FIR2023-0098_Site_Plan_10.2.2023_9.03.09_AM_3814876of 1:1,,11�� BUILDING PERMIT
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: htto wy.y; erinu nd--.! �
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job Site Address: 8627 244th St SW Edmonds, WA 98026
Parcel: 00463303100301
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: Cody Lodi
Mailing Address: 8627 244th St SW
City/State/Zip: Edmonds. WA 98026
Phone #: 206-617-6389
Email: codylodi-gmail.com
OWNER INSTALLATION: *If yes, read and sign*
WIII work be performed by the property owner? ❑ Yes IX 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: FIICo Company, Inc.
Mailing Address: PO Box 31228
City/State/Zip: _ Seattle. WA 98103
Phone M 206-547-8347
E-mail: info ,filcoinviro.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: FIICo Company, Inc.
Mailing Address: PO Box 31228
City/State/Zip: Seattle, WA 98103
Phone #: 206-547-8347
E-mail: info(a)-filcoenviro.com
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
601 276 033 12/31 /2023
CITY OF EDMONDS BUSINESS LICENSE #: NR-022028
othr.L. use only
TYPE OF PERMIT (Provide
❑ Accessory Structure/
Detached Garage
• on Page
❑ Addition
O(Mechanical
❑ Demolition
❑ New Single Family / Duplex
❑ Plumbing
❑ Remodel
❑ Re -Roof
❑ Fire Sprinkler
❑ New Commercial/ Mixed Use
❑ Signs
❑ Tenant Improvement
❑ Tank
❑ Other
Remodel Permit 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 SQUARErota O• 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
Pump out triple rinse and remove Above Ground
heating oil tank 275 gallon. Haul tank away and
properly dispose of tank. Seattle Iron metal.
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: Melipda,Hess ,
Signature: Date 9/29/2023 I
GENERAL • 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 • .Relocated)
BTUs Gas / Elec / Other Qty
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 or re -piped)
Qty QtY
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
Other:
Sinks
Toilets
Other:
• •Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ / Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICALAIR
VACUUM COUNTS
Relocated
. .. .
MY
MY
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
6Medical - Surgical Vacuum Other:
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y / N
PSCAA Case N:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
0i iiiimi
Fill in Place ❑ Fill Material:
Removal 9 (AST)
Size of Tank (Gallons) 275
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
.,• E/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
GENERAL PROVISIONS
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: 12/31/2023
PO BOX 31228 ICC LICENSE # 5050940
SEATTLE, WA 98103
SITE PLAN
HEATING ®IL TANK DECOMMISSIONING
JOB SITE: 8627 2441h St SW Edmonds, WA 98026
OWNER: Codi Lodi
PHONE: 206-617-6389
ACTIVITY: Pump and triple rinse and remove one 275 gallon Above Gound oil tank. Haul tank away
and properly dispose of tank. Seattle Iron Metal.
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8627 244th Street SW,
Edmonds, WA 98026
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244 th St SW