16-102971RESUBMITTED
CITY OF
Federal Way
JUL 18 2016
CITY OF FEDERAL WAY
CDS
GEOTECHNICAL ENGINEER AUTHORIZATION FORM
Date: July 15, 2016
City: City of Federal Way
Community Development Department
33325 8th Avenue South, Federal Way, WA 98003
Consultant: Steve Siebert
Associated Earth Sciences (AES)
911 5s' Avenue
Kirkland, WA 98033
Project: Edlund — Geotechnical Report
606 S. Marine Hills Way
Federal Way, WA 98003
Parcel #515292-0030
File No.: 16-102971-00-AD
Project Proponent: Ron Marchitto
28833 7`h Ave. S
Federal Way, WA 98003
206-428-8692
RonMarchi[t a7 oni serviccs.coiii
Project Planner: Dave Van De Weghe, Senior Planner
david.vandewe he a cit oftederalwa .corn, 253-835-2638
Project Background: The city received a complaint that trees were being removed without a permit. The
subject property is within a Critical Area, so a geotechnical report is required before
any tree removal will be authorized. Some trees have been cut already —the owner
wants to remove 22 in total. The city received a request for use of the Critical Area
Direct Services Program. The project proponent has requested a cost estimate be
provided for the preparation of a geotechnical report. The critical area in question
runs West from the applicant's property toward Puget Sound.
Documents Application for Critical Area Direct Services Program
Provided: Critical Areas/topo map
Site photos
Task Scope: 1. Geotechnical report per Federal Way Revised Code (FWRC) Chapter
19.145.250, "Additional report requirements — Geologically hazardous areas."
2. Conduct site visit as necessary.
3. Provide a report of findings and conclusions.
Task Schedule: Not to exceed S 2.000 without a prior written amendment to this Task
Authorization.
Acceptance:
Consultant (Steve Siebert, Associated Earth Sciences)
City of Federal Way
an De Weghe, Senior Planner)
Applicant (Ron Marchitto, Applicant)
Date
Date
ate
CITY 0V
Fed era I Way
GEOTECII ICA L ENGINEER AUTHORIZATION FORM
Date: July 15, 2016
City: City of Federal Way
Community Development Department
33325 8th Avenue South, Federal Way, WA 98003
Consuitant: Steve Siebert
Associated Earth Sciences (AES)
911 5"' Avenue
Kirkland, WA 98033
Project: Edlund — Geotechnical Report
606 S. Marine Hills Way
Federal Way, WA 98003
.Parcel ##515292-0030
)Wile No.: 16-102971-00-A13
Project Proponent: Ron Marchitto
28833 7" Ave, S
Federal Way, WA 98003
206-428-8692
RonMarchiu a sonic}se� vices_cc�ir
Project Planner; Dave Van De Weghe, Senior Planner
david.►randewe he it cit oftiedc1nMwa .coin, 253-835-2638
Project Background- The city received a complaint that trees were being removed without a permit, The
subject property is within a Critical Area, so a geotechnical report is required before
any tree removal will be authorized. Somc trees have been cut already --(lie owner
wants to remove 22 in total. The city received a request for use of the Critical Area
Direct Services Program. The project proponent has requested a cost estimate be
provided for the preparation of a geotechnical report. The critical area in question
runs West from the applicant's property (award Puget Sound.
Documents Application for Critical Area Direct Services Program
Provided: Critical A.reasltopo map
Site photos
Task Scope: 1. Geoteclutical report per Federal Way Revised Code (FWRC) Chapter
19.145.250, "Additional report requirements — Geologically hazardous areas."
2. Conduct slto visit as necessary.
3. Provide a report of findings and conclusions.
Task Schedule: Not to exceed $ 2000,wilhou t a prior written. amendment to this Task
Authorization.
Acceptance:
rld
Consultant (Steve-gieWtt, Associated Earth Sciences)
City of Federal Way Stag,
an De Weghe, Senior Planner) Date
Appiicaflt (Roil MarcWLto, Applicant) Date
a s s o c i a t e d
earth sciences
i n c o r p o r a t e d
July 15, 2016
Project No. KE160387A
CONTRACT AGREEMENT TO ENGAGE THE SERVICES OF
ASSOCIATED EARTH SCIENCES, INC.
AS A CONSULTANT AND ADVISOR
This agreement has been entered into at
Associated Earth Sciences, Inc.
911 5th Avenue
Kirkland, Washington 98033
on this 15th day of July 2016 between
Mr. Dave Van De Weghe, Senior Planner
City of Federal Way, Community Development Department
33325 8th Avenue South
Federal Way, Washington 98003
hereinafter referred to as "Client," and Associated Earth Sciences, Inc. (AESI), hereinafter
referred to as "Geotechnical Consultant," for mutual consideration as hereinafter set forth:
1.0 The, description and location of the project on which the Client contracts the
Geotechnical Consultant's services are:
Based on review of information you provided, we understand that multiple trees were
removed without the required permit from a sloping portion of the property located at
606 South Marine Hills Way that is classified as a Critical Area. Through the City's Critical Areas
Direct Services Program, we have been requested to provide a geotechnical assessment of the
sloping area as it pertains to slope stability due to the tree removal.
2.0 Geotechnical Consultant agrees to provide the following services:
An experienced geotechnical engineer from our firm will visit the site and observe current
conditions. We will perform a reconnaissance of the sloping area where trees were removed
and look for evidence of slope instability on the site. We will review available geologic
information for the site. We will summarize our site observations and provide conclusions and
recommendations in a letter within 2 business days of our visit. We can perform our site visit
within 2 business days of receiving notice to proceed.
Kirkland Office 1911 Fifth Avenue I Kirkland, WA 98033 P 1425.827.7701 F 1425.827.5424
Everett Office 12911 % Hewitt Avenue, Suite 2 1 Everett, WA 98201 P 1425.259.0522 F 1425.827.5424
Tacoma Office 1 1552 Commerce Street, Suite 102 1 Tacoma, WA 98402 P 1253.722.2992 F 1253.722.2993
www.aesgeo.com
3.0 Client confirms that the Geotechnical Consultant has explained the full range of
services it offers and the manner in which they could be applied to this project. Client also
confirms that he has understood the value and benefit of these services and has of his own
accord decided upon those identified in paragraph 2.0 above. Client agrees to hold the
Geotechnical Consultant harmless for claims of any kind that may arise from any source due
to the Geotechnical Consultant's failure to provide services that Client has specifically not
included in the list of services identified in paragraph 2.0 above. Client further agrees to
indemnify the Geotechnical Consultant for the cost of defending any such claims and any
awards or settlements resulting therefrom.
4.0 The Client accepts that all services are provided in accordance with the attached
Schedule of Charges and General Conditions "A," which are made a part of this contract by
reference. Client further agrees to compensate the Geotechnical Consultant for their
services, and to reimburse the Geotechnical Consultant for expenses incurred on Client's
behalf as follows:
Site visit, research, and preparation of letter: $2,000 (lump sum).
If unusual or unanticipated conditions are encountered that would involve additional costs,
we would immediately notify you to discuss modification of the study. Additional authorized
services would be provided as outlined on the Schedule of Charges.
5.0 The person signing this contract for a business entity attests that they are empowered
to act on behalf of the business. If this agreement meets with your approval, please sign in
the space provided below and send one copy to our Kirkland office address: AESI, 911 5th
Avenue, Kirkland, Washington 98033, to serve as formal authorization to proceed.
Sincerely,
ASSOCIATED EARTH SCIENCES, INC.
Kirkland, Washington
Stephen A. kebert, P.E.
Associate 1---otechnical Engineer
f
i
Bruce L. Blyton, PX7r
Senior Principal Engineer
The undersigned has reviewed and accepts the
attached General Conditions "A".
Client Date
Authorized Representative Signature
Client (please print name)
Attachments: Schedule of Charges/General Conditions "A"
SAS/Id - KE160387A1- Projects\20160387\KE\WP
2
Effective January 1, 2015
ASSOCIATED EARTH SCIENCES, INC.
SCHEDULE OF CHARGES
Our compensation will be determined on the basis of time and expenses in accordance with the following schedule
unless a lump sum amount is so indicated in the proposal or services agreement. Current rates are as follows:
Personnel Charges - Engineers, Hydrogeologists, Geologists, Scientists, and Technicians
Sr. Principal.......................................................................................$210.00/hour
Principal............................................................................................$180.00/hour
Sr. Associate.....................................................................................$160.00/hour
Associate..........................................................................................$150.00/hour
Senior........................................ .......................................................
$140.00/hour
Sr. Project.........................................................................................$130.00/hour
Project..............................................................................................$115.00/hour
Sr. Staff.............................................................................................$100.00/hour
Staff....................................................................................................$85.00/hour
Legal Testimony (4 hour minimum)..................................................$400.00/hour
Other Personnel and Disbursement Charges
CAD Operator and Workstation.........................................................$95.00/hour
Prints — Sizes A and B............................................................................$2.00/each
Prints —Sizes C, D, E, and F...................................................................$5.00/each
Project Assistant.................................................................................$75.00/hour
Laboratory Technician........................................................................$75.00/hour
Clerical, Word Processing, etc............................................................$60.00/hour
Computer Services (G IS).....................................................................$85.00/hour
Mileage.................................................................................................$0.65/mile
Four Wheel Drive Vehicle.....................................................................$0.80/mile
Per Diem............................................................................................To
be established on a project basis
Subcontractors and Miscellaneous Expenses....................................cost
plus 15%
Water Level Data Logger...................................................................$50.00/month
Barometer Data Logger.....................................................................$40.00/month
Laboratory Charges
Amended Topsoil Bioretention Suite ........... .....................
............... $770.00/each
Atterberg Limit ....................................... ...................
....................... $110.00/test
Combined Sieve and Hydrometer....................................................$193.00/test
Consolidation....................................................................................$385.00/test
Constant Head Permeability(ASTM:D2434-68)
...............................$385.00/test
Direct Shear......................................................................................$385.00/3
point test
Ethylene Glycol Test (3 rock minimum)............................................$115.00
Hydrometer......................................................................................$165.00/test
Moisture Content...............................................................................$25.00/test
Organic Content.................................................................................$70.00/test
Percent Passing#200................................................................
:.........$60.00/test
Permeability -Fines (Falling Head).....................................................$200.00/test
Permeability -Granular Soils (Falling Head).......................................$200.00/test
Proctor ASTM: D-1557 and ASTM: D-698...........................................$200.00/test
Sand Equivalent................................................................................$110.00/test
Sieve with Organic Burn...................................................................$170.00/test
Sieve with Wash#200......................................................................$110.00/test
Specific Gravity +#4...........................................................................$65.00/test
Specific Gravity-#4............................................................................$70.00/test
Other laboratory tests and equipment rental will be provided on a per job basis.
Cha rge2015-Regl - WP\Linda\SD-2014
Effective July 2010
ASSOCIATED EARTH SCIENCES, INC.
GENERAL CONDITIONS "A"
911- 5th Avenue, Suite 100 2911 % Hewitt Avenue, Suite 2 1552 Commerce Street, Suite 102
Kirkland, Washington 98033 Everett, Washington 98201 Tacoma, Washington98402
(425) 827-7701 1 FAX (425) 827-5424 (425) 259-0522 1 FAX (425) 252-3408 (253) 722-2992 1 FAX (253) 722-2993
Right of Entry
The Client shall provide AESI legal access to and/or obtain permission for AESI to enter on all property, whether or not owned by Client, as necessary for AESI to
perform and complete its work. Client is responsible to provide, by map or drawing, a description of the property, its location and the location of any buried
utilities or structures, including but not limited to, underground storage tanks. Any damage that results to a buried utility, or to Associated Earth Sciences, Inc.
(AESI) or subcontractor equipment, will be the responsibility of the client. Also, any additional charges for exploratory work, due to encountering the utility,
will be the responsibility of the client. We will take reasonable precautions to minimize damage from use of equipment, but have not included in our fee the
cost for restoration of damage which may result from our operations.
Hazardous Substances & Drill Cuttings
Client warrantsthat, priorto AESI beginningwork, itwill provide AESI with all information known, orwhich reasonablycould be known by Client concerning the
past or present use of the property and the nature and existence of any hazardous conditions or materials, on, in, under, adjacent to or near the property.
When hazardous substances are known, assumed or suspected to exist at a site, AESI is required to take appropriate precautions to protect the health and
safety of its personnel, to comply with applicable laws and regulations, and to follow procedures that AESI deems prudent to minimize physical risks to its
personnel and the public. Hazardous substances may exist at a site where there is no reason to believe they could or should be present. AESI and Clientagree
that the discovery of unanticipated hazardous substances constitutes a changed condition mandating a renegotiation of the scope of work ortermination of
services. AESI and Client also agree that the discovery of unanticipated hazardous substances may make it necessary for AESI to take immediate measures to
protect human health and safety, and/or the environment. AESI agrees to notify Client as soon as practically possible should unanticipated hazardous
substances or suspected hazardous substances be encountered. Client encourages AESI to take any and all measures that in AESI's professional opinion are
justified to preserve and protect the health and safety of AESI's personnel and the public, and/or the environment, and Client agrees to compensate AESI for
the additional cost of such work. In addition, Client waives any claim against AESI, and agrees to indemnify, defend and hold AESI harmless from any claim or
liability for injury or loss arising from AESI's encountering of unanticipated hazardous substances or suspected hazardous substances. Client also agrees to
compensate AESI for work performed in defense of any such claim, with such compensation to be based upon AESI's prevailing fee schedule and expense
reimbursement policy.
Client recognizesthat, when it is known, assumed orsuspected that hazardous substances exist beneath the surface ofthe projectsite, certain waste materials,
such as drill cuttings and drilling fluids, should be handled as if contaminated. Accordingly, to protect human health and safety as well as the environment,
AESI will appropriately contain and label such materials; will promptly inform Clientthat such containerization and labeling has been performed, and will leave
the containers on site for proper, lawful removal, transport and disposal by Client. Client waives any claim againstAESI and/or its professional staff, and agrees
to defend, indemnify and hold AESI and/or its professional staff harmless from any claim or liability for injury or loss which may arise as a result of the drill
cuttings, drilling fluids or other assumed hazardous substances being left on site aftertheir containerization byAESI. Client also agrees to compensate AESI for
any time spent and expenses incurred by AESI in defense of any such claim, with such compensation to be based upon AESI's prevailing fee schedule and
expense reimbursement policy. AESI will act on behalf of Client to arrange for lawful removal, transport and disposal of hazardous substances and potentially
contaminated drill cuttings, drilling fluids and wash water, if Client so requests, and Client agreesto compensate AESI based upon AESI's prevailing fee schedule
and expense reimbursement.
Soil, rock, water and/or othersamples obtained from the project site are held by AESI for no longerthan 30 calendar days afterthe issuance of any document
that includes the data obtained from them, unless other arrangements are mutually agreed upon in writing. Should any of these samples be contaminated by
hazardous substances or suspected hazardous substances, it is Client's responsibility to select and arrange for lawful disposal procedures, that is, procedures
which encompass removing the contaminated samples from AESI's custody and transporting them to an authorized disposal site. Client is advised that, in all
cases, prudence and good judgment should be applied in selecting and arranging for lawful disposal procedures. AESI will act onbehalfofClient toarrange for
lawful removal, transport and disposal of hazardous substances if Client so requests, and Client agrees to compensate AESI based upon AESI's prevailing fee
schedule and expense reimbursement.
Due to the risks to which AESI is exposed, Client agrees to waive any claim againstAESI and/or its personnel, and to defend, indemnify and hold AESI and/or its
personnel harmless from any claim or liability for injury or loss arising from AESI's containing, labeling, transporting, testing, storing or other handling of
contaminated samples. Client also agrees to compensate AESI for any time spent and expenses incurred by AESI in defense of any such claim, with such
compensation to be based upon AESI's prevailing fee schedule and expense reimbursement policy.
Aquifer Contamination
Subsurface drilling and sampling may result in unavoidable contamination of certain subsurface areas, as when a probe or boring device moves through a
contaminated area, linking it to an aquifer, underground stream, or other hydrous body not previously contaminated and capable of spreading hazardous
substances off -site. Because subsurface sampling is a necessary aspect ofthe work which AESI will perform on Client's behalf, Client waives any claim against
AESI and/or its personnel, and agrees to defend, indemnify and hold AESI and/or its personnel harmless from any claim or liability for injury or loss which may
arise as a result of alleged cross -contamination caused by drilling or sampling. Client further agrees to compensate AESI for any time spent or expenses
incurred by AESI in defense of any such claim, in accordance with AESI's prevailing fee schedule and expense reimbursement policy.
Ownership of Documents
All designs, drawings, specifications, notes, data, sample materials (exclusive of hazardous substances), report reproducibles andotherwork developed by AESI
are instruments of service and as such remain the property of Associated Earth Sciences, Inc.
Third Parties
All services performed by AESI and/or its personnel under this agreement are intended solely for the benefit ofthe client. Nothing contained herein shall
confer any rights upon orcreate any duties on the part of AESI and/or its personnel toward any person or persons not a partyto this agreement including, but
not limited to any contractor, subcontractor, supplier, or the agents, officers, employees, insurers, or sureties of any ofthe above.
AESI shall not be responsible forthe means, methods, or procedures of construction, norforsafety on thejob site, norforthe contractor's failure to carry out
the work in accordance with the contract documents.
Insurance
Associated Earth Sciences, Inc. maintains General Liability Insurance for bodily injury and property damage with an aggregate limit of $1,000,000 per
occurrence and we will furnish certificates of such insurance upon written request. Our liability to the Client for bodily injury or property damage arising out of
work performed for the Client for which legal liability maybe found to rest upon us, other than for professional errors and omissions, will be limited to our
General Liability Insurance coverage. AESI also maintains professional errors and omissions insurance. We will furnish certificates of such insurance upon
written request.
Standard of Care
Services performed by AESI under this agreement will be conducted in a manner consistent with that level of care and skill ordinarily exercised by members of
the profession currently practicing in the same locality under similar conditions. No other representation, express or implied, and no warranty or guarantee is
included or intended in this agreement or in any report, opinion, and document or otherwise.
Limitation of Liability (Option A — Lesser of)
To the fullest extent permitted by law, the total liability of AESI and its principals, personnel and employees, to Client and anyone claiming by, through or under
Client, for any and all claims, losses, costs or damages whatsoever arising out of, resulting from or in any way related to the Project or this Agreement from any
cause or causes, including but not limited to the negligence, professional errors or omissions, strict liability, breach of contract or breach ofwarranty express or
implied of AESI or its principals, employees or personnel shall not exceed $50,000 orthe total compensation received by AESI underthis Agreement, whichever
is less.
Option B —amount paid
To the fullest extent permitted by law, the total liability of AESI and its principals, personnel and employees, to Client and anyone claiming by, through or under
Client, for any and all claims, losses, costs or damages whatsoever arising out of, resulting from or in anyway related to the Projector this Agreement from any
cause or causes, including but not limited to the negligence, professional errors or omissions, strict liability, breach of contract or breach of warranty express or
implied of AESI or its principals, employees or personnel shall not exceed the total compensation received by AESI under this Agreement.
The Client further agrees to require of the contractor and his subcontractors an identical limitation ofAESI's and/or its personnel's liability for damages suffered
by the contractor or subcontractors arising from the professional acts, errors, or omissions of AESI and/or its personnel. Increased liability limits may be
negotiated upon Client's written request, priorto commencement of services, and upon Client's agreementto pay an additional fee commensurate with the
increased risk. Any such increased limit of liability shall be established by written agreement signed by Client and AESI. As used in this paragraph, the term
"liability" means liability of any kind, whether in contract, tort, strict liability or otherwise, for any and all injuries, claims, losses, expenses, or damages arising
out of or in any way related to services provided by or through AESI.
Waiver of Consequential Damages
Client expressly waives as to AESI all claims for lost profit or any other indirect, incidental or consequential damages of any nature.
Indemnification
Client shall indemnify, defend, and hold AESI and/or its personnel harmless against all claims, damages, losses, and expenses, including but not limited to
attorney's fees and court costs arising out of or in any way related to the services provided by orthrough AESI; provided that such indemnification shall not
apply to claims, damages, lasses or expenses that arise out of bodily injury to persons or damage to propertyto the extent caused by AESI's sole negligence;
provided further that Client shall indemnify AESI against liability for damages, losses, or expenses arising out of bodily injury to persons ordamageto property
and caused by or resultingfrom the concurrent negligence of Client, its agents or employees and AESI, onlytothe extentof the negligence of parties otherthan
AESI.
CLIENT AND AESI AGREE THAT THE PRECEDING PARAGRAPHS RELATING TO LIMITATIONS OF LIABILITY, WAIVER OF CONSEQUENTIAL DAMAGES AND
INDEMNIFICATION WERE MUTUALLY NEGOTIATED ANDTHAT BUT FORTHE INCLUSION OFTHOSE PROVISIONSAESI WOULD NOTHAVE ENTERED INTOTHIS
AGREEMENT, OR AESI'S COMPENSATION UNDER THIS AGREEMENT WOULD HAVE BEEN HIGHER.
Stability of Slopes
The Client also recognizes that risk is inherent with any site involving slopes and Client agrees to accept full responsibility for these risks. Client states that he
understands that the information obtained or recommendations made may help to reduce the Client's risks and that no amount of engineering or geologic
analysis can yield a guarantee of stable slopes. Therefore, in cases where there is no fault (i.e. no professional errors, omissions or negligence), Client agrees to
hold harmless, defend, and indemnify AESI and/or its professional staff for claims from any source in the event of slope movement and any damage resulting.
Attorneys Fees
In the eventthe Client makes a claim against AESI and/or its personnel, at law or otherwise, for any alleged error, omission or other actor failure to act arising
out ofthis agreement, and the Client failsto prove such claim or prevail in an adversary proceeding, then the Client shall pay all costs incurred by AESI, and/or
its personnel, in defending against the claim. In all other legal proceedings between the parties, the prevailing party shall be entitled to recover reasonable
attorney's fees and costs, including expert witness fees and all litigation related expenses.
Billing
Invoices will be submitted once per month and are payable upon receipt. Interest of 1-1/2% per month (but not exceeding the maximum rate allowable by
law) will be added to any account not paid within 30 days.
Termination
In the event that the Client requests termination of the work prior to completion, we reserve the rightto complete such analyses and records as required to
place ourfiles in order as we consider necessary to protect our professional reputation. At our discretion, a termination charge may also be made to cover our
proposal and administrative costs relating to the project.
Priority of Provisions
The provisions of these General Conditions supersede all other terms and conditions of the agreement between Client and AESI.
GenCon2013-Al-WP\Linda\5D-2013 Client Initials
Stacey Welsh
From:
Stacey Welsh
Sent:
Tuesday, June 07, 2016 9:41 AM
To:
'vf47@ I ive.com'
Cc:
'kevin.obrien@otak.com'
Subject:
FW: Direct Services
Attachments:
16113439047.docx
Mr. Frantsevich,
Please review the cost estimate below. If you are interested in proceeding with the Critical Area Direct Services Program
with Otak, a copy of any contract/agreement between the applicant and the consultant shall be provided to the City.
Moving forward, direct communication between the consultant and applicant is permissible, as long as the City is copied
on all such communication.
Thank you,
Stacey Welsh, AICP
Senior Planner
A Federal Way
33325 81h Avenue South
Federal Way, WA 98003-6325
Phone:253/835-2634 Fax: 253/835-2609
www.cilyoffederalway.com
-----Original Message ----
From: Kevin O'Brien [mailto:kevin.obrien@otak.com
Sent: Tuesday, June 07, 2016 9:12 AM
To: Stacey Welsh
Subject: RE. Direct Services
Hi Stacey,
I apologize --I've been out of the office for a number of days last week, and am currently out this week.
I've looked over the Services Request, and I would estimate a $1,500 effort for site visit, stream typing and
confirmation/evidence-based assessment, baseline characterization of the. system, and a memo describing work
performed and results.
I am out of the office this week, but we could get started on the work next week if we receive authorization to do so.
Cheers,
Kevin
From: Stacey Welsh <Stacey.Welsh@cityoffederalway.com>
Sent: Wednesday, June 1, 2016 9:42 AM
To: Kevin O'Brien
Subject: Direct Services
Kevin,
See the attached Critical Area Direct Services Request and Application. Please provide a cost estimate. Any questions let
me know.
Thank you,
Stacey Welsh, AICP
Senior Planner
[cid:image004.jpg@O1CF62FD.OB3F27DO]
33325 8th Avenue South
Federal Way, WA 98003-6325
Phone:253/835-2634 Fax: 253/835-2609
www.cityoffederalway.com<http://www.cityoffederalway.com/>
R2C@IVED � / j 4051-17
JUL 07 2016
� 1p
CITY OF FEDERAL. WAY
DEPARTMENT OF COMMUNITYDEVELOPMIIHT
CpS
A33325 8`� Avenue South
CITY OF _ Federal Way, WA 98003-6325
253-835-2607;Fax 253-835-2609
Federal Way www.cit offederalwa .com
APPLICATION
CRITICAL AREA DIRECT SERVICES PROGRAM
Project Name:
Project Description:—
i
Project Address:
a� Parcel #:
Contact Name: Phone:Zo6-i9�a?9t1Email: e6
Mailing Address (if different from above): 222 3 3•�
I am the owner of the above referenced property and I authorize the city to o6tain an estimate of project cost. I recognize the
Direct Services Program is optional and that I may choose to utilize any qualified consultant of my choosing. I agree to
indemnity an rel ase the city from all liab' 'ty associat wir the program or the work/reports of the consultant.
Signature: Date:
! Consultant Name:
f Date Sent -to Consultant: —
Materials Sent to Consultant:
Site Plan
❑ Special-S,tudy(s)
Other: .
_ Pit Use Only
Landscape Plan
❑ Other:
Folder•#
Fee Estimate:.
i
❑ Construction Drawings
Bulletin #078 -June 1, 2014 Page 1 of 1 1cUiandouts\Critical Areas Optional Direct Services Application
RESUBMITTED
CITY OF Ak JUL Is 2o*
Federal Wad OF FEDERAL -WAY
Cps
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
Federal Way, WA 98003-6325
253-835-2607;Fax 253-835-2609
wNv\v.citvoffedcrahva y.com
RESUBMITTAL INFORMATION
This completed form MUST accompany all resubmittals.
**Please note. Additional or revised plans or documents for an active project will not be accepted
unless accompanied by this completed form. Mailed resubmittals that do not include this form or that
do not contain the correct number of copies will be returned or discarded. You are encouraged to
submit all items in person and to contact the Permit Counter prior to submitting ifyou are not sure
about the number of copies required. **
ANY CHANGES TO DRAWINGS MUST BE CLOUDED.
Project Number: - �� -3- Zi 2— Z - -
Project Name: z !✓
Project Address:��
Project Contact: Phone: 7®� "%����
RESUBMITTED ITEMS:
,,�
# of Copies **
Detailed Description of Item
/
,-7 f
** Always submit the same number of copies as required foryour initlal application.-'
Resubmittal Requested by: Letter Dated /
ustarr meMDer)
OFFICE USE Oft Y
RESUB A- Distribution Date: �� f � Ufa By.- no
Dept/Div
Name
#
Description
Building
Planning
PW
Fire
Other
Bulletin # 129 — January 1, 201 1
Page I of I
kAH and outs\Resu bmittal Information