20020169.pdfOATS RECEIVED
PERMIT EXPIRES
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CONSTRUCTION PERMIT APPLICATION
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ADDRESS
OWNER NAMEINAME OF BUSINESS
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PLAT NAME/SUBDIVISION No, LOT NO.
L NO.
MAILING ADDRESS
D FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY ZIP ITELEPHONE
EXISTING — PROPOSED—
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REQUIRED DEDICATION— FT
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NAME
METER SIZE
LINE SIZE
No. 01 FIXTURES
1EOUI1 11
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SO NO C3
ADDRESS
REMARKS
OWN R/CONTRACTOR RESPONSIBLE FOR EROSION CONTHOLIDRAINAGE
CITY ZIP ITILEIIIIINE
HHF_ 10ARS! ft
PR�GSNT
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NAME
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TANK
CAP
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ENGINEERING DIDATE
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CITY ZIP
TELEPHONE
FIRE REVIEWED BY
DATE
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STATE LICENSE NUMBER
EXPIRATION DATE
VARIANCE OR CU
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0 NEW
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REQUIRED SET ACKS (Fr.) PROPOSED STBACKS (FT.)
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ALLOWED PROPOSED
FRONT SIDDE REAR
FRONT LISRSIDE REAR
ADDITION
0 COMMERCIAL
L[O]APAROTEMFIENT
C MPLIANCE OR
CHANGE OF USE
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• REMODEL
171 SIGN
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REQ'o`A IKIPNROOVIDED
LOT AREA
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I PLANNING REVIEWED BY DATE
• REPAIR GRADING CYDS 11 ( ENCE X FT)
REMARKS
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CARPORT 13 TIOCKERY [3 RENEWAL
(TYPE OF USE, BUSINESM
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NUMBER OF CRITICA
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DESCRIBE WORK TO BE
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ME—ATSOURCE GWING % 1: "IT SLOPE %
Building
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PLAN CHECK NO: VESTED DATE
Plumbing
,._b..g
rGrading
Mechanical
Mechanical
THIS PERMIT AUTHORMS ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
IC BE GONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE BUD
VOULAAM (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REG IRE
I PU U
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SEPARATE PERMISSION.
Engr. Review
P. BIT APPUCAGO.: I- a —
BAR � PROVI ED WORK IS STARTED WITHIN 1 80 DAYS
Engr. Inspection
SE., BACK OF PINK PERMIT FOR MORE INFORMATION
*APP1IC N!, ON BEHALF 01 HIS OR HE" SPOUSE, "EIR1, ASIIGNI AND IUCCE1081
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAWS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Review
FROM Till I SUANCI 01 THIS PERMIT ISSUANCE 01 THIS PERMIT SHALL NOT BE
nEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREM NT OF ANY CITY ORDNANCE
Fire Inspection
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACXNOWLED E THAT I HAVE READ THIS APPLICATION; THAT HE INFORMATION
GIVE" 18 CORRECT, AND THAT I AM THS OWNER, OR THE OULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC_
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
CALL
IN VIOLATION OF T14E LABOR CODE OF THE STAT OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMEN'S C SUSAN
,qYrW�ISATION IN CE AND ROW IB,27.
SIGNATUR�(OWNEFII!Ifk AGENT) _T=ATEs1.NSD
(425)
771-0220
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
10101
PER UBC 11081FINAL INSPECTION REQ`D
FEE
Recording Fee
City Surcharge
State Surcharge
Plan Chk Deposit
Receipt #
Total Amount DUE
Receipt #
ORIGINAL - FILE YELLOW . INSPECTOR
PINK, OWNER GOLD -ASSESSOR
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12616 49th AVE. WEST
MUKILTEO, WA 98275
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04/23/2002 13:46 2069321007 TANK WISE PAGE 02
TANK WISE LLC
FOM VVue Telephone (206� 937-3"5
cwfractot tk;.#TANKW0MG Fox (2D6) 932-1007
44$5 35th Ave. S.W.
Soatra, WA. 90126 King
April 9, 2002,
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To Whom It May Concern:
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This letter is in regard to the heating oil tank removal at 614 Bell St, Edmonds, WA,
Upon removal ofthe heating oil tank a samill amount ofcontaminated soil was created by
a mishandling ofthe heating oil tark and a small amount ofground contamination was
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found during excavation ofthe tank. Tank Win was called to pump out and pick up tank
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fbr cleaning and disposal. Tank Wise pulled three soil samples for a profile for the
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removal ofthe contaminated soils to be deposed at Rinker materials. The samples came
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back at 19,000ppm (parts per million) from the stock pile. The second sample came back
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at 14,000ppm and was taken 2 feet fi-om. the west end oftank 5 feet below surface grade
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The third sample was pulled from the Same: spot, a the second sample but at six feet below
w 'ace grade this Sample raw back at <50 ppm.
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16.44 tons ofcontaminated soil was taken to Rinker for treamaent. Twomoresoil
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Samples were pulled from excavated area around the tank hole, These san*les were taken
at 60 inches and 66 inches below surface grade. The results came back for both samples
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The soil samples results came back at less than 50ppm so no ftirther clean up is required,
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The DOE (Dept. of Ecology) recommends a cleanup if it comes back 2000ppin or higher
for Hydrocarbons. Since these samples showed <50ppm the ground is considered clean
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and no fi&Jm cleanup is necessary.
Ifyou have any Auther question please, call (206) 937-3995,
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TomWisc
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TANK WISE
04/23/2002 13: 46 '2069321007 TANK WISE PAGE 03
FRIEDMAN & BRUYA, INC.
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ENvIRONMENTAL CHENSTS
Date of Report: 04/16/02
Date Received: 04/09/02
Project: 614 Bell St
Date Extracted. 04110/02
Date Analyzed: 04/10/02
RESULTS FROM THE ANALYSIS OF THE SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL
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USING METHOD NWTPH-Dx
Extended to include Motor Oil Range Compounds
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Results Reported on a Dry Weight Basis
Results Reported as vglg (Pp-)
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Laboratory ID (CIO -CM) (Limit 45-147)
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: ___YIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
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PERMIT # 9_6n�t, 0&7 ADB#_ --DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL JECT APPROVAL
Date M—q,�-02
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FINAL PROJECT APPROVAL -FORM
TO:
DATE-
I�MMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: --- YMDEPART1,IENTDATE
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJEC
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PERmrr#AL6 -��ADB#---------PATEINSPECTED�3-,&,-2001z-
DESCRIPTION OF WORK TO BE INSPECTED-U12L-SfA:d��..
A rield inspection was conducted to determine final 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:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL ATM CONDITIONS NOTED
a , Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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FRAMING ...........
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FO R
OCCUPANCY ..................
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