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12-102383 F , • Demolition City of FederalWay 12-102383-00-DE Community&Econ. Dev.Services Permit #: 33325 8th Ave S Federal Way,WA 98003 ,; Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: REAGAN Project Address: 4342 SW 307TH ST Parcel Number: 112103 9071 Project Description: Demolition and removal of single family residence. Owner Applicant Contractor DENISE A REAGAN KIRK S REAGAN KESSLER CONSTRUCTION INC KIRK S REAGAN 11410 FARWEST DR SW KESSLCI941C1(2/21/14) 11410 FARWEST DR SW LAKEWOOD WA 98498 4612 38TH ST LAKEWOOD WA 98498 TACOMA WA 98407 Additional Permit Information Demolition Valuation 8000 PERMIT EXPIRES Thursday, May 29, 2014 Permit Issued on Tuesday, May 29, 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: FitItAttgp r ' THIS CARD IS TO MAIN ON-SITE CITY OF '' Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 12-102383-00-DE Address: 4342 SW 307TH ST Project: DENISE A REAGAN FEDERAL WAY, WA 98023-2127 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 ftir'' Date &--2( - (2 ❑ Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date ,Federal Way PERMIT • MF CO ME PL' DE y N FP COMMUNITY DEVELOPMENTRECEALICATION _______,i253-835-2607•FAX 253-835-2609 urunu,.,n.'tygffeLirrufuaLom MI Cr �� t g"L 29 4\��$�( SITE ADDRESS FEDE�I,�•'' SUITE/UNIT# Crr OF CDS 4/3 ir� Se ) L' % C. .�`� S P ZONING ASSESSOR'S TAN/PARCEL7$'7672116: f # - / 0 907- / TYPE OF_PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT �j��' (Tenant Name/Homeowner Last Name) ,f ' i PROJECT DESCRIPTION .. �1 . Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER -`‘-q,( "a J , ,� , % MAILING ADDRESS • E-MAIL '/y// r 6:A1)_1 4 'OP- Dti Ka r`.96c co,i & <(if, CITYST TE ZIP i ( Ail r ( _;U, '/ 6(Q _ NAME PHONE u, Oe / _/ _ MAILING ADDRESS #) E-MAIL CONTRACTOR CITY T - ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME �%,�/�� PHONE (The individual to receive and respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME ---- 0 OWNER-FINED Required value of$5,000 or more � (RCW 19.27.095) LING ADDRESS,CITY,STATE,ZIP � �� , RAI I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the citycias a part of this application. SIGNATURE: //6.7.2 � ��'"" -2c'. � "� DATE C� PRINT NAME: if` .5 /itc -16.4'- Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application ,:zY >. . .. ;r? ' r .,.-•° .,, ,M n, t-. S, `. '.`% .. Gr p$a 1-1/e.,o as -4''s>A-'''-'� flla No ` , '. VALUE OF MECRAMCAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES a Indicate how many of each type offvcture to be installed or relocated as part of this a roject. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TO, ETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS INALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES , . '`TOTAL FIXTURES o•x CRITICAL AREAS ON PROPERTY? WAT • PURVEYOR S • 'R PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE`,)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? / ❑ Yes ❑ No ❑Yes ❑ No AREA DESCRIPTION(in square feet) EXI ING PROPOSED TOTAL FOR OFFICE USE Via) { a .e 3� r ,. 1 FIRST FLOOR(or Mobile Home) i > COVERED ENTRY / MIN— GARAGE ❑ CARPORT ❑ ,/ MIN .. Area Totals e/ EXISTING \Miall ..•. .. TOTAL •__-----..--.----- .�______.. _.._._...__.._...__.___......._......._—._. ESTIMATED SELLING PRICE$ 1 # OF.BEDROOMS > S .,;.fir, 1,�t ) a :., z ak4 , " ,�,7,S',_. `. ` Area 4 Construction #of AREA DESCRIPTION in S I uare Feet Occupancy Group(s) ,e Stories Additional Information • Vadt. F ,,,q3:1,91,1F7AFfrilfilfir5:1,41VAiiilier ADDITION AREA DESCRIPTIONIISMI Occupancy Group(s) Construction Storiesof Additional Information TENANT AREA ONLY �� gz 4 �) tel' n.'"'g, ti .r: Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application • • ‘111 DEPARTMENT OF COMMUNrfY DEVELOPMENT SERVICES 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 Federal Way www.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 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.ASB OS ABAT .NT 6.ELECTRICITY (Cop ji proval for' nd . restos s rvey urn 'et Sound Clean Air (Electricity_ to be shut off and meter removed)r _ Age ��+, i.ed) .5F/ePiCr D iSGa.e./A)L%L�" /1 67 /( �� ov ) / j, #t f/ (Puget Sound Ene%gy) i - (( /. eral W . .. �iy ,l) J �� Hit la- f- 6 um 2.GAS SUPPLY 7.FUEL STORAGE TANKS (Gas to be shut 9ff,,tnter removed and final bill paid) (Above or below grade fuel tanks,have been pumped or removed /is-'' under Fire,Dc rtment permit prior to any dismantle/excavation) (Puget Sound Energy) /L4 (South King Fire and Rescue) 3.SEPTIC SYSTEM 8.WATER-Public Source (Check applicable box) (Tank to be removed or tank to be drained and filled) o Meter to be removed and final utility bill paid Meter to remain and be protected (King County Environmental Services) (Water Supplier) ******OR****** 4.SANITARY SEWER (Check applicable box) 9.WATER-Private Well(Check applicable box) o Sewer line capped at�roperty line o Private well filled and capped o Existing sewer line t09rQrrl and be used by proposed new structure n Private well to be used fqf�otl7 i rposes (Lakehaven Utility District) (King County Environmental Services) 5.GARBAGE (All household gat ag isposed off and final bill paid) (Waste Management/Other Company) ❑ Completed Construction Permit Application form ❑Provide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 of the construction permit application. 2.Automation Fee $6.00 3. WA State Surcharge $4.50 Bulletin#122—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Requirements Approved Transaction • https:// ire.pscleanair.org/Asbestos/Approved.aspx pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201201433 This page must be printed.A printout of the notification,all amendments to the notification,and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). Fee Amount Paid $65.00 Credit Card Transaction #VT3F9B1585CC Transaction Date 05/29/12 Owner's Name Kirk Reagan Phone (253) 219-0129 Project Street Address 4342 SW 307th St. City Federal Way Zip 98023 Contact Person Erik Kessler Phone (253) 310-7055 Mailing Address 11410 Farwest Drive SW Lakewood,WA 98498 This project includes asbestos removal Project Size 4 linear feet / 30 square feet Project Start Date 05/29/12 Completion Date 05/29/12 Asbestos will be removed by a licensed asbestos abatement contractor Contractor American Environmental Construction,LLC Contractor Job# 12186 Contact Linda Lightfoot Phone (206)267-0746 Mailing Address 7417 4th Avenue South Seattle,WA 98108 This project includes a demolition. Demolition Start Date 06/08/12 Completion Date 06/15/12 Demolition will be completed by a demoltion contractor Demo Contractor Ulsh Excavating,Inc. Contractor Job# 133 Contact Lance Ulsh Phone (253)651-9494 Mailing Address 907 Ka mus Way Fox Island,WA 98333 (1)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 one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification View History Lou Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. I of I 5/29/2012 11:34 AM