20040573.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROPERTY TAX ACCOUNT PARCEL NO.
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GRADING CYDS
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PERMITEXPIRES
U�E PERMIT
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JOB ILIITEIAPT�'
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PUiT NAMEISUBDIVISION NO. LOT NO. LID NO.
LID FEE S
IESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use Permit Roq'd
EXISTING — PROPOSED Inspection Required
Sidewalk Hequired
REQUIRED DEDICATION— Fr Underground
Wiring reqLjirod
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I I - YES 1:1 NO 1:1
REMARKS
OWNER/CON1RACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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PRE-IN"PECTION RPOTIT-1-22
CBL STREET TO BE CLE'ANI-F) �_)F D1713111
ENGINEERING REVIEWED BY DATE
0 SIDE SEWER MUST OF, CAPPED AT
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AREAS
NUMBER
LOT SLOPE %
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
10
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, 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 WHAT EVER NAT URE, ARISING DIREC TLY OR INDIRECTLY
x FROM THE ISSUANCE OF *[HIS PERMIF ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
I NOR LIMIT IN ANY WAY THE CITYS ABII, HY 10 ENFORCE ANY ORDINANCE PROVISION. -
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONsTRUC.
TION; AND IN I D ING THE�WPVK AUTHORIZn" THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION F THE 004 CODE OF[T/,E STATE OF WASHINGTON RELATING TO
WORKMEN*E : MPENSAT/
'?�RANCVTD RCW 18,27.
I DATE SIGNED
SIGNAT/UEIWNER�O AG NT)
FIRE REVIEWED BY DATE
WATER METER TO, 13B REMOVED OP.
VARIANCE OR.QU SHORELINE OR ADB# I INSPECTION BOND
40 D MP AT APPROMW DUMP ITE tffltV
I UYES _0KO S
SEPA REVIEW5EE VEMMUMON INS "EMOWEIGHT
COMPLETE , &E THECkOft ff9yAft )eL RM D I AW OSED
EXP FOR INSPEC;011N REQU REMENTS
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
PARKING
REQ'D I PROVIDED
REMARKS
CHECKED BY ITYPE
LOT AREA I PLANNING REVIEWED BY
SPECIAL INSPECTION JAREA
REQUIRED [3 YES I
DATE
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GROUP
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PROGRESS INSPECTIONS PER UBC 1081 ISC1 09 / IRC1 09 FINAL INSPEC11
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
rire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE
Description FEE
State Surcharge
City Surcharge I
Base Fee
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt 9 (11- �lo
APPLICATION APPROVAL
I his application is not a perinit unhi signed by the
building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
j
FFIC71S S71GNAT JFW D�'i E
T
REIEASFD BY
ATTENTION EXI 1333
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HASBEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCLI-
PANCY HAS BEEN GRANTED. UBC109/IBC110/iRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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CERTIFICATE OF FINAL COMPLETION FOR ASBESTOS ABATEMENT
Owner:
Unoca) Corporation
11720 Unoco Road
Edmonds, Washington 98020
Project;
Buildings B, C & D
To:
Wyser Constiuction, Inc.
17125 Suriset Road
.Bothel.), WA. 9801.2
From:
IRS Environmental of Washington
P.O. Box 16188
Seattle, Washington 98116
Date of Issuance:
6/14/04
Site Address: 11720 1 Jn oco Road
Edmonds, WA 98020
IRS Job W6709
The asbestos abatement work ror the above referenced project area has been. completed in
accordance with applicable asbestos abatement requirements of federal, state, county and
local agencies.
The work performed under this contract for the referenced area has been removed per
EHS laternation.al's good faith asbestos survey and found to be 100% complete. The date
of final completion for the arw above is hereby established as 5/21/04, at which time the
area is retumed to Wyser Construction for demolition.
IRS Environmental of Washing �on x /// 6/14/04
Contractor Sign'e"d By I J Date
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Labor and Industries NOTICE OF
Industrial Hygiene Compliance ASBEST69 A14ATEMENT
(Regional addresses and. phone
numbers oxv page 2) PROJECT
T19S NOTICE MUST BE.RECEIVED NO LATER THAN 10 CALENDAR DAYS PRJOR TO THE START DATE
COMPLETE ALL APPLICABLE BOXES — tNCONPLETE OR ILLEGIBLE NOTICES WILL NOT BE ACCEPTED
MAIL OR FAX TO TH.E REGIONAL OMCE — CIRCLE CHANGES ON AMENDED NOTICES
Notiecdate: _9'15'1eV Initial R1 Amended Site Work Hours Su Mo Tu We 711 Fr Sa
Start date: 5'/ 0 / 0')( On Hold C) Off Hold E] 7:00 am am —F—F
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to
-Completion: 91V/0y, EmcrgeacyEl 3!30 Pin prn ProjectDates jind Work Hours must be Exact
CONTRACTOR
PROPERTYOWNER
Company None
Name
OF WA., FNC.
UNOCAL CORPORATION
-IRS.IENVIRONMENTAL
Contracto ca0or. Nwnbez
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Owner's Agent
1229 .or //
DAN REYNOLDS
Sign!�/r�y
Company
UNOCAL CORPORATTON
Printed'Name
Address
J. KE�
11720 UNOCO ROAD
.STEVEN
Phone Number
City State ZIP+4
206-932-0944
EDMONDS WA 98020
1 Job Site C.A.S.
Phone number
425-640-7610
JOB SITE
FACILITY
Address
Type
11720 UNOCO ROAD
SUED STORAGE BUILDING
Building Name
R NO) M
Age Sile
SHED 02
40 YEARS +/- SOD SQXT.
City
EDMONDS
WA
0 Remodel S Demolition
(j Repair F_] Maintenance
LIP+4 County
48`020
SNOH.O.M19IR
QUANTITY OF ASBESTOS TO BE: 9 REMOVED [] ENCAPSULATED
Quantity a 100 square feet
0 Indoors El Outdoors
E) Firepmofing
C] Boiler insuladon
CONTROL MEASURES
0 Popcom c-ciling
0 Duct paper
D Nee. pres. enclonure
wrap& Cut
E!rCA.13
VAT
Glove bag
Wet methods
Ersbect vinyl
El Rooring
Mini enclosure
El HEPA vacuum
Asbestos paper -PE
Other Gasketmindov
Critical bamers
anual met.b.ods
ra m1nual n
-Quantity 0 linear feet
El Othcr
10 Other
Mag. pipe insulation
0 Cement kqbcstos pipe
RESPIRATORY PROTECTION
Air cell pipe insulation
El Ducting/duct insulation
Mudded pipe ins.
Duct tape
1/2 niask APR
full face APR
0 Type C 6onflnuous flow
D Type C pressure demond
Other
Other_.
PAPR
El Other
F4.13-D25-000 notice of asbestos abatement project 9-02 For clean, copies 90 to http://www.lni.wa.gov/-fornis/
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CERTUICATE OF FlNi,kL COMPLETION FOR ASBESTOS ABATEMENT
0,,.vne-,: Unocal Corporation
11720 Uooco Road
Edmonds, Washington 93020
Project: BuildLngs B... C & D
To: Wyser Constructiori. Inc.
17125 Sunset Road
Bothell, WA. 98012
From- IRS Envkonmental of Washington
P.O. Box 16188
Seattle, Washington 98116
Date of Issuance: 6/14/04
Site Address: 11720 Unoco, Road
Edmonds, WA 98020
IRS Job 4 W6709
The asbestos abatement work for the above referenced project area has been completed in
accordance with applicable asbestos abatement requirements of federal, state, county and
local agencies. .
The work perfaimcd under this contnict for the referenced area has been removed per
EHS IntematioTial's good faith asbestos survey and found to be 100% complete. The date
of final completion for the area above is hereby cstabUished as 5/21/04, at which time the
area is returned to Wyser Constrpction for demolition.
IRS Envi.ronmental of Washinaton 6/14/04
Contractor Si ed By Date
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Labor and Iridustric3 N OTICE OF
L-dustria.1 Hygiene Compliance ASBESTOS ABATEMEN-T
(Regional addreSM and phone PROXECT
numbers on page 2)
TIDS NOTICE MUST F3Z.v,,---CE1VZD NO LAT:aRF,-IAN 10 CALEN-DAR DAYS PR.-rOR TO TX2 START DATE
CONI]PLETE ALL,-1LP?L1C.kBLE BOXES — NiCO'NUILET, E OR ILLEGIBr-E NOTICES WILL NOT BE ACCF,2TED
M.AIL OR FA�X TO TITE REGION.-\L ol:7-ICE — CaCLE C'r!ANGES ON AMMX.D.F—D NOTICES
jNoticc date: �5' 44� Initial 0 Amended Cj Sit-- Work Houri Su Mo Tu We 71 Fr SA
Stan date: 5'/ 1-7 01/ On Hold 0 OFf Hold 0 1 7-00 am to ;un I x L X I X 1-7�Tx I -]
Compiction: 9 131 10V Emergency[] 13:30 PM prn I P-oject.Dams azd Work Hours must be Exact
CONi7RACTOR
PROPERTY OWNER
companyNamc
S r-NVTR0,N'LM i TAL OF WA., NiC.
M 'EN
Name
UNOCAL CORPORATION -
COO, tractor C �.cation.Nltunbcr
Owner's tkgerit
u2-9
DAN OLDS
REYN
Company
PIPrinted,
UNOCAL CORPMA770N
&me
Address
STEVEN J.
11720 UNOCO ROAD
none Number
City State ZIP+4
206-932-0944
EDMONDS WA 98020
job Site C.A.S.
Phone nuinber
1425-640-7610
---K:CK,W JOB SITE
FACILITY
Address
Type
11770 TJN0C0 1110AD
SUED ST01UGE BUILDLNG
Building Name
R oorn
Age Size
SHED 02
40 YEARS Soo SQ.FT.
City
0 Remodel 8 Demolition
EDMONDS
WA —
Repair C1 Maintenance
ZIP + 4 County
98020 SNOKOMISIR
--------
OUANTITY OF ASBESTOS TO BE: [j5 REMOVED [I ENCAPSULATED
Quantity A square ft:et
Z Indoors El Outdoors
[:1 Fir. -proofing
C] Boilcr insulation
CONTROL MEASURES
C3 Popcorn cdling
rl Duct paper
Nee. P=. crcicq=
wrap & cut
-&"�AB
[] VAT
Glove bag
Wet rncato&
O'Sheet vinyl
Roofing
C3 Mini enclosure
E) HEPA vacuum
Asbestos paper
Other GagkeQylrtdov
EP C�iricA barriers
Manval methods
Quantity 1;2 -5- 0 Linear feet
C3 other
0 Other
El mag. pipe insulation,
[I Cement a-qbcstoi pipe-
RESPM4,TORYFROTECTION
0 Air cell pipe insulation
Z Mudded pipe ins.
'A ni&-k APR
11 Type C 6ondnuous flow
Ej Ducting/duct iogulation
0 Duct tape
Full face APR
0 Type C pressure demand
0 Other
0 Other--
0 PAPR 0 Other
F411-023-000 notice of asbestos abiternent prnjci-.t 9-02
r-*or clean. copies SD to http-//v,,-ww.loi.wa.gov/fomi��/
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