20170309111841.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 03/09/2017 Pe>Imit #: BLD20170335
BURDING PERMIT
Expiration Date: 09/11/2017 Pro.jcct Address: 914 9TH AVE N, EDMONDS
Parcel No: 00548900000504
ERIN & GARRETT BROWN
FILCO COMPANY INC
FILCO COMPANY INC
914 9TH AVE N
C/O PHIL SUETENS
C/O PHIL SUETENS
EDMONDS, WA 98020-3042
PO BOX 31228
PO BOX 31228
SEATTLE, WA 98103
SEATTLE, WA 98103
(425)457-0337
(206)547-8347
(206)547-8347
LICENSE #: filcoci080ru EXP:10/10/2017
PUMP RINSE AND FILL IN PLACE W/ FOAM. ONE 300 GALLON RF_SI DFNTIA I. 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
FENCE: 0 X 0 FT.
CODE: 2015
OTHER:-------OTHERDESC:
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: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:O
1 BEDROOMS:0 BATHROOMS:0
REQUIRED: PROPOSED
REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O
REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE 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.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
��—� /f� 3 -9 - khstlr (7ohjiS a3109/2017
Print Name
ATTENTION
Released By
Date
IT IS 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/ 1BC110/ IRC110.
ONLINE APPLICANT = ASSESSOROTHER V�5
STATUS: ISSUED BLD20170335
I- CONDITIONS
• 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 which do 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 from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 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
whatevernature, arising directly or indirectly from the issuance for this permit. Issuance of this 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.
INSPECTIONS
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)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 En. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS (425) 771-0235 PRETREAT ENT (425) 672-5755 1 RECYCLING (425) 2754801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, andwbether you prefer morning or afternoon.
• F-Fire Final
vDEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5th Avenue N, Edmonds, WA 98020
St 1 goo Phone 425.771.0220 4 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
914 9th Ave N, Edmonds, WA 98020
00548900000504
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes❑ NoFv—(]
Associated Permit #:
APPLICANT:
Phone:
(M:548-9352
Inc.
lco CompanyI
206-547-8347
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228 Seattle, Washington 98103
info@filcoenviro.com
PROPERTY OWNER:
Phone:
Fax:
Erin Brown
425-457-0337
Address (Street, City, State, Zip):
E-Mail Address:
914 9th Ave N. Edmonds. WA 98020
erin.denise.brown@ mail.com
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:'
Phone:
Fax:
Filco Company Inc.
206-547-8347
[06-548-9352
Address (Street, City, State, Zip):
E-Mail Address:
PO Box 31228,-Seattle, Washington 98103
info@filcoenviro.com
*Contractor
WA State License #/Exp. Dat :
I-ILCOC1080RU 10l10/2015
must have a valid City of Edmonds business license prior to doing work
in the City. Contact the City Clerk's Office at 425.775.2525
Cj�ty( �Iness License #Li /F�p_ �lt�201 7
PLUMBING MECHANICAL TANK
DEMOLITION
DETAIL THE SCOPE OF WORK: Pump, rinse and fill in place 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 iirfornration I have provided on this fornVapplicatlon is true, correct and complete,
and that I am the properh, owner or duly authorized agent of the property owner to submit a permit application to the City of
Edmonds.
--
Print Name: _ 11►"t AWe!5 Owmer 0 Agent/Other ✓a (specify): Contractor
Signature: Date: 7
FORM C LABuilding New Folder 2010\1301NE & x-(erred to L-Building-New drive\Forrn C 2014.docx Updated: 1/172014
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
Method of Abandonment
Fill in Place
Fill Material foam
Fill in Place
Fill Material
Removal
Number of Gallons: 300 gallon
Removal
Number of Gallons:
Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver
Lj
Type of structure to be demolished (e.g. house, shed, garage, etc.):
Floor area of structure to be demolished: sq. ft.
Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑
PSCAA Case No.
AHERA Survey done? (required) ❑
Additional comments:
FORM C 1,.\Building New Folder 2010\130NE R a -(erred to L-Building-New drivc\Fonn C 2014.doca Updated: 1/17/2014
FILCO COMPANY INC. LICENSE#FILCOCI080RU EXP:10/10/2017
PO BOX 31228 ICC LICENSE 8115449
SEATTLE, WA 98103
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE ADRESS:914 9"' Avenue Norlh Edmonds, WA 98020
OWNER: Erin Brown
PHONE: 425-457-0337
PUMP OUT RINSE AND FILL IN PLACE WITH FOAM, ONE APPROXIMATE 300 GALLON
RESIDENTIAL UNDERGROUND HEATING OIL TANK. CUT VENT AND FILL PIPE BELOW GRADE
AND CAP.
'-- N
914 " house
• driveway
9th Avenue North