
,I-j
151
771-0220
A17ENTION
EXT 1333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIrl-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
5198
Lic. # FILCOC1080RU EXP. 10/10(03`.�
Filoo Company Inc.
P.O. Box 31228 'fFC1 License#
Seattle WA 98103 City License#_
J,
206-547-8347
ir,
it -1,
Z
0
01
JOB SM ADDRESS4
Mom
ADDRESS'
PHONE:
M.
Fn
ACTANM:
(Pump Clean and Fill)
13 SUUCD19 P01YUrellanO Foam
0 r
Pump & clean one puou underground oil tank. Fitl with
Cut off or remove vent and Mer Pipes and Cap thm permanently below grade.
I
M
ID
rl (ftmp Clean and Cap)
Pump & clan one gaUon underground od tank. Cutoff or remove vent and filler pipcs"
and cap them permanently bel— grade
0�011 tank then back fill hole,
PA
PUMP out one6l) ganon underground oil tank Excavate and remove
and disoose of tank in prow marmer,
0
�Af GROFILN"i
r. ca�
0
FINAL PROJECT APLPROVAL FORM
TO:-
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE-
---------PLANNING DIVISION DATE-
-I PROJEC
T
SITE ADDRESS—LIL15—
pF
MT #_2�� �9Z).ADB#_____--DATE INSPECTED—Za:::!�
DESCRIPTION OF WORK TO BE INSPECTED—Cl-���V
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 granting of:
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION OUTSTANDING ISSUES
2.
3.
___)(_RF--INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
c,c— (�ft",ew UP -
ocaprv1-doc.1:teW;bldg:fomn6198
i,�Wl(',"ROFILM
FA
z
9
0
m
m 0
0
80
C
--4 K
X M
M Z
10
-4
:C
0
n
m M
C)
0
0 M
C u)
90
M 0
z
--I
7:
Q)
z
M
Since 1980
0 FILCO
It
COMPANY INC,
ResidenUal Tank Services
IFCI Cartfied Lic# FILCOCIOBORU
www,filcQonviro.com
SEATTLE
TACOMA MRETT
3603 PhInney Ave N.
2421 S. Won Ave 2M ColW Ave
SGatft WA 98103
Tacoma, WA aB405 Ev", WA 9a20I
Fax: (206) 548-93512
Fax; 1-80"1-"612 Fox: 1-80M16-8512
Tel: (206) 647-&U7
Tel: (253) M-a383 Tel: (425) 257-OSM
DATE: March 6, 2002
TO: Mike Smith
FROM: LaVeme
Edmonds 8�ra�dm—gnt
425-775-7721
Number of pages including cover sheet:
MESSAGE; Summary
for remediation work at 1135 Viewland
William Johnson residence
THANKS!
HAVE A GREAT DAY
i"APOROFILM,
4
C
fn
0 C;
M
rA]
0,
M
FILCO COMPANY INC.
P.O. BQx 31 2-S8 - Sewm4e. WA 981 M - F": fMe 5,47-e347 - FAX; C2063 54B-
UST REPLACEMENT AND SOIL REMEDIATION
1135 VIEWLAND WAY, EDMONDS, WASHINGTON
Filco Project 9106 - January 23, 2002
m amma-"
This report documents activities, observations, findings and the results of laboratory
analyses performed as pan of the subject underground storage tank (UST) removal and aoil
sampling. The significant activities and findings of the project are summarized below:
One active leaking 550-gallon 13ST was removed from the Target Property.
A roil sample collected from the bottom oi the tank excavation was analyzed and found to
contain total petroleum hydrocarbons in the diesel and motor oil ranges (TPH-/D/Motor Oil)
at a concentration exceeding the applicable 2,000 micrograms/Uam (parts per million or
ppm) cleanup level established by the Washington State Model Toxics Control Act (MTCA).
Based on the analyPtical result for tbA3 &oil sample, 19.82 tons of petroleum -impacted soils
were removed from the site.
Field screening and laboratory analysis of several soil sample& collected from various points
within the overexcavated pit determined TPH-DfMotor remained in site soil@ at
concentrations above the MTCA Method A Cleanup lAvel.
)Based on the analytical reaulte6 $6,51 an additional tons of petroleum -impacted soils were
removed from the UST excavation.
Soil samples collected from several locations within the UST pit were determined to be free of
TPII-D/Moter Oil at concentrations exceeding the applicable MTCA Method A Cleanup
Standard of 2,000 Pg/g.
Based on tl�e analytical �esults, a new UST was installed at the same location as the original
tank sAd the area was backfilled with dean imported fill material.
A total of $6.33 tons of petroleum-imPacted soils was removed from the site.
This summary iapresented for introductory purposes only and should be used in conjunction
with the full text ofthe report. Detailed accounts of the UST removal, subsurface conditions,
sampling activities, mW laboratory analyses are included in the text of the report. Summary
tables ofanAlytical results and laboratory analytical certificates am included inAppendi al
and 2, respectively.
�",,F'910FILM
0
0
M
0
M
Z
J
RECORD OF INSPECTIONS
QOATEAECEIVED/ .0/1
PEWMlitXPIRES
CITY OF EDMONDS
USE
Zo E
PERMIT
NUMBER.,5)o/-,:�,7
ed
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
Cl Cl, SUITE/APTA
uvA
OZ:; NAMEMA.ME 01 BU!�NlrSl
PLAT NAMSISUBDIVISION NO.
LOT NO.
�13 IN
L 0.
L L F
ID EE S
MAILIN ADDRESS
--]TEL
PUBLIC RIGHT OF WAY PER OFFICIAL
EXISTING — PROP OSED—
STREET MAP
P
S".= Pen.."RK,
I.ePeetee R". Id
CITY ZIP
PHONE
Ll a q LI -1
REQUIRED DEDICATION—
SIZE LINESI;--T
FT —
O.OFFIXTURES
SI—M Reqd
PW REQUIRED
NAME
-ETER
YES 0 NO E3 F
TA �ESS
FE.AFK.
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
1pAco co T
ENGINEERING 1 ANK
rittt ritmuVINEwEPMARKv
ADDRESS
FIRE REVIEWED By
DATE
CITY
c..,
VARIANCE OR CU
SHORELINE OR ADBN
INSPECTION
YRE .
C3 BE E3 NO
I PBOND.
GETS
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
-1:, L-c oc, M- 050 R LA lollilo 3
0/1914-
SERA REVIEW
COMPLETE I 1XIMP
EXP
SIGN AREA
ALLOWED PROPOSED
I
HEIGHT
ALLOWED I PROPOSED
PRO E TY TPAR ELNO.
/10
0 NEW RES16ENTIAL 0 PLUMBING / MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRONT URSIDE REII
0 ADDITION 0 COMMERCIAL o C MPLIANCE OR
CHANGE OF USE
E] REMODEL rl APARTMENT 0 SIGN
PARKING LOT
nEa I PROVIDED�
D .
AREA PLA NING REVIEWED By DATE
—
A
— GRADING C,CS FENCE
0 REPAIR 0 1 x FT)
REMARKS :11
Ifillwl—p-t-p-
0 DEMOLISH [*�J<TANK OTHER
d
'llirwillill
mom I IOU
CGARAGRET RETAIN 0
,Rpo ROCKEVVIALL RENEWAL
(TYPE OF USE. BUS;NESS OR ACTIVITY) EXPI-AIN'
c.
CHECKEDBY ITYPE bE CONSTRUCTION 11111E I OccuPAN;
G
V-7 Rou
SIECIAL�,.�S�TGR IA.-loccu
FEoU R LOAD
NUMBER
OF
_STORIES
DESCRIBE WORK TO BE DONE
P., ck to- Ll
REMARKS
OGRESS INSPECTIONSPER UBC lOa/FINAL INSPECTION REO'
VALUATION I FEE
FEE
PLAN CHECK FEE
P C H C'
AEAT SOURCE GLAZING I
LOT SLOPE
IN
GUILOINO
OU L 0 0
PLAN CHECK NO:
1116TID III
P N
M 8, G
PLUMBING
L U
C ICAL
HA IN
MECHANICAL
E
IK TO
THIS PERMIT AUTHORIZES ONLY THE WORK NDTED. THIS PERMIT COVERS WORK TO
C
13 01 DONE 04 PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON T41 PUBLIC
GRADINGIFILL
.A.,N.,FILL
DOMAIN JCUABS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
tNE
U .. ARKE
PERMIT APPLICATI N: 1110 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN ISODAYS
ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPUCANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
T'ON FEE
ENG. INSPECTION FEE
Y
IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CIT , Y OF
I" AND
LANDSCAPING
EDMONDS, WASHINGTON. ITSOFFICtALS, EMPLOYEES, ANDAGENTS FROM ANYAND
ALLCLAIMSFORDAMAGESOFWKATEVER NATURE.ARISING D18ECTLYOR INDIRE CTLY
WSPECTION FEE
ECT,
RECEIPT
,
FROM THE ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL HOT BE
PLAN CHECK DEPOSIT
C
D=T,,�,M,,11,1111 01 REDUCE Any RE111RIMINT01 ANY CITY ORDINANCE
N ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.'
TOTAL AMOUNT DUE
RECE17
15—
41
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
C IF
GIVEN SCORRE T. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED A ENTOF
1:
This,pplicabo—ht pII,h,bIJ0q,odby the
IRUC-
N NSJRUC�
.01
THE OWNER. FEE Ly CITY AND STATE LAWS REGULATING CONS
JAG TOC Min WITH
C:
CALL
130,fing Ghost , thlift, Depty; an* Fees am id,,.d
P
a EMPLOYED
TION; AND IN GGI NG THEWOORKAUTH RZIEG THEREBY. NO PERE NWILLBEEMPLOYED
I RE L T [No To
CODE OOF THE STATE OF WASHIONGTON RELATING TO
F:
FOR INSPECTION
jpI I, ,MmiedgW In speca pwiftd.
IN VIOLATION OF THE LABOR
WORKMEN'S COMPENSATIO��URANCE AND ACW 18
SIG DATE
SIGNATURE (QWNER 04AGEN
-1-1
D
D E SIGNED
- I % � I , ,
(425)
'74 rk'3,jn
x
I1 13 1 - RELEASED By OPTE/
ATTENTION EXT 1333 -------
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FLE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR
Z
0
r4 9
a rn
a
m a
0
0
m
0 -n
m m
8 co
0 Fn
m
z
m