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22-103531City of Federal Way Community Development Dept. 33325 8th Ave S . �„� Federal Way, WA 98003 ��r- Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: PROTHERO Project Address: 2609 SW 337TH ST Demolition Permit #:22-103531-00-DE Inspection Request Line: (253) 835-3050 Project Description: Complete demolition of single family residence destroyed by fire. Parcel Number: 255700 0750 Owner Applicant Contractor KEN PROTHERO DACIA REAVIS-FUGERELEXAR HOMES JUSTICE CONSTRUCTION LLC 1300 SW CAMPUS DR APT 64-3 OF TACOMA JUSTICL955Q2 (3/7/24) FEDERAL WAY WA 98003 5849 TACOMA MALL BLVD S SUITE B1-A PO BOX 1417 TACOMA WA 98409 EATONVILLE WA 98328 Additional Permit Information PERMIT EXPIRES Monday, 30 January, 2023 Permit Issued on Wednesday, August 3, 2022 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: PN Y%C'k Date: 4%, THIS CARD IS TO REMAIN ON -SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 103531 00 Address: 2609 SW 337TH ST Project: KEN PROTHERO FEDERAL WAY WA 98023-7757 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 Ari Date 2J ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date I By Date By Date _�k CITY Of Federal Way RECEIVED AUG 0 2 2022 PERMIT APPLICATION PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325 CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenterocityoffederalway.com COMMUNITY DEVELOPMENT PERMIT NUMBER 2 2 — 1 0 3 5 J 0 F, TARGET DATE SITE ADDRESS SUITE/UNIT # 2609 SW 337th ST, Federal Way, WA 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 'As-� 000 RS7.2 2 5 5 7 0 0- 0 7 5 0 TYPE OF PERMIT N BUILDING Y PLUMBING 21 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING Igl FIRE PREVENTION NAME OF PROJECT Prothero-Garland PROJECT DESCRIPTION - Detailed description of work to be included on this permit only NAME PRIMARY PHONE Ken Prothero & Natasha Garland -Clark 360-430-3662 PROPERTY OWNER MAILING ADDRESS 1300 SW Campus DR APT 64-3 E-MAIL ken_prothero@hotmail.com CITY Federal Way STATE WA ZIP 98023 tgar37@hotmail.com NAME Justice Construction LLC PHONE 253-310-2314 MAILING ADDRESS E-MAIL CONTRACTOR PO Box 1417 s.justiceconstruction@gmail.com CITY STATE ZIP FAX Eatonville WA 98023 WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE UBI # 03 / 07 / 2024 602-517-102 NAME PRIMARY PHONE Dacia Reavis-Fu ere 253-677-4743 MAILING ADDRESS 5849 Tacoma Mall BLVD Suite 131-A E-MAIL daciafu@lexarhomes.com APPLICANT CITY Tacoma STATE WA LZIP 98409 FAX NAME PRIMARY PHONE PROJECT CONTACT Dacia Reavis-Fugere 253-677-4743 MAILING ADDRESS 5849 Tacoma Mall BLVD Suite 131-A E-MAIL daciafu@lexarhomes.com (The individual to receive and respond to all correspondence CITY Tacoma STATE WA ZIP 98409 FAX concerning this application) PROJECT FINANCING N�`ennyMac ❑ OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP 3013 Douglas Blvd #250 Roseville CA 95661 PHONE 866-314-0498 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATURE: at%u cur ua. DATE _ 05/17j202? PRINT NAME: Dacia Reavis-Fugere Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application MECHANICAL PERMIT Indicate how many of ea 1 AIR HANDLING UNITS 1 AIR CONDITIONER 0 BOILERS 0 COMPRESSORS 1 DUCTING 5 0 1 0 0 to be installed or relocated as par FANS 0 FIREPLACE INSERTS 0 FURNACES 0 - GAS LOG SETS 1 GAS PIPING 0 VALUE OF MECHANICAL WORK $ 20,000.00 f this project. Do not include existing fixtures to remain. GAS PIPE OUTLETS OTHER (Describe) HOODS (Commercial) HOT WATER TANKS (Gas) REFRIGERATION SYST WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ 19,000.00 Indicate how many of each wpe or fixture to be installed or relocated as part of this project Do not include existin trtures to remain. BATHTUBS (or Tub/Shower Combo) _3_ LAVS (flared Sinks) __3„ TOILETS 1 WATER PIPING DISHWASHERS 0 RAINWATER SYSTEMS 0 URINALS 0 OTHER (Describe) 0 DRAINS 1 SHOWERS 0 VACUUM BREAKERS 0 DRINKING FOUNTAINS 1 SINKS (Kitchen/Utility) 1 WATER HEATERS (Electric) 2 HOSE BIBBS 0 SUMPS �_ WASHING MACHINES 15 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS No Lakehaven Water District Lakehaven Water District EXISTING/PREVIOUS USE LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes 7,140 ❑ Yes ix No N Yes ❑ No RESIDENTIAL -NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT 0 568 568 ..................................................................................,.... _.. .... _... _.. .. ... ....... FIRST FLOOR (or Mobile Home) 0 613 613 SECOND FLOOR 0 780 780 ..... ».........e......e�..._......... __.._.,,.......... _._.„»...... ..» .. COVERED ENTRY 0 168 168 ....................... DECK 10 47 47 GARAGE N CARPORT ❑ 0 419 419 m OTHER (describe) 0 0 0 _...................... ..------ -........,,............._........_.............................. ....,,.., Area Totals EXISTING 0 PROPOSED 2,595 TOTAL 2,595 ...............,,,,....,,,,........................... .»,,.W_..... _...... _ .. ».. . *"NEW HOMES ONLY" ESTIMATED SELLING PRICE $ 431,692.44 # OF BEDROOMS 3 COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in S uare Feet Occupancy Group(s) Construction a # of Stories Additional Information NEW BUILDING 0 N,'A N/A N/A N/A N/A N/A N/A N/A ADDITION 0 COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOTAL BUILDING 0 N/A N/A N/A N/A TENANT AREA ONLY 0 NIA N/A N/A N/A PROJECT AREA ONLY 0 N/A N/A N/A N/A Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application 8/1/22, 9:42 AM Approved Transaction pscleanair.org Puget Sound Clean Air Meno Single -Family Notification Case #: 202203708 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 # APOA7C9C2371 Transaction Date 08/01/22 Owner's Name Ken Prothero Project Street Address 2609 SW 337th St City Federal Way Contact Person Ken Prothero Mailing Address 1300 SW Campus Dr Apt 64-3 Federal Way, WA 98023 Phone (360) 430-3662 Zip 98023 Phone (360) 430-3662 This project includes a demolition. Demolition Start Date 08/22/22 Completion Date 09/02/22 Demolition will be completed by a demolition contractor I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification If you have questions, contact us at asbestos@pscleana1r.org or 206.689.4058, https://secure.pscleanair.org/Asbestos/Approved.aspx 1 /1 CITY OF=a= F"raday C 0 M N1 L) N I i, v D F VE L0 EMi,N,rDLPAIITMEXT" 33325 8111 Avenue South Federal Way, WA 98003 253-835-2607; Fax 253-835-2609 �V)YmLtityoffcdcralwn DEMOLITION PERMIT REQUIREMENTS A demolition pen -nit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. ® Address of Demolition: 2609 SW 337th ST, Federal Way, 98023 ® 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. M A completed Construction PermitApplication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice of Intent from Puget Sound Clean Air Agency and copy of inspection report by AHERA-certified inspector) (City of Federal Way Building Official) 2. FUEL STORAGE TANKS o 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 dismantling or excavation N/A (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING N/A (King County Environmental Services) 4. SANITARY SEWER (Lakehaven Water & Sewer District) S. ELECTRICITY Completed (Puget Sound Energy/Tacoma Power) 6. NATURAL GAS See Attached Email Confirmation (Puget Sound Energy) 7. WATER - Public Source C o_ , A�C {A .,n� Gam,. --,_ r�� i/' eG (Lakehaven Water & Sewer District) S. WATER - Private Well N/A (King County Environmental Services) ® Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. (Applicant) Bulletin 4122 — April 8, 2021 Page 1 of 1 k:\ttandoutsUDemolition Pe1711it Requirements ASBESTOS_1��_�,, NORTHWESTI�Y� 30620 Pacific Hwy S, #103, Federal Way, WA 98003 (253) 941-4343 a AW% TESTING NVLAP LAS CODE 200993.0 Enclosed please find the analytical report for one or more samples submitted for analysis by Polarized light Microscopy. The six types of asbestos fibers are chrysotile, amosite, crocidolite, tremolite, anthophyllite and actinolite. A sample which contains more than 1% asbestos is considered positive and is defined by the EPA as an Asbestos Containing Material (ACM). The samples were analyzed in accordance with CPA method 600/R-93/ 116 and 600/M4-82-020 which has a detection limit of approximately 1%. The analyst used a stereo microscope to visually inspect the sample to determine homogeneity and material descriptions. The sample was then viewed under a polarized light microscope to determine the presence and percentage of asbestos and non -asbestos fibers. After analysis is complete, all paperwork is filed together, and kept in a secure lucked filing cabinet. Asbestos Northwest ensures that the files will not be tampered with at any time and will only be removed if the client requests reanalysis or a modification to the report. If you have any concerns or comments, contact us at fcedbacknasbestosnw.corn or fill out our survey at asbestosnw.com/sarya Thank you., (,,-pti/ ewlLP4 -These results are only applicable to the samples enclosed with information provided by the client. This report may not be reproduced, except in full, without the approval ofthe laboratory. This report may not be used to claim product certification, approval, or endorsement by NVLAP, MIST, or any agency of the U.S. Government.- ASBESTOS `' NORTHWEST Asbestos NON Batch# 30620 Pacific Hwy S. #103, Federal Way, WA 98003 (253) 941-4343 NVLAP Lab Code: 200993-0 Bulk Samples Chain of Custody (EPA 600/R-931116) Narne/_Comp:J 5 c _ - Date: r f -- Address:/242/7, Tfl At'- S Sys 1 Phone; 3' E-mail; Project Location: ga (� ;'w 3 �r U)Number of Samples: Turn around time: /IHN 24HRS # Sample ID Description Loc !Comments 2 r 01,01 It 3 4 5 6 7 8 �- 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 - 25 26 27 28 29 30 Print Sian Comoanv Date -rime Sampled by: ' - Reliri uished by- Delivered by* b l Accepted by: Analyze b : l` i - 4 - 1 1 , ASBESTOS . `' NORTHWEST Asbestos Northwest, LLC 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 TESTING NVL.AP LAB CODE 200993-1) Batch Number: 202113127 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Rebecca Varga Date Received: 7/19/2021 R&M Asbestos and Demo Date Analyzed: 7/19/2021 12029 12th Ave S Seattle, WA 98168 Samples Received: 8 Samples Analyzed: 8 Project: Ken Prothero Location: 2609 SW 337th St Federal Way WA Client Sample Lab Sample Layer Description Matrix % Non -Asbestos % Asbestos Fibers ID ID I Fibers and Type White chalky material with Filler/binder, 25% Cellulose 1 paper Gypsum Glass fibers None Detected I 2 1 White chalky material Filler/binder, 5% Cellulose, None Detected Gypsum Glass fibers 3 1 Tan powdery material Binder/fillert 2% Cellulose None Detected White chalky material with Filler/binder, 25% Cellulose, paper Gypsum Glass fibers None Detected 4 1 Charred chalky material with Filler/binder, 25% Cellulose paper Gypsum Glass fibers None Detected Charred chalky material with Filler/binder, 25% Cellulose 5 1 paper Gypsum Glass fibers None Detected Charred chalky material with Filler/binder, 25% Cellulose 6 1 paper Gypsum Glass fibers None Detected Analyzed by: Cathy Butler Report Page 1 ASBESTOS NORTHWEST Asbestos Northwest, LLC 30620 Pacific Hwy S, #103, Federal Way, WA 98003 Ph: (253) 941-4343 Fax: (253) 941-4175 TESTING NVLAP LAB CODE J.p0393-0 Batch Number: 202113127 PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116 This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S. Government. Attn: Rebecca Varga Date Received: 7/19/2021 R&M Asbestos and Demo Date Analyzed: 7/19/2021 12029 12th Ave S Seattle, WA 98168 Samples Received: 8 Samples Analyzed: 8 Project: Ken Prothero Location: 2609 SW 337th St Federal Way WA Client Sample Lab Sample Layer Description Matrix % Non -Asbestos % Asbestos Fibers ID ID Fibers and Type 7 1 Charred chalky material with Filler/binder, 25% Cellulose paper Gypsum Yp Glass fibers None Detected White powdery material with Binder/filler, � 1 paint Paint o 2 /o Cellulose None Detected White chalky material with Filler/binder, 25% Cellulose 2 paper Gypsum Glass fibers None Detected W`Anal zed by: Cathy Butler�1111/(&I Report Page 2