Forma - Work Hour Variance RequestBulletin #080 – December 11, 2018 Page 1 of 2 k:\Handouts\ Work Hour Variance Request
Location of Work (for work on both public & private property; complete both sections):
Private Property (Address/Parcel #): ______________________________________________________________
Public Right-of-Way (Street/Cross Street): _________________________________________________________
Date(s) of Proposed Work: _____________________________________________________________________________
Hours of Proposed Work: ______________________________________________________________________________
Description of Proposed Work & Equipment Involved: _____________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Names & phone numbers of TWO contacts that will be available during proposed work hours:
1) ____________________________________________ (____ ____ ____) - ____ ____ ____ - ____ ____ ____ ____
2) ____________________________________________ (____ ____ ____) - ____ ____ ____ - ____ ____ ____ ____
Reason proposed work must be completed outside of regular work hours:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Provide a brief explanation why the work will not be detrimental to nearby properties:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
See the second page for additional application questions.
APPLICANT INFORMATION
NAME PRIMARY PHONE
BUSINESS/ORGANIZATION ALTERNATE PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
WORK HOUR VARIANCE REQUEST
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8th Avenue South
Federal Way, WA 98003-6325
253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
FILE NUMBER ____ ____ - ____ ____ ____ ____ ____ ____ DATE
MORGAN WATKINS 360-951-0159
FORMA CONSTRUCTION
3900 SOUTHCENTER BLVD, APT B-8
TUKWILA WA 98188
morgan.watkins@formacc.com
303 S.W. 308TH ST., FEDERAL WAY, WA 98023 (072104-9180)
11/11/2020, 11/27/2020
7:00AM - 5:00PM (TYPICAL)
HOLIDAYS. TYPICAL WORK DAY. MOSTLY CLOSING OUT
BRETT BOWEN
TAYLOR JOHNSTON
3 6 0 48080043608990259
TO MAINTAIN SCHEDULE AND MEET DATES AGREED UPON WITH THE CITY OF FEDERAL WAY
RIGHT-OF-WAY WILL NOT BE AFFECTED, NOISE BELOW AND STAFF/TRAFFIC WILL BE LIGHT.
AND BUTTONING UP THE PROJECT. LANDSCAPE WORK TO OCCUR AS WELL. LIGHT MACHINERY (BACKHOE).
Bulletin #080 – December 11, 2018 Page 2 of 2 k:\Handouts\ Work Hour Variance Request
TO BE COMPLETED BY APPLICANT
1) Are the following criteria met in accordance with FWRC 19.105.040(2)(a) (www.codepublishing.com/WA/FederalWay/)?
Yes No
Work will not result in substantial adverse impacts to surrounding properties.
The exception is necessary to avoid undue delay of project completion and/or long-term
inconvenience or disruption to the public.
2) Will the following criteria be met in accordance with FWRC 19.105.040(3)?
Yes No
Will written notice be mailed at least seven days in advance of the work to owners and occupants
of property located within 300 feet of the project boundary?
Will a notice board that includes construction hours, description of construction activities,
mitigation measures, and two 24 hour project contacts for the duration of the project be posted at
the project site?
3) If the answer to question two, above, is no, what methods of notice will be provided, or why is public notice not
necessary? Please explain:
Please Note: This request will not be processed unless accompanied by payment of application fee.
TO BE COMPLETED BY STAFF
1) Notification Requirements Waived?
Yes No
2) Conditions of Approval
Yes No Conditions Attached: Yes No
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3) In accordance with FWRC 19.105.040(2)(a), this application is hereby:
Approved Denied
_____________________
Community Development Director Date