BLD20110461.pdfIII ISI III
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date:
Parcel No: 00559500000800
BETH DARNELL
TANKS BY DALLAS
TANKS BY DALLAS
22320 96TH AVE W
17552 BALLINGER WAY NE
17552 BALLINGER WAY NE
EDMONDS, WA 98020
LAKE FOREST PARK, WA 98155
LAKE FOREST PARK, WA 98155
(206) 650-9272 EXT:
(206) 365-0291 EXT:
(206) 365-0291 EXT:
NUMBER OF STORIES: 0
VESTED DATE:
LICENSE #: TANKSD•001 KF EXP:5/6/2013
DECOMMISION 300 GAL UST. PUMP RINSE AND FILL WITH SAND.
VALUATION: $0.00
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: 09
OTHER: N ----- 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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REIAR SETBACK
FRONTSETBACK SIDE SETBACK
RE UIRED: PROPOSED: REQUIRED: PROPOSED:
I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE 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.
THIS APPLICATION IS NOT A HERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY "P -ALL FEES ARE PAID.
zz r
Date
Released
ATTENTION
IT IS 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/ IBC 110/ IRC 110.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
BLD20110461
• 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 exempt 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.
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)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425) 672-5755 1 RECYCLING 425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer mornine or afternoon.
F -Tank Inspection
0
°V Eb_4 Inspection Comments
BLD20110461 70 - Tanks/Fuel
Applied: 06/16/2011 Issued: 06/16/2011 Expires: 12/13/2011
Address: 22320 96TH AVE W, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1960 - F-Tank Inspection 07/01/2011 WESTFALL CMP
Comment: Contractor must remove vent pipe from tank. All other work is complete and accepted.
12/19/2011 2:13:18 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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TANKS BY DALLAS / OIL TANK LOCATION SERVICE
TYPE OF SERVICE BID LOCATE
NAME OE'r1. b441►�,Lt DATE
PHONE 2cb A n 9Z 7 z FAX CELL
ADDRESS z2.Zp
SOURCE OF REFERRAL
DISCOUNTS TO NOTE
ANIMALS TO NOTE DOOR CODES
AGENT/CONTRACTOR
LOCATION OF TANK VACANT /L-13
FILL PIPE Alj5 z�c A. itf- DIAMETER 3 TOTAL
FILL PIPE BELOW GRADE LENGTH OF TANK
COVER
TANK SIZE GROUND LAY
ELECTRIC PERMIT / INSPECTION
CONTENTS, OIL WATER OTHER TOTAL
START TIME END TIME TOTAL
OFFICE NOTES:
FIELD NOTES