20190807111906.pdfCITY OF EDMONTDS
I21 5TH A\ÆNUENORTH - EDMONDS, WA 98020
PHONE: (AÐ 77 t-0220 - FAX: (AÐ 77 l-022r
STATUS: ISSUED 08107 12019
Expiration Date: 02107 DA20
Parcel No:.00434600007801
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BTJILDIN(; PEIIMIT
PROPI'II]'Y ()WNEIì,-\l,Pl.l(_.\N1-coNI'ltAcl'()R
CHRISTIOPHER AND MERIN MIONE
9523 I9OTH APL SW
EDMONDù WA 98020
FILCO COMPANY INC
C/O TIM AYRES
PO BOX 31228
SEATTLE, WA 98I03
(206) s4',Ì-8347
FILCO COMPANY INC
C/O PHIL SUETENS
PO BOX 31228
SEATTLE, WA 98103
(206) s47-8347
LICENSE #: FILCOCIOS0RU
(206) 60s-4870
EXP:10/10/2019
PUMP, RINSE AND FILL IN PIÁ.CE WITH FOAM, ONB 5OO GAII-ON RESIDENTIAL HATING OIL TANK CUT \/ENT AND FILL
PIPEBEI,OW GR.ADE.
VALUATION: $0
r()B D&SCR|P ¡l()N
PERMIT GROUP:70 - TanksÆuelPERMIT TYPE: Residential
TYPE OF CONSTRUCTION:CYDS OGRADING: N
OCCUPANT GROUPRETAINING WALL ROCKERY:
OCCUPANT LOAD
F'ENCE: I OXO FTI CODE:
OTHER: ----- OTHER DESC:ZONE:
NUMBER OF STORIES: O VESTED DATE:
IST FLOOR: 0 2ND FLOOR:0
LOT #:
BASEMENT: O2ND FLOOR:0
S:0
I ST FI,OOR: O
ELLING
RASEMENT: O
NUMBEROF
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
BEDROOMS;0 BATHROOMS:0BEDROOMS:0 BATHROOMS:0
I'll() l'() S lÌl) ¡\ltlrÂt,lxlS'l'l \(; .\ lll..^
REOUIRED: PROPOSED:REOUIRED: PROPOSED:REQUIFGD: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REOUIRED: PROPOSED:
SETBACK NOTES:
RFì"^R SIÌTIì^(.Kl,'ll()\'l S FITIìr\(lK SII)ESI|TIì^(-K
IAGREETO COMPLY WITH C:trY AND STATE LAWS REGULATING CONSTRUCTIONAND IN DOING THEWORT( AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR æDE OF THE STATE OF WASHINGTON RB-ATINè TO WORKMEN'S COMPËAISATION
INSURANCE AND RC\ff 18:27.
THIS AFPLICRTON IS NOT A FERMrI UNTL SIGNED BY THE BUILDING OFFICIAL OR HIS/HE&#UTY AND ALL FEES ARE PAID.
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PERMIT APPROVAL
Òh g I
Name Date Date
ATTENTION
ITISI]NLAWFULTOUSE OROCCUPYABUILDING ORSTRUCTUREUNTLAFINALINSPECTONHASBEEN MADEANDAPPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED.UBC109/ ]BCI IO/ IRCI IO.
HRE APPLICANT ASSESSOR CITT
c. I
BUILDING PERMIT
APPTICATION
Dcvclopmcnl Scrvlcc¡
Bulldlng Dlvl¡lon
l21 slh Ave N / Edmonds, WA 98020
425.771.A220
For handouts, submittal requ¡rements, permit status and inspectíon
scheduling information go tol @
JOB S|TE INFORMATION/IOCATION: (Where the work ts taklng placef
ı8.1 ,l ôô+L Dl Cl^, E¡lr^h..|¡ ìÂ/ OafìîñJOO5lteAOOreSS: 99Le t VVtlr I L vuv Lulllvlrver Ù¡n eew4v
Parcel
Lot /Unit/Suite $: _ Subdivision:
PROPERWOWNER:
Name:Christopher & Merin Mione
Mailing Address:9523 190th PL SW
City/StateÆip:Edmonds, WA 98020
Phonef: 206-605-4870
Emaíl:hor¡r rthorarãln mlil ¡nm
OWNER INSTALLATION; rlf yes, read and sign*
Wlll work be performed by the property owner? B Yes XNo
I own, reside ln, or will reside in the completed structure.
Thís installation ís being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Sígnature:
APPUCAI{T / CONTACT TNFORMATTON:
Name of Applicant:Tim Avres
Mailing Address:PO Box 31228
citylstatelz,p: Seattle, WA 98103
Phonef: 206-547-8347
E-mail: Tim@filenenviroeom
GENERAT CONTRACIOR: {lf different from applicant)
General Contractor:trilno Comnânv lnc.
MailingAddress: PO Box 31228
City/State/Zip:Seatfle wA 98103
Phone#: 206-547-8347
E-mait: info@filcoenviro.com
wA STATE CONTRACTOR I A I fi ICCBI & EXptRATtON DATE:
F|LCOC|OsORU 1213112019
s^Permil #:
l:,, . l
D AccessoryStructure/
Detached GaraRe
fl Addition
E Demolltion XMechanical
U New Slngle Famíly / Duplex tr Plumbing
tr Fire Sprinkler I Remodel
tr New Commerciall Mixed Use tr Re-Roof
tr Signs tr Tank
ETenant lmprovement D Other
Remodcl Permll lcer ore bo¡ed on:
The volue of lhe work performed. lndicote the vslue (rounded to
lhe neorest dollorf of oll equipmenl, moteriols, lqbor, overheod, .
ond lhe profit for lhe work indicoted on lhfs oppllcolion.
Voluollon:
Flnished tr Unfinished ûBasement sg ft:
lst Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
500 qallon residential heatin
. cut vent and fill pipe below grade.
I Eertify that the lnformation I have provlded on this form/application ls true,
coûect and complete, and that I am the property owner or duly authorized
agent of the property owner to submlt a pem¡t appllcatlon to the C¡ty of
Edrnonds.
Other sq ft:
H
Date
Pump, rinse and fill in place with foam, one
g oil tank.
Print Name:
Signature:
IYPF OF PERMIT (Provicle DeToils on Poqe 2)
PROPOSED NEW SQUANE FOOTAGT FOR THIS APPLICATION
PROJECT DESCRIPTION
clTV oF EDMONDS BUs¡NEss IIGENSE il: NR-0241 1 1
Occuþant Load(s):occupancy GrouP(s):
Fire Sprinklers: Yes E No EType(s) of Construction:
WA STATE ENERGY CODÉ: lf your pro¡ect affects the
mechanical systems, and/or lighting you must complete the
appropriate WSEC forms.
buildlng enveloPe,
DEFERRED SUBMITTAIS: All commercial bulldlng permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately
Tt / CHANCF OF USE / NEW BLDG: lnclude TRAFFIC IMPACT workheet
BTUs Gas/Elec/Other QtY
A/c Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provlde eleva-
tions lf a Commerclal Bldg)
Other:
QtvQtv
Tub/ ShowersClothes Washer
Backflow Device {RPBA, DCDA, AVBIDishwasher
Pressure Reduction/ Regulator ValveDrinking Fountain
Refrigerator Water SuPPIYFloor Drain/Sink
Wãter Heater - Tankless? Y or NHose Bibs
Water Service LineHydronic Heat
Other:
Other:
GENERAL COMMERCIAL DATA
MECHANICAL EQUIPMFNT COUNTS (New and Relocated)
PLUMBING FIXTURE COUNTS (New, Relocated or re-piped)
Slnks
Toilets
BTUs QtyBTUs Aty
Outdoor BBQ/ Fire PitA/C Unit
Stove/RanBe/OvenBoiler
Water HeaterDryer
Other:Fireplace/ lnsert
vtt tEt .FUrnace
Qty atv
Nitrous OxldeCarbon Dioxide
OxygenHelium
Other:Medical Air
Medical - Surgical Vacuum
Type of structure to be demolished:
Other:
Square footage of structure to be demotished:
PSCAA Case S:AHERA Survey done? Y / N
Critical Areas Determlnation:
Study Required Et Condltion¿l Waiver E Walver E
FFill in Place E Fill Materlah
Size of Tank tGallons)Removal fl
Critical Areas Determination:
Study Required E Conditional Waiver Ú Waiver t
Grading: Cut
-
cubic Yards
cubic yardsF¡II
Cut / Fill in Critical Area: Yes I No E
APPLICATIONS: Applications are valid for a maxlmum of 1 year'
ESLHA Applications, 2 Years.
LIcENSING: All contractors and Subcontractors are requlred to be licensed
with Washington State Department of Labor & lndustries and have a
current City of Edmonds Business Llcense'
GAS/FUEL CONNECTION COUNTS (New, Relocated or re-pipcd)
MEDICAI. GAS, AIR VACUUM COUNTS
(New, Relocated or re-PiPed)
DEMOTITION
TANK
GRADE/FI LL/ EXCAVATE
GENERAL PROVISIONS
FILCO COMPANY INC.
PO BOX 3T228
SEATTLE, WA 98103
LICENSE# FI LcocI0BORU ÊxP : 2 I 19 I 2020
ICC LICENSE # 81.45449
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE ADRESS: 9523 190th PL SW- Edmonds, WA 9BO2O
OWNER: Bobbie Conti
PHONE:425-766-3718
ACTIVITY: Pump, r¡nse and fill in place with foam, one 500 gallon residential heating oil tank.
Cut vent and fill pipe below grade"
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