99-101340 1?)(-)04141 )1614)
City et Federal WayCounnutrity Development I/ Q
Of
s (L j emohtion Permit#:99- 101340 - 00 - D
-33$34IM ray s
-ra:233.661.4000 Fax:2S3.6d1.4129 (3:30pm cut-off for next day inspections)
Project Name: HOMESIGHT PERMIT(DEMO)
Project Address: 33317 23RD SW Parcel Number: 932090 1240
Project Description: DEMO-EXISTING CARPORT,BALACONIES AND STORGAE SHED FOR ALL SIX UNITS
(THERE IS SIX DIFFERENT ADDRESS 33317-27 23RD AVE SW)
Owner Applicant Contractor
KAREN GANT HOMESIGHT MARPAC CONSTRUCTION,LLC
33317 23RD AVE SW 3405 S ALASKA ST
FEDERAL WAY WA 98023 SEATTLE WA 98118 1227 S WELLER ST
SEATTLE WA 98104
Permit issued on
I hereby certify that the above information is correct and that the construction on the above described propert'
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washing.
the City of Federal Way.
Owner or agent Date:
rs/77\ C)\,7
V"
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Demo Permit lee $35.00
DEMOLITION PERMIT APPLICATION Surcharge 4.50
CITY of F _- 500.00
(Person Paying Bond)
BUILDING DIVISION
33530 First Way South i pp p ,9,9 34O S M s t _
Federal Way,WA 98003 ` S • 1e 418 II S
(206)661-4000-Fax(206) 1t29 rta: HAI_WAY
BUILDING SEPT. 333( '1 _ Z_— Avr_S i, r
DESCRIPTION OF WORK?A/0d G el-Cmz P e 7'f f S fe€f 6" .40S * e& # st t z,41) ,s`C 6 'fit"'€ .
ileve
PRIOR TO APPUCATION
NOTE:I understand that the following utilities shall be disconnected and services performed,if applicable,prior to issuance of the demolition permit
All items are to be signed by the respective agency.
1. ASBBSZOS REMOVAL 6. GARBAGE
(Building O )
2. ELECrRIcrrY 7. SEPTIC TANK PUMPED AND FILLED W11H CRUSHED ROCK OR
REMOVED/OR SEWER LINE PLUGGED AT PROPERTY LINE.(Inspection
required prior to bacldlling).
(Puget Power)
3. TELEPHONE 8. WATER LINE CUT AT PROPERTY LINE(well capped).Inspection required
prior to backfilling.
(US West)
4. GAS 9. ALL UNDERGROUND TANKS PUMPED AND REMOVED UNDER FIRE
DEPARTMENT PERMIT PRIOR TO EXCAVATION.
(Washington Natural Gas)
5. WATER-DISCONNECT REQUEST 10. DELINQUENrUm..ITY CHARGES PAID
INFORMATION FOR APPLICATION ' /�
Jos ADDRESS 34 4 / 7 .— f�j7 .L_4�")/VL/6- <-11, , I�i'G) MZ iJ4y,�0. 4
LEGALDESCRIPTION LQV✓ /l /; I X,��/ /�/ 103. id/ �it!'�i'„i� ,ltiC 90, _ /3 -I'/ /��
TAX PARCEL NO (Attach if lengthy.)
OWNER h I J///Gfff (v -Ate h-r CcRe.)
ADDRESS 744J�F/�1tcJ, �14 7 //0
CONTRACTOR !l N . Ca4u�/r'(11 'LCi/ i, C7
ADDRESS O ,C, 6/ Le1e cfr Se-To 7C J /,4 e>a i v y
CONTRACTOR'S LICENSE u e 1 •_ t' -/ — L, '7-`;
EXPIRATION DATE 7/36/I
o i*wit)eee£, ik l-6d7 (?06)YEE 2,d y
Signature of Applicant Phone
Ra mie/26/97
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BUILDING DIVISION
--A33530 First Wy SouthPIN,P Federal Way WA.98003 _
(253)661-4000
Fax(253)661-4129
ASBESTOS REMOVAL AND DISPOSAL
Permittee:
As the holder of a Demolition Permit and/or a Remodeling Permit, you are hereby notified of the possibility that
asbestos may be present in the structure that you are about to demolish and/or remodel.
ANY ASBESTOS FOUND IN THIS STRUCTURE MUST BE REMOVED AND
DISPOSED OF AS PRESCRIBED BY STATE AND FEDERAL REGULATIONS.
Permits for asbestos removal must be obtained from the Puget Sound Air Pollution Control Agency. The
pennittee is responsible for obtaining any necessary asbestos removal and/or repair permits. The City of Federal
Way will not be responsible for any actions or fines levied by the federal, state, or regional agencies. Any fines
levied against the City of Federal Way must be paid by the permittee.
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I CERTIFY UNDER PENALTY OF PERJURY, that the information furnished by me is true and correct to the best
of my knowledge and further that I have read and understand the statement above and I will obtain all permits
necessary or required for proper asbestos removal or repair. I agree to pay any fines against the undersigned
and/or the City of Federal Way relating to asbestos removal, repair, and/or handling; and will defend, indemnify,
and hold the city harmless from any loss, including fines, fees, or attorney fees incurred by the city relating to
asbestos removal, repair, and/or handling and arising out of the activities carried on pursuant to Permit N2
4/m-
Date Permittee
SUBSCRIBED and SWORN before me this lU day of *it 19 f f .
Notary Public in .6 or the State of Washington,
residing at cps, y"`
My commission expires ` '
ASBESImS.FRM
REVISED t/27/97