18-102218City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LAMAR ADVERTISING BILLBOARD
Project Address: 27600 PACIFIC HWY S
Project Description: Demolition of 2 -panelled billboard structure.
Demolition
Permit #:18 -102218 -00 -DE
Inspection Request Line: (253) 835-3050
Parcel Number: 720480 0185
Owner
Applicant
Contractor
LAMAR ADVERTISING
JENNIFER WRICHLAMAR ADVERTISING
THE LAMAR COMPANY LLC
3601 6TH AVE S
3601 6TH AVE S
LAMARCL849DT (5/16/20)
SEATTLE WA 98134
SEATTLE WA 98134
3601 6TH AVE S
SEATTLE WA 98134
Additional Permit Information
PERMIT EXPIRES Tuesday, 20 November, 2018
Permit Issued on Thursdav, Mav 24, 2018
hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the uzee will be in accordance with the laws, rules and regulations of the State of
/'1 WasNnciton and the Citv of Federal Way.
Owner or agent:
FINALED
Date: '/�/ 'P
THIS CARD IS TO REMAIN ON-SITE
cmoF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102218 00 Address: 27600 PACIFIC HWY S
Project: LAMAR ADVERTISING FEDERAL WAY WA 98003-3400
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
® Final - Building (4050)
Approved
Rough Electrical
E
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
44k
CITY OF
Federal Way
RECEIVED
MAY 2 4 2018
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com
PERMIT NUMBER X _ / _ ' ) J�
J V� _SS5 GLL Sr TARGET DATE
SITE ADDRESS
SUITE/UNIT #
/� n ' {^✓, c
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
-T01-a4-Z_0-_Qr s
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL TION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
O 4 900
PROJECT DESCRIPTION
Detailed description of work to
FIlLreoNd
be included on this permit only
NAME
PRIMARY PHONE
LAM QW_ A60 SZ -ns 10 Cyr
x-0(0 Licig %_i;L0__
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
5 a
NAME
PHONE
s
MAILING ADDRESSE-MAIL
a
CONTRACTOR
CITY
S
STATE ZIP
QA eik
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
-Z\
FEDERAL WAY BUSINESS LICENSE #
L �1il Z -2 �ici DT LZ �
♦ r r
NAM
6A34S
PRIMARY PHONE
APPLICANT
AS
MAIMNG ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
—
MAILING ADDRESS
S `
E-MAIL
(The individual to receive and
respond to all correspondence
CI'T'Y
STATE
ZIP G
6
F
concerning this application)
PROJECT FINANCING
NAME S
ry
J� OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
When value is $5,000 or more
(RCW 19.27.095)
2 b
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to city as a part t application.
SIGNATURE: DATE
PRINT NAME: 1 /J Ad 6
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
11
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41k
CITY OF
FederalWal
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8ch Avenue South
Federal Way, WA 98003
253-835-2607; Fax 253-835-2609
www. c i tyoffederalway. com
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate permits.
❑ Address of Demolition: (Pon P/lC.► IIG
❑ Prior to submitting a demolition permit, the following items must be signed by the respective
agency or their approvals attached. Items not applicable to your project should be marked N/A.
❑ A completed Construction PermitAppiication form is also required.
1. ASBESTOS ABATEMENT
(Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency
and copy of inspection report by AHERA-cert d it)
�ATACHEXA
>t
(City of Federal Wa^ulidng 0 I)
2. FUEL STORAGE TANKS
❑ Under grade tank(s) is/are present
❑ Above grade tank(s) are present
❑ Tank(s) has been pumped or removed under South King Fire & Rescue
permit prior to any dismantli or excavation
NJA
(South King Fire and Rescue)
3. SEPTIC SYSTEM DE MISSIONING
N �,
(King Cou ty Environmental Services)
4. SANITARY SEWERr ,
N t'
(LakeYlaven Utility District)
5. ELECTRICITY
ob� - �Jevg "AISC-
(Puget Sound Energy/Tacoma Power) A.) I-yk LT
6. NATURAL GAS /j
(y N
(Puget Sound Energy)
7. WATER - Pllub''lic Source
(y
(Lakehaven Utility District)
8. WATER - Private Well
N I.,.
(KiAg County Environmental Services)
❑ Please Note: Erosion control measures must be in place during the demolition and through
completion of the site clean-up.
Bulletin 4122 — March 16, 2017
Page 1 of 1
X� AHA22 A6 V &zi
k:\Handouts\Demolition Permit Requirements
5/22/2018 Approved Transaction
pscleanair.org
Puget Sound C kn Ar Agency
Notification Case #: 201802270
This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available
for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)).
Fee Amount Paid $65.00
Credit Card Transaction # AGOFlCDC12EF
Transaction Date
05/22/18
Owner's Name
Lamar Advertising Phone (206) 494-4200
Project Street Address 27600 Pacific Hwy S.
City
Federal Way Zip 98003
Contact Person
Jennifer Wrich Phone (206) 494-4200
Mailing Address
3601 6th Ave S
Seattle, WA 98134
This project includes a demolition.
Demolition Start Date 07/01/18 Completion Date 07/01/18
Demolition will be completed by a demolition contractor
Demo Contractor Property Owner Contractor Job #
Contact Phone
Mailing Address
(1) I certify that the information I have provided is to the best of my knowledge true and accurate.
(2) I understand that I must file an Amendment to this Notification if:
The type of project has changed. The project types are asbestos and demolition.
The quantity of friable asbestos to be removed meets a larger project category.
• The project's start or completion date has changed.
(3) I understand one Notification must be filed for each structure. The only exception is for
a single-family residence that includes multiple ancillary structures, such as a detached
garage or other outbuildings having the same street address. If there is no street address,
I have used a building number.
(4) I understand the fees for this Notification are nonrefundable.
Create Another Notification
If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058.
https://secure.pscleanair.org/Asbestos/Approved.aspx 1 /1
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