09-101340City 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: DEWALD
Project Address: 1816 S 312TH ST
0 Demolition
Permit #: 09- 101340. -00 -DE
51 Inspection Request Line: (253) 835 -3050
Project Description: Demolition of dilapidated accessory structure.
Parcel Number: 785360 0065
Owner
Applicant
Contractor
CHARLES DEWALD
CHARLES DEWALD
CHARLES DEWALD
1816S312THST
1816S312THST
1816S312THST
FEDERAL WAY WA 98003 -4917
FEDERAL WAY WA 98003 -4917
FEDERAL WAY WA 98003 -4917
CONDITIONS:
For release of bond, submit request to kari .cimmer@cityoffederalway.com following final inspection and
PERMIT EXPIRES Saturday, April 9, 2011'
Permit Issued on Thursday, April 9, 2009
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 'ty of Federal Way.
Owner or agent: Date: ko
THIS CARD IS T f MAIN ON -SITE
CITY OF 40community Develop t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101340 -00 -DE
Owner: CHARLES DEWALD
Address: 1816 S 312TH ST
FEDERAL WAY, WA 98003 -4917
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 C., 4,. Date
For infector reference only _
O Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
r , S 0 v
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 81h Avenue South
PO Box 9718
CITY OF Federal Way WA 98063 -9718
Fedel al Way 253- 835 -2607; Fax 253 - 835 -2609
('� k-wu.cityoffederalway.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).
Non: 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 Wined and dated by the respective agency representatives.
1. ASBESTOS ABATEMENT 6. ELECTRICITY
(Copy of approval form and asbestos sury m Puget Sound Clean Air (Electricity to be shut off eter removed)
Age ided)
(Puget Sound Energy)
(Gty Fe ra W Building O i 1
2. GAS UP LY 7. FUEL STORAGE TANKS
(Gas to shut off emoved and fin�bill id) (Above or below grad tanks, have been pumped or removed
under Fire De ent permit prior to any dismantle /excavation)
(Puget Sound Energy)
3. (T SEPTIC SYSTEM /
(Tank to be removed nk to be drained and filled)
County
4. SANITARY SEWER ic
(Chec able box)
• Sewer line capped at pr line
• Existing sewer ' remain and be used by proposed new structure
5. GARBAGE
(All household garbayo-di posed off and final bill paid)
Way
❑ Completed Construction Permit Application form
❑ Provide the following fees:
S. WATER - Public Sourc eck applicable box)
• Meter to be removed nal utility bill paid
• Meter to remajamC be protected
9. WATER - Private pirn kCheck applicable box)
o Private well filled capped
o Private we used for other purposes
1. Demolition Permit Fee
2. Automation Fee
I WA State Surcharge
4. Cash Bond Deposit
$70.00
5.50
4.50
500.00 (Refundable upon Completed Final Inspection)
$580.00
Bulletin #122 —January 1, 2008 Page 1 of 1 kAHandouts \Demolition Permit Requirements
04/07/2009 12:25 206 - 26753 AMERICAN ENVIRON6L
r AV
Environmental Construction LLC
Asbestos - Lead - Mold - Demolition
Name: Robert Verzani
30640 Pacific Hwy S, Suite C
Federal Way, WA 98003
Fax: (253) 839 -1941
Letter of Completion - --
(AEC Job #9078)
PAGE 02
P.O. Box 81005
Seattle, WA !)8108-1005
Phone: (206) 267 -0746
Fax: (206) 267 -0753
April 7, 2009
Re: Asbestos Abatement Services at: 1812 8 312t" Street, Federal Way, WA 98003
This is to certify that American Environmental Construction LLC has removed all of the
asbestos containing materials from the above referenced address per our Prop! osal &
Contract dated March 6, 2009_
Please call me at 206 -267 -0746 if you have any questions or comments regarding this
Letter of Completion.
Respectfully submitted,
American Environmental Construction, LLC
K!011� HMO.
Mgt- #FF �*,er
04/07/2009 12:25 206 -267- 3
Approved Transaction r
pscleana €r.org
Pwpt Sound Clean Air. Agency
Notification Case #: 200900560
AMERICAN ENVIROL PAGE 03
flug r i of I
This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for
Inspectlon at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)).
Fee Amount Paid $250.00
Credit Card Transaction # VUJF3C854AE0
Transaction Date
03/26/09
Owner's Name
Charles VeWald Phone (253) 839 -1730
Site Address
1812 south 312th ......................Job #'9078
Site City
Federal Way 21p 98003
Contact Person
Robert 3. VerzanI Phone (253) 839 -1730
Mailing Address
30640 Pacific Hwy S, #C
Federal Way, WA 98003
This project includes asbestos removal.
Project 517e linear feet / 430 square feet
Project Start Date 04/06109 Completion Date 04/30/09
Asbestos will be removed by a I1Sensed asbestos abatement contractor
Contractor American Environmental Construction, LLC Contractor Job # 9078
Contact Linda Lightfoot Phone (206) 267 -0746
Mailing Address P.O. Box 61005
Seattle, WA 98108 -1005
(],) I certify that the information I have provided is to the best of my knowledge true and accurate.
(2) I understand that I must file an Amendment to this Notification if;
The type of project has changed. The project types are asbestos and demolition.
• The quantity of friable asbestos to be removed meets a larger project category.
• The project's start or completion date has changed.
(3) I understand that the project's site address cannot be modified and additional structures may not be added to a notification by
Amendment.
(4) 1 understand the fees for this Notification are nonrefundable.
CrQate. .�1.04!the..r_N,ptif,.icatf�ort
VIR Vi#ory..
If you have questions, contact us at asbestosapscleanair.org or 206.689 -4056.
tp.g.Out
https: // secure. psci. eanair .org /,asbestos /Approved.aspx 3 /26/2009
CDYMUNRYDBVBLOPAtBAT SSRVIC&S
APR 0 9 20" PERMIT SF MF CO ME EL P D EN FP
93325 8TH AVBNUE SOUiN • PO BO 9718 � FE�APPLICATION
FEDERAL WAY, WA 98063.9718 TDD
253 835 ?607• FAX 2 A L WAY
The following is required infd;Q,%n -an incomplete application will not be acce Please print legibly (in ink) o
PROPERTY INFORMATION
SITE ADDRESS 1816 South 312th
SUITE /UNIT
ASSESSOR'S TAX /PARCEL # _ — U15 3-EQ , U 6 5 _ _ _ LOT SIZE (so
LEGAL DESCRIPTION (e.g.Acme Estates, Lot i) Lot 13, Solano Heights Add Less road & C &m rights
(A— - p..ute~f1 ubwftmadd.wtp .N
PROJECT • • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
X4R DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oW
_REMOVE workshop on east end of property, including foundation
PROJECT NAME (Name of Business or Oumer Last 11
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
Charles Dewald
( _
MAILING} ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
1816 So. 312th
I Federal Way, TKA
E-MAIL ADDRESS
COMPANY NAME
Same as owner
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR -8 R$OISTRATION NUMBER E7[PMTION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
Robert Verzani
(2531839 -1730
MAILING ADDRESS
30650 Pacific Hwy So
CPCY, STATE, ZIP
Federal Way, WA 98(q3
CELL PHONE
_
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant R Agent ❑ Other
( -
NAME PRIMARY PHONE E- MAU.ADDRESS
NAME
per RCW 19.27 095.
Lender ftformation is required Ifprojeet,vaiue exceeds $5,000
MAUJNO ADDRESS
CITY, STATE, ZIP
/PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQ
WATER SERVICE PROVIDER ❑ LAKERAVEN ❑ HIGHI.INE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
. FT.
TOTAL
S . FT.
BASEMENT
FANS
GAS WATER HEATERS
bHSC (Describe)
FIRST
FIREPLACE INSERTS
HOODSfcmdq
SECOND
FURNACES
RANGES
ONO
THIRD
GAS LOG SETS
REFRIG. SYSTEMS
UP /$EPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
IAV3 l smio►
URINALS
MISC (Describe)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
RAINWATER SYST
VACUUM BREAKERS
ONO
GARAGE ❑ CARPORT ❑
SHOWERS
WATER CLOSETS (roikq
NUMBER OF FLOORS
IMISTUo
rsornsm
TOTAL.
raretsasmvnsr
TOTAL raarassosr
rorncsr
"*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ M COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
bHSC (Describe)
BOILERS
FIREPLACE INSERTS
HOODSfcmdq
COMPRESSORS
FURNACES
RANGES
ONO
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
UP /$EPA /SU?
BATHTUBS prn,n /eMser Comh4
IAV3 l smio►
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
ONO
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (roikq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I under penalty of perjury that I am the property owner or authorised agent of the property owner. I effWfy that to the best of my
knowledge, the b+/ormation submitted in support of this permit application is true and correct I earth that I will comply with all applicable
City of Fedwal Wall regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and se of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such m arises o of the reliance of the city, including its o,�cera and employees, upon the accuracy of the information supplied to
the city as a art oJthb ap I
SIGNATURE: "`�—� DATE
Property Owner /or Authorized Anent
a NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
a TES a NO
BASIC PLAN?
q YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
ONO
NEW ADDRESS REQUIRED?
a YES a NO
UP /$EPA /SU?
a YES
ONO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
a YES
ONO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application