BLD20110988.pdf• llll��lll
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 12/5/2011
Expiration Date: 6/5/2012
Parcel No: 00564900100900
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Project Address: 10523 240TH PL SW, EDN
PROPERTY OWfII 11: APPLICANT KO NT tACr17:
JANET R ROBERTSON UNIVERSAL APPLICATORS UNIVERSAL APPLICATORS
10523 240TH PL SW 515 S SOUTHERN ST 515 S SOUTHERN ST
EDMONDS, WA 98020 SEATTLE, WA 98108 SEATTLE, WA 98108
(206)762-7500 (206)762-7500
LICENSE #: UNIVEAI087JI EXPA/10/2012
UST TANK REMOVAL
CRA201 1-0107 - 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: 09
OTHER: N -------OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: I
LOT #:
EXISTING AREA
BASEMENT: 0 1 ST FLOOR 0 2ND FLOOR: 0
PROPOSED AREA
BASEMENT: 0 I ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR. 0 GARAGE. 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONT I
:E UIRED: PROPOSED: REQUIRED: PROPOSED: REUTRED: PROPOSED:
{EIGHT ALLOWED:0 PROPOSED:O REQUIRED: PROPOSED:
IETBACK NOTES:
1 AGREE "r0 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 BY THE BUILDING OFFICIAL OR HIS/I-IER DEPT •Y AND ALL FEES ARE PAID.
12- • 11 ZnMnmioud t L
Signature Print Name Date Releas By Date
ATTENTION
Il IS UNLAW I'UL Tu USL OR OCCUPY .A BUILDING OR STRUC: TURF, UN Ill, A FINAL INSPEC-TION HAS BEEN MADE AND APPROVAL. ORA CERTIFICATE OF
OCCUPANCY [1.AS BEEN GRANI'ED. UBC]09/ IBC] 10/ IRC] 10.
ONLINE APPLICANT ASSESSOR1)� t
OTHER—.�Y►�
STATUS: ISSUED BLD20110988
CONDITIONS
• 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 EX'r. 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
being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• F -Tank Inspection
of E°M Inspection Comments
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BLD20110988 70 - Tanks/Fuel
Applied: 11/29/2011 Issued: 12/05/2011
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Address: 10523 240TH PL SW, EDMONDS
Expires: 06/05/2012
INSPECTION DATE INSPECTOR ACTION
1960 - F -Tank Inspection 12/13/2011 WESTFALL CMP
0
Comment: Tank removed as prescribed.
6/8/2012 10:30:32 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1