BLD20160472.PDFOF EL) CMy�o�
CITY OF EDM
4
121 5TH AVENUE NORTH -EDMONDS, WA 98020
R90 PHONE: (425) 771-0220 - FAX: (425) 771-0221
nc. I
STATUS: ISSUED 04/15/2016
Expiration Date: 10/15/2016
Parcel No: 00434600201403
Permit #: BLD20160472
Project Address: 18506 OLYMPIC VIEW DR,
EDMONDS
LAURIE KING FILCO CO INC FILCO CO INC
18506 OLYMPIC VIEW DR PO BOX 31228 PO BOX 31228
EDMONDS, WA 98020-2349 SEATTLE, WA 98103- SEATTLE, WA 98103-
(206)547-8347 (206)547-8347
LICENSE #: FILCOCIO80RU EXP:10/10/2017
DESCRIPTIONJOB
PUMP, RINSE A ND FILL 1N PLA CE W ITH FOAM ONE 300 GAL UST
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:
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
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
BEDROOMS:0 BATHROOMS:O
BEDROOMS:0 BATHROOMS:0
tEQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
4EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
iETBACK 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.
[IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Name Date
'511� Linda Thornquist April 15, 2016
Released By
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/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR \ .l OTHER
STATUS: ISSUED
BLD20160472
• 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 ofthis pen -nit 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)
CALL FOR INS PECTIONS
BUILDING 425 771-0220 EXT. 1333 ENGINFUMG 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425 771-0235 1 PRIITREATMENT 425 672-5755 1 RECYCLING 425 2754801
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
FILCO COMPANY INC.
PO BOX 31228
SEATTLE, WA 98103
LICENSE#FILCOCI080RU EXP:10/10/2017
ICC LICENSE # 5050940
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE ADRESS: 18506 Olympic View Drive, Edmonds, WA 98020
OWNER: Laurie King
PHONE: 425-508-8923
ACTIVITY: Pump, rinse & fill in place foam, one 300 gallon residential heating oil tank. Cut fill pipe and vent
pipe below grade and cap.
parking
8' high deck deck
ZS�i t deck
18506 —house �
Olympic View Drive
�~ DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5 h Avenue N, Edmonds, WA 98020
Fst 1 g9� Phone 425.771.0220 2 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
18506 Olympic View Drive, Edmonds, WA 98020
00434600201403
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes Noa
Associated Permit #:
APPLICANT:
Filco Company Inc.
Phone:
206-547-8347
FF
2f6-548-9352
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228 Seattle, Washington 98103
info@filcoenviro.com
PROPERTY OWNER:
Phone:
Fax:
Laurie King
425-508-8923
Address (Street, City, State, Zip):
E-Mail Address:
18506 Olympic View Drive, Edmonds, WA 98020
laurie@island-time.com
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):.
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Filco Company Inc.
206-547-8347
L06-548-9352
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 Ojfce at 425.775.2525
City Business License #/Ex
NR-02053 1ate:
2/31/2016
PERMIT AP131-ICATION
FOR:
PLUMBING I j MECHANICAL
TANK DEMOLITION
DETAIL THE SCOPE OF WORK: Pump, rinse and fill in
place with foam, one 300 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: —r—trIn )qf/?C� Owner ❑ Agent/Other a (specify): Contractor
Signature Date:
Fl /RIVII. T:\Rnildina MP T:nMpo')M/1\TNIMP k —for AtoT_Rn lrlion_ATnu Arivo\F .../'7MA TT_A_._ 1111—.
1 '
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
Number of Gallons:
Number of Gallons: 300 gallon
Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver
Lj
WA
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:
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