BLD20110890.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�n�. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 5/14/2012
Parcel No: 00484500701200
FRED D SPECHT UNIVERSAL APPLICATORS UNIVERSAL APPLICATORS
740 HEMLOCK 515 S. SOUTHERN ST 515 S. SOUTHERN ST
EDMONDS,, WA 98020 SEATTLE, WA 98020 SEATTLE,'WA 98020
(425)776-9429 (425)776-9429 (425)776-9429
LICENSE #: UNIVEA1087JI EXPA/10/2012
UST TANK REMOVAL A�N p 'RWctC.gl W nJ
CRA2011-0101 0M ti D
VALUATION: $0.00 C PL
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: RS -6
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4:
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
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES: Water course on adjacent property is being studied to determine wheter it is a "stream". Tank removal is on opposite side of house and removal
will not impact water course if it is determined to be a stream.
I 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 PERMIT UNTIL SIGNED IAY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature
By
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. UBC109/ IBC I 10/ IRC I 10.
= ONLINE = APPLICANT 0 ASSESSOR OTHER V `S
STATUS: ISSUED
BLD20110890
• 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.
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 J
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
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BUILDING DEPARTMENT
UIY OF EDMONDS
�-�OV Ebv Inspection Comments
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BLD20110890 70 - Tanks/Fuel
Applied: 10/26/2011 Issued: 11/14/2011 Expires: 05/14/2012
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Address: 740 HEMLOCK ST, EDMONDS
!INSPECTION DATE INSPECTOR ACTION
1960 - F -Tank Inspection 11/09/2011 SMITHM PAR
Comment: UST Removal Approved/Leaker/PLIA Ins./Mitigation and New Tank Install by Contractor
1960 - F -Tank Inspection 12/20/2011 SMITHM CMP
Comment: Install Inspected and Approved
5/11/2012 1:17:24 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1