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05-106035 111 • City of Federal Way Dell olition Permit #: 05 - 106035 - 00 - DE Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305€ Project Name: THE COMMONS-CENTURY THEATRES Project Address: 1928 S COMMONS Parcel Number: 762240 0010 Project Description: Complete demo of Gottschalks for new theatre Owner Applicant Contractor H M AENTERPRISES-SEA-TAC*H M A EN" S D DEACON CORP OF WASHINGTON S D DEACON CORP OF WASHINGTON 249 E OCEAN BLVD#3RD PO BOX 3070 PO BOX 3070 LONG BEACH CA BELLEVUE WA 98009 BELLEVUE WA 98009 90802-4849 (253)941-3770 PERMIT EXPIRES November 23,2007. Permit issued on November 23,2005 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. n Owner or agent (O 1644_ Date: //— —" THIS CARD IS TO AMAIN ON-SITE CITY OF ° d ¶ommunity p Inspection m nt Ins eetion Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-106035-00-DE Owner: H M A ENTERPRISES-SEA-TAC Address: 1928 S COMMONS Federal Way, WA 98003 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. 0 Final-Building(4050) Approved ByP/VF Date /1-6/j/E7 fickilipo 4111 CI OF` ;` T # Federal Way ;J 200 P 1 j. 0_ 0 ' Jo COMMUNITY DEVELOPMENT SERVICES .-. A PERMIT M I T - - SF MF �t`C` E EL PLN FP 33325 8*71 AVENUE SOUTH•PO BOX 9718 "Riilikip PLICATION ro 259D83b2607FAX253-8326 'LI)*�y4p / /wwwcityoffederalwattcom The ollowi • is re•aired in ormation-an corn.fete a•.lication will not be acce.ted. Please .rint le.ibi (in in or .e. 1V PROPERTY INFORMATION SITE ADDRESS /S28 3'• Corn4L'k t:ec= .r1l c,,.: ' COS-C 3 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Attach separate page for lengthy legal description) U PROJECT INFORMATION . TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Proa detailed description of work included on this permit only) 17,eciarciLA U PROJECT NAME(Name of Business or Owner Last Niime) Q l C . G c L �L C J L c� ,y' %L'k I'II PEOPLE INFORMATION PROPERTY NAME �`t "L�� PRIMARY PHONE OWNER ���I✓`'`�^'� I (-1-1T ) �.' C5� MAILING ADDRESS ��'l�i��l CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 5 b lf'ctCc ( ) - MAILING ADDRESS Act- CITY,STATE,ZIP CELL PHONE 2315 )3e; -` 1`) 0" lei/'U.Q_ lvA %'(XeS- ('k-))2 } - C,fe� CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / ( ) - -gL CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY N MAPPLICANT NAME � OFFICE PHONE �Q `c1.6.,ce 7thiaT (25 ) 3i -told, MAILING ADDRESS CITY,STATE,ZIP CELL PHONE (92$ `Cm...y.� .ec 1 u 1cj (e.> )2,5-0 -c-38 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 TenantAgent 0 Other(Describe) ( ) - CONTACT NAME /�( PRIMARY PHONE -MAIL ADDRESS ',am,c E w1,e44 I (4'fi )tf'6.--- — ©.7 L LENDER , NAME U :;`;'.',1's`.4-400 -00.01401$,,.' 5 ,oo G eClr f CtI CS CGS MAILING ADDRESS CITY,STATE,ZIP f ■ DETAILED BUILDING INFORMATION EXISTING USE / PROPOSED, USE O EXISTING SESSED/ PRAISED VALUE $ VALUE F PROPOSED WORK $ SPRINKL RED BUILDING 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRE I? ❑ YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. Q.FT. BASEMENT FIRST SECOND THIRD FOURTH • ADDITIONAL FLOORS(1-SCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ EXISTING PROPOSEDTOTAL TOT' -k1�I 1'DPO:-F OTAL PROPOSED SF TOT .,821�" NUMBER OF FLOORS { : ,.;.��� . , **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ £TXTITRES Indicate number of each type offixture to be installed or relo..te. • part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EV. •ORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS ANS HOODS(comm ...1) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) _ COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS torn,. how,Combo) SHOWERS WATER CLOSETS(toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) 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 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 of Federal Way,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 city as a part of this application. NAME/TITLE .- DATE / (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner `r i gent ❑ Contractor 0 Architect 0 Other .,... 7I',�. � .�, � ��' [ 9 bNL 2`� 'µ®YES II NCO ka Akis; _,`® • 0 1 6 ® e - (} 0 .F- °�: r � � o A Kai UP(S PA SU? y.*-11,74.A 0 Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application Nov-22-2005 14:52 From-PSE ELEC. 1ST RESPONSE 253 395 6820 . T-924 P.002/002 F-884 r A • DEPARTENT OF COMMUNITY DE'VELO HENT SERViCEs . 33325 8`t'Avenue South PO Box 9718 CITY OF • Federal Way WA 98063-9718 .___ _ Federal Way 253-835-2607;Fax 253-835-2609 Www.Citgoflederalway.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,whish will extend the time period before a demolition permit can be issued. •❑ Prior to submitting a demolition permit,the following Ltems (as applicable) must be signed by the respective agency(see attached Demolition Permit Contact List). NOTE TO APPLICANT: UtIirEee shall be disconnected and services perforrrw4 if applicable,prior to issuance of the demolition permit.All applicable it�emsi below aro to be s ned.Q datr_d by the respective agency representotiyes, CAaE5Tos ABATEMENT...(C of approval form and asbestos survey from Puget Sound Clean Alr. • 5' to be shut off`a/ f623' I1 /(2:l—ID Agency provided) c - 11/7 r‹._ /14.4.-^--+":-- (Puget Sound Energy) (City of Federal Way Budding Official) 2.GAS SUPPLY 7.FUEL STORAGE TANKS • (Gas to be shut off,meter removed and final bill paid) 'Above or below grade fuel tanks,have been mped or removed order Fire Department permit prior to any i antle/excavation? ' Puget sound Energy - (Federal Waylire assn 39) 3.SEPTIC SYSTEM itliATER-Public Source (Check applicable box) crank to be removed or tank to be drained and tilled ear to be - . _ed and final udilty bill paid // r ••rer aln an be prole• (ling County Elviranmentli ell 'WO" (Water '.uppiier) Itmmiqc OR**am** 4. NTrARY'SEWER (Cheek applicable box) ''3.WATER-Private Well(Cheek applicable box) ewer line caps-. at property line o Private well titled and capped A g sew. m remain L. .e used by proposed new ru-• re 17 Private well to be used for other purposes . r Sewer Di- ck) � .----- (King County nvironmental-Servi ) 5. GARBAGE (All household garbage disposed off and final bill paid) , (RST Dlsposatl oral Way Disposal) • ❑ Completed Construction Permit Application form ❑Provide the following fees; 1.Demolition Permit F, $63.50 2.Automation Fee 5.00 3.WA State Surcharge 4.50 4, Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection) 5573.00 Bulletin#122-March 9,ZOOS • Page I of kliandauRqtpcmolition PermitRequiromcnts ^ 11/23/2805 09: 4u 4256025227 NUPRECON RAG: 02 _ __ „ i/23/2005 09:44 4251;025227 tILIPRECOt I PAGE 09 ency Cs.No Aga , . PUGET SOI.IND CLLA R A GEM_V D9.1C ii ecei VCii , II()Unin Stmet,SuiW :500 .' .:' : •.' :;-:' •,•; I3entiic. WA 98101-202IFS ',;,•,':•1,;:.;;'i,:t‘:..,..,':i.!ilki www.pscleanair.org '7-••• -f411',.71. 7ilt,A; NOTICE OF INTETI .4gerrcy Vv.OW): foir...,,, ,,„...‘-: K., Agosrt)U,'Oily Wreamminimml.9 anromsepoperows,m1RIfteamandevrawomona. , -., - ' 'AtitA. '-.:i''':+., ' . . ,+^,-••- e....................".......,,,m,,,IIL-rmem...,....:,..ner-vese...t. ,,,,,...........,,h Friable Asbestos Reni0V31 2. Li Friable Asbestos Removal&Dernolitioo 3. tili.). eroolition Only ... 5. 1 Property Owner: Steadfast Com), c../o S.D. Deacon _ Pbone: 425-284-4000 r--- ,--- • main, Address: 2375 3O Ave. NE, Ste. 200 . CtJt : 'Bellevue_ _ i ,,,.tate_ WA _ 7,J;12:9go0i ;-E,-:-w--,e,.,::;-------.---T,D=;r,:uza;Rf.---rh-,7-wg.7.-h7n7,77r--„rairv,.i;-,k„,,,,m' c nerricEo: m.alContractor: ___ - - 1 Contractor g Address: Phone: 1 Job No.: - CitY: StPt.C. Oseemmonaralemwerwrosokaimmerwwwqmpoule ...... [r Site Address: Federal WaySont m or s„. 1928 S, Commons Cit... FederalWay___ :?,j_pj98003_ Site Manager: Todd Rankin Luca)Phone: 425-284-4000 . — .__ FITE( jcs-b-estos Sur-vey or No. o-f Date of Asbestos Was Friable /1,3bestor, klentlficd? 7klyes L:11.4(7- AI71PR-111ALL-‘Building Slnieju"s: 1 rStiri.s_f0n:/,,,4•ALcm_6,67_004 1,..:0_3 ,W4 ttaaseNh oan,,froip'avb,loef Aiiriletseustrovscil,drovinIteinfilerdi?,1!aYseLL„IvioNvro Inspector: Ronald Nowicki 1 Ex .Date. el/1010LT has not berM kluntr'f'ied . . _ 77:7171:777.7777.177reZic=21107p ttr7;: qmagm. '"''''' ''' F. I iDnerontrormliiilitt-:-...: Date:rfd Iva 12/12/05,.s mailing address 0_ b a c Nlo,.of Structures:A Will le asbesto21s b..toie e Trliaeinrien,DFir, ffiet(JitiisotnF(iraettaDeehpit.0).2y ofjOrde.r) I No Contractor: Ntrorec on In c„ If yes,list type and qty. Note disposal requirements in Step 6(on b.EICk).. -r-- - F6:-Friable As-Itesto-s— I — 1 V7o-r14:Day ieL NI I W lb F15..;a Su Project Informs lion; Start Date: Completion Datc: 1 }Tours: 7:00,..Aiyi-3:30_PM I Will all friable asbestos Li Yes Total Qty.to be Removed: ' Linear Ft. Square Ft. 1 materials be reirioved? .0_14,1 Boileffurnacc Ir-1: 1,Insithtion wipe Insulin/km A Firenroofirte LI Paints Li Pksta 0rfxture.ti Coining,. - -----.-- Ccmcnt Board. Cement Fpe71:TF;17 F.rni7)eing ZiT----(7(iTi7F;vi:rTTrial other f•SMAVONel.....MMINNWadibmrsafiemeW 41.7iTateMtain121612000.1.630WCROVA....1:W.IbiatrARYZWAWlewrat.estel H. Ashes.tos/Demolition Project Categories; — Notifieation Period -77oject Demolition 1. Single-Family Residence(owner-occupied): Fee Surcbarfre A. U Asbestos Removal Project Only A.Prior Notice A 7$2.1 II U Demolition Project(with or without asbestos removal project) B. 10 Days* B. $50 *(Asbcatos removal can befit)upon notification;_demolition must wait 10 days) 1 . Note: lithe single Iiimily residence is owned by one family who has been or will he using the raicknce as their domicile, the above boxes 14 or 1B may be checked. if this is not an owner-occupied residence.one of the categories listed below must be used instead. A single _fair&,residence does not include renlApreperty, ?mail-win/IJ units, or 2. ig All Other Demolitions(with no Asbestos removal or Nonfrithle Asbestos 10 Days —1- -1 ‘•--.:.....,..i..•.-.., only or less than 10 linear feet and/or 48nare,feet of friable Asbestos Friable Asbestos Projects(other than Sinftle Family Residence): Asbestos fiemo 4._---1---..._____________ ...... ___________ __3. LI >. 10-259 linear feet andlor?.48- 159 square feet of asbestos Prior Notice 10 Days i $100_ ., _ S100 - .q. ..---------- ir:1177.36--01inearfect and/or>5,0005 este-feet aT asbitos 10 Days .1 fi00 $100 --CO-Emergency Asbestos Project or Li Emergency Demo Project ' Priortice No - - j_ 555-5337;ig-,-en-c-y-Tee--- _,___.... ....___ .........—......._____„_._ _Nrigte-flairoty ne.sidences are 0tempt from emergency fee;howeverat 1.11W4yr9Vide 11‘.yrittcil otricrPeno:Ingurrt 1. 1 ttcrti thethe inform i const d in this notifinatinn&supprornental date is,to the tivst of my . .. knrmledgc neeerate t etinnittetc 1------".."*"------"Agency Use Only d:Litit,..4_41/4.... I 11 A:51 0,'• - I .1 OR NitDrocon Ire. Si atm ,r6?tresrylitrg ...........:-..............,.........................--,. Pkr sot Sound an Air Agency Form No.; 66.160(Revn3ed 21051":",i 17)-(171— . ---IT:'..:W:',; (71.ii:;------- • ' 111!23/2005 OS: 44 4256E125227 M.IPRECON I't:;uE 04 i • The Puget Sound Clean Air Agency requires advance notification before any lit-yon commences s friable sisbes os project involving materials equal to or greater in size-than 10 linear feet or 48 square feet and for all demolition projer..ta (regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation III, Article 4). Illi asbestos removal and demolition notifications must he submitted to the Agency on current Agency forms. Asbestos removal and detnolition n+roLects involving materials and structures below the nptizic:ttioti threshold still statiect to all other requirements of Regulation IIT,Article 4, After receiving a complete notification with the appropriate project fee, the Agency witi review the form and return a copy to the asbestos and demolition contractor by mail. The.retorned copy will be your validated notification. !'ILA.SR Pr7NTCr..vd2r.f: ;HIS nu.NE`l:'Git© , 'F'.'hYG t7lt•( r4w:_ ------ ....._ .----.-,,..,-„,,,,,,,„,,,�,.`- 3. l�enaotition i Contractor: Nu. reeon, inc. Owne,li :t? Trj+tr;. ILrirce sno Mailing redress' 35131_ SE Center St. Phone: 425-881-0621 (;,,nttnctr+r'^ iob in Cit'J Sou r,aimi; s+� WA---1---yip: 'j80{5.9.'3i r... 425-88 � r ; L ”. 1 . .s,..- -h:. • - .�,_§-RSI �3_ ti t2G-10-8081 .. ..e..., GUIDELINES FOR SUBMITTING AN ASB`^S i C„;',ly%.iu`ltitisi”;ION NOTIFICATION Step 1, Check the appropriate project type in Bos A. Friable asbestos includes popcorn e iiing material,sheet vinyl flooring,cement asbestos board siding, and duct insulation. Nonftiable asbestos is normally found in vinyl floor tiles,rxindow puny and mot'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 friableasbestos to be removed from each structure. Step 5. Checkeither asbestos survey or material presumed in Box E All demolitions require that an Asbestos Hazard Emergency Response Act(Ai-TERA)asbestos survey be conducted by a certified AHERA building Tnspector,__Attach a copy of the senytey o the notification.of a demolition project when only nonfriable asbestos or no asbestos is identified vnthe 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 trust be attached). All asbestos trust 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. Note: Demolitiondebris containing non friable asbestos materials must h-f: labeled as"nonfriable asbestos-containing waste"and be deposited Eli an authorized wale disposal faeiiity. Step 7. Enter asbestos project information in Box G. List types of friable asbeatos material to be removed..surfacing material such as popcorn ceilings or plaster, sheet vinyl flooring,duct andpipe insulation,cement asbestos board siding or pipe,etc. Step 8. For owner-occupied Single-Family Residential projects. chock BO's HI for renovation projects or BOX ft 111 for demolition projects(with or without asbestos removal). Asbestos removal may be conducted after a Complete notification is receives but demolition activities can only begin on the 10th day after the notification is received. !Vote:II the single family residence is owned by one family who has been or will he using the residence as their domicile, boxes;14 or 'HB may be checked A single oro ti; residence does not include rental property,irrrrlii fondly unite,Or any mi..)_ed-use building. For Commercial asbestos projects(or projects that do not qualify as Single Family Residential); check the proirct category 112- 5 that matches the amount of friable asbestos that will be removed. tf a demolition is involved;, include tate appropriate surcharge (additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box i -- 5 and the applicable emergency box in H6, All e;mer acv requests mustte accompanied by a letter favi.he prop rY-1 Over dernenstrntina thf need to conduct the protect immediately in accordance with the requimTnentss in�iegulation,TTT Sectkni 4.(73,lc). Step 9. Please certify the accuracy and completeness of the infomtation provided bysiguing the notification in Box 1. 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 fec is req,siren for all amendments. Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at wwww.pscleanair.r,rg. For technical assistance call(206)689-4058 and for administrative inquiries call(206)6$9-4093. Puget Sound Clean Air Agency Form No.: 66-160(Revised 2105)TS