FIR2023-0006_Site_Plan_1.19.2023_12.00.16_PM_3322951or EDMo BUILDING PERMIT
,r �o APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: htta://www.edmondswa.gov/
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job Site Address: 22901 74th Ave W Edmonds, WA 98026
Parcel: 00441500301600
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: Carlos Roots
Mailing Address: 22901 74th Ave W
City/State/zip: Edmonds, WA 98026
Phone #: 425-246-3953
Email: rootsdrafting@gmail.com
OWNER INSTALLATION: *If yes, read and sign*
WIII work be performed by the property owner? ❑ Yes IX No
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: Fllco Company, Inc.
Mailing Address: PO Box 31228
city/state/zip: Seattle, WA 98103
Phone M 206-547-8347
E-mail: info(a_filcoinviro.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: Filco Company, Inc.
Mailing Address: PO BOX 31228
City/State/Zip: Seattle,WA 98103
Phone #: 206-547-8347
E-mail; info(c_filcoenviro.com
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
601 276 033 12/31 /2022
CITY OF EDMONDS BUSINESS LICENSE #: NR-022028
7Permit tt:
TYPE OF PERMIT (Provide Details on ..
❑ Accessory Structure/ ❑ Addition
Detached Garage
❑ Demolition
XMechanical
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
❑ Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
❑ Tank
❑ Tenant Improvement
❑ Other
Remodel Permlt fees are based on:
The value of the work performed. Indicate the value (rounded 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, sqft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT
pump out triple rinse hand excavate and remove
and replace with one new 300 gallon
residential underground heating oil tank.
haul old tank away and properly dispose of tartik.
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.
Print Name: Melirtffa-11,3fss ,
Signature: ���� /L4-1, jgl�.CJDate12/28/2022
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 City
A/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 .. .. .
City 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 City
A/C Unit
Outdoor BBQ/ Fire pit
Boller
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MY MY
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 #1:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill In Place ❑ Fill Material:
Removal 14 and replace I Size of Tank (Gallons) 300 gall
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver
Grading: Cut _ cubic yards
Fill cubic yards
Cut / FIII 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.
FILCO COMPANY INC. LICENSE#FILCOCI080RU EXP: 12/31/2022
PO BOX 31228 ICC LICENSE # 5050940
SEATTLE, WA 98103 N
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE: 22901 74th Ave W Edmonds, WA 98026
OWNER: Carlos Roots
PHONE: 425-246-3953
ACTIVITY: Pump out, triple rinse and hand excavate and remove one 300 gallon oil tank and replace
with one new 300 gallon underground heating oil tank. Haul old tank away and properly dispose of
tank. Seattle Iron and Metal.
74 t" Ave W