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BLD20160446.PDFCITY of EDMMkTED STATUS: ISSUED 04/12/2016 Expiration Date: 10/12/2016 Parcel No: 00565600100800 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Permit #: BLD20160446 Project Address: 18313 OLYMPIC VIEW D EDMONDS BETH PENNOCK FILCO CO INC FILCO CO INC 18313 OLYMPIC VIEW DR PO BOX 31228 PO BOX 31228 EDMONDS, WA 98020-2347 SEATTLE, WA 98103- SEATTLE, WA 98103- (425)774-8420 (206)547-8347 ' (206)547-8347 , LICENSE #: FILCOCIO80RU EXP:10/10/2017 JOB DESCRIPTION PUMP, RINSE AND FILL IN PLACE WITH FOAM ONE 675 GALLON UST. CUT VENT AND FILL PIPE BELOW GRADE. VALUATION: $0.00 PERMIT TYPE: Residential PERMIT GROUP: 70 - Tanks/Fuel GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: OCCUPANT GROUP: OCCUPANT LOAD: FENCE: ( 0 X 0 FT.) CODE: 2012 OTHER: ------- OTHER DE SC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT:0 1ST FLOOR:0 2NDFLOOR: 0 BASEMENT:0 1ST FLOOR:0 2NDFLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS:0 BATHROOMS:O BEDROOMS:0 BATHROOMS:0 FRONTSF.rBACK SIDESETBACK; REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISJHER DEPUTY AND ALL FEES ARE PAID. J Sign r Print Name Date Re ease 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/ IBC110/ IRCI 10. ONLINE APPLICANT AS S FS S OR 0THER STATUS: ISSUED BLD20160446 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 orpolicies 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 s ites/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) BUIlAING (425) 771-0220 EXT. 1333 1 FNGINIMING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING (425)2754801 When calling for an inspection please lease 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 DEVELOPMENT SERVICES PLUMBING, MECHANICAL, TANK, & DEMOLITION PERMIT APPLICATION 121 5 h Avenue N, Edmonds, WA 98020 St.199 o City of Edmonds Phone 425.771.0220 2 Fax 425.771.0221 PLEASE REFER TO THE PE UMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #: 18313 Olympic View Dr, Edmonds, WA 98020 00565600100800 IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes No� Associated Permit #: APPLICANT: Filco Company Inc. Phone: 206-547-8347 ITT-548-9352 Address (Street, City, State, Zip): E-Mail Address: PO Box 31228 Seattle, Washington 98103 info@filcoenviro.com PROPERTY OWNER: Phone: Fax: Beth Pennock 425-774-8420 Address (Street, City, State, Zip): E-Mail Address: 18313 Olympic View Dr, Edmonds, WA 98020 N/A LENDING AGENCY: Phone: Fax: Address (Street, City, State, Zip):. E-Mail Address: CONTRACTOR:* Phone: Fax: Filco Cornipany Inc. 206-547-8347 106-548-9352 Address (Street, City, State, Zip): E-Mail Address: PO Box 31228 'Seattle, Washington 98103 info@filcoenviro.com WA State License #/Exp. Date: *Contractor must have a valid City of Edmonds business license prior to doing work FILCOCIO80RU 10/ 10/2015 in the City. Contact the City Clerk's Office at 425.775.2525 City Business License #/Ex . ate: NY-0205V 131 /2016 PERIMIT APPLICATION .R PLUMBING MECHANICAL I TANK DEMOLITION DETAIL THE SCOPE OF WORK: Pump, rinse and fill in place with foam, one 675 gallon residential heating oil tank. Cut vent and fill pipe below grade. I declare under penalty of perjury laws that the information I have provided on this form/application is true, correct and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. Print Name: Awns Owner ❑ Agent/Other Z (specify): Contractor Signature: 4ve= Date:Cl/ 4— �/� — FORM C'. l ARniltiino My PMAn ')A1 n%rV1MP R..._f-A t� 7 _R. ;IA:nn_TTn.., A.;,,nWn.... r )m A A-- . r_ Type of Gas/Air/Vacuum System (new and relocated) Total# Oxygen Nitrous Oxide Medical Air Carbon Dioxide Helium Medical — Surgical Vacuum Other: TOTAL OUTLETS TANK #1 TANK #2 Method of Abandonment Method of Abandonment Fill in Place ✓ Fill Material foam Fill in Place Fill Material Removal Removal INumber of Gallons: Number of Gallons: 675 gallon Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver Type of structure to be demolished (e.g. house; shed, garage, etc.): Floor area of structure to be demolished: sq. ft. Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑ PSCAA Case No. AHERA Survey done? (required) ❑ Additional comments: FIr),PXT(' r.%n... IA:__ �m_- ._t n..:,�:--1-.r+—n—_. .,_._._....1.---.. FILCO COMPANY INC. LICENSE#FILCOCIO80RU EXP:10/10/2017 PO BOX 31228 ICC LICENSE # 5050940 SEATTLE, WA 98103 SITE PLAN HEATING OIL TANK DECOMMISSIONING JOB SITE ADRESS: 18701 KENLAKE PL NE, KENMORE, WA 98028 OWNER: Christina Von Osdoll PHONE: 206-920-8189 ACTIVITY: Pump, rinse & fill in place foam, on(-(0 igallon residential heating oil tank. Cut fill pipe and vent pipe below grade and cap. garage �i 18313 ^' house agL� uen+ i—a 50 Olympic View Drive