94-101366 9(f-/a/�,.
CITY
335300Firstt Way South F FEDERAL WAY BUILDING PER:MIT PER ISSUED: 1MIT NO: 1/17/9452
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/16/95
ADDRESS:31601 PACIFIC HW S
NO. : 082104-9017
PROJECT DESCRIPTION:DEMOLITION - DEMOLISH 5 BUILDINGS
OWNER r- CONTRACTOR - LENDER
iiiiFEDERAL WAY SHOPPING CENTER
31601 PACIFIC HWY S
FEDERAL WAY WA 98003
455-9000
*OWNER*
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN -9 FEES:
TYPE OF WORK:? USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ •1 P/M BOND $ 500.00
CENSUS CATEGORY -1 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAIARD CLASS •? SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUAIION REQUIRED SETBACKS FIRE FLOW - 0 gpi BUILDING PERMIT....* $ 35.00
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE - 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR - 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:07/20/94
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS - 0 BOILERS/COMPRESSORS WATER CLOSETS - 0 URINALS - 0 TOTAL FEES $ 539.50
GAS PIPING.: 0 ft HOOD - 0 0-3 HP - 0 BATH TUBS .: 0 DRINKING FOUNT.: 0
FURN<IOOK..: 0 DUCT WORK • 0 3-15 HP . 0 SHOWERS - 0 SUMPS • 0
GAS NWT - 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN)100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ - 0 MISC - 0 5+ HP . 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE - 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT FURNISED . ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
,4:,/
OWNER OR AGENT DATE 47
FILE COPY
• !
DEMOLITION PERMIT APPLICATION Demo •
Permit Fee 535.00
Surcharge 4.50
CITY OF FEDERAL WAY Cash Bond 500.00
33530 First Way South (Person Paying Bond)
Federal Way, WA 98003
206-661-4000
DESCRIPTION OF WORK: beNVICLl:\ACil3 CC ) - b 'BL- L1 ._0E55
PRIOR TO APPLICATION:
NOTE:I UNDERSTAI.D 771AT THE FOLLOWING UT71177ES SHALL BE DISCONNECTED AND SERVICES PERFORMED,IF APPLICABLE,PRIOR TO ISSUANCE
OF THE DEMOLITION PERMIT. ALL ITEMS ARE TO BE SIGNED BY RESPECTIVE REPRESENTATIVES.
1. ASBESTOS REMOVAL -`�J -� /4777-)',' 'els 6. GARBAGE
.k)//q-
(Building Official)
2. ELE CITY 7. SEPTIC TANK PUMPED AND FILLED WITH CRUSHED ROCK OR
REMOVED/OR SEWER LINE PLUGGED AT PROPERTY LINE.
__.- Inspection required prior to,backfilling).
(Puget Power) Vit
3. TELEP 0 'E 8. WATER LINE CUT AT PROPERTY LINE(well capped). Inspection
required prior to backfilling.,
TOC CLIPWIJS West)FOR 'WM /L-i�_6��1,r1/.i I,
4. GASS�/V �(,y ......a....667
?, 4,4....7.0.4., qL._ 9. ALL UNDERGROUND TANKS PUMPED AND REMOVED UNDER
I,
le /i on( . //6 CLei cit if/
, FIRE DEPARTMENT PERMIT PRIOR TO EXCAVATION.
75 -yEW (Washington Natural Gas) `,q et, ,57/4404:-.7,-, N IQ
5. WATER-DISCONNECT REQUEST 10. DELINQUENT UTILITY CHARGES PAID.
axa ta.a�
INFORMATION FOR APPLICATION:
JOB ADDRESS: 3 t(4,cj, l c (.0(.1 C�
LEGAL DESCRIPTION: ��C� h-1 t AC\ �_
TAX PARCEL NO: 5e E.—.- I iIA CNS.6
q� (Attach if lengthy.)
OWNER: �E -- - �+C. '? '0(. k-\
c�0c'3k\7II��3 C:---V_-\�
2art
ADDRESS: `'J, " r"` �C FC- L S
CONTRACTOR: -- V O t--).FC--A
ADDRESS: k\.---.1 �� 1 `= - JO-Lek)OE i-.J?\ ckcabCC.)c
CONTRACTOR'S LICENSE: '(—' k-)L�Z
EXPIRATION DATE:
..,\.,&r.....—_—___,
\,....0
:,..a.. ....._
4-1 SS--g WCSignature o Applicant Phone
D...o.m.A.•
key 1/1)^03 \ t'\� 4& \ I`.
000 laLJ°1-S
0 33530 First Way South
ED Federal Way WA 98003
Ay Phone (206) 661-4000
ASBESTOS REMOVAL AND DISPOSAL
READ CAREFULLY
Permittee:
As the holder of a Demolition Permit and/or a Remodeling Permit, you are hereby notified of the possibility
that asbestos may be present in the structure that you are about to demolish and/or remodel.
ANY ASBESTOS FOUND IN THIS STRUCTURE MUST BE REMOVED AND DISPOSED OF AS PRESCRIBED BY STATE AND
FEDERAL REGULATIONS.
Permits for asbestos removal must be obtained from the Puget Sound Air Pollution Control Agency. The
permittee is responsible for obtaining any necessary asbestos removal and/or repair permit. The City of Federal
Way will not be responsible for any actions or fines levied by the federal, sate or regional agencies. Any fines
levied against the City of Federal Way must be paid by the permittee.
t TAT i- Ni g ' T4.ttt ) tirr> ,
) SS
COUNTY OF KING )
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 have read and understand the statement above and I will obtain all permits
necessary or required for proper asbestos removal or repair. I agree to pay any fines against the undersigned
and/or the City of Federal Way relating to asbestos removal, repair, and/or handling; and will defend,
indemnify, and hold the city harmless from any loss, including fines, fees, or attorney fees incurred by the city
relating to asbestos removal, repair, and/or handling and arising out of the activities ca • on pursuant to
Permit N° BI—DCH— on ri, n
7 --o 9 Li
Date Permittee KE\__.,1 /4 VoEZ_L��
SUBSCRIBED and SWORN before me this day of I. 19 //
> 7 / ,.ice,
Notary Public in a or the State of Washington,
residing at Li-L— /.41,1
My commission expires
f' / / 9k
ASHISTOS.FHM ...
IZIiVi S1:D 5/12/94
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JACHG CIBLETT!
ASBESTOS ABATEMENT CONTRACTOR
June 29 , 1994
WESTERN STATES REALTY
1111 118TH Avenue S .E. , Suite 1
Bellevue , WA 98005
Attention : Peter Jouflas
Subject : Federal Way Shopping Center
Furniture Store , and Cleaners , (Building #13 )
Certification Letter
Dear Mr . Jouflas :
This letter will certify that all the visible Asbestos containing
materials in our scope of work have been removed in accordance with
the EPA, WISHA & OSHA Standards .
If you have any questions regarding this letter , please contact us
at ( 206) 535-5754 , or FAX ( 206) 537-6219 .
Respectfully submitted,
TACHO'N,/INNC. /S BLETT JV
Mark D. Stephens
General Manager
MDS :ms
pma k at,cty& •
q Qi - 70°x - _
P.O.BOX 98825 • TACOMA, WA 98499-0825 • (206)581-7138 • (206)535 5754 • ST.CONTR z TACHOIS 10I KQ
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SE1'BiACIfS Se FOO1"1NGS
Date By
FOUNDATION IIIAL[S .
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PLUMBING GROUNDWORK
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CD0193