BLD20110088.pdf,F E U IIIIIIIII
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 2/22/2011
Expiration Date:
Parcel No: 00488800700400
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Project Address.. 23105 74TH AVE, W,_;E+ llMV1NllJI
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DENNIS BRIGHT
DENNIS BRIGHT
BUDGET TANK REMOVAL
23905 74TH AVE W
23905 74TH AVE W
PO BOX 77552
EDMONDS, WA 98026-
EDMONDS, WA 98026-
SEATTLE, WA 98177-
(425) 775-5084 Ext.
(425) 775-5084 Ext.
(206) 306-9067 Ext.
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
LICENSE #: BUDGETR973CL EXP:2/22/201 I
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
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REMOVE 500 GALLON UST.
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 70 -Tanks/FP,0M"mhLETF`
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GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
IZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPSJ47 AND ALL FEES ARE PAID.
Date
Released By
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC 10/ IRC 110.
= ONLINE = APPLICANT
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STATUS: ISSUED
BLD20110088
• Fire Marshal must be present for tank work (fill, removal, or cap.)
• Final approval on a project or 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 a variance 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 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.
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 ENGINIURING (425) 771-0220 EXT. 1326 1 RM(425) 775-7720 .
PUBLIC WORKS 425) 771-0235 1 PR&TREATMDVT 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, and whether you prefer morning or afternoon.
• F -Tank Inspection
��°F EnMo� Inspection Comments
BLD20110088 70 - Tanks/Fuel
Applied:
02/10/2011 Issued: 02/22/2011
Expires:
11/22/2011
Address:
23905 74TH AVE W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1960 - F -Tank Inspection
03/30/2011
WESTFALL
PAR
Comment: Inspected removal of UST. Soil samples pending
1960 - F -Tank Inspection
12/15/2011
WESTFALL
CMP
Comment: Received summary from contractor indicating successful remediation of site. Summary results attached.
12/16/2011 7:32:46 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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