20170123151717.pdfCITY OF, EDmbkbS
01/2-0/2-01
1215TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 `. FAX: (425) 771-0221
Expiration Date: 07/20/2017
SANDRA &IBARRY,HACHLER
FILCO COMPANY INC
FILCO COMPANY INC
1140 SEA VISTA PL
C/O PHIL SUETENS
C/O PHIL SUETENS
EDMONDS, WA 98020
PO BOX 31228
PO BOX 31228
SEATTLE, WA 98103
SEATTLE, WA 98103
(206)547-8347
(206)547-8347`
(206)547-8347
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PUMP, RINSE AND FILL IN PLACE WITH FOAM, ONE 300 GALLON, RESIDENTIAL HEATING OIL TANK. CUT VENT AND FILL
PIPE BELOW GRADE.
VALUATION: $0.00
PERMIT TYPE: Residential'
PERMIT GROUP: 70 - Tanks/Fuel
GRADING:N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY,
OCCUPANT GROUP
OCCUPANT LOAD:
PENCE, 0 X 0 FT,
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT
BASEMENT: 0 1 ST FLOOR: 0 ': 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0GARAGE: 0 DECK: 0 OTHER::0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION` OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
[IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS✓HER Dl �'UTI'Y AND ALL FEES ARE; PAID.
ill M_ ` z, ,. ^ " - - I—- /— -
Sign ur Print Name Date Released'/ Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/IRC110,
ED ONLINE APPLICANT ASSESSOR OTHER
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• Final approval on'a projector final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including • final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
•
• Approval of any plat or plan containing provisions whichdo not comply with city code and for which avariance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt,fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays, and Federal Holidays. At all other times the noise` originating from construction' sites/activities must comply with the
noise limits of Chapter 5.30 unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any, and all claims for damages of
whatever nature, arising directly or indirectly „fromthe issuance for this permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION'.
PERMIT TIME LIMIT. SEE ECDC 19.00.005(A)(6)
None
a DEVELOPMENT SERVICES
PLUMBING MECHANICAL TANK &DEMOLITION
> > >
PERMIT APPLICATION
121 5"' Avenue N, Edmonds, WA 98020
St. City of l � Phone 425.771.0220 It Fax 425.771.0221
Edmonds
U
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
1140 Sea Vista PL, Edmonds, WA 98020
00568300000700
Associated Permit #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes No�
APPLICANT:
Filco Company Inc.
Phone:
0G 547-8347 [EF548-9352
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228 Seattle, Washington 98103
info@filcoenviro.com
PROPERTY OWNER:
Phone: Fax:
Sandra & Barry Hachler
206-948-2565
Address (Street, City, State, Zip):
E-Mail Address:
1140 Sea Vista PL, Edmonds, WA 98020
missi@missihuff.com
LENDING AGENCY:
Phone: Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR: *
Phone: Fax:
Filco Company Inc.
206-547-8347 106-548-9352
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228,°Seattle, Washington 98103
info@filcoenviro.com
WA State License #lEp. Dt
*Contractor must have a valid City of Edmonds business license prior to doing work FILCOC1080RU 0 10/2017
in the City. Contact the City Clerk's trice at 425. '5.2525
City Business License WEMPVJ2017
PLUMBING Lj MECHANICAL
TANK DEMOU1TION Lj
DETAIL THE SCOPE OF WORK: Purnp, rinse and fill in
glace with foam, one 300 gallon
residential heating oil tank. Cut vent and fill pipe below grade.
I declare under penalty of perjury laws 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.
PritName: / /m ,QeS Owner[ Aent!tthet(secil) Contractor
Signature: Date:
//.ZO /.2O / 7
FORM (,I \RnilAino Vp,. P lA ')Al T\Tl(N\TR R, —f—A fn T P 7M A A— 1 11-1 1
1
Type of Gas/Air/Vacuum System (new and relocated) Total#
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
Helium
Medical — Surgical Vacuum
Other:
TOTAL OUTLETS
TANK #1 TANK #2
Method of Abandonment 77.Method of Abandonment
Fill in Place Fill Material fnam Fill in Place10 Fill Material
Removal Removal
Number of Gallons: 300 allon Number of Gallons:
Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver
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FILCO COMPANY INC. LlCENSE#FILCOCI000RUEXP:1O/1O/%017
POBOX 31228 ICCLlCENSE
SE/TlIE,VVA98103
SITE PLAN I
HEATING OIL TANK DECOMMISSIONIRS
PHONE:
Pump out contents rinse and fill inplace with foam, one approximate 3OUga|kmresidentia|
underground heating oil tank. Cut vent and fill pipe below grade and cap.
Sea Vista Place