The URL can be used to link to this page

BLD20170385.pdfSTATUS: ISSUED 03/21/2017 Expiration Date: 09/17/2017 Parcel No: 00733000000500 MAURINE B ROY UNIVERSAL APPLICATORS INC 7802 173RD S W C/O GREGORY BRENNAN EDMONDS, WA 98026 10350:N VANCOUVER WAY SUITE 329 PORTLAND, OR 97217 (503)236-6359 VALUATION: $0.00 UNIVERSAL APPLICATORS INC C/O GREGORY BRENNAN 10350 N VANCOUVER WAY SUITE 329 PORTLAND, OR 97217 (503)236-6359 :04/14/2018 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 RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. TII1 S;APPLICAT:ION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAIL?, 3/2//2017 Signature Print Name Date Released 8V Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL' INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ 1RC110. ONLINE APPLICANT = ASSESSOR OTHER k-ITY OF EDMONDS121 5TH AVENUE NORTH - EDMONDS, WA 98020 7��z, iq i]9l"ro PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 03/21/2017 Expiration Date: 09/17/2017 Parcel No: 00733000000500 MAURINE B ROY UNIVERSAL APPLICATORS INC 7802 173RD S W C/O GREGORY BRENNAN EDMONDS, WA 98026 10350:N VANCOUVER WAY SUITE 329 PORTLAND, OR 97217 (503)236-6359 VALUATION: $0.00 UNIVERSAL APPLICATORS INC C/O GREGORY BRENNAN 10350 N VANCOUVER WAY SUITE 329 PORTLAND, OR 97217 (503)236-6359 :04/14/2018 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 RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. TII1 S;APPLICAT:ION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAIL?, 3/2//2017 Signature Print Name Date Released 8V Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL' INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ 1RC110. ONLINE APPLICANT = ASSESSOR OTHER TUS: ISSUED BLD20170385 • Final approval on a project or final'' occupancy approval must begranted '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 forwhich 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 avariance 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, INSPFCTIOMS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCT10N 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 INSPFCTIONS PUBLIC WORKS (425)'771-0235 1 PRE TREATMENT425 672-5755 1 RECYCLING 1421J,275-48= When calling for an inspection please leave the folloAng information: Permit Number, ,Job Site Address, TYIx of Inspection being reg2ested,Contact Name and Phone,,Number Date Preferee and whether,you Eefer morning or afternoon. . F -Fire Final kcjl k I'm'o �Lp aQ►-7-o38S DEVELOPME 1 IWI c laS 4 PLUMBING, MECHANICAL, TANK, & DEMOLITI(g psi a " 1215"' Avenue N,, Ed monds, WA 05020 Phone 425.771.0220 Q Fax 425.771.0221 City of Edmonds PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS (Street, Suite #, City State, Zip): /P��arce-l#: 78oz- (-7 'S S'r S�.l tpN�N�S, J A 'fa02b VO /7 7>3 ,0122 Associated Permit #: IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ No APPLICANT: U N\ V6,R_S /\L APp I t C /---" X S, 1 N [- . Phone: Fax; ZUo-'7&7-7yV0 266 762.7757 Address (Street, City„ State„ ,Zip): S�� "A E -Mail Address: S S. S !o UQts-_K-WM P, V.,"d. PROPERTY OWNER- Phone: Fax: 14 A_/A/Z l •KZS -7'7 .q,437 Address ((SStreetly,Se T Sal ,r tea rDSr �,, E -Mail Address: toy LENDING AGENCY: Phnna• Fax: Address (Street, City, State, Zip): E -Mail Address: CONTRACTOR:* Phone: Fax: l)N1V&/-JM_ IkQ t_%ci-To(--S IN L_ I Z -? 76Z•77_7 Address (Street, City, State, Zip): t-rz,�� ./A E -Mail Address: l S. Sou Sur SIO Al _ wM °` Cv WA State License Ii/Exp, Dale: *Contractor must have a valid City of Edmonds business license prior to doing work I t 1 31 74(l in the City. Contact the City Clerk's Office at 425.775.2525 1 City Business License #/Exp. Date: N Q-- OZ332-s t t 1 PLUMBING 61 MECHANICAL TANK DEMOLITION DETAIL THE SCOPE OF WORK:._QN\/� r AN/L /� il/ 1 1 _.............................. ................................_.............................. _......._......_... ..... 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. e�ll Print Name: 114, 4 Owner ❑ Agent/Other, (specify): Signature: Date:Zo 1 L_ V U —4 FORM C L:\Buddling New Folder 2010\DONE & x-Ferred to L -Building -New drive\Form C 2014.docx Updated: 1/17/2014 Type of Gas/AirNacuum 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 470AM Fill in Place ❑ Fill Material_ _ _m ...m� ._.�- ......... Removal ❑Removal ._ E off Gallons: � _ Number.._.� . � Number of Gallons- 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 he demolished: sq. ft. Critical Areas Determination:Study Required ❑ ... .... .. ......... _ Conditional Waiver Waiver ❑ PSCAA Ca se No. �� .. �- AHERA ury - ey done? (required) ❑ Additional comments:,—,,,—.---..-. FORM C L:1Building New Folder 20101130NE & x-ferred to L -Building -New drive\Form C 2014.docx Updated: 1/17/2014 S ► n 1 sn I" I a' 7 .N o-VJ iZ-iS / 6-,62 L1 <09L