BLD20170229.pdfC ITY OF EDMOND S
1215TH A VENUE NORTH - EDMONDS, WA 98020
C PHONE: (425) 771-0220 - FAX: (425) 771-0221
Parcel No: 00371100000100
PROPERTY OWNER
PERMIT GROUP: 70 - Tanks/Fuel
CONTIIACTOI�
MICHAEL O & KATHLEEN J THORSEN
APPLICANT
SEATTLE TANK SEVICES
SEATTLE TANK SEVICES
19200 93RD PL W
PO BOX 31516
C/O PHIL SUETENS
EDMONDS, WA 98020
SEATTLE, WA 98103
PO BOX 31516
NUMBER OF STORIES: 0
VESTED DATE:
SEATTLE, WA 98103
(425)'248-9859
(206) 938-2280
(206)'938-2280
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #; SEATTTT012I 4 EXP
(Pump, rinse and fill in place with foam, one 500 gallon residential heating oil tank. Gut 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:
OTHER: ------- OTHERDESC:
CONE:
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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
E
QUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
IGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:"
BACK NOTES:
-------------
PERMH APPROVAL
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,
TRIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFIICIA/L OR HIS/HER DEPUTY AND ALL FEES ARE PAID
Bigrlat Print Name 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/ IRC110.
ONLINE APPLICANT ASSESSOR d1M1G1
TATUS: ISSUED BLD2017
Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the buildingor structure. Check the job card for all required City inspections including final project approval and final
occupancy ,inspections.
0 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.
0, Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC 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
whatever nature, arising directly or indirectly fi•om the 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.
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)
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING ('425) 275-4801
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 mornine or afternoon.
0 None
A"
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
Q 12 5'' Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 2 Fax 425.771.0221
PLEASE' REFS TO 7HE11L UUB ING & ME CRAJVICA L CHECKL1S 7,FOR SCJ MI 77A 1,RE, Q UIRE UE NTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
19200 93rd PL W, Edmonds, WA 98020
00371100000100
Associated Permit #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YesNo17
F_1
APPLICANT:
Phone:
=ffI)-9
Seattle Tank Services
206-938-2280 - 3 3 -19 6 7
Address(Street, City, State Zi
i)
E -Mail Address:
PO Box 31516 Seattle, ngton 98103
info@seattletank.com
PROPERTY OWNER:
Phone: Fax:
Michael Thorsen
425-248-9859
Address (Street, City, State, Zip):
E -Mail Address:
19200 93rd PL W, Edmonds, WA 98020
N/A
LENDING AGENCY:
Phone:
Address (Street, City, State, Zip):,
E -Mail Address:
CONTRACTOR:*
Phone: Fax:
Seattle Tank Services
206-938-2280 E06-933-1967
Address (Street, City, State, Zip):
E-MailAddress:
PO Box 31516,'Seattle, Washington 98103
info@seattletank.com
WA State License #/L-"xp. Dat7:
*Conn,actor must have a valid City ofEdwonds business license
r. to doing work, SEATT'lT012Q4 11 19/2016
in the City. Contact the City Clerk's Office at 425.775.2525
City Blisill.113 ess License 11
'
NR-022oz'� 1�2017
M B.ING MECHANICAL I
BINEJ TAN DE MOLITION Lj...
DETAIL THE SCOPE OF WORK: lltiiiiL),"rii'�iseai,-idfill. it'il)lace w,i'tlifoarii,ot-ie5OiL�!lo�i'1 t esitl � l.ittl.
heating oil tank. Cut vent and fill pipe below grade.
I declare under penalty ofperjury laws that the in/brinatlost I haveproilided on this fornflapplication Is true, correct and complete,
and that? am the pro per& owner or duly authorized agent of 11teproperty owner to submit a permit apl)firation to tile City of
Edmonds.
Print Name:—r;,,,
Owner E]Agent/Other Z (specify): Contractor
Signatw-e:
Date:
FORM C`. I -\Rn0dinaMP%v PnIA-1AMMOMP R. —f—A t�T !"1/n A A--- I T-.-,- -M —.1 1
Fi nTJ ra r r •\n..a
SEATTLE TANK SERVICE LICENSE# SEATTTT012Q4 EXP:11/19/2017
PO BOX 31516 ICC LICENSE #8145449
SEATTLE, WA 98103 -
206-938-2280
SITE PLAN
HEATING OIL TANK DECOMMISSIONING
JOB SITE ADDRESS. 19,200 93" PL W Edmond§, 8
OWNER: -kic-ti-a-e_I[L(Lrsen
PHONE: 425.-248-9859
ACTIVITY:
MPump out tank, rinse and fill in place one approximate 500 gallon underground residential heating oil
tank. Cut vent and fill pipe below grade.
Comer property 192"' St SW
19200 — house
E
... .............
Driveway
it
. ....................
Front Door
DeckVliishs,
94"
195"
Front walkway
Driveway
93rd PL West
-rhLs
93"1 PL West
@11