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12-100446City of Federal Way 0 Demolition Permit #: 12- 100446 - 00 -DE Community & Econ. Dev. Services �. 33325 8th Ave S Federal Way, WA 98003 _ Inspection Request Line: 253 835 -3050 Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q Project Name: LEE Project Address: 32802 MILITARY RD S Parcel Number: 152104 9064 Project Description: Demolition of an existing 2620 sgft residence. Applicant will leave concrete foundation for use in the future. Own r Anplican Contractor SANDRA LEE A PLUS REMOVAL & RECYCLING A PLUS REMOVAL & RECYCLING 578 WASHINGTON BLVD ST SUITE 345 116 CLAY ST NW SUITE B1 PLUSRRR922CG (4/5/12) MARINA DEL RAY CA 90292 AUBURN WA 98001 116 CLAY ST NW SUITE B 1 AUBURN WA 98001 Demolition Valuation .................. ...........................5500 CONDITIONS: Final inspection required upon completion of work. PERMIT EXPIRES Thursday, January 30, 2014 Permit Issued on Tuesday, January 31, 2012 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: Date: F AUR� 2/s/12 THIS CARD IS TO MAIN ON -SITE . CITY OF Construction I ection Record Federal Way INSPECTION REQU TS: (253) 835 -3050 PERMIT #: 12- 100446 -00 -DE Address: 32802 MILITARY RD S Project: SANDRA LEE FEDERAL WAY, WA 98001 -9635 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. 0 Final - Building (4050) Approved By Date 2 3 - o Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Federal PERMIT COMMOM7YDEVELOPMENT SERV)CES��D�,LI CATI O N 253-835.2607• PAX 253- 835 -2 I1R1'1 U.fI 0 CDs r� SF MF CO ME IV &01) D _Z� +6") PIOEN FP 1� 9ITE ADDRESS 32e(S Z ry < <► QA S FPaffe i W e IBC 9UITE/UMT # PROJECT VALUATION 20 G ASSESSOR'S TAR /PARCEL # $ 51sa6iod -L 5 i -L TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL )LDEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Lee� (TenantNanw /Homoumer Last Nanw) 5 �y Tl PROJECT DESCRIPTION Detailed description of work to be included on this permit only OWNER KAHE , 3 LS F+ E-n i sPROPERTY 3p od 5137 97 ADDRESS► S+ -* 20 2- E -MAIL rff MP 6 y NAME C-1 1 YZ P"757.3 7.7 1 i 4 i AUX=G ADDRE88 ` � 1W� �pp 1 E -MAIL I cis ren-xOVI @-f CONTRACTOR C Wirt �F,��ppjA� 7 -Y7' 1(� � �gT/� Cpl`TZt�cT1 ` �KgE g L � K � DATE �Z FEDERAL WAY SIISD'fE88 LICENSE M KALE Zan rte 6r ae'n 74k 730 fogLtd' slAUaxc AaaRESS N UJ I- LD ekw St 4TO KM wale (� APPLICANT Tv L40 aTATE Pctl F � 37 q _ PROJECT CONTACT 7kk-2Qnn0 PR d (The individual to receive and respond to ail correspondence ffiAIISKG ADD - �qU. E IViS%2 iY14�(C�CQYI �CGI concerning this application) Jlltm STA Z1I' �� 1� FA � j P lr 3 -7 ?-7 4-7 APT CO KAME: j J0311:.; 7(. i 4L ' 7 �L^7�QS rU ► �y� comax, PROJECT FINANCING 5 r OWNER - FINANCED Required value of $5.000 or more (RCW ]9.27.095) IIAIy�faADDRESS. CITY. STATE. A 1 �.✓h�11��J z S ®, V PRO" 310 1 certify under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 certify that to the bast of my knowledge, the irtformation submitted in support of this permit application is true and correct. 1 certify that I will comply with an applicable City of Federal Way regulations pertaining to the work authorised 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 lawn 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 perm, including the undersigned, and filed against the city, but only where such claim arises out qj the reliance of the city, including its q(jicers and employees, upon the accuracy of the ir}formation supplied he city as apart of this application. DATE 1-'31 SIGNATURE: '�/� PRINT NAME: _ t �A 2L 4 lif)' e2re&.1f Bulletin #100 - January 1, 2011 Page 1 of 3 kAHandouts\Permit Application 1 M 3 Indicate how many of each type of jixxdure to be installed or relocated m part of this pro ecL Do not include existin fixtures to remain. BATHTUBS Jar Tub /shamrcombs) LAVS (HsndSu*s) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS mtchm/utflity) WATER HEATERS (M--t io HOSE BIBBS SUMPS WASHING MACHINES TOTAL FlaTURES GENERAL INFORMATION WCHANICAL Mks , WjA�� 011 � J� • '�. SEWER PURVEYOR VAIAM OF MSCNAMCAL WORK (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingftxtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (c.v uaw) BOILERS FURNACES HOT WATER TANKS (Gss1 COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of jixxdure to be installed or relocated m part of this pro ecL Do not include existin fixtures to remain. BATHTUBS Jar Tub /shamrcombs) LAVS (HsndSu*s) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS mtchm/utflity) WATER HEATERS (M--t io HOSE BIBBS SUMPS WASHING MACHINES TOTAL FlaTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? r V WjA�� 011 � J� • '�. SEWER PURVEYOR VALUE OF%EEISTIRO n[PROVEMEIrrs AV EBIarwo/PREVIOUs USE LOT 8= mm Were Feet) 2�� S(, Te�T E$IsnrtG FIRE sysTEM? ❑ Yes ❑ PROPOSED PIKE SUP OR SYSTEM? ❑Yes No CO1C. -� NEW 1AIiiITiO AREA DESCRIPTION Area Occupancy Qroup(s) Construction # of Additional Information in Square Feet a Stories lfEW BUIIDII'f0 ADDITION AREA DESCRIPTION Area Occupancy Group($) Construction # of Additional Information In Square Feet Stories TOTAL BUlWIO TENANT AREA ONLY PRO3BOT ARFA aNL'Y Bulletin #100 - January 1, 2011 Page 2 of 3 k:'iiandoutsTermit Application San. 9. 2012- 12:23PM� Ea ate Environmental RECOVED) Health2 � No. 7493 P. 1 DBPAIitTlKEn of COi►sMUMW'DEVEbW%VJT SMMGU 33325 8ei Avenue So" Federal Way. WA 98003-6325 CITY OF 253.635 -2607; Fax 253 -835 -2609 OV FEDERAL `WAY WWW- citVof%der_al2rarr_com F - , F-�,;Atna U-) DEMOLITION PERMIT tRQUIREMENTS A demolition permit is Tequired to Tomwm any 6trncmre or structures on a subject property. Check with the City's Planning Division to see if the proposal exceeds tbxesholds that trigger an environmental review. An environmental review and submittal of an c avironmental checklist may be required, which will extend the time period before a demolition pensit can be issued. 0 Prior to bvbm ag a demolition permit, the following items (as apppeable) must be sighed by the respective itti agency (see Demefitioa► Permit Contact 114). Xu= zoAPmcA,w. Utilities shalt be disconnected and siwvkes perforowd, if applicable, prior to issuance' Of Me derwWiac permit. All applicable ite►ns below are to 60 SjxnitA :nd dared by the respective agency nrpmsentaliver, 1. An"TOS ABATEMENT (Copy of approval form and ttdxaw surrey from Puget Sound Clean Air Z—L�n (CRY of I Way BuRdIng OffidelyJ 2. GAS SUPPLY (G" to be shut off, meter removed and final bill pald) A cwt ' �,►) 3. SEPTIC SYSTEM {Tank be removed or to be drained a 7 PAW) Ali, S - Kwlg County Environmeral mrvke9) 4. SANITARY SEWER (Check applicable box) o Sewer Sne capped at property line C3 Bdalln9 Muter line to remain and be used by proposed n@w strumxe (lakehaven Udit Nam) S GARBAGE hotr9ehald garbage dispo6ed off and final bill paid) of M er Company) O Completed Cou"edon Permit Application form O Provide the foRowing fees: I. Demolition Permit Fee Z. Automation Fee 3, WA State Surcharge 6. ELECMCM (Elecoiotr to be shut off and Puget nd Energy) 7. FUEL STORAGE TANKS (Above or below grade Fuel tanks, have been pumped or removed under pre Department permit prior to any dismantle/owaviNdOO (South fQng re and Rescue) 9. WATER - Public Source (Check applicable box) o Bret ' be removed and final utility bill paid to re in a protected supplier) ____ == OR ws*w*= 9. WATER - Private Well (Check applicable box) o Private well filled and capped C3 Pdvaoe well to be used for other purposes NA — (King Coumy Lmmn Services) . BWA on vatnation. Sec table on pg 4 ottbe ColLuucdoa Permit applie"osw S&00 $4J0 SelkKa 61$ -^7ana y 1.2011 %V 1 of I Ie:liiandouvV]emoHl+en Pemlt Aagriremenrc '0110312012 17AS P.0021002 1 0 W DID 'T Of Commmmm DzwLor.aw Sa~ wcas 33325 Ile' Aveme South IPWOSI V", WA 90003-6325 CITY OF 253.839.2607; Fax 2S3 433.2609 Federal Way 3T562.- DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property. Ch=k with the City's Planning Division to see if the proposal cxcccdv thresholds that trig au environmefntal review. An enviro>Ymmitl review and submittal of an environmental cheoldist may be required, which will extend the time period before a demolition permit can be issaad, CI Prior to submitting a deanoHdon permit, the following Iteinins (as applicable) most be signed by the eve agency (see Demollden Pe udt Conted List). NO=7oAPP?JGM: the7►riea oloafl be tAmse Maid and selrotces performed. if apDliceW prior to m11•arttamx of the dr,, Vion permit. Alf applicable tt�,r befa►r Qrx fa bg.dsned mad dnr�ei 6)' �! r��/td tt�Mt,'Y ►BPM�ttdtaiRO. 1. ASBESTOS ABATEMENT (spy of approval farm and sobeft survey from Puget Sound dean Air f gmw provided) (aty or eu olnda " 2. 40 SUPPLY (Gas to be situ( off, mew ramovad and nmisl bill paid) (Puget Sound Energy 2. same SY911M (Tank to be removed or tank to be drained and QW) (*; Gourd► IF 4iii- m Semites) 4. SAMITARY SEWER (rhank applicable box) * sewer pre ceppad at praparty Irte o Fads ft Sawa' In to remain and be used by proposed new structure S. "Mme (All hounhdd garbage Idlspoaed oft and Mal bip paid) C3 CompleWl CAOStmilim Permit AP" ad n form A 7. FUEL STORAGE TANKt9- (Above or below grade fuel tanks, have been pumped or removed under Fire Deparbrlent permit prior to tiny dismerWelexcavadon) ..1- Outh King fare on o; & WATM m PWIC SOWU (Check applleable box) a 4dw to be removed and flnal ugly bill paid o Meter to remain and be protected (9-0su .«ciao OR ***see 9. WATER - Wmatae Well (Check applicable box) 0 Private well filed and O"aa o Privre well to be used for Aar puepommu 1�A (King County Owkwanelrtal 5e cca O Provide the tollowhtg Bets: 1. Dt=olidon Pa-mlt See Based en vlalux0on. Sec tattle on pga of the cmiftuedon perch t appli a ion. I Atlteuw21:16a ,Fee $6.00 3. WAI Shoe lSucchuge $4.80 Bgnodnilti2— ranwr} I.i011 Papeleft WW�ndeurslDr ,�nelmManl�4!rmkR�hnne�ae F I�ai,air arr.J View Account History Create Amendment 201200139--- Notification Details for Case #: 201200139- 1 Fee Arnount $275.00 Transaction Date 01/20/12 Owner's Name Valerie Morgan Phone (206) 730 -6448 Project Street Address 32802 Military Rd S. City Federal Way Zip 98001. Contact Person Tony Fawcett Phone (253) 572 -7175 Mailing Address This project includes asbestos removal. Project Size linear feet / 600 square feet Project Start Date 01/30/12 Completion Date 01/31/12 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Assured Quality Contractor Job # Environmental Inc. Contact Anthony Fawcett or Liz Wyatt Phone (253) 572 -7175 Mailing Address 2702 A St. Tacoma, WA 98402 This project includes a demolition. Demolition Start Date 01/30/12 Completion Date 02/28/12 Demolition will be completed by a demolition contractor Demo Contractor A Plus Removal and Recycle Contractor Job # Contact Phone Mailing Address Auburn i'® of Labor & Induol-es, Division of OccupaAmal Safety &'flealth. )estos Project Notification Form orm ID: 56193##1365Assur427653 Notice Date: 1/20/2012 Start Date: 1/30/2012 Completion Date: 1/31/2012 Status: Initial Site Work Hours: 8:30 - 3:30 Site Work Days.- Monday Tuesday Contractor: Assured Quality Environmental, Inc Job Site' C.A.S.: Gonzalez Sanchez Your e-mail address: Contractor Phone Number.- 253-572-7175 Property Owner Name: Valerie Morgan Owner's Agent: Susan Breen Company: Address: 50 main St City: Mt.Kisco State; NY Zip+4: 10549 Phone: 206-730-6448 Job Site Address: 32802 Military Rd.S Building Name: Room: City: Federal Way Zip + 4: 98003 County.- King Facility Type: Single Family Dwelling Age: 1970's Size: 900 Type of activity: Demolition Quantity of Asbestos to Be Removed Indoors Quantity: 600 square feet Pcorn ceiling Quantity: linear feet Control Measures Neg. Ares, enclosure Wet methods Mini enclosure HEPA vacuum Critical barriers Manual methods Respiratory Protection 1/2 mask APR Type C pressure demand Comments: Date/Time Submitted 1/20/2012 7:27:38 PM • AtkA rann Jervices 2328 Tacoma Ave S. Tacoma, WA. 98402 (2o5)354 -8995 cell (253)274-5040 fax L odatT's Date: , 1/31/2012 ; obsite & Name: Military Road Demo 32802 Military Rd S., Federal Way, WA 98001 RE- Final Air Clearance Certification approval for demolition Ideality of work area: 930 sq ft Identify Material: 930 sqft of popcorn ceiling texture .Date work area released: 1/31/2012 By f signature of Supervisor /Competent person): ,-'--kit Name &- Title: Roxanne Bradshaw/Supervisor Certr 2007020537A Exp. Date: 1/14/2013 Contractor "tics: ASSURQE982NH - Asb. Contr.# 1365 Notes: All areas have been released to be entered. without reparatory protection. All areas have been cleared, both visually and in air quality. The clearance readings Are well below Puget Sound Clean Air Agency standard for clean air of 0.01. If you have any further questions please do not hesitate to call. Roxanne Bradshaiv /Owner /Supervisor /AHERA Inspector AAA Faith Services i AAA Faith Services united Good Faith Asbestos Survey Site: 32802 Military Road South Federal Way, WA 98001 Prepared for: A Plus Removal & Recycling 116 Clay St NW #B1 Auburn, WA 98001 Prepared by: Faith Preston AHERA Building Inspector Cert. #3509 -11 -06 -4072 Exp. 6/6/2012 AAA Faith Services #: 12 -001 Date Prepared: 1/11/2012 2328 Tacoma Ave S, Tacoma, WA 98402 Office: 253- 779 -9872, Cell: 206 - 354 -8995, Fax: 253 - 274 -5040 P • Lab Reports On January 3, 2012 I, Faith Preston of AAA Faith Services performed a "limited good faith" asbestos survey of the following: an unoccupied single family residence and detached garage for the purpose of demolition: Description: Garage: Concrete slab, unfinished inside, wood beams and wood sheets for the exterior. Compostion roofing found to be the same on the house over wood. Residence: Exterior: Four layers of compostion roofing with two layers of vapor barrior over wood, metal windows with no putty, wood and sliding glass doors, stucco texture. Interior: 2 floors; main level and basement. Master bedroom with attached .walk in closet and bath. Living room, dining room and kitchen. Interior basement: Family room, four bedrooms (two with walk in closets) and one bathroom. Floors: Main floor: bare wood floor, carpet and pad over plywood, sheet vinyl (same in kitchen and bathroom) Basement: Concrete slab, loose carpet and vinyl floor tile in bathroom. Walls: Main floor: Sheet rock with texture on most walls and some painted with no texture. Basement: Tounge and groove wood in family room and the two adjoining bedrooms and untextured sheet rock. Ceilings: Main Floor: Popcorn texture on all but bathroom and kitchen ceilings. Sheet rock on the remainder both textured and untextured - painted. Basement: Sheet rock and bare wood studs. Misc. Materials: Brick on both fireplaces. Fire brick on inside of fireplace of main floor. Four types identified in total. Formica counter top in kitchen. Stucco on outside of house. Field inspection, data collection, and report were based on the following scope of work: Asbestos Containing Materials (ACM) Bulk sampling of suspect ACM. Analysis of suspect ACM by NVLAP accredited laboratory. Identify ACM to be removed prior to demolition or renovation. The survey was based on "visible and accessible materials" and although reasonable effort was made to locate and test suspect materials, some suspect materials may remain hidden in walls or below floor underlayment or other areas until demolition or renovation work makes them accessible. Materials uncovered during the course of demolition, renovation, or maintenance activities that are not identified in this report must be presumed to contain asbestos or other hazardous materials until proper analysis proves otherwise. 0 • Sampling of suspect asbestos - containing materials were conducted as prescribed in Title 40 Code of Regulations (40 CFR) 763.86. Sampling methodology used in accordance to Puget Sound Clean Air Agency, Regulation 111, Article 4. Also, the owner is meeting the "Good Faith" inspection requirement defined in WAC 296 -62 -07721 (Hazcom to Employees)_ In addition 40 CFR, subpart M, Section 61.141, establishes the allowable limit of asbestos in building materials at 1 % by weight. Materials more than 1 % are regulated and must be handled in accordance with all federal, state and local regulations. Dotes and observations of buik samples were recorded at the time of collection. Homogeneous Material List: ACM Sample # Materials & Description Location Type Friable Condition Qty Asbestos Date 1 Sheet Vinyl Kitchen Yes Good N/A No 01/03/12 2 Formica Kitchen No Good N/A No 01/03/12 3 GWB JC Kitchen No Good N/A No 01/03/12 4 11 GWB Kitchen No Good N/A No 01/03/12 5 GWB Dining No Good N/A No 01/03/12 Room 6 GWB JC Dining No Good N/A No 01/03/12 Room 7 Popcorn ceiling Living surfacing No Good N/A No 01/03/12 1 1 Room 8 GWB Living No Good N/A No 01/03/12 Room 9 GWB Master Bed No Good N/A No 01/03/12 I 10 j Popcorn ceiling I Master Bed surfacing No Good N/A No 01/03/12 11 GWB Master No Good N/A No 01/03/12 Bath 12 GWB JC Master No Good N/A No 01/03/12 Bath 13 Insulation Master Bed No Good N/A No 01/03/12 14 Popcorn Ceiling Dining Surfacing Yes Good N/A Yes 01/03/12 Room 15 Fire Brick Living No Good N/A No 01/03/12 Room 16 Brick & Morter Living No Good N/A No 01/03/12 Room 17 Brick from wall Family No Good N/A No 01/03/12 Room 13 Brick from base Family Type No Good N/A No 01/03/12 Room 13 j GWB !C Dining Surfacing No Good N/A No 01/03/12 j Room 20 , Floor Tile Downstairs No Good N/A No 01/03/12 Bathroom Exterior 21 K Stucco next to No Good N/A No 01/03/12 front door 22 Compostion Top layer Roof No Good N/A No 01/03/12 23 Compostion 2nd Layer Roof No Good N/A No 01/03/12 f I 24 Paper between layer 2 Roof No Good N/A No 01/03/12 and 3 4 25 1 Compostion 3rd layer Roof No Good N/A No 01/03/12 26 Compostion 4th layer Roof No Good N/A No 01/03/12 27 Paper under 4th layer on Roof No Good N/A No 01/03/12 top of wood Summary of ACM findings: From samples taken on January 3, 2012 Sample ## Materials & Description Location Type Friable Condition Qty Asbestos Date f 14 Popcorn Ceiling Dining Surfacing Yes Good N/A Yes 01/03/12 Room Required Action: All popcorn ceiling texture must be removed prior to disturbance from remodeling or demolition activities. Although only one sample was identified as asbestos containing, all of the popcorn ceiling texture in the home must be treated as asbestos, per the regulations on surfacing materials. Current Condition of friable asbestos: Popcorn is fully intact and undamaged. The asbestos company hired for the abatement roust decontaminate the effected areas and provide air samples to prove the area has been cleared of all airborne asbestos fibers. Prior to the abatement of asbestos, a pre abatement air sample must be performed by the asbestos company or consultant, to determine the quantity of asbestos fibers in the air. In most cases, there is a 10 day waiting period required to notify pSCAA and L & I prior to the start of any asbestos project. The work must be performed by a licensed asbestos contractor. The above r� LJ U named agencies determine if a project qualifies for an emergency notification. During renovation and /or demolition if any other suspect material is uncovered, that is not included in this report, work must cease until the material has been tested for Asbestos. Please see the links below for instructions on the regulations and rules that govern both asbestos and demolition in residential housing. Regulations and Alotirioations. For removal of wall systems with Asbestos joint compound: hftp://www.ini.wa.gov/safety/rules/policies/pdfs/wrd2330.pdf For owner occupied residents performing demolition or asbestos removal: http: / /www. pscleanair.org /regulated/ asbestos /homeowners /defauit.aspx http: / /www.pscleanair.org /regulated /reg3 /3 -4.pdf regulations For instructions for home owners and contractors performing demolition or asbestos removal: http: / /wvvw.pscleanair. org/ regulated /asbestos /contractors /demohtions. aspx Labor and Industries Notification Information for Asbestos Contractors: hftp://www.ini.wa.gov/FormPub/Detaii.asp?DoclD=l 717 For instructions on GWB wall Board. Systems with ACM Joint Compound: hLIp:/Iwww.lni.wa.gov/safety/rules/policies/pdfs/Wrd2330.pdf Glossary of definitions: ACM: Asbestos Containing Material PACK Presumed Asbestos Containing Material L &I: Labor and Industries PSCAA: Puget Sound Clean Air Agency AHERA: Asbestos Hazard Emergency Response Act WISHA` The Washington Industrial Safety and Health Act WRD: WISHA Regional Directive HAZCOM: Hazardous Communications GWB: Gypsum wall board VAT: Vinyl Asbestos Tile i 0 AHERA Certification t `# 71; 0 - �aa L a� _ - _ y r