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FIR2020-0018-APPROVED PERMITType: FIRE TANK Owner/ Business: ROBERT BREZAK Status: ISSUED Subtype: TANK - COMMERCIAL Parcel No: 00513100004603 Site Address: 6910160TH ST SW EDMONDS,WA 98026-4537 Applied: 2/10/2020 Subdivision: 005131 Lot: 0 Issued: 2/11/2020 Fires Cnrinklarc• I nt Araz Znnine: RS-12 Final: Valuation: $0.00 Occupancy Type: Construction Type: Expiration Date: 8/11/2020 Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Issued by: LIK Scope of Work: BREZAK-TANK REMOVAL WA State Contractor L & I #:TANKSD*001KF City of Edmonds Business License #: 602454996-001-0001 CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT TANKS BY DALLAS 17552 BALLINGER WAY NE, LAKE (206)365 0291 tanksbydallas@tanksbydallas.net FOREST PARK WA98155 CONTRACTOR TANKS BY DALLAS 17552 BALLINGER WAY NE, LAKE (206)365 0291 tanksbydallas@tanksbydallas.net FOREST PARK WA98155 OWNER ROBERT BREZAK 6910 160TH ST SW, EDMONDS ROBERT.BREZAK@GMAIL.COM WA 98026 FEE INFORMATION DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 2/12/20 R3249 PER PERMIT CREDIT CARD TRANSACTION FEE 001.000.341.43.100.00 $7.20 $7.20 2/12/20 R3249 TANK - RESIDENTIAL FILL, REMOVE *NONE* $200.00 $200.00 2/12/20 R3249 OR INSTALL TOTALS: $247.20 $247.20 CONDITIONS INSPECTIONS COMPLETED RESULT SEQID INSPECTION TYPE INSPECTOR NOTES DATE X-1 FIRE FINAL** F-9 FIRE TANK INSPECT Printed: Wednesday, February 12, 2020 10:08:16 AM 1 of 1 ° E Mod rOUILDING PERMIT r s° °yes APPLICATION Q Development Services �(� Building Division F 1 t Av dmonds, WA 98020 I A9l, ga ��II,' I 425.771.0220 For handouts, submittal rtjtalfi��its, permit status and inspection scheduling information go o: www.edmondswa.gov. PLEASE NO Intake appointments are required for New Single Family Residences, Lorge Additions, ADU's, New Commercial, and Motor Tenant Improvement application submittals. If plans are prepared by a profession- al, electronic files are requested in addition to the hard copies. Please bring electronic files on a flash drive or coordinate for electronic transfer. Please call425-771-0220 to schedule an intake aaoointmentI JOB SITE INFORMATION/LOCATION: (Where the work is taking place) Job Site Address: kA 11QQ 1 s Parcel: 005`3x 0 urn u�Oh�j Lot /Unit/Suite #: Subdivision: PROPERTY OWNER: Name: j _b Y� 3r"p& Mailing Address: �`i0 �� ST J� City/State/Zip: ��(Ybh S ` we Phone #: V • LA`Q 1Z'•,, `I%Av q Email: OWNER INSTALLATION: *if yes, read and sign* Will work be performed by the property owner? ❑ Yes No I own, reside in, or will reside in the completed structure. This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange according to RCW 18.27.090. Owner Signature: APPLICANT / CONTACT INFORMATION: Name of Applicant: �� ►�,as _ Mailing Address: IL-- SS"2— City/State/Zip: l t " kS Phone #: I'mcc: 02 �lj hey GENERAL CONTRACTOR: (If different from applicant) General Contractor: Mailing Address: City/State/Zip: Phone #: E-mail: _ STATE UBI #: CITY OF EDMONDS BUSINESS LICENSE M. WWAnlf, SC I #. (CCB)& EXPIRATION DATE: G Permit#: {— `'�o�o— � 1 6 TYPE OF PERMIT (Provide ❑ Accessory Structure/ Detached Garage Details ❑Addition ❑ Demolition ❑ Mechanical ❑ New Single Family / Duplex ❑ Plumbing ❑ Fire Sprinkler ❑ Remodel ❑ New Commercial/ Mixed Use ❑ Re -Roof ❑ Signs ❑ Tank ❑ Tenant Improvement ❑ Other Remodel Permit fees are based on: The value of the work performed. Indicate the value pounded to the nearest dollar) of all equipment, materials. labor, overhead, and the profit for the work indicated on this application. Valuation: PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION Basement sq ft: Finished ❑ Unfinished ❑ 1st Floor, sq ft: 2nd Floor, sq ft: Garage/Carport:, sq ft: Deck/Covered Porch/Patio: Other sq ft: PROJECT DESCRIPTION I certify 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. j (� ` Print Name: V �� AAA A A V C-triature: Date COMMERCIALGENERAL DATA Occupancy Group(s): Occupant Load(s): Type(s) of Construction: Fire Sprinklers: Yes ❑ No ❑ WA STATE ENERGY CODE: If your project affects the building envelope, mechanical systems, and/or lighting, you must complete the appropriate WSEC forms. DEFERRED SUBMITTALS: All commercial building permits that will require associated plumbing, mechanical, fire sprinkler, and/or fire alarm permits are applied for separately. Ti / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet EQUIPMENTMECHANICAL • BTUs Gas / Elec / Other Qty tA/C Unit /Compressor Air Handler /VAV Boiler Dryer Duct Exhaust Fans Fireplace Furnace Heat Pump Unit Hydronic Heating Roof Top Unit (Provide eleva- tions if a Commercial Bldg) Other: COUNTSPLUMBING FIXTURE Qty City Clothes Washer Tub/ Showers Dishwasher Backflow Device (RPBA, DCDA, AVB) Drinking Fountain Pressure Reduction/ Regulator Valve Floor Drain/Sink Refrigerator Water Supply Hose Bibs Water Heater - Tankless? Y or N Hydronic Heat Water Service Line Sinks Other: Toilets Other: BTUs Qty BTUs Qty A/C Unit Outdoor BBQ/ Fire pit Boiler Stove/Range/Oven Dryer Water Heater rFireiol.cialln7ert Other: Furnace I I I Other: City Qty Carbon Dioxide Nitrous Oxide Helium Oxygen Medical Air Other: Medical - Surgical Vacuum Other: Type of structure to be demolished: Square footage of structure to be demolished: AHERA Survey done? Y / N PSCAA Case #: Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑ Fill in Place ❑ Fill Material: Removal Size of Tank (Gallons) RA Critical Areas Determination: Study Required I Conditional Waiver ❑ Waiver ❑ Grading: Cut cubic yards Fill cubic yards Cut / Fill in Critical Area: Yes ❑ No ❑ APPLICATIONS: Applications are valid for a maximum of 1 year. ESLHA Applications, 2 years. LICENSING: All contractors and subcontractors are required to be licensed with Washington State Department of Labor & Industries and have a current City of Edmonds Business License. POWER Y/ NO PARK SIGNS Yj%N; LINEWORK Y/N FILL/ REMOVAL v_ I MCk0i toLQ1 loco o1�Yc oh N� e �ma. l PIAn IID COMPLETED BY: 1 JOB COMPLETED BY: ite info taken by: 1—oksj(-en Deadline = tBIU LOCATE SOIL SAMPLES RECORD RCH COMPLETED SITE ADDRESS PHONE \ 0 \ ) %A s ***REFERRED BY EMAIL TANK SIZE 00 FILL PIPE: DIAMETER_ �� -__ TOTAL �® LAY OF TANK FILL GiADE -4 6" ` LENGTH GROUND COVER CONTENTS OI L �W i> WATER 0 OTHER `/ —0 TOTAL S OFFICE NOTES: - C�ll'(u I 1 N I-14 v-\ a n , ,. t - I . _ s _ RESIDENTIAL COMMERCIAL DATE 121 ZIP O 2fi FIELD NOTES: ANIMALS Y/ql 1 VACANT Y WATE N —Z cw- CITY OF EDMONDS 12151" Avenue North, Edmonds WA 98020 Phone: 425.771.0220 • Fax: 425.771.0221 • Web: www.edmondswa.aov DEVELOPMENT SERVICES DEPARTMENT • PLANNING DIVISION 2/7/2020 Robert Brezak 6910 160TH ST SW EDMONDS, WA 98026-4537 Subject: Critical Areas Determination (CRA2020-0017) Site Address: 6910 160TH ST SW Dear Applicant/Owner, Please find the enclosed critical area determination for, the Critical Areas Checklist you submitted to the City of Edmonds Planning Division. The critical area determination for your property is "STUDY REQUIRED." Note that this determination is a site -specific determination and not a project -specific determination. If the critical area determination is "STUDY REQUIRED," additional critical areas information or critical areas specific studies may be required for development or alteration of your property depending on the location of the activity. If you have any questions regarding this critical area determination, please contact the planner on duty at 425.771.0220. Regards, MICHELE SZAFRAN Planning Division Development Services Department Eric: Critical Area Determination CITY OF EDMONDS 121 51h Avenue North, Edmonds WA 98020 Phone: 425.771.0220 • Fax: 425.771.0221 • Web: www.edmondswa.gov DEVELOPMENT SERVICES DEPARTMENT • PLANNING DIVISION '11c. 189" Critical Area Determination (CRA2020-0017) Based on a review and inspection of the S ihject site, staff has determined that one or more critical areas are located on or near the site. Critical areas are ecologically sensitive or hazardous areas that are protected in order to maintain their functions and values. Site Location Tax Account Number Property Owner Applicant Critical Area(s) Present 6910160TH ST SW 00513100004603 Robert Brezak TANKS BY DALLAS ❑ Wetlands (ECDC 23.50): NA ❑ Frequently Flooded Areas (ECDC 23.70): NA ❑ Geologically Hazardous Areas (ECDC 23.80) ❑ Erosion Hazard Areas: Yes ❑ Landslide Hazard Areas: Yes ❑ Seismic Hazard Areas: NA ❑ Fish & Wildlife Habitat Conservation Areas (ECDC 23.90) ❑ Mapped Fish & Wildlife Habitat: NA ❑ Streams: NA Site Description The subject property is located along the south side of 160th ST. SW. The soils on the site are identified as Alderwood Urban Land Complex 2-8% slopes according to the Snohomish County soils survey. The site slopes gently in an east to west direction with a steeper section off of 160th St. SW. According to the City's LIDAR information the site contains slopes greater than 15% along portions of the site. The adjacent property to the east contains slopes in excess of 40% according to the City's LiDAR information. Since steep slopes are within 50 feet of the subject property, development on this property may be subject to the geotechnical report requirements of ECDC 23.80. Due to the degree of the slope on/adjacent to the subject site, it was found that the site contains and/or is adjacent to a slope that is steep enough to be considered a Landslide Hazard Area (over 40% slope), additionally the subject site contains slopes that are classified as an Erosion Hazard Area (over 15% slope). What does this mean? The critical area regulations are only triggered when an alteration is proposed to a critical area or its buffer. However, once an alteration in or near critical area is proposed, critical area studies and City review and approval may be required. What is an 'Alteration'? According to Section 23.40.005 of the Edmonds Community Development Code (ECDC): "Alteration" means any human -induced action which changes the existing conditions of a critical area or its buffer. Alterations include, but are not limited to: grading, filling; dredging; draining; channelizing; cutting, pruning, limbing or topping, clearing, relocating or removing vegetation; applying herbicides or pesticides or any hazardous or toxic substance; discharging pollutants; paving, construction, application of gravel; modifying for surface water management purposes; or any other human activity that changes the existing landforms, vegetation, hydrology, wildlife or wildlife habitat value of critical areas. MICHELE SZAFRAN Name, Title Cited sections of the Edmonds Community Development Code (ECDC) can be found at http://www. codepublishing.com/WA/Edmonds Environmentally Critical Areas General Provisions (ECDC23.40) Wetlands (ECDC23.50) Frequently Flooded Areas (ECDC 23.70) Geologically Hazardous Areas (ECDC 23.80) Fish and Wildlife Habitat Conservation Areas (ECDC 23.90) Building permits — Earth Subsidence and Landslide Hazard Areas (ECDC 19.10) 2/7/2020 Date City of Edmonds GIS map tool with approximate location of critical areas: http://maps.edmondswa.gov Page 12 City of Edmonds Critical Area Map m Site Information Critical Areas Checklist I. Site Address/Location. 0,10 11,111 iA �- t% r , Y 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 1. 3, Property Tax Account Number: .42 Approximate Site Size (acres or square feet): h this site currently develnnneia M v.._ r, - If yes, how is the site developed? Describe the general site topography.3 t--J�� h-�-' -- Check al] that apply. ❑ A iat iu 1CUIlIn p / g No slope on adjl acent to the site or slopes generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). X Moderate: Slopes present on/adjacent to site of more than 15% and less than 40% a vertical rise of 10-feet over a horizontal distance of 25 to 66-feet). ❑ Steep: Slopes of greater than 40% present on/adjacent to site (a vertical rise of 10-feet over a horizontal distance of less than 25-feet). Have Were been landslides on or near the site in the past? ❑ Yes XNo If yes, please describe: Site contains areas of year-round standing water? ❑ Yes a Site contains areas of seasonal standingwater? ❑ Yes(approx.( l d . depth. )No Pth: ) XNo Tf yes, what season(s) of the year? Site is in the floodway or floodplain of a water course? $ Site contains a creek or an area where water flows across the . ro ds surface If yes, are flows Year or seasonal? g D Yes �No D Year-round ❑ Se4sgnal (time of year: Obvious wetland is present on site? ❑ Yes XNo ) Zoning: ��. s----- SCS mapped soil type(s): _------ ------- For City Staff Use Onl 3• Critical Areas inventory or C.A, map indicates Critical L n(o 1/. P. -7 —I Area on site; 4• Site within designated North Edmonds Earth Subsidence and I-andslidc Hazard Area ? (EsxLA). __.4jZ_ / DETERMINATION CRITICAL AREAS PRESENT ReWewedby: � a. Revised on 114117 P20 • Critical Areas Checklist --_ 000 Do WAIVER Date: Page 2 of 2 Initial Determination • $100 1' J f U ❑ Subsequent Determination - $ - Date Received: 1 ?"t �, "-Pr) Date Mailed to Applicant:__ me purpose of this checklist is to enable City staff to determine whether any critical areas and/or buffers are located on or adjacent to the subject property. Critical areas, such as wetlands, streams and steep slopes, are ecologically sensitive or hazardous areas that are regulated to protect their functions and values. The City's critical area regulations are contained within Edmonds Community Development Code (ECDC) Chapters 23.40 through 23.90. Property Owner's Authorization %-Ity UI "Monas Development Services Department Planning Division Phone: 425.771.0220 www.edniondswa.gov Inc. t 990 A property owner, or an authorized representative, must fill out the checklist, sign and date it, and submit it to the City. Staff will review the checklist, conduct a site visit, and make a determinat_ior, of v✓hcter tl,e,e are critical areas and/or critical area buffers on or near the site. If a "Critical Area Present" deterrrrination is issued, a report addressing the applicable critical area requirements of ECDC Chapters 23.40 through 23.90 may be required depending on the scope of the proposed activity, By my signature, 1 certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection attendant to this application. The undersigned owner, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the Cityof Edmonds harmless from ally and all damages, including reasonable attorneys fees, arising from an ion based in whole or part upon false, rnisleadin inaccurate agents or employees, g ate or incomplete information furnished by the applicant, his/her its SIGNATURE OF OWNER kopB.f* $pgzAk DATE U3.QL2Q-_ sell VIA LM,�l--t, 1'^..,, .. ,:_ Name Street Address Vv S&Imk City LI 51�� Telephone: - �� Zip Ernail address: - 0 t W�1a Revised vn 114117 "IJIMIcant/A,gent: Nat-�41 &- �� WA � h Street Addressne -- City QY$ Y \NlFi �181SS State Telephone: , V' p Email Address: V%$ by I'�UII Af kA„t�rt `, 1 d�uaS. net P20 - Critical Areas Checklist Page I qf2