BLD20111012.pdfD
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 12/6/2011 ^.'Permit #: BLD20111012
BUILDING PERMIT
Expiration Date: 6/6/2012 _Project Address: 22206 95TH PL W, EDMONDS1
Parcel No: 00544200101000
MAUREEN WOOD FILCO CO INC FILCO CO INC
22206 95TH PL W PO BOX 31228 PO BOX 31228
EDMONDS_ WA 98020. SEATTLE, WA 98103- SEATTLE, WA 98103-
(206) 920-8386 (206) 547-8347 (206) 547-8347
LICENSE #: FILCOCIO80RU EXP:10/10/2013
REMOVEAL OF 500 GAL UST
CRA2011-0103 - 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: 0
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER- 0
13RD FLOOR 0 GARAGE 0 DECK: 0 OTHER: 0
FRONTSETBAC'K SIDESETBACK REAR SETBACK
ZE UIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
4EIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
;ETBACK 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 PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEP)4TY ANP ALL FEES ARE PAID,
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Signature Print Name Date Rele456d B ate
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/ IBC 110/ IRC 110.
ONLINE APPLICANT ASSESSOR A OTHER-jkle
STATUS: ISSUED BLD20111012
• 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 PRE-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 requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning o'r afternoon.
. F -Tank Inspection
OV E[,)"v Inspection Comments
BLD20111012 70 - Tanks/Fuel
Applied: 12/06/2011 Issued: 12/06/2011 Expires: 06/06/2012
Address: 22206 95TH PL W, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1960 - F -Tank Inspection 12/15/2011 WESTFALL PAR
Comment: Witnessed removal of 500g. UST. Odors and soil indication of leakage. Samples were taken by
contractor. Soils impairment report results and potential remediation required prior to sign off.
1960 - F -Tank Inspection 06/15/2012 WESTFALL CMP
Comment: Received soils analysis report, attached.
6/15/2012 12:08:50 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
FILCO COMPANY INC. LICENSE#FILCOCI080RU EXP:10/10/2013
PO BOX 31228 ICC LICENSE # 1,035157- U;?-
SEATTLE, WA 98103 CITY LICENSE # RDI58'53
206-547-8347
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
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JOB SITE ADRESS: oZ o0(p / 5TH PIuCeQa�O
OWNER:l agg-een w000(
PHONE: 6 P1 J�Q- o3er
ACTIVITY:
Pump.and clean, one gallon underground heating oil tank. Fill with
Cut or remove vent and filler pipes and cap them
permanently below grade.
Rel,v e
Pump out one 500 gallon underground heating oil tank. Excavate and remove,
back fill hole and properly dispose of tank.
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