FIR2024-0112_Applicant_Response_11.18.2024_11.26.02_AM_4624688BUILDING 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: �:11t;w : c•rliiionrluv.,�yo�/
JOB SITE INFORMATION/LOCATION: (Where the work Is taking place)
Job Site Address: 918 Spruce St Edmonds, WA 9802C
Lot /Unit/Suite M Subdivision:
PROPERTY OWNER:
Name: Marco Cooper
Mailing Address: 918 Spruce St
City/State/Zip: Edmonds, WA 98020
Phone #: 206-228-8812
Email: gcs75U1r(c0ao1.com
OWNER INSTALLATION: *If yes, read and sign"
Will work be performed by the property owner? ❑ Yes X 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: infofcfilcoinyiro.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: Fllco 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
Permit 8:
TYPE OF PERMIT (Provide
❑ Accessory Structure/
Detached Garage
Details on ..
❑ Addition
XMechanical
❑ Demolition
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
❑ Remodel
❑ Re -Roof
❑ New Commercial/ Mixed Use
❑ 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 NEVV SQUARE FOOTAGE FOR 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:
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 [less
Signature: Date 11/18/202�4
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 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 .. .. .
QtY City
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Draln/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
Other:
Toilets
Other:
CONNECTION COUNTSor 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:
MEDICAL
GAS, AIR VACUUM COUNTS
Relocated . •.
City
City
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
of structure to be demolished:
fType
Square footage of structure to be demolished:
AHERA Survey done? Y / N I PSCAA Case #:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
,
Fill in Place ❑ Fill Material: FOAM
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
GRADE/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.