FIR2024-0037_Site_Plan_5.1.2024_2.07.10_PM_4231078OV eotio BUILDING PERMIT
do APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
C • T �' �� 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.nov/
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job Site Address:18102 88th Ave W Edmonds, WA 98026
Parcel: 00418800001600
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: Ryan & Anya Klein
Mailing Address: 18102 88th Ave W
City/State/Zip: Edmonds, WA 98026
Phone 703-980-7016
Email: rpk213 ,gmail.corn
OWNER INSTALLATION: 'If yes, read and sign"
WIII work be performed by the property owner? ❑ Yes K 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, I nC. _
Mailing Address: PO Box 31228
City/State/Zip: Seattle. WA 98103
Phone #: 206-547-8347
E-mail: i nfo(Milcoi nvi ro. corn
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 /2024
CITY OF EDMONDS BUSINESS LICENSE #: N R-022028
0111ce use Only
(ProvideTYPE OF PERMIT
❑ Accessory Structure/
Detached Garage
..
❑Addition
❑ Demolition
XMechanical
❑ 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 (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 and fill with foam
_one 300 Gallon underground heating oil t I
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: Melinda Hess,
Signature: Date 51112021
ik.
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 • .Relocated)
BTUs Gas / Elec / Other City
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronlc Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
FIXTUREPLUMBING • .. .. .
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
Sinks
Water Service Line
Other:
Toilets
Other:
GAS/FUEL• •COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ / Fire pit
Boller
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICALCOUNTS
(New,
Relocated or ..
Qty
Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical -Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y / N PSCAA Case q:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
,
Fill In PlaceVFill Material: FOAM
Removal ❑ Size of Tank (Gallons) 3O_ Q C IO(
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
r �
Fill cubic yards
1
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.
PO BOX 31228
SEATTLE, WA 98103
LICENSE#FILCOCI080RU EXP: 12/31/2024
ICC LICENSE # 5050940
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE: 18102 881" Ave W Edmonds, WA 98026
OWNER: Ryan Klein
PHONE: 703-980-7016
ACTIVITY: Pump out triple rinse and fill in place with foam one 300 gallon underground heating oil
tank.
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