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HomeMy WebLinkAbout15-100403 • Demolition
City of&FEcon.
al Dev. y
S Permit #: 15-100403-00-D E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BELMOR PARK MHP- SPACE 122
Project Address: 2101 S 324TH ST Space 122 Parcel Number: 162104 9037
Project Description: Demolition of existing manufactured home
Owner Applicant Contractor
BELMOR MOBILE HOME PARK WOODCAM INDUSTRIES WOODCAM INDUSTRIES
2101 S 324TH CT 10215 66TH AVE E WOODLIG033JD(3/8/16)
FEDERAL WAY WA 98003 PUYALLUP WA 98373 10215 66TH AVE E
PUYALLUP WA 98373
Additional Permit Information
Demolition Valuation 5000.00
CONDITIONS:
PERMIT EXPIRES Thursday, January 26, 2017
Permit Issued on Tuesday, January 27, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: j r\G ' Date: /,
U-)
' AiTHIS CARD IST EMAIN ON-SITE
CITY OF "" Construction IiWpection Record '
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-100403-00-DE Address: 2101 S 324TH ST Space 122
Project: BELMOR MOBILE HOME PARK FEDERAL WAY, WA 98003
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
By , Date
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date . By Date By Date
! •
01 CITY OFPERMIT' APPLIG& N
Federal Way
JAN 272015
PERMIT NUMBER I ,.7 _ 0 O 40
3 _ 1) CITY OF FEDERAL WAY
TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
L\ 3
IO
PROJECT V UATIO ZONING ASSESSO 'S T�AR�# � 6 - O
$ cx '
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICALEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Q 1 Y11i1[' ` 4�\C
PROJECT DESCRIPTION ' " c' l j �{' k rrr
Detailed description work to h CAG` L>t1k
of �� �� r\( Gbe included on this permit only
E PRIMARY PHONE
PROPERTY OWNER '/oQ `AC
ING ADD ` E-MAIL
??U() 2
NAME ONE
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O. ADCDRE11Ss> EfiMAIL
CONTRACTOR itc (O( / (rcL�
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cNT E zit-1 � _-173--' lV�,) Vc
,WA SCONTCONTRA LICENSE PRION DATE FEDERAL WAY BUSINESS LICENSE#rXJ / () / o
NAME
P
t.NGYYi Of \a- "�
APPLICANT ri7...,AD67S L4
Q� S4(cvdr\\ccII4Jlna ,�4
' ZI�gs1
N E \ MARY PHONE
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PROJECT CONTACT � � .).)" ''
(The individual to receive and 317R(s i ` ` { � L(t��(��r{ ,J /1�,
respond to all correspondence t V 11 k
concerning this application) TATE 733-(44( /�C
��( D `JJ
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1 9.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplieji to the city as a_Tpar`t of this application.
SIGNATURE: / C4 t/I DATE
PRINT NAME: Th `'i ' C 1 q4
Bulletin#100—January 1,2013 Page 1 of 3 k:'Handouts\Permit Application
112312015
• Aoprovixi Transact-on •
p Sc ieanai r,o r g
P4get Sound A Agency
Single-Family Notification Case #: 201500282
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 -7 VRCFBAFFCS86
Transaction Date 01/23/15
Owner's Name Green Tree Servicing LLC Phone (360) 870-265S
Project Street Address 2101 S. 324th. St
City Federal Way Zip 99002
Contact Person Mike Miller Phone (253) 830-5945
Mailing Address 33600 6th. ave. S. Suite 220
Federal Way, WA 98003
This project includes asbestos removal.
Project Size linear feet / 1500 square feet
Project Start Date 02/04/15 Completion Date 02/04/15
be removed by a licensed asbestos abatement contractor
This project includes a demolition.
Demoiltim Start Date 02/05/15 C:nrroletion Datii 02/28/15
Demolition ii.ill be comolcied ov a demolition contractor
I certify that;
) This is a sinele-family residence project. The structure s used oy one family who owns the prepni y as their domicile.
roe information I have provided is to the best of my knowledge accurate and complete.
..T understand the fee for this Notification is nonrefundable.
Create Another Notjtication ylqw Histç 1.99 Out
If you have questions,contact us at asbestosOpscleanair,ory ur 206.685.4058.
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Dept. of Labor & Industries, Division of Occupational Safety 84
Health
Asbestos Project Notification Form
Form ID: 95651##1532TAC0M176411
Notice Date: 1/23/2015
Start Date: 2:4:2015
Completion Date: 2i4:2015
Status: Initial
Site Work Hours: 8:30 am - 3:30pm
Site Work Days:
Wednesday
Contractor: TACOMA ABATEMENT CO LLC
Job Site CAS.: Ray Ware
Your email address: mmiller(aitaeomaabatementeem
Contractor Phone Number: 253-830-5045
Property Owner
Name:
Owner's Agent:
Company: Green Tree Servicing LLC
Address: 33600 6th. Ave_ S. Suit 220
City: Federal Way State: WA Zip÷4: 98003
Phone: 360-870-2658
Job Site
Address: 2101 S. 324th. St.
Building, Name:
Room:
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C/iy: Federal Way
' Zip+4: 913003
County: King
Facility
Type: Mobile Home
Age: 1960
Size: 1400
Type of activity: Demolition
Quantity of Asbestos to Be Removed Outdoors Indoors
Quantity: 1500 square feast
Sheet vinyl
Roofing
Quantity: linear feet
Control Measures
Wet methods
liEPA vacuum
Manual methods
Respiratory Protection
mask APR
Comments:
Date/Time Submitted
1/23/2015 12:24:08 PM
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TACOMA ABATEMENT COMPANY,LLC
Jan. 14, 2015 4
Bill McTurnal Enterprises, LLC
P.O. Box 12048
Olympia, WA 98508
1
RE: Bell More Park
Unit# 122
2101 S. 324th St.
Federal Way WA, 98003
Asbestos Good Faithrprises :' ,,,,,.',,,,,,,,,,,,,,t,t‘r,,,,
Tacoma Abatement Company LLC conducted a limited asbestos survey dated 1- 14-
2015 at the property listed above. This is a single family manufactured home that has
been selected for demolition. Asbestos samples were collected for the purpose of
determining potential hazards to workers during demolition, repair and or renovation
of this residential space. State laws require hazards be identified before structures or
components are impacted as part of demolition activities.
Suspect materials were limited to 1) sheet vinyl, 2) ceiling tiles and 3) roofing.
During demolition any materials not identified in this survey will need to be tested.
Unless presumed asbestos containing, any materials or components containing one A.
percent>1% or greater asbestos is regulated by state, federal and local agencies.
Sample #'s 1 and 6 are positive for the presents of asbestos.
No other suspect materials or components were identified in association with this
house.
Let me know if you have any questions or if we may be of further assistance.
tl
Professionally Yours, ilite
Tacoma Abatement Company, LLC
Mike Miller ,
AHERA Building Inspector#BIR-NES-110413.01 Exp. 11-2.2015
Project Manager
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TACOMA�EMCNT CAMFANCI LC !'':,\'‘:,":,:"
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Sample Results
Sample ;*4
# Type Location Positive Negative Friable ft A
1 Sheet vinyl Kitchen XXXXX Yes
2 Sheet vinyl Bath # 1 XXXXX I
3 Sheet vinyl Bath#2 XXXXX 0
4 Ceiling tile Living rm. XXXXX , •'
5 Roofing Roof XXXXX , \• `'
6 Silver coat Roof XXXXX Yes ' z\\.
z
7 Mastic Roof XXXXX • ar
i '',,,,,, ,1-•:'
A
R
I
I
0
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1
Conclusion:
to
Sample #'s 1 and 6 will need to be abated by a licensed asbestos I
abatement contractor.
i
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Y.
u
0 S
BELM©R PARK
GOLF & COUNTRY CLUB
2101 S 324TH Si'+FEDERAL WAY,WA 98003
(253)535-0517
January 20, 2015
Re: Home Demolition — Lot 122
To Whom It May Concern:
Belmor Mobile Home Park gives permission to Woodland Industries to demolish
the home including carport and shed(s) on lot 122. These permissions are given with
the understanding that the Power, Water, & Sewer are to remain intact and the park is
to be contacted before the disconnection takes place.
V_____Th
i '
Ben Nelson
General Manager
Cc: The Hynes Group
Belmar Golf& Country Club,part of the Hynes Group of properties