FIR2024-0083_Site_Plan_9.16.2024_10.57.23_AM_4502344of ED& BUILDING PERMIT
APPLICATION
A
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
ono t g90 425.771.0220
For handouts, submittal requirements, permit status and Inspection
scheduling Information go to: h"o://www.edmondswa.gov/
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job Site Address: 1152 2nd Ave S Edmonds, WA 98020
Parcel: 00582000400903
Lot /Unit/Suite #; Subdivision:
PROPERTY OWNER:
Name: Leeann Cochran
Mailing Address: 11152 2nd Ave S
City/State/Zip: Edmonds. WA 98020
Phone #: 206-743-1560
Email: Joli7326 cDcolorado.edu
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: Filco Company, Inc.
Mailing Address: PO Box 31228
City/State/Zip: Seattle. WA 98103
Phone #: 206-547-8347
E-mail: infoOD-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@filcoenviro.com
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
601 276 033 12/31 /2024
CITY OF EDMONDS BUSINESS LICENSE #: NR-022028
Petmil #:
❑ Accessory Structure/ ❑ Addition
Detached Garage
❑ Demolition XMechanical
❑ New Single Family / Duplex I ❑ Plumbing
❑ Fire Sprinkler ❑ Remodel
❑ New Commercial/ Mixed Use ❑ Re -Roof
❑ Signs 1 ❑ Tank
❑ Tenant Improvement 1 ❑ Other
—1
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.
I �YIVYIIVII.
PROP05ED NEW SQUARE•• •• THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Parch/Patio:
Other sq ft:
PROJECTDESCRIPTION
Pump out triple rinse and fill with foam
one 300 gallon underground heating
oil tank.
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: ���� t ! y(,�/� Date 9/16/2024
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes ❑ No ❑
WA STATE ENERGY CODE: If your project affects the bullding 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
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 . .. .
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
Sinks
Other:
Toilets
Other:
•S/FLIEL CONNECTION COUNTS
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ / Fire pit
Boller
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL
(New,
GAS,
Relocated
AIR VACUUM COUNTS
or ..
Qty
Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
rr • •
Type of structure to be demolished:
Square footage of structure to be demolished:
— --i-
AHERA Survey done? Y / N I PSCAA Case k:
L
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place X Fill Materlal: FOAM
r
Removal ❑ Size of Tank (Gallons) 300 Gall
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
•.D
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
GENERAL•• •
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# FI LCOCIO80RU EXP: 12/31/2024
PO BOX 31228 ICC LICENSE # 5050940
SEATTLE, WA 98103
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE: 1152 2"d Ave S Edmonds, WA 98020
OWNER: Leeann Cochran
PHONE: 206-743-1560
ACTIVITY: Pump out triple rinse and fill in place with foam one 300 gallon underground heating oil
tank.
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