FIR2024-0042_Site_Plan_5.29.2024_9.11.14_AM_4286812FILCO 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: 8113 Sierra Drive Edmonds, WA 98026
OWNER: Steve Zajaczkowski
PHONE: 206-930-2817
ACTIVITY: Pump out triple rinse and remove one 300 gallon underground heating oil tank. Haul tank
away and have t properly disposed of at Seattle Iron and metal.
8113- House
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BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
%q Q1 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: htto://w%vw.edmondswa.gov/
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job site Address: 8113 Sierra Dr Edmonds, WA 98026
Parcel: 0057260000500
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: Steve Zajaczkowski
Malling Address: 8113 Sierra Drive
City/State/Zip: _ Edmonds. WA 98026
Phone #: 206-930-2817
Email: steveCa.woodcraftcorp.com
OWNER INSTALLATION: *If yes, read and sign*
Will 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: Fllco Company, Inc.
Mailing Address: PO BOX 31228
City/State/Zip: Seattle. WA 98103
Phone #: 206-547-8347
E-mail: info cr.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
office use Only
TYPE OF PERMIT (Provide
❑ Accessory Structure/
Detached Garage
Details on Page
❑ Addition
❑ Demolition
[(Mechanical
❑ New Single Family / Duplex
❑ Fire Sprinkler
❑ Plumbing
❑ Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
X Tank
❑ Other
❑ Tenant Improvement
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:
PROPOSEO NEW SQUARE.• •• THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
2nd Floor, sgft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT
Pump out triple rise and remove one
300 gallon underground oil tank. Haul
tank away and properly dispose of tank.
I cerhfy 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: MelindigHess /
Signature: v Date 2 24
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
MECHANICAL•COUNTS
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)
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:
COUNTSGAS/FUEL CONNECTION
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL
GAS, AIR VACUUM COUNTS
Relocated .
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 N:
Critical Areas Determination:
d / Study RequireConditional Waiver ❑ Waiver El.
iiiiilli
Fill in Place 0 FIII Material:
RemovalSizeofTank(Gallons) 300 gallon
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
GRADE/FILL/EXCAVATE
j 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.