Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
05-102158
• City of Federal Way Demolition Permit #: 05 - 102158 - 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) 835-305C Project Name: LEE Project Address: 34415 PACIFIC S Parcel Number: 202104 9109 Project Description: Demolish 700-square foot commercial building. Owner Applicant Contractor SECOMA HOLDING CO#1 *SECOMA HOLE UNITED CONSTRUCTION INC UNITED CONSTRUCTION INC 4650 W OAKEY BLVD#2120 UNITED CONSTRUCTION INC UNITED CONSTRUCTION INC LAS VEGAS NV 35010 21ST AVE SW 35010 21ST AVE SW 89102-1514 FEDERAL WAY WA 98023 (253)838-1393 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 May 9,2007. Permit issued on May 9,2005 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. Owner or agent: 2 Date: — ®p 9 ittab THIS CARD IS TOAIN ON-SITE ant of _.,:,,. community Developmelirt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102158-00-DE Owner: SECOMA HOLDING CO #1 Address: 34415 PACIFIC HWY S FEDERAL WAY, WA 98003-6817 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 me ' R E C E I kin7 r` CITY OF !2b l 5 i Federal Way MAY g PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PIODEN FP 33325 STMFEDERAL AVENUEWAYSOUWATTL•PO BOX980639718 9718 ,lp L I C AT I O N , O F F E D E R TD / / \ 0253-835-2607•FAX253-835-2609 3UILDING D www.rituoffederalwati com The ollowin. is re.uired in ormation-an incom.Tete a.•Tication will not be acce•ted. Please •rint le.ibl (in in or .e. I. PROPERTY INFORMATION SITE ADDRESS / /i) C` ,� SC// SUITE/UNIT# ASSESSOR'S TAX/PARCEL# '-a. / - / 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnpnon) . ,IN PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL X,DEMOLITION D ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT D F,SCRI�j ION (provide detailed description of work included on thhiiss permit only) A4eed' /d/'„tt.'yr ,,,e)e-e- fiLy4c . 77( .-t�,6,tiAa 7(9° 0' --tr. , 44.a jrt-ej._, PROJECT NAME(Name of Business or Owner Last Name) LAC . U PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE 0 OWNER 0-.1 71717 / (-n-$4,3) P*- /•-Z7O MAILING ADDRESSCITY,STATE,ZIP s (® �/':--e.- s&U &c4r 4. 5j tC 98e ,-)-8-_ ea) CONTRACTOR COMPANY N ME APPLICANT NAME OFFICE PHONE (1)1 ~Nc4 (o cfw(qi-l'ell ( f-Iet °k..44G (—/-e--31 P3 -/39.3 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE,;.2C 6 - 797-e e.2 (..r3) _YJt . - y3 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER J - 3C — C' C — ( C 1 �'7 - B L (i/ / l_.:2 c7 (..).4-23) U /�3 y3 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE UOJTECI 005 i--- C - / 1 ? / APPLICANT COMPANY �NAME QAPPLICANT NAME OFFICE PHONE MAAING ADDRESS �. CITY,STATE,ZIP — CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS ( ) LENDER Pit:W 1 927095Lenderinorirtis NAME '''':'''',47.64...:U11-"-id' if project value exceeds$5,000 .- MAILING MAILING ADDRESS CITY,STATE,ZIP ' • DETAILED BUILDING INFORMATION . • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 1 - PROJECT FLOOR AREAS 4 AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST 6707 • SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOT SF 0. **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES. Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIV4.CotOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS ` HOODS(comm<rcta) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS froaa) 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. f NAME/TITLE DATE 9 �J ( ature. (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent X,1 Contractor 0 Architect ❑ Other It OFFICE USE ONLY W o ADDITION o ALTERATION a REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? ❑YES a NO �OING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES o NO al, PLATTEDJLOT? a YES a NO DEMO PERMIT REQUIRED? « o YES a NO 14- • Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application r L�ZCTRICAL PERMIT INFORMA'.,.JN le RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage .g 101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201 -400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601 -800 amp 398.50 168.50 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) Li Over 1000 amp 530.50 283.00 Service Feeder CI Up Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 247.00 132.00 ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 Li Oto 200 amp $87.00 ❑ 201 -600 amp 141.00 ❑ # of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater • ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps _ $69.50 ❑ 101-200 amps 89.00 ❑ 201 -400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) El Fire Alarm System ❑ Yard Pole meter loops $104.50 El Security Alarm System 0 Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) 1, El Cabling Li Automation Fee on all Permits .. $5.00 (Per System(s) 1•I 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)(b)ft&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application •• DEPARTA•Op COMMUNITY DEVELOPMENT SERVICES 33530 First Way South CITY OF sw ` PO Box 9718 Federal Way WA 98063-9718 Federal JIay 253-661-4115;Fax 253-661-4129 www.cityoffederahvay.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 signedrete!dal&by the respective agency representatives. 1.ASBESTOS ABATEMENT 6. ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off and meter removed) Agency provided) (Puget Sound Energy) (City of Federal Way Building 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 pumped or removed under Fire Department permit prior to any dismantle/excavation) (Puget Sound Energy) (Federal Way Fire District#39) 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 XMeter to remain and be protected Lyn{ t- iS-f f{C-`1- (King County Environmental Services) fizz eg1'f f e f1,5s: (Water Supplier) 344 5P� Fh- t *****OR ****** 4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well (Check applicable box) o Sewer line capped at property line ❑Private well filled and capped o Existing sewer line to remain and be used by proposed new structure o Private well to be used for other purposes (Sewer District) (King County Environmental Services) 5. GARBAGE (All household garbage disposed off and final bill paid) (RST Disposal/Federal Way Disposal) ElCompleted Construction Permit Application form. ao ()7v,u.arrori FEr Cl Provide the following fees: 1.Demolition Permit Fee $64.00 6 2.WA State Surcharge 4.50 3. Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection) $56530- 5-73,00 Bulletin#122—January 13,2004 1'age 1 of 1 k:\llandouts—Revised\Demolition Permit Requirements May-66-2005 14:16 From-PSE ELIC 1ST RESPONSE _ _ 253 395 6 1-965 P.001/001 F-772 :vas j' :rir.?_ ,t1a.;�t.p. .- .. F „milk DepAr nrErrr or Colwyn/NM DvFry4Plgiff UM CITY OF 33530 First-Way South F e ra l Faders!Wn WA Sox 9713 :119063-9718 253-60-4115;FaX 253-661-4129 ay WWw.cioflederalway_corrl DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove v division it see e theproposalit a to a structure or structures on a subject property. Check with the Ci ed thresholds that trigger an environmental review.An environmental review sandannu�g zubmittaI of an environmental checklist may be required, which will extend tho time period before a demolition permit can be issued. 0 Prior to submitting a demolition permit,the following items (as applicable)must be signet! by the agency(see attached Demolition Porn�it Contact List). respective NOTE 70dPPl7Ck11T• Utilities shall be discprcnacicr,yi and services,per�ormsd,i Items below are Fp be sistinel g'1�deuced by the respective agency repro ati S applr'cablc,prior to lssuarres ofthe demolition permit, �f1 applicable 1.ASBESTOS ABATEMENT (Copy of approval form and asbestos survey from Puget Sound Clean Air G.ELECTRICITY Agenyy Provided) ( n the sth and r mavW) ctty of edercr way e�.;rd;ngI) —_--- (Puget Sound Energy) 2.GAS SUPPLY (c,a t be Shirt off,meter removed and final bill paid) 7.FUEL STORAGE TANkS Cabove or below grade ate,tanks,have beai!ri pumped or removed ("truer-puna E„ergy)— under Fire Department permit prior to arty dismanti%xcevation) (Federal Way Flys Disoia 373 3.SEPTIC SYSTEM {lank to be removed or Link to be drained and fitted} 8.WATER- Public Source (Check applicable box) Meter to be removed and finer utility bili paid ❑Mctcr to remain iand be protected 1Gng County envrronmentai sent ceS) (Water supplier) 4.SANITARY SEER (Check applicable box] ira;a"(*OR:***x* o Sewmr line capped et property,line g WATER-Private Well(Check applicable box) and rapped toF21c Ung seW9r line to remain and ba„tart by proposed new structure - m Private well to ed Private wellIr be used for other pra>pwrs (sewer Dlsvnct) S.GARBAGE King County Fnvironmrntal ServiCss) (AII nousenora garbage disposed off and ffnii bill paid) R-7" --1-1:Lspasy/ star way�1spiza) ❑Cnmpictc i Construction Permit Application form. CI YraVide the folipWi�g fees: +.�'S.� 1@�—��X u.'-. �Q-r*. X_Demolition karmic Fee GJ`Hu 623 sa " 7.3 2.WA Static Surcharge 4.50 + R 3. Cash Bond Deposit 221Q (ReFuedAb)e upon Comprated Final Inspection) SSG$50- Euuctic g122 Sams . S`7.'•Q'' �y 13,2004 nage 1 of I zektiandunts-Rcvisedlncmalirion permit Itcaulremeats ' 01/03/2005 02: 52 2538354775 UNITED CONSTRUCTION PAGE 01 04/21/2005 16:27 FAX 206 689 4073 PS CLEAN AIR 'Agency Case No. PUGET SOUND CLEAN'AGENCY Date Received 110 Union Street,Suite 500 20050 1 98 , Seattle,WA 98101-2038 �� AP n 25 n005 't•-?':!0:::''''':::.;;:,:::'::1'..:;:t: www.pscleanair.org ---- -_-_ NOTICE OF INTENT Agency Use Only Agency Use Only Cl n Aii. A.!;•!eut.; • A. o-ect T r •: 1. ❑ Friable • • .- e .i . 2. O Fr'.ble Asbestos Re oval & emoliti•n t e olition a my B. _ Property Owner: 17 �'e` _ Phortc: Mailing Address: `f' / /0 ,CI� / /v 1.ale, Citi' ac-,, State ft✓ Zip:6c5 4 C. A to3 PL& 6Y M' !FAKE r,rim WlLLdS • �!''.C 86 ,y'�f� , Contractor: 1 1 Q -S COf • (. Owner/CEO: �-ah-i I4\/r� Contractor Mailing Address: /U -/ S-�,�ti'2 See) Phone: ��9"O�/3 Job No.: -e��V State: td zip: 98 Fax: �-.(3-�3�-T r3l,3 City: 9 D, Site / C `/A) S . �C {�1' f, J l Zig: 6 8d d 2 _ _ `� Address: _[ _-- _ �' , Site /— t1 1 Manager: 741g1/1X' .. f� e� Local Phone: 0 5 � ,3` E. Asbestos Survey or No. of D ofAsbes9s f y Was Friable Asbestos Identified? UYes gJ o ❑ Mat'I Presumed Structures: Survcv: 4 ( /��` Was Nonfriable Asbestos Identified? DYesNo AHERAA Building_l� ,�Ceertification#: Attach a copy of the survey when friable asbestos spector: /t dr°/E'kl ekr 2)Irc�2f a "`Ex .Dace: has not been identified_ ' An AHi,RA Survey is required before al/demolition projects F. Demolition Start / No, of 1. LI Training Fire(List Fire Dept.) Information: Date: C S a r , Structs res: 2. CI Ordered Dcszwlition ia1<ach ct of Ordei y Demolition Insert demolition contractor's mailing address an back. ' Will nonfdable asbestos be left in place during demo? U Yes W` No Contractor: a?,(..../a Cilyyl G_ If yes,list type and qty. Note disposal requirements in Step 6(on back). G. Friable Asbestos Work Days: M T w' Th F Sa Su Project information: Start Date: `Completion Date: Hours: Will all friable asbestos ❑ Yes Total Qty. to be Removed: Linear Ft. S•uare Ft, materials be removed? Cl No Boilcr\Furttace Insulation U Duct Insulation U Pipe Insulation Li Fireproofing _La C Paints i Plaster l Textured Coatings L I Cement Board © Cement Pipe © Friable Flooring Friable Roofing Material Other. ' FL Asbestos/Demolition Project Categories- Notification Period Project Demolition 1. Single-Family Residence(owner-occupied): Fec: Surcharge A. Cl Asbestos Removall?roject Only A_Prkr,Notice A. $25 • B, C�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 it owned by one family who has been or will be using the residence as their domicile. the above boxes 1A or lB may be checked. If this is not an owner-occupied residence, one of the categories listed below must be used instead. A single family residence does not include rental ro erty, mulri-familyunits, or any mixed-use budding. S 100 2. AJ1 Other Demolitions(with no Asbestos removal or Nonfriable Asbestos 10 Days only or less than 10 linear feet and/or 48 square feet of friable Asbestos) w Friable Asbestos Pr jeets (other tls.an Single Family Residence): Asbestos Demo 3.7_ z 10-259 linear feet and/or a 48- 159 square feet of asbestos Prior Notice 10 Days $100 $100 4. 1.3 260-999 linear feet and/or 160-4,999 square feet of asbestos 10 Days $200 $100 5. >1,000 linear feet and/or>5,000 square feet of asbestos 10 Days $600 $100 6. Ci Emergency Asbestos Project or L.( Emergency Demolition Project Prior Notice $50 Emergency Fee (;;',Ingle-Family Rci dcnccs are exempt from emcr;ency fnc h howev72, raperty owincrs must provide a written emergency request) - 1. 1 certify that the information contained in this notification&supplemental data is,to the best of my knowledge,accurate&complete_ Age ; 'Use a my eCI_- Sjnarur s -1.-1-Agpie.3enting _f�6 Dare Reviowed B P-gel Souod Clean Air Agency Form No.: GG-t GO(Revise Jd 05-)TS.„' ,3 i. -'�'Ce o �* , c `�i ) yram' �� ,�.,�t l ' it!tj ;. ;.