BLD20110001A.pdfSTATUS: ISSUED 1/3/2011
Expiration Date: 7/3/2011
Parcel No: 00564000000500
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
At #: BLD20110001
j_� Project Address: 19805 78TH PL W, EDMONDS:
PATRICIA W E PALMER PATRICIA W E PALMER UNIVERSAL APPLICATORS
PO BOX 82015 PO BOX 82015 2357 SE 50TH AVE
KENMORE, WA 98028- KENMORE, WA 98028- PORTLAND, OR 97215-
( ) - Ext. ( ) - Ext. (206) 396-6642 Ext.
LICENSE k: UNIVEAT087JI EXPA/10/2012
JOB WSCRIPTION
Remove and replace an existing oil tank
VALUATION: $0 COMPLETED
PERMIT TYPE: Residential
PERMIT GROUP: 70 - Tanks/Fuel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
ILOT 4:
7BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
LOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED. PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
HISAPPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DENY AND„ALL FEES ARE PAID.
Sig
Date
Released By
,—.4—
Date .4—
Date
ATTENTION
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. UBC109/ IBC 10/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR 0 OTHER
STATUS: ISSUED BLD20110001
• Fire Marshal must be present for tank work (fill, removal, or cap.)
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are evmpt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, 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
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
INS PECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUQAING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE(425)_775-7720
PUBLIC WORKS (425)771-0235 1 PR&TREATMENT (425)672-5755 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
redmested Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• F -Tank Inspection
• F -Fire Final
Inspection Comments
PERMIT"I•RAD: BLD20110001 70 - Tanks/Fuel
Applied: 01/03/2011 Issued: 01/03/2011 Expires: 07/03/2011
Address: 19805 78TH PL W, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1960 - F-Tank Inspection 01/27/2011 SMITHM CMP
Comment: Tank Removal Approved/Leaker/ Soil Samples Taken by Contractor/Tank Location Moved N per IRC
(distances to property line and foundation)
Install Approved
1985 - F-Fire Final 01/31/2011 SMITHM CMP
Comment: ALL WORK APPROVED
7/19/2011 8:34:34 AM Page 1 of 1