20170811164435.pdf-,ov Fjm, CITY OF EDMONDS
121 5TH ANENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 08/11/2017 Fkmm*&MkW11'711Q4
I BUILDINGPERMIT
Expiration Date: 02/11/2018 Projeo.-Wdress: 956 SPRUCE ST, EDMONDS
Parcel No: 27032500103700
BLUE SPRUCE LLC WESTERN FILCO FILCO
PO BOX 365 PO BOX 31228 PO BOX 31228
EDMONDS, WA 98020 SEATTLE, WA 98103 SEATTLE, WA 98103
(206) 369-0206 (206) 547-8347 (206) 547-8347
LICENSE #: FILCOCIO80RU EXP 10/10/2017
PUMP, RTNSEAND FILL IN PLACE WITH FOAM ONE 300 GAL UST
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 70 - Tanks/Fuel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: OXO FT)
CODE 2015
OT HER: ------- OTHER DESC:
ZONE
NUMBER OF STORIES: 0
VESTED 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
HIONTSFrBACK SIDESEFBACK RLAR SffBACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABORCODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THISAPPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL ORHISfHER DI-PU'LY AND ALL FEESARE PAID
Name
ATTENTION
Released By
Date
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED UBCI09/IBCII0/IRCII0
E-10NLINE APPLICANT ASSESSOR mum -4
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
1215"' Avenue N, Edmonds, WA 98020
Phone 425.771.0220 It Fax 425.771.0221
'City of Edmonds
PLEASE REFER TO THE PL UMBLNG & MECIMNICAL CHECKLIST FOR SUBMITTAL REQ UIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Pa reel #:
956 Spruce St, Edmonds, WA 98020
27032500103700
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YesE]
Nov
Associated Permit #:
APPLICANT:
Phone:
W-548-9352
Filco Company Inc.
206-547-8347
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228 Seattle, Washington 98103
info@filcoenviro.com
PROPERTY OWNER:
Phone:
Fax:
Western Blue Spruce LLC
206-369-0206
I
Address (Street, City, State, Zip):
E-Mail Address:
�956 Sipruce St. Edmonds, WA 98020
mwm@macmccarthy.com
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Filco Company Inc.
206-547-8347
[06-548-9352
Address (Street, City, State, Zip):
E-Mail Addkess:
PO Box 31228, Seattle, Washington 98103
info@filcoenviro.com
WA State License #/Exp. Date:
*Contractor must have a valid City ofEdnionds business license prior to doing work
FILCOCIO80RU 10/10/2015
in the City. Contact the City Clerk's Ojfice at 425.775.2525
Citv Business License #/E Dt
'x
0-0241 Ij
PERN111 APPLICAT10N
PLUMBING MECHANICAL L___j
FOR�
TANK) 7=MOLITION I I
DETAIL, THE SCOPE OF WORK: Pump, rinse and fill in place
__E
with foam, one 300 gallon
residential heating oil tank. Cut vent and fill pipe below grade.
I declare underpenalty ofperjury laws that the information Ihaveprovided on thisforiwapplication is true, correct and complete,
andthatl am theproperty owner or duly authorizedagent of theproperty ownerto submit apermit application to the City of
Edmonds.
Print Name: V12 e-5 Owner
El Agent/Other Z (specify): Contractor
Signa=e: 4;ie= 42_5;�� Date:
gp- it 7
FORX4C. T 7,1, P�Id')Al n%T')ONW R, —f—A M T f,,)nl A A--- �T_ . 11-1 A
'MEDICAL GAS, AIR, VACUUM
AN
Type of Gas/AirNacuum System (new and relocated)
Totalff
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
Helium
Medical — Surgical Vacuum
Other:
TOTAL OUTLETS
TANK#I
TANK#2
Method of Abandonment
Method of Abandonment
Fill in PlaceFv—/]
FRI Material foam
Fill in Place
F-1
Fill Material
Remov;1:11 I I
Number of Gallons: 300 gallon
Removal I
Number of Gallons:
Critical Areas Determination: Study Required E] Conditional Waiver E] Waiver
INA WEN ASIA ME AN LWA
Type of structure to be demolished (e.g. house, shed, garage, etc.):
Floor area of structure to be demolished: sq. ft.
Critical Areas Determination: Study RequiredEl Conditional Waiver El WaiverEl
PSCAA Case No.
AHERA Survey done? (required)
Additional comments:
VIM? IIA (' T �i_. T, - . r --- A - T -:1-- IT-. :% � - . I I I. . . . I. _ .
FILCO COMPANY INC.
PO BOX 31228
SEATTLE, WA 98103
LICENSE# FILCOCIO80RU EXP:10/10/2017
ICC LICENSE # 8145449
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE ADRESS: 956 SPRUCE ST, EDMONDS, WA 98020
OWNER: JAAC MCCARTHY
PHONE: 206-369-0206
PUMP OUT, RINSE AND FILL IN PLACE WITH FOAM, ONE APPROXIMATE 300 GALLON
RESIDENTIAL UNDERGROUND HE NG OIL TANK. CUT VENT AND FILL PIPE BELOW GRADE
AND CAP.
956 HOUSE
V&
DRIVEWAY
1 OTH PLACE SOUTH