BLD20090220 (2)0 '.E 04f
CITY OF EDMONDS
121 5T H AVENUE NORTH - EDMONDSWA 98020
/ ae. PHONE (425) 77 1-0220 -FAX (425) 771-0221
STATUS: ISSUED
Expiration Date: 11/5/2009
Parcel No: 27032500307500
JOHN MCCORMICK T NKSBYDALLAS TANKSBY DALLAS
629 PARADISE LANE 19551 40TH PL NE 19551 40TH PL NE
EDMONDS, WA 98020-
(206) 612-1001 Ext.
PUMP, RINSE& CAP 300 GALLON UST.
VALUATION: $0
LAKE FOREST PARK, WA 98155- LAKE FOREST PARK, WA 98155-
(206) 365-0291 Ext. (2C6) 365-029t Ext.
LICENSE 0: TANKSD$00IKF EXPA/8/20
PERMIT TYPE: Residential
PERMIT GROUP: 70 - Tanks/Fud
GRADING N CYDS 0
TYPE OF CONSTRUCT ION
RETAININGWALL ROCKERY. N
OCCUPANT GROUP:
OCCUPANT LOA11
FENCE: N ( 0 X 0 FT.)
CODE- G6
OTHER-N ---OTHER DESC:
IZONE:
NUMBER OF STORIES- 0
VESTED DATE:
NUMBER OF DWELLING UNITS, 0
LOT #-
BASEMENT. 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 In FLOOR: 0 2ND FLOO 0
P R-D FLOOR: 0 GA RAGE: 0 DECK� 0 OTHER� 0
.3RD FLOOR: 0 GARAGE: 0 DIECK. 0 OT H E R�0777d
full's m N I WEE
REQUIRED: PROPOSED- IREQUIRED: PROPOSED: IREQUIRED: PROPOSED:
HFICHT ALLOWED.0 PROPOSED 0 [REQUIRED: PROPOSED
SETBACK NOTES
I AGREE TO COMPLY WITH CITY AND STAT E LAWS REGULATING CONST RUCTION AND IN DOING THE WORK ALYT HOR17ED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINCITON RELA' rING T 0
WORKMEN'S COMPENSAT ION INSURANCE AND RCW 18 27.
T HIS APPLICAT1_QN IS NPj A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HWHER DEtAY Otp ALL FEESARE_ PAID.
:�"�
Prtnt Name Date f Rilealed By Date
ATTENTION
rrLSUNLAWFUL TO USE OR OCCUPY A BUILDrNO OR MLCTURE UNML A FINAL rNSPECTION HAS REEN MADE ANDAPPFtOVAL ORA CERTlFlCATE OF
OCCUP A NCYHAS BEEN GRANMD.UBC1091 I B.0 I I 011RC 110
ARCIUVE APPucAN-r ASSESSOR X0111m
STATUS: ISSUED BLD20090220
• Fire Marshal must be present for tank work (fill, removal, or cap.)
• FM 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 thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request fbTaftematc design, modification, variance or other administrative deviation (hereinafter -variance") from
adopted codes, ordinances orpolicics must be specifically requested in writing and be called out and identified. Processing
fees forsuch request shall be established by Council and shall be paid upon submittal and are non-refundable,
Approval of any plot or plan containing previsions 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 hems not to code specification.
• Sound./Noisc originating from temporary construction sites. as a result of construction activiTy are exempt firom the noise limits
of ECC Chapter 5.30 on�y during the hours of 71)Oamto 6-Wpmon weekdays and 10.00arri and 6.-Wpm on Saturdays, excluding
Sundays and Federal Holidays. At al] other times the noise originating &om construction sites/activMes must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECIC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
ham -less the Oy of Edmonds, Washington, its officials, employees, and agents fi-orn any and all claim for damages of
whatever nature, arising directly or indirectly fromthe issuance fo this perTnit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
THIS PERIAT AUTHORIZES ONLY THE WORK NOTED. T`HISPERMTCOVERSWORKM BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC 0016WN (CURBS. SIDEWALKS. DRIVEWAYS. IMARGUEES, ETC.) WILL REQUIRE SEPARATE PERMS540N.
PERNT rwe LIMT: SEE ECDC, 19-00-005(06)
I BUOLDING (425) 771-= Da. 1333 1 ENGP4MUNG 025) 7714= EXT. 1326 1 FME (425) 771-0215 - I
I PUBLIC WORKS (425) 1405 1 PP.&TRFATMElfr (425) 72-5755 _ I RECYCUNG (425) 275-4801
When calling for an ins pection please leave the folloyAng information: Permit Number, Job Site Addbress, Type of Inspection being
reauested. Contact Nanx and Phone Number. Date Prefer" and whether you vrefer mornin?, or afternoon.
0 F-Tank Inspection
Apr 20 09 107012
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RE:CiElVE:®
APR 2 0 2009
DMOPMENT SERVICES CTR,
WY OF EDMONDS
Permit Inspection Details
Permit: BLD20090220
PeRMITTWAX
y
1960 - F--�ank Inspection Complete?
05/0512009 SMITHM 10 APPROVED y
Total Time: 10
Total Inspections: I Total Time: 10
W2009 4�26�48 PM Page 1 of 1