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04-100661
City ofeeWay Community Development Services Demolition Permit #:04 - 100661 - 00 - DE - 33530 1st Way S Federal Way,WA 98003-6210 Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: DAVIS Project Address: 36820 7TH SW Parcel Number: 218820 0340 Project Description: Demolish remains of a detached,residential garage destroyed by fire. Owner Applicant Contractor Mark G Davis &Carol J Davis ALL PHASE CONTRACTING*DALE SALE* ALL PHASE CONTRACTING*DALE SALE* 36820 7TH AVE SW ALL PHASE CONTRACTING ALL PHASE CONTRACTING FEDERAL WAY WA 2412 13TH ST 2412 13TH ST 98023-7222 VANCOUVER WA 98661 (360)513-6719 CONDITIONS: After final inspection is complete and approved,Please contact Kari Cimmer by e-mail at Kari.Cimmer@ci.federal-way.wa.us to receive a refund of cash bond. PERMIT EXPIRES August 23,2004. Permit-issued on February 25,2004 I hereby certify that the ab.. e information is A -ct and that the construction on the above described property and the occupancy and the us- will be in accor. with the laws,rules and regulations of the State of Washington anti the City of Federal Way. `�� a • — bc/ Owner or agent:_ _ Date: _.4000, ie Iftjti 1 if/ a t .tp,fli \owE4 v.‘4,11, , i •ir City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: DAVIS Project Address: 36820 7TH AVE SW Demoliti ®n Pe rm 04-100661 iti -00 -DE t #• . Inspection Request Line: (253) 835 -3050 Parcel Number: 218820 0340 Project Description: Demolish remains of a detached, residential garage destroyed by fire. caner Agglicant Contractor MARK G DAVIS ALL PHASE CONTRACTING ALL PHASE CONTRACTING CAROL J DAVIS 2412 13TH ST ALLPHC *003NZ 36820 7TH AVE SW VANCOUVER WA 98661 2412 13TH ST FEDERAL WAY WA 98023 -7222 VANCOUVER WA 98661 CONDITIONS: After final inspection is complete and approved, Please contact Kari Cimmer by e-mail at Karikimmer@cUederal -way wa.us to receive a refund of cash bond. PERMIT EXPIRES Monday, August 23, 2004 Permit Issued on Wednesday, February 25, 2004 1 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 ,�j and the City of Federal Way. Owner or agent: P— "7"e.' �— — L ©` Date: 12 Z � ell U-�Cj THIS CARD IS T MAIN ON -SITE 40k CITY OF +� *Community Develo m nt Ins ection Record ��/ p p Federal av IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 04- 100661 -00 -DE Owner: MARK G DAVIS Address: 36820 7TH AVE SW FEDERAL WAY, WA 98023 -7222 This card is part of your required inspection documents. 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 Date For inspector reference ❑ Rough Electrical Approved By I Date ❑ FINAL - Electrical Appioved By Date Al COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH • PO BOX 9718 My of �,/ 2 FEDERAL WAY, WA 98063 -9718 Way Iv�� MIT APPLICAT10 DtrV 2536614175•FAX:253- 6614129 Federal �u�uw titunffedcrahu0u m ea Oai- o- Only, t` t D G D � U U 4 - Q - _0 rD: FW File Number: CITY OF FEDERAL WAY The Ilowing is r on - an incom fete a iication will not be accepted. Please print ib! (in ink) or // �j�� PROPERTY SITE ADDRESS: �v 7� ` -o-C 5J-L)- SUITE /APT # ASSESSOR'S TAX /PARCEL #: _ _ _ _ _ _ - _ _ _ _ SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1) (Attach separate page for lengthy legal description) TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onitj . ( � 1JE�YN 6 1 i S 2;K i S -k^4 aCk -a a Ae L' I, iC-k PROJECT NAME (Name of Business /Owner Last Name): PROPERTY OWNER CONTRACTOR LENDER (If P—p—d Value > $5,0001 APPLICANT: NAME: Al0, r K -5 . PRIMARY PHONE: (2S'a) 9ZS - IS-i(v MAILING ADDRESS (STREET ADDRESS;): 368Zo 7-h-� ll 5.i r CITY, STATE, ZIP e o-A `j 8623 NAME . COMPANY Q N .5- MAILING ADDRESS (STREET ADDRESS;): OFFICE PHONE: (3(a� ) -;-13 - �o�/ eve- &t) e !` (EVENING t - RELATIONSHIP TO PROJECT: MAILING ADDRESS (STREET ADD ESS;): ❑ Architect ❑ Tenant ❑ Other (Describer CITY, TATE, ZIP CELL PHONE: 2c/la &f 1 � S� va i,4t4 uv0r 9�4,4'1 c ) — CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER: CONTRACT'OR'S REGISTRATION NUMBER: J �7�rr -3 EXPIRATION DATE: 10131 / V "v (copy of card required with each application) �✓ /' NAME: J . DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP CITY, STATE, ZIP NAME: (: . CA COMPA , '�l� �c - OFFICE PHONE: (3,�O) V3 - &7t MAILING ADDRESS (STREET ADDRESS): CITY, STATE, ZIP PHONE: !` (EVENING t - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ Architect ❑ Tenant ❑ Other (Describer ( - CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E -MAIL ADDRESS: DETAILED WELDING INFORMATION EXISTING USE: &fl1 PROPOSED USE: EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: . ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ■ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT Value of Mechanical Work $ ❑ REPAIR o TENANT IMPROVEMENT FIRST AIR HANDLING UNITS EV RATIVE COOLERS GAS LOGS SECOND BBQS S HOODS (commerdal( THIRD BOILERS FIREPLACE INSERTS RANGES FOURTH COMPRESSORS FURNACES GAS WATER HEATERS ADDITIONAL FLOORS (DESCRIBE) DUCTS GAS PIPE OUTLETS ❑ NO DECK (COVERED ?) PLUMBING GARAGE /CARPORT BATHTUBS (orTub/S combo( SHOWERS WATER CLOSETS (Toilet) HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED **NEW HOMES ONLY** NUMBER OF BEDROOMS: ES2KATED SELLING PRICE: $ Indicate number of each type of fixture that is to be installed or r ocated as part of this project. Do not include existing fixtures to remain. MECHAATCAL Value of Mechanical Work $ ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO AIR HANDLING UNITS EV RATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS S HOODS (commerdal( WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS ❑ NO PLUMBING BATHTUBS (orTub/S combo( SHOWERS WATER CLOSETS (Toilet) MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE O LETS SUMPS RAINWATER SYS WASHI MACHINES URINALS HOSE BIBBS LA laachcoomSnt VACUUM BREAKERS ELECTRIC WATER HEATERS ■ DISCLAIMER/ SIGNATURE BLOCK 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 am authorized by the owner of the above premises to perform the work for which the permit application is made. I further ogre to ho harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in tion nd defense of such claim), which may be made by any person, including the undersigned, and fil ainst th City Fe eral Way, but only where such claim arises out of the reliance of the city, including its offi employe s, u n t accuracy of the information supplied to the city as apart of this application. NAME /TITLE: DATE: Z — ign (Title) RELATIONSHIP TO PR ❑ operty Owner ❑ Applicant ❑ Contractor ❑ Architect ❑ FOR OFI ICE USE ONLY o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? o YES ❑ NO ZONING DESIGNATION: CHANGE OF USE? " o YES o NO NEW ADDRESS REQUIRED? o YES ❑ NO UP /SEPA /SU? ❑ YES o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO u :ctrl r0;- _ __ Pagc 2 Agency Case No. PUGET. SOUN15 CLEAN AW ate ed AGENCY �R a ,. dy 110 Union Street, Suite 500 + � � Seattle, W A 98101 -2038 200400256 _ www.pscleanair.org 200 N Agency Use Only NOTICE OF INTENT �I'r F' • l( 1 ail ; —0`. A. Proiect Type: L ❑ Friable Asbestos Removal 2 ❑ Friable Asbestos Removal & Demolition 3 Demolition Only Property Owner: (,t V i S vk Phone: 2 5-3 912 Ir lailin Address: _//1 t,7 S Ex .Date: ,3c> Do . City: {" � LLML44 IStateLuA City: I Zip: 918CLZ. C. Asbestos PLEASE PRINTCLEARLY. THIS WILL BE YOUR RETURN MAILING LABEL. Contractor: Owner /CEO: Date of Asbestos vk ❑ Mat'l Presumed ontractor Mailing Address: Phone , AHERA Building r i y o.: Inspector: i�Ztfi L '=Ny•. Ex .Date: ,3c> Do . has not been identified. Contractor: City: State: Zip: Fax:�� eS , D. Site �C� '-r ve S W �o. N'cc� / Address: cz Gv City: Zip: Re- Manager: Site Manager: Local Phone: E. 0 Asbestos Surveyor No. of Date of Asbestos Was Friable Asbestos Identified? LJYes o ❑ Mat'l Presumed Structures: Survey: I VOV Was Nonfriable Asbestos Identified? ❑Yes 2Wo Attach a copy of the survey when friable asbestos AHERA Building r i y Certification #: i O S Inspector: i�Ztfi L '=Ny•. Ex .Date: ,3c> Do . has not been identified. .vn.gHrxA Survey is requtrea oetore all aemotition Droiects ' F. Demolition I Start Completion Date: No. of 1. Training Fire (List Fire Dept.) Information: Date: 7 Z2 co Structures: 2. ❑ Ordered Demolition attach copy of Order Demolition Insert demolition contractor's ailing address on back. Will nonfriable asbestos be left in place during demo? LJ Yes W No Contractor: If yes, list type and qty. /VO l l IA or 1B may be checked. If this is not an owner - occupied residence, one of the categories listed below must be used. A single family residence does not include rental property, multi-family units, or any mixed -use buildin . eS , G. Friable Asbestos Project Information: Start Date: Completion Date: Work Days: M T W Th F Sa Su Hours: Will all friable asbestos ❑ Yes materials be removed? ❑ No Total Qty. to be Removed: Linear Ft. Square Ft. LJ Boiler \Furnace Insulation Duct Insuiation7_3 Pipe Insulation LJ Fireproofing LJ Paints Ll Plaster LJ Textured Coatings Ll Cement Board LJ Cement Pipe Ll Friable Flooring Ll Friable Roofing Material Other: H. Asbestos /Demolition Project Categories: Notification Period Project Demolition 1. Single- Family Residence (owner- occupied): r. Fee Surcharge A. Asbestos Removal Project Only A. Prior Notice A. $25 B.)9 Demolition Project (with or without asbestos removal project) B. 10 Days* B. 50 " *(Asbestos removal can begin upon notification; demolition must wait 10 days) Note: If the single family residence is owned by one family who has been or will be using the residence as their domicile, the above boxes IA or 1B may be checked. If this is not an owner - occupied residence, one of the categories listed below must be used. A single family residence does not include rental property, multi-family units, or any mixed -use buildin . 2. Ll All Other Demolitions with no Asbestos removal or Nonfriable Asbestos 10 Days $200 only Friable Asbestos Projects other than Single Family Residence): Asbestos Demo 3. LJ >_ 10 - 259 linear feet and /or >_ 48 - 159 square feet of asbestos Prior Notice 10 Days $100 $100 4. El 260 - 999 linear feet and /or 160 - 4,999 square feet of asbestos 10 Days $200 $100 5. L3 >1,000 linear feet and/or >5,000 square feet of asbestos 10 Days $750 $250 6. U Emergency Asbestos Project or LJ Emergency Demolition Project Prior Notice Twice Project Fee (Single - Family Residences are exempt from emergency fee, however, property owners must provide a written emergency request) I. I certify that the information contained in this notification & supplemental data is, to the st of m knowledge, accurate & complete. Age y se Only //J4 Signature / Representing D to Reviewed By Puget Sound Clean Air Agency Form No.: 66 -160 (Revised 1/04) TS _!�L// r' /o 5/ The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects (regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation III, Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agency forms. Asbestos removal and demolition projects involving materials and structures below the notification threshold are still subject to all other requirements of Regulation I11. Article 4. After receiving a complete notification with the appropriate project fee, the Agency will review the form and return a copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification. J. Demolition l PL6dSE PRIhT CLEARBE) "OU 'T G'RN.51.1/lJ.VLIBE4 Contractor: F� �, Owner /CEO: Uii Z Sct� Mailing Address: L ' TIN j S'i' Phone: (.� l`�13 "_ (v 419 Contractor's Job #: y Ci c e State: Zip: (,r Fax: GUIDELINES FOR SUBMITTING AN ASBESTOSIDEMOLITION NOTIFICATION Step 1. Check the appropriate project type in Box A. Friable asbestos includes popcorn ceiling material, sheet vinyl flooring, cement asbestos board siding, and duct insulation. Nonfriable asbestos is normally found in vinyl floor tiles, window putty and most roofing materials. Step 2. Enter property owner information in Box B. Step 3. Enter the asbestos contractor or property owner information, if the property owner is conducting a single - family residential project, in Box C. Print clearly this is your return mailing label. Step 4. Enter the site address for all notifications in Box D. For multi - structure projects, attach supplemental sheet with a site map (include an address for each site) and a list of the type and amount of friable asbestos to be removed from each structure. Step 5. Check either asbestos survey or material presumed in Box E. All demolitions require that an Asbestos Hazard Emergency Response Act ( AHERA) asbestos survey be conducted by a certified AHERA building Inspector. Attach a copy of the survey to the notification of a demolition project when only nonfriable asbestos or no asbestos is identified on the survey. Step 6. Enter the project information in Box F. and check the training fire or ordered demolition box if appropriate (a copy of the official order must be attached). All asbestos must be removed prior to conducting a training fire. Additional training fire requirements are contained in Regulation I, Section 8.08. If any nonfriable asbestos materials will be left in place during demolition, check yes and list the type and quantity of material. Step 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed: surfacing material such as popcorn ceilings or plaster, sheet vinyl flooring, duct and pipe insulation, cement asbestos board siding or pipe, etc. Step 8. For owner- occupied Single - Family Residential projects, check BOX H1A for renovation projects or BOX H1B for demolition projects (with or without asbestos removal). Asbestos removal may be conducted after a complete notification is received, but demolition activities can only begin on the 10h day after the notification is received. Note. If the single family residence is owned by one family who has been or will be using the residence as their domicile, boxes lA or IB may be checked A single family residence does not include rental property, multi family units, or any mixed -use building. For Commercial asbestos projects (or projects that do not qualify as Single Family Residential); check the project category H2 - 5 that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropriate surcharge (additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box 1 — 5 and the applicable emergency box in H6. All emergency requests must be accompanied by a letter from the property owner demonstrating_ the need to conduct the proiect immediately in accordance with the re uirements in Regulation III Section 4.03 (c). Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box I. Mandatory amendments to the notification are required for changes that increase the project category, change the types of asbestos materials to be removed and changes to start date, completion date and work schedule for asbestos projects. No fee is required for work schedule changes if the contractor is participating in the Agency work schedule fax program. A $25.00 processing fee is required for all amendments. Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at www.pscleanair.org. For technical assistance call (206) 689 -4058 and for administrative inquiries call (206) 689 -4090. Puget Sound Clean Air Agency Form No.: 66 -160 (Revised 1/04) TS • Y DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33530 First Way South PO Box 9718' Federal Way WA 98063 -9718 253- 661 -4115; Fax 253- 661 -4129 www.cityoffederalwg.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or structures on a subject property. Check with the City's planning division to see if the proposal exceeds thresholds that trigger an environmental review. An environmental review and submittal of an environmental checklist may be required, which will extend the time period before a demolition permit can be issued. ❑ Prior to submitting a demolition permit, the following items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). NOTE To APPLICANT: Utilities shall be disconnected and services performed, if applicable, prior to issuance of the demolition permit. All applicable items below are to be signed and dated by the respective agency representatives. 1. ASBESTOS ABATEMENT (Copy of approval form and asbestos survey from Puget Sound Clean Air Agency provided) Mile, M (City of Federal Way Building Official) ///2. GAS SUPPLY (Gas to shut ff, meter removed and final ill paid) Cff h) (Puget Sound Energy) 3. SEPTIC SYSTEM (Tank to be removed or tank to be drained and filled) WA ng County Environmental Service SANITARY SEWER (Check applicable box) ❑ Sewer line capped at property line o Exffg pewer re to remain and be used by proposed n w structure (Sewer District) eK S. GARBAGE (All ho hold 6arbage disposbo off and final bill paid) u tt k T (RST Dispo I /Federal Way Disposal) ❑ Completed Construction Permit Application form. ❑ Provide the following fees: ? 6. ELECTRICITY (Electri ' t e sj ut off apd meter removed) (Puget Sound Energy)�(��6�U(Puget Sound Energy) 7. FUEL STORAGE TANKS If-10 r'/4-- (Above or below grade fuel tanks, ha a -been pumped or removed under Fire Department permit prior to any dismantle /excavation) — (Fsd"eral Way Fire District #39) . 8. WATER - Public Source (Check applicable box) ❑ Meter to be removed and final utility bill paid (Met r to remain and be protected (Water Supplier) v N * * * * ** OR * * * * ** WATER - Private Well (Check applicable box) ❑ Private well filled and capped ❑ Private ; e to be used for other purposes G� 1. Demolition Permit Fee $l4.00 2. WA State Surcharge 4.50 3. Cash Bond Deposit 500.00 $50.50 5UG.9 (King County Environmental Services) (Refundable upon Completed Final Inspection) Bulletin #122 - February 5, 2003 Page 1 of 1 k: \Handouts - Revised \Demolition Permit Requirements