BLD20110496.pdfOF ED -4f
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STATUS: ISSUI
Expiration Date:
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Parcel No: 27031300404700
SCOTT GROVES & BARBARA LO TANKS BY DALLAS TANKS BY DALLAS
MACDONALD 17552 BALLANGER WAY 17552 BALLANGER WAY
9921 WATER ST LAKE FOREST PARK, WA 98155- LAKE FOREST PARK, WA 98155-
EDMONDS, WA 98020-2361
(425) 778-3359 EXT: (206) 365-0291 EXT: (206) 365-0291 EXT:
LICENSE #: TANKSD*001 KF EXP:5/6/2013
REMOVAL OF A 500 GAL UST
CRA2011-0043 WAIVER
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: 2009
OTHER: N ---- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: I
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEM�01 LOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES:
II
AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
ERS
N WILL BE EMPLOYED IN
LATION OF
LABOR CODE OF THE STATE OF
TRIONOT A PERMIT UNTIL O SIGNED BY THE BON INSURANCE
OFFCE A D RCWHER DEPLJTY ANDD ALL FEES ARO WORKMEN'S
,
Name Date
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC 109/ IBCI 10/ IRC I 10.
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ONLINE APPLICANT ASSESSOR X OTHER,--JQ LW
STATUS: ISSUED BLD20110496
• 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.
• SoundMoise 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.
INSPECTIONS
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 requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• F -Tank Inspection
OV E°'" Inspection Comments
O
U ' BLD20110496 70 - Tanks/Fuel
Applied: 06/28/2011 Issued: 06/28/2011 Expires: 12/28/2011
Address: 9921 WATER ST, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1960 - F -Tank Inspection 07/01/2011 WESTFALL PAR
Comment: Tank removed and found suspect amount of leakage. Contractor will have tested and provide mitigation
procedure for contamination.
1960 - F -Tank Inspection 07/07/2011 WESTFALL PAR
Comment: Report of soil analysis received, attached. Samples high requiring mitigation.
1960 - F -Tank Inspection 09/27/2011 WESTFALL CMP
Comment: Results of soil analysis post -remediation from contractor and final report of remediation, attached.
12/19/2011 2:17:02 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1