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16-100221
4. Demolition City of Federal Way A c 6A C Community&Econ.Dev.ServicesFILE Permit ermit #: 1 - 1 0022 A 1 -00-D E 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050 Project Name: LTCA LLC Project Address: 30854 PACIFIC HWY S Parcel Number: 785360 0145 Project Description: Demolish existing out building on site Owner Applicant Contractor LTCA LLC LTCA LLC METIER CONSTRUCTION 29727 49TH PLS 29727 49TH PL S METIECI055CG(2/7/16) AUBURN WA 98011 AUBURN WA 98011 29727 49TH AVE S AUBURN WA 98001 Additional Permit Information Demolition Valuation 2500 CONDITIONS: Erosion and Sediment Control Measures shall be installed and maintained in accordance with the King County Surface Water Manual,Appendix C or D,dependent on site size.The City may inspect and require additional controls dependent on erosion or risk of erosion. Upon completion of operations,all disturbed areas shall be stabilized in accordance with the King County Surface Water Manual,Appendix C or D,dependent on site size.This can be accomplished by spreading seed at manufacturer's recommended rate and straw at a rate of 2" -3"thick or alternate method listed in the manual. PERMIT EXPIRES Sunday, January 14, 2018 Permit Issued on Friday, January 15, 2016 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use ' roe in - - a l - with the laws, rules and regulations of the State of Washington jord e City of Federal Way. Owner or agent: Date: tD I• I c • Z chi (� 0 THIS CARD IS TO MAIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 16-100221-00-DE Address: 30854 PACIFIC HWY S Project: L T C A LLC FEDERAL WAY, WA 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. El SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Interim Erosion Control(4370) Approved To be done prior to breaking ground Approved By Date By Date By Date E Final Erosion Control(4375) El Final-Building(4050) Approved Approved By Date By /3A Date .2JcZ i 0 Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • • CITY O. PERM I APPIj �` )N Federal Way —K�V L7 ( � 0 22 1 D � JAN 152016 PERMIT NUMBER— - -67 TARGET D T CITY OF FEDERAL WAY A E CDS SITE ADDRESS SUITE/UNIT# 3 0 8 8 de QAclik . Owl Sna1M PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 2 vca — /IC 16 033 4o 022.0 — — — TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICALDEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Deirib Grlise N Mows sy lt.A'N 4 PROJECT DESCRIPTION QRM co OF o{xt p ult. 6 4$GO/1J 4 Detailed description of work to be included on this permit only N+ PRIMARY PHONE 1.7 G� LI.C PROPERTY OWNER i`► D V'1 flo� ` E, I e c. CIYYitP STATE wi ZID7 Viol NAME Merles*. G0s4si t ver l oN PHONE CONTRACTOR MA>LINtViG 9 2 ? +4iL FL t. E-MAIL CITY STATE ZIPFAX 14r400Pi4 WA it0aal WA M�,f I� tie Q y[C �� EXPIRATION� DATE FEDERAL WAY BVSINESB LICENSE C NAME T 6 PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT luras e ''G HAU- 6.' A*4 L4a PRIMARY QING tr�j3•H ' • er41 04 (The individual to receive and MAILING DRESS E-MAIL to all correspondence 104 Mispiol *AS+ 1 concerning this application) CITY M1L STATE ZIP iais c 4 FAX T wit NAME PROJECT FINANCING Ow Kett OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27095) 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 de -- . such clai ch may be made by any person,including the undersigned,and filed against the city, but only where such c m , ses • e re once of the city, including its officers and employees, upon the accuracy of the information supplied • the ty as • -art of this ••lication. SIGNATURE: /�� ♦�'' ' �/ DATE 01,0 se• Isle. PRINT NAME: • -•ictipaItr �• '/'*OiLM10 Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Permit Application • • /� VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 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(c000roer«eg BOILERS FURNACES HOT WATER TANKS(Goo) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Wit% VALUE OF PLUMBING WORK PLUMBING PERMIT $ 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. BATHTUBS(or Tub/shower combo) LAVS(Hood.sal TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(grFhoo/utility) WATER HEATERS(Elerrnr) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS N d j.AIs MAVON 4I' 4 AVe.tt $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED IRE SUPPRESSION SYSTEM? S`fotif44Item 'v`' i s ❑Yes'No ❑Yes *No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT; FIRST FLOOR(or Mobile Home) ECO FLOOf COVERED ENTRY GARAGE ❑ CARPORT 0 OTHER(desrbb: Area Totals EXISTING PROPOSED TOTAL ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION Area in Construction #of AREA DESCRIPTION Sq Occupancy Groups) Stories Additional Information Square FeetTYPe NEW I+Ii114G ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS Area in AREA DESCRIPTION Square Feet Occupancy Group(s) Construction #of Additional Information Stories 1VTAL]I tILDING /f . _ _ , TENANT AREA ONLY Pittl� EA b(L L Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Permit Application Approved Transaction Page 1 of 1 pscieanar.org Puget Sound Clem Air Agency • Notification Case #: 201600224 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 #APOFCCE8761B Transaction Date 01/15/16 Owner's Name LCTA,LLC Phone (252) 529-0503 Project Street Address 30854 Pacific Hwy South City Federal Way Zip 98003 Contact Person Michael Hovland,Architect/Agent Phone (253)737-8775 Mailing Address 29727 49th Place South Auburn,WA 98001 This project includes a demolition. Demolition Start Date 01/25/16 Completion Date 01/29/16 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Phone Contact Mailing Address (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 If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/15/2016 • • COMMUNITY DEVELOPMENT DEPARTMENT 411441%16.0., 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 Federal 1Vawww.cityoffederalway.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. Z14ddress of Demolition: / ` L a"5 ' Y AA-1 S ❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construction Permit Application form is also required. 1.ASBESTOS ABATEMENT (Provide copy of Notice of Intent from Puget Sound Clean Air Agency 5.ELECTRICITY and copy of inspection report by AHERA-certified inspector) /VA' (Gty of Federal Way Building Official) (Puget Sound Energy) 2. FUEL STORAGE TANKS 6.GAS SUPPLY o Under grade tank(s)is/are present ❑Above grade tank(s)are present /0/ A ❑Tank(s)has been pumped or removed under South King Fire& (Puget Sound Energy) Rescue permit prior to any dismantling or excavation PIA (South King Fire and Rescue) 7.WATER-Public Source A/lA (Water Supplier) 3.SEPTIC SYSTEM AVA 8.WATER-Private Well (King County Environmental Services) VA (King County Environmental Services) 4.SANITARY SEWER 1`) (Lakehaven Utility District) Bulletin#122—May 13,2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements • DEPARTMENT OF CO •N1TY DEVELOPMENT SERVICES 33325 8th Avenue South CITY OF Federal Way,WA 98003-6325 Federal Way 253-835-2607;Fax 253-835-2609 www.citvoffederalway.com DEMOLITION PERMIT CONTACT LIST This list of agencies may assist you in expediting the demolition permit process.Refer to the demolition permit requirements for signature blocks.All applicable signatures are required prior to permit approval. 1. Asbestos Removal: Puget Sound Clean Air Agency 110 Union Street,Suite 500 Seattle,WA 98101-2038 206-343-8800—OR—800-552-3565 www.pscleanair.org 2. Electricity: Puget Sound Energy Tacoma Public Utilities Attn: Construction Coordinator Customer Service 22828 68th Avenue South, Suite#102 —OR— 747 Market Street Kent,WA 98032 Tacoma,WA 98402 888-225-5773 253-383-9600 or 253-383-2471 3. Gas: Puget Sound Energy 805 156th Avenue NE Bellevue,WA 98004 888-225-5773 4. Telephone: Qwest Communications 801-962-2475 (phone)/801-237-6491 (fax) 5. Water: Lakehaven Utility District Tacoma Public Utilities Technical Service Division Customer Service 31623 First Avenue South —OR— 747 Market Street Federal Way,WA 98003 Tacoma,WA 98402 253-941-2288 253-383-9600 or 253-383-2471 6. Garbage: Waste Management 655 Second NW Auburn,WA 98071 253-833-3333 (residential)—OR—253-939-9792(commercial) 7. Sewer: Lakehaven Utility District Technical Services Division 31623 First Avenue South Federal Way,WA 98003 253-941-2288 8. Septic: King County Environmental Services 14350 SE Eastgate Way Bellevue,WA 98007 206-296-4932 9. Fire Department: South King Fire&Rescue 33325 8th Avenue South Federal Way,WA 98003 253-946-7248 Bulletin#109—January 1,2011 Page 1 of 1 k:\Handouts\Demolition Permit Contact List • From the Desk of Mike McKay 34004 9th Avenue South Al2 2 ,-;MENTAL SEMMES.INC. Federal Way,Washington 98003 CONSULTING&COt 'LIANCE Telephone(253)927-5233 Facsimile(253)924-0323 JANUARY 8,2016 Michael Hovland Executive Summary 900 Meridian East#421 NOW Project:N15-0009 Milton,WA 98354 RE: Hazardous Material Assessment 30854 Pacific Highway South Federal Way,WA 98003 Dear Mr.Hovland, NOW Environmental Services, Inc. (NOW) conducted a "Good Faith" AHERA asbestos survey on January 7, 2016 regarding a carport-like structure located at 30854 Pacific Highway South in Federal Way, Washington. Asbestos samples were collected for the purpose of determining potential hazards to workers during demolition of this structure. State laws require hazards be identified before structures or components are impacted as part of demolition activities. The structure is a wood-framed carport-like structure with open bays used to house machinery and wood. The structure is approximately 2,114 square feet with an unknown construction date. Suspect asbestos-containing building components include composition roofing and vapor barriers. No other suspect materials associated with this structure were identified. The assessment was designed to identify the presence of both friable and non-friable asbestos-containing materials associated with the structure that would be impacted. Friable means that the material, when dry, may be crumbled with hand pressure. Building materials suspected of containing asbestos were grouped into"homogeneous" materials or sampling areas. The homogeneous material or area was defined based on uniform texture, color and appearance. Additionally,homogeneous materials were further defined based on building construction date(s). Samples were collected by Mike McKay of OES, Accreditation No. BI/R-NES-11-05-15-02 (Exp. 11-05-16). Suspect materials and components were analyzed by Polarized Light Microscopy(PLM) with dispersion staining, in accordance with the Environmental Protection Agency's (EPA) Method for Determination of Asbestos in Bulk Materials (Method 600/R-93/116). Percentage estimates are based on the analyst's best judgment following PLM/DS and examination with a stereoscope. Material suspected of containing asbestos includes composition roofing and vapor barriers. Unless presumed asbestos containing, any materials or components containing greater than one percent (>1%)asbestos is regulated by federal, state and local air agencies. All materials and components sampled during this investigation did not contain asbestos as listed in the table below: 1 • Hazardous Material Assessment 30$54 Pacific Highway South—Federal Way, Washington Material Description&Location Sample No. Roofing Material 1(RM 1) Multi-layered composition roofing and vapor barrier(3 layers) 01 on roof extension Roofing Material 2(RM 2) Multi-layered composition roofing and vapor barrier(4 layers) 02 on main roof Non Asbestos Material Table NOW Environmental Services performed this survey in accordance with the generally accepted standards of care that exist in the industrial hygiene profession in Washington State at the time of this study. The site visit consisted of a thorough visual walk-through of building for the purpose of viewing and sampling potential asbestos-containing material. The asbestos survey was performed in preparation for removal of asbestos-containing materials in accordance with NESHAPS regulations. No warranty,expressed or implied,is made. Please let me know if you have any questions regarding this assessment or if we may be of further assistance. Professionally Yours, NOW Environmental Services, Mike McKay 7 AHERA Building Inspector Enclosures: Asbestos Certificate of Analysis Sample Location Drawing • • ORION Environmental Services MICA i 34004 Ninth Avenue South,Suite Al2,Federal Way,WA 98003 .n. ,to'comp, •- •••mirky Phone:(253)952-6717•Fax:(253)927-4714 Email:info@oriones.net•Web:www.oriones.net WBE W2F9219763 Polarized Light Microscopy Test Report EPA.Method 600/R-98/116 Client: Michael E Hovland,Architect Rpt.Date: 1/8/2016 Address: 900 Meridian East#421,Milton,WA 983354 98354 Page: 1 of 1 Attention: Michael Hovland Invoice: 160095 Project Name: 30854 Pacific Highways Date Rcvd: 1/7/2016 Project Number: N16-0009 4 '� t-.' :-A rj,,,,,,-,,6,,,,,,,,`,,,f_ kg`s x x ,;:� ie 3 u , � � b w ,t s,i, ; `i- s 7' as xE $ .�:' a: '$ y+. a �f a .xk4.:e--..,.0.4-14,- .4.7,-,..4.7.7.-,,A ,*f ki �.a`,'^ 'S a�,1 :: 01a 20160107-43 Composition Roofing ash ND fiberglass, cellulose Olb Composition Roofing ash ND fiberglass. cellulose 01c Vapor Barrier chloroform ND cellulose 02a 2016010744 Composition Roofing ash ND fiberglass, cellulose 02b Vapor Barrier chloroform ND cellulose 02c Vapor Barrier chloroform ND cellulose 02d Vapor Barrier chloroform ND cellulose Dup:Laboratory QA/QC Duplicate;M;Mastic[(a),(b),(c),etc.):Sample layers numbered from front to back. Comments: For layered samples,each component has been analyzed separately. ND means non-detect for asbestos fibers by EPA Method 600/R-98/116.Disclaimers: PLM has been known to miss asbestos In a small percentage of samples that contain asbestos. Thus,these laboratory results represent due diligence,however negative or<1%PLM results can not be guaranteed. Per EPA guidelines samples will be archived for 30 days then will be disposed of. This report may only be reproduced in full with written approval of ORION Environmental Services. Analyzed By(Print) Date Reviewed By(Print) Date Dennis Rauschenberg 1/8/2016 •• a McNeal 1/8/2016 Anal (Sn ure) Time Review:.By(Signature) Time 401111Pn,' ce b , 0 • O g ti -0N.. 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Fee Amount Paid $65.00 Credit Card Transaction #APOFCCE8761B Transaction Date 01/15/16 Owner's Name LCTA,LLC Phone (252)529-0503 Project Street Address 30854 Pacific Hwy South City Federal Way Zip 98003 Contact Person Michael Hovland,Architect/Agent Phone (253) 737-8775 Mailing Address 29727 49th Place South Auburn,WA 98001 This project includes a demolition. Demolition Start Date 01/25/16 Completion Date 01/29/16 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job# Contact Phone Mailing Address (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 If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 1/15/2016