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08-103481 • City of Federal Way • Demolition Permi • 08-103481-00-DE Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: MANN/DISNEY SHORT PLAT 1 Project Address: 824 SW 312TH ST Parcel Number: 072104 9129 Project Description: Demolition of residence that has been substantially damaged by fire. , Owner Applicant Contractor GURDEV MANN ROBERT PARNELL OWNER IS CONTRACTOR 824 SW 312TH ST 4422 187TH PL SE FEDERAL WAY WA 98023-4515 ISSAQUAH WA 98027 , Additional Permit Information CONDITIONS: For release of bond,submit request to kari.cimmer@cityoffederalway.com following final inspection and approval. PERMIT EXPIRES Wednesday, July 21, 2010 Permit Issued on Monday, July 21, 2008 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 Ity of Federal Way. Owner or agent:�� Date: 7 - I -0E) L / /7 V:: __ , ., 1 THIS CARD IS TO REMAIN ON-SITE CITY OF ''1 °Community Developritnt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103481-00-DE Owner: GURDEV MANN Address: 824 SW 312TH ST FEDERAL WAY, WA 98023-4515 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 p By 7;771:_r Date 1( O l 7 For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date Approved Transaction Page 1 of 1 • • pscleanair.org Puget Sound Clean Air Agency Single-Family Notification Case #: 200801398 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 $50.00 Credit Card Transaction # VLFF2D4E65B0 Transaction Date 06/02/08 Owner's Name Gurdev Mann Phone (206)941-3577 Site Address 824 SW 312th St Site City Federal Way,WA Zip 98166 Contact Person Robert N.Parnell,PE Phone (425) 643-3560 Mailing Address 4422 187th Place SE Issaquah,,WA 98027 This project includes a demolition. Demolition Start Date 06/12/08 Completion Date 07/31/08 Demolition will be completed by the home owner I certify that: (1)This is a single-family residence project.The structure is used by one family who owns the property as their domicile. (2)The information I have provided is to the best of my knowledge accurate and complete. (3)I understand the fee for this Notification is 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 6/2/2008 Jun 02 08 01:39p Robert N. Parnell, PE 425 641- 5095 p.2 , 1111 in' --At Ar-- d tx Y Amu._ _111111:1 CITY OF ,..4141,,.!!--....., Federal Way 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 tbe respective agency(see attached Demolition Permit Contact List). Nide to applicant; Utilities shall be disconnected and services performed. if applicable,prior to issuance of the demolition permit.All applicable Items below are to he signed and daleeLby the respective agency representatives. 1.ASBESTOS ABATEMENT / 6. ELECTRICITY (Copy of approval firm and asbestos ey rn Puget Sound Clean AirEI Agency , +W ( e lcity to be shut ofd and meter removed) ( of Federal quay nul kiln• I City1 7-011-0 (Puget Sound Energy) . 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 under Flrc Department permit prior to any dismantle/4 (Puget Sound Energy) (South King Fire and Rescue) 3.SEPTIC SYSTEM S.WATER- Public Source (Check applicable box) (Tank to be removed or tank to be drained and filled) ❑ Meter to be removed and final utility bel pald Meter to remain and be protected (King County Environmental Services) (Water Supplier) x) ill C"Ott 4.SANITARY SEWER (Check applicable bo ❑Sewer line ca ed at ro 9.WATER-Private Well (Check appi(cable box) Dp p party line o Private well filled and capped o Existing sewer line to remain and be used by proposed new sthi tura a Private well to be used for other purposes /vtJ e.--fl-F6/-6;117 ply SG+?. ---- - .19--�i, �G 'G. (Sewer District) aX.2.4.s / ( 9 County Environmental Services) /5 GARBAGE 5J'3l p V .,,,,A,"6...1 i 1 [r I al0'0 4(AII househot garbage di osed off and final bill paid) LSU �1 -Q uoc. �e .c, � S` 2- GIS(RST Disposal/Federal ay L3 -� D Completed Construction Permit Application form 0 Provide the following fees: 1.Demolition Permit Fee $70.00 2. Automation Fee 5.50 3. WA State Surcharge 4.50 4. Cash Bond Deposit 500.00 (Refundable upon Completed Final inspection) JUN-17-2008 08:15 From: To:2 27484 P.4,4 Jun 03 08 12:37p Robert N. Parnell, PE 425 641- 5095 p 3 '-- Fli er` ..i...... _444%. _ 7 CITY OF Federal Way 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 sec 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. 0 friar to submitting a demolition permit,the following items(as applicable)must be signed by the respective agency(see attached Demo/Won Permit Contact List). Note to de kno appficartt: Utilities shaft be dscwrnected and services pe fonne4,ifar�plicable,prl nr to issuance of the Pw'r�.AM applicable hems below are ao be a igtted and oicrtaLby Vre Pospeclive agemy represeaiaiaes. 1.ASBESTOS ABATEMENT OWd apprOvaf fdm ant a O.ELECT'RICIT'Y Agency provided) survey from Puget Sound Gem Air (Electric*lo be shut off and meter t removed) ( of Radar-at Way crani rrg Official) (Puget Saurx}Ers i ) Z.GAS SUPPLY (Gas to be shot ate rne>pr �naved and final bid 7.FUEL STORAGE TANKS -2.,!,:- she if t - paid) (Above or below grade fuel tanks,have been um a Sound.y lrj J 1. e G dr ragr under Firett73ettt permit Prior t0 any dismantk+,'excavat c. / 1 3.SEPTIC SYS+4 WINOS (5outlh Ring Fire and Resale) (rink to be removedortarts b be drained aid til8.WATER•public Sear= (Check app trox) ci Metre to be removed and Ana!aditty bill paid ,X17.7�fa�roman a be pr¢tedtj 11 (Cog aunty Envir cr lama'Services) �"�°s K Uer (hater Supplier) 4.SANITARY SEWER (Qredc aPWkabfe box) *a*c**GR*s**+i a Sewer line capped at property line 9. t1.r WATER-Private Well((lead applicable fix) u Existing Seaver lirte o remain and bee o Ri arA well fitieC and cappoC e t© 42- ,'� f_J,2y .., �-- — 0,7 ,. new Stri.c...re a FYJ+atE nrElt to beused los otherput ixses f Y '7�'� (Sewer District) Lit°'srr+'� 'A'�.R'� 5.GARBAGE CKrg Camey Envtonrrlen�i Sery;mss) (Ail household garbage ctos,. ed off and Anal bill l ! (raid) (R.ST mesal/Federal dVay LrsPOsaI) J Completed Construction Pern tAppiicatios form Q Provide the following fees: a.ikernoPitiora Permit Fee S70.tND 2.Automation Fee 5-50 3. WA.State Surcharge 4.50 4.Cash Boars Deposit 50th Qierociaable upon Completed Finita iimaectiow; JUN-17-2008 08:19 From: To:25 484 P.2/4 Jun 03 08 1237p Robert N. Parnell, PE 425 641- 5095 p.1 R.N. PARNELL COMPANY RNP (Ivii I:N,F1N1iI \R IjR kES(ILIR(]_l' ENG INr'CRINC MA NMI M1-71T NVIkot ENTAL,SERV ICI.ti CONS11t_JC'nor.MANJ.GI.MEWE FAX; Brooke NSI 1-253-4756007 Pages: 3 (Including Cover) From: Robert Parnell Voice 425 643-3560 FAX 425 641-5095 & to Date: June 3, 2008 t{ `• Subject: PSE Electrical & Natural Gas 824 SW 312th Street, Federal Way, WA to be demolished Brooke: As discussed by phone this afternoon, we have to apply to the city of Federal Way for a demolition permit to remove an existing singe family residence located at 824 SW 312th Street, Federal Way 98023. As part of the city permit processing, and before a permit may be applied for, the city requires that various agencies sign off on certain utilities. Electrical and Natual Gas PSE UM to s- n off on- • Electricity - to be shut off and meter removed • Gas Supply - gas to be shut off, meter removed and final bill paid My clients purchased the home over a year ago and since then no one has lived in the home pending our short plating for three lots. Now it is time to demolish the residence. The Demolition Permit Requirements and the Demolition Permit Contact List provided by the city of Federal Way are attached. Please sign the (3) Gas Supply and (6) Electricity sections and return to me by FAX (425)641-5095 or email mhotmaii,com 4422 187Th Place S.E. •Issaquahi, WA 98027 -425/643-3560• FAX 425/641-5095 JUN-06-200B 06:01 From:ELECTRIC FIRST REP 2533956806 To:425 641 5095 P.2 2 JUN-04-2008 08:56 From: To:956886 P.414 Jun 03 08 12.37p Robert N Parnell, PE 425 641- 5096 p 3 DTV OF Federal Way DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure or struodnts on a sebjcet property. Check with the City's Planning Division to ow if t e proposal environmental review.An environmental review and submittal of n enthvironmesholdsntal chat cklist n may be required,which will exand the time period Winn a demolition ana issued.P�k can be issued. Girder t•labasittinga denogtina permit,the following i applicable)most besteed by tie re:peefya egstey(see attached Demolition Permit Conan Leat). Note to u'pf7 li U1t/ftfu*all de£Sc wUned wad/orrice: donee/L/o,r pahrit A;!upgrkaAl�ltauyr below art ifs be Pdfartned,�aA1Dt1a0bk FYipr to u's�r�ooe d lAe oAc eegpeefiae nofiicypermateisiadved. 1.Age ES11136 AUTHMENT (�tid term MC tlbestue camp from Puget Scone OPlodded) msk G.t L146T1i�RlTY •. b be rc�n1,t,,orn/.�/nyd�rn�oper�rq ,) (ter or Pedwat r 1I nq COW '� v V Y r { ec� �°- 2.GAS Su PPLY cD be ghat off,metertrrnt)red meMM bitpaid) 7. L STORAGE TANKS (Above or tvdow grade fuel tanks.have been pumped or ren (Puget Sed Energy) arab Ftp Dt�rf•ndt permit p►iprr to anyd5mamlet�arara) 3.SEPTIC(mom (Seurat King Fie and f�tre) Crank m be►ernovee a tank b be GING 1-{t 11.11141/111•Public Source (Check minket*bei) o rleler m be rano+red and kat USW till ars Xptste to rernate and be vete tad (Erg County tr,vMonr,.r,b;saaoap s ®8 g M.SWUM'SWIM (WAlamo moble tm� "«••+»oA te.s. o Sewer line appal at la9NATER- ed ate Medcam (Chea applicable box) Extent;comer inCrsnn Rivals Nip �A aadtte i err p} IerAParar-- e"7441ne_w set uw a pAW�wet Iv be uLd rip,Oder purpo oss (Sewer r 5.6A{tiklQP perp Canty Environments soma* (A1 hausehetd flarbage deems arm mama paid)/ (est pbvOsal/Fedeersl Way Clepoyao D Completed Coostruction Fermi:Application form Cl Provide the following tees: 1.Demolition Permit Fee 70.00 2.Automation Fee 55.50 3. WA Some Umlaute 4.50 4.Cash Boad Deposit fRatifttfteie wpm Compkrd/Led 141100Ct{,m] r s 4�w�^ egP(�- _411*i CITY OF '"° Federal Way 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 s , demolition permit.All applicable items below are to be signed and dated by the respective agency representatives. Lx I.ASBESTOS ABATEMENT 6. ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off and meter removed) J� Agency provided) (City of Federal Way Building Official) (Puget Sound Energy) 2.GAS SUPPLY 7. FUEL STORAGE TANKS 3c) (Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or ren under Fire Department permit prior to any dismantle/excaval (Puget Sound Energy) N/A (South King Fire and Rescue) pp�✓ 3.SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box) 4.40 (Tank to be removed or tank to be drained and filled) ❑Meter to be removed and final utility bill paid Meter to remain and be protected e - - -- 3/ff/off' (King County Environmental Services) (Water Supplier) ******OR****** 4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well(Check applicable box) ❑Sewer line capped at property line ❑Private well filled and capped ❑Existing sewer line �t�o�remain and be used by proposed new structure ❑Private well to be used for other purposes (} (Sewer District) /)/ (King County Environmental Services) 5.GARBAGE 5/30a (All household garbage disposed off and final bill paid) (RST Disposal/Federal Way Disposal) ❑ Completed Construction Permit Application form ❑Provide the following fees: 1.Demolition Permit Fee $70.00 2.Automation Fee 5.50 3.WA State Surcharge 4.50 4. Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection) • (4/#4 "-). • { i6 E� "` ��� = `XPA T �` °E k ° A 6 F� 6 L`� ;6 ]1'�� f Instructions for completing form: This form is to be completed by any persons permanently removing a septic tank, seepage pit, cesspool, or other on-site sewage system wastewater tanks from service. Complete and submit this report to the health officer within thirty (30) days of the abandonment. Authority: Chapter 13.04.054, the Code of King County Board of Health, Titl- • Return Completed Form to the Following Address: D. .: CE I VE D Eastgate Public Health Center 14350 SE Eastgate Way JUN 1 7 2008 Bellevue,WA 98007 Phone (206) 296-4932 EASTGATE PUBLIC HEALTH General Information (Please print): Name of Owner/Occupant of Property: �t1, 'Dcy j9i 9e ( Address: Fc2. S w 5/` 1-4- Telephone: /Telephone: 2oe/1511 -- 3 c 77 6,EWaDate of Report; 6 /4, /67e- Wastewater stewater Tank Data: Type of Sewage Tank: 41 Septic Tank Pump Tank Holding Tank Other: Number of Compartments Pumped: 0 NE Number of Gallons Pumped: "1€o Checklist Item Yes No Not Applicable Comments Septage removed by an approved pumper?* c/ Tank lid removed or destroyed? Tank void filled with compacted soil? *OSS Pumper Name: 3 eNSQ,,, \--\; 1! Se P c King County Certification Number: 'F-j-1- lcc i-{Q —19 Reason for wastewater tank abandonment: L/ Property being served by public sewers Property being served by replacement tank Comments: Signat. , 1_ = �� �� Date: i /COOT Report of Wastewater Tank Abandonment: Print Date 5/12/99 Forms/sewage/form.96 .1 • INVOICE Make payments payable to: - BENSON HILL SEPTIC TANK SERVICE P.O. BOX 6191, Federal Way,WA 98063-6191 (253) 631-7979 (253) 874-4496 (425) 432-9344 Date: (-D 4-11 (.4411:6 Terms: II.0 IN Service Delivered: Job Site: Name: ,\,/ i ;11/4., r‘c ' Name: Address: 'IL!4 ,..4 ) --) PL 5 ii- Address: S:)Li S to 3 lj 5 City, State, Zip: 1-i.;;,kpc,,\ 1A3 ,.., City, State, Zip: 7 , ..., ; CI ') _-,,..-,) --' i,N(:)) Phone: Phone: AMOUNT Pump: Dig: Z. _-..,(:.,-, 4 (J.,1... ursc kNA.1 tr , ,--,.--‘''t. ri'.0 .•,\ ! C Water );',,,,,.; ic - , ,, , ç V 6-.' ... Tax Percent: c‘ ,1 TAX 3 0 •:; -.., TOTAL '?;1c.'.+ 1.., c) Sewage Tank Data (Check/Circle all that apply): Type of Sewage Tank: Septic Tank: ,-,' Pumptank: Holding tank: Other: Number of Compartments Pumped: Number of Gallons Pumped: 1 bo Last Pumped 1.,.)t\l'i,.._ System Age '''', 75',)' .• Checklist Item Measurement Satisfactory UnsatisfactoryNot Applicable Action Taken Depth of Scum 1''Compartment: (in.) Depth of Sludge 1si Compartment: (in.) Depth of Scum 2^d Compartment: (in.) Depth of Sludge 2^4 Compartment: (in.) General Tank Condition if Locking-type lid(s) / Riser(s) at Grade / ti i Inlet Baffle Condition if P A Outlet Baffle Condition Effluent Baffle Screen Condition Effluent Baffle Screen Cleanliness Tank Leakage Groundwater infiltration Surface Runoff Infiltration Description of other Service and/or Recommendations: .-. , ) --- ..., ‘1 i".N,) 4. 1-t-„*- 0 0_01.7) ,/1 1 Signature of Certified OSS Pumper: Steven R. Otteson 1I/ ?, :il H-17 KCHD-79 Windows Live Hotmail Print Mess e Page 1 of 1 Windows Liver asbestos survey From: Asbesto-Test Inc. (asbestotest@msn.com) Sent: Tue 7/15/08 1:01 PM To: rnparnell@hotmail.com Attachments: 280704 PARNELL SURVEY 824 SW 312TH, FEDERAL WAY, Security scan upon download 'inn WA.pdf(89.3 KB) Thank you, Robert. The asbestos containing materials, as listed on page 3 of your survey, will need to be removed prior to demolition. Please call if you have any questions. If you don't reach us, please leave a message and we will return your call as soon as we can. Please visit our web site for additional information. www.asbestotest.com Also, for additional information and regulations, please visit the web site for PUGET SOUND CLEAN AIR AGENCY www.pscleanair.org 206-343-8800, and WASHINGTON STATE DEPT. OF LABOR & INDUSTRIES www.lni.wa.gov Type "ASBESTOS" in the search bar at the top of the page. If you need some referrals for abatement, let us know and we can provide some, or just check the yellow pages under "ASBESTOS ABATEMENT". You can also find licensed asbestos abatement contractors on the web site for Labor and Industries. Your invoice will be a separate e mailing attachment and your hard copies will come in the mail. Again, thank you. ArLynn Hammond, BSc., Pres. Asbesto-Test, Inc. 1429 Ave. D. #187 Snohomish, WA 98290 ph 425-489-4040 f 775-665-0420 (NOTICE: This email message is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use,disclosure,or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.) http://by 128w.bay 128.mail.live.com/mail/PrintShell.aspx?type=message&cpids=d7d72972... 7/15/2008 • , . • A-T ASBESTO-TEST, INC. ASBESTOS SURVEY 824 SW 312TH ST., FEDERAL WAY, WA 98023 Page 1 of 5 #280704 July 10,2008 RN Parnell Co. 4422 187th Pl. SE Issaquah,WA 98027 Ph: 425-643-3560 206-819-6849 mparnellnhotmail.com On July 2,2008 Asbesto-Test personnel conducted an Asbestos survey(per U.S.E.P.A./A.H.E.R.A.guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the burned house(824 SW 312th St.,Federal Way,King County,Washington 98023. This survey purpose is to identify any Asbestos Containing Materials that may be present and will require professional removal prior to demolition. Note: This house has been burned This is a limited survey due to the burn, inaccessibility,unsafe conditions,and contents. There may be additional ACM inside this house that was not discovered in this survey. If any additional suspect asbestos containing materials are located(prior to or during demolition that were not included in this survey such as but not limited to those items listed on the last page of this report),those materials are presumed asbestos containing unless tested otherwise by laboratory analyses. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The structure is one story wood frame.The siding is wood.The composition roofing and siding vapor barrier materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall/taping material was sampled. The linoleum,tile,and vinyl flooring with relating backings and mastics were sampled per each located homogenous area. The mastic materials were sampled where applicable. The acoustic ceiling tile materials were uniformly sampled. CONTINUE TO PAGE 2 1429 Ave.D.PMB#187,Snohomish,WA 98290 ph:425-489-4040,c 206-914-5500 fax:775-665-0420 page:206-540-2401 web:www.asbestotest.com e mail:asbestotesrtemsn.com • • Page 3 of 5 July 10,2008 CB280704 Asbesto-Test,Inc. 425-489-4040 824 SW 312` St.,Federal Way,Kin2 County, Washington 98023 Any and all materials identified as ACM or PACM in this report(and/or additional materials associated with the structure that may be discovered and later identified as ACM or PACM),must be professionally abated prior to demolition.ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION,AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXIMATION ONLY. SAMPLES 1-3 ARE ASBESTOS CONTAINING MATERIALS ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL 1.0 FLOOR TILE yes//chrysotile//2-5% non-fibrous materials Family room—color: light brown ACM 1.1 BLACK MASTIC yes//chrysotile//2-5% adhesive,cellulose MASTIC AND TILE IS NON-FRIABLE ACM APPROX.625 SQ.FT.ON CONCRETE 2.0 FLOOR TILE yes//chrysotile//2-5% non-fibrous materials ACM Kitchen bottom layer(under laminate flooring)—color: off white 2.1 BLACK MASTIC yes//chrysotile//2-5% adhesive,cellulose MASTIC AND TILE IS NON-FRIABLE ACM APPROX. 150 SQ. FT. NOTE: Any additional colors or kinds of vinyl flooring and/or tile with any relating mastics/backings that were not discovered in this survey and may later be located in this structure are also presumed to contain asbestos unless tested otherwise by laboratory analysis 3.0 acoustic ceiling tile NAD cellulose,paint kitchen&hall 3.1 MASTIC DOTS yes//chrysotile//2-5% adhesive,cellulose beneath acoustic ceiling tile-MASTIC IS NON-FRIABLE APPROX.200 SQ.FT. ACM THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES 4.0 tile flooring NAD non-fibrous materials hall surface layer—color: light gray 4.1 mastic NAD adhesive 5.0 linoleum flooring NAD non-fibrous materials, hall 2nd layer—color:tan cellulose,tar 5.1 mastic/backing NAD cellulose,tar continue to page 4 A-T II • Page 4 of 5 July 10, 2008 CB280704 Asbesto-Test,Inc. 425-489-4040 824 SW 312a St,Federal Way,King County, Washington 98023 ANALYSIS IDASBESTOS//TYPE//QUANTITY OTHER MATERIAL 6.0 mastic NAD adhesive,cellulose kitchen floor under laminate 6.1 mastic NAD adhesive,cellulose kitchen under countertop laminate 7.0 sheet vinyl flooring NAD non-fibrous materials, kitchen 1st layer under laminate—color:off white cellulose 7.1 mastic NAD adhesive 8.0 sheet vinyl flooring NAD non-fibrous materials, bathroom—color:gray cellulose, fiberglass 8.1 mastic NAD adhesive 9.0 drywall NAD non-fibrous materials walls paint,gypsum 9.1 drywall taping compounds NAD non-fibrous materials, SAMPLED PER AHERA PROTOCOL cellulose,fiberglass 9.2 surface paint homogenous throughout NAD paint,cellulose 10.0 drywall NAD non-fibrous materials ceilings paint,gypsum 10.1 drywall taping compounds NAD non-fibrous materials, SAMPLED PER AHERA PROTOCOL cellulose,fiberglass 10.2 surface paint homogenous throughout NAD paint,cellulose 11.0"old"electrical wiring insulation NAD non-fibrous materials, cellulose,polymers 12.0 insulation NAD fiberglass,cellulose 13.0 siding vapor barrier NAD cellulose,tar material beneath wood siding exterior 14.0 composition roofing NAD cellulose,tar fiberglass, non-fibrous materials 14.1 roofing vapor barrier NAD cellulose,tar continue to page 5 A-T • • Page 5 of 5 July 10, 2008 CB28O704 Asbesto-Test,Inc. 425-489-4040 824 SW 3124`St.,Federal Way,King County, Washington 98023 Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials,as prescribed by A.H.E.R.A.protocol. Samples taken are listed with their corresponding analyses.If asbestos is detected,those samples containing asbestos are listed first and noted with the initials"ACM". If•during demolition or renovation,any additional hidden or covered suspect materials similar to those identified in the survey are located[may include but not limited to:sheet vinyl flooring,tile flooring,wall or ceiling texturings or paints,concrete siding or skirting,cement pipes,cement wallboard,electrical cloth,electrical wiring insulation,thermal paper,wallboard,joint compounds, vinyl wall coverings,spackling compounds,or any other suspect TSI(Thermal System Insulation)],they should be treated as Asbestos Containing Materials unless determined to be non-asbestos by laboratory analysis. Note:Asbesto-Test,Inc.does not guarantee approximations of quantities of ACM,which may be listed with the analyses.It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material(i.e.square or linear foot,etc.),or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance,renovation,or demolition. Analytical test method:USEPA 600/R93/116**(PLM);WAC 296-62-07753 App.J Key: ACM signifies"Asbestos Containing Material" PACM signifies"Presumed Asbestos Containing Material" CAB signifies"Concrete Asbestos Board" < signifies"less than" TSI signifies"Thermal System Insulation" HVAC signifies"Heating Ventilating Air-Conditioning" NAD signifies"No Asbestos Detected" **One percent is the USEPA regulatory limit for asbestos in bulk samples. PLM has been known to miss asbestos in small percentages of some samples,which contain asbestos,thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM or TEM,to insure analytical accuracy when reported in small percentages. Asbesto-Test,Inc.claims responsibility for sample content only. END OF REPORT ArLynn Hammond,Pres. Analytical Chemist,B.Sc. AIHA proficient A-T • R.N. PARNELL COMPANY RNP CIVIL ENGINEERING WATER RESOURCES ENGINEERING MANAGEMENT ENVIRONMENTAL SERVICES CONSTRUCTION MANAGEMENT June 3, 2008 R. Lee Bailey, CBO City of Federal Way P.O. Box 9718 Federal Way, WA 98063 - 9718 Subject: 824 SW 312th Street, Federal Way Notice of Unfit Structure - Demolition Permit Dear Mr. Bailey: I am responding to your letter to Baljit Sehmby, dated April 2, 2008, concerning your notice of unfit structure. As Gurdev Mann, one of the owners, and I discussed with you in your office on Friday May 30, 2008, we are in the process of obtaining a demolition permit to remove the residential structures as part of our short plat preliminary approval conditions (Disney Short Plat#05-104289-00-SU). Due to a recent fire at the unoccupied building, insurance claims have just been settled that allows the owners to demolish the structures. We anticipate agency approvals as required by your Demolition Permit application form and subsequent city counter permit obtained with demolition scheduled June 12 or very soon thereafter. Please call me at (425) 643-3560 if you desire additional information. Sincerely, / Robert N. Parnell, PE CC: Baljit Sehmby - Gurdev Mann / owners 4422 187th Place S.E. • Issaquah, WA 98027 • 425/643-3560 • FAX 425/641-5095 JOHN L SCOTT Fax 2538599727 May 30 2008 06:18pm P001/001 S CITY or HALL 4441k.,. Federal 33323332 5 8th Avenue South 'Veiling Address: PO Box 9718 Federal Way,WA 98063-9718 (253)835-7304 www.cit yo ffederal wa y.con April 2,2008 Baljit Sehueby 21214 104`h Avenue SE Kent, WA 98031 Re: NOTICE OF UNFIT ST•UCTURE Dear Baljit Sehueby: On November 6,2007,the + ity of Federal Way enacted Ordinance#07-566,"Unfit Structures" (enclosed), which will be in orporated into Federal Way Code(FWCC)Chapter 1,Article III,"Civil Enforcement of the Code." f is ordinance was passed in an effort to deal with the increasing number of derelict buildings in our 'ity.The ordinance lays out parameters for identifying those buildings which are unfit for human . cupancy,create an attractive nuisance,or are a danger to the health and well being of the public in ,.eneral. The City of Federal Way is ommitted to maintaining quality neighborhoods and an excellent community environment.0 r citizens expect us to do everything we can in this regard.We know that this can only be achiev:d by cooperation of all.Our records indicate you are the owner of the property located at 824 SW 12th Street, which has been identified as an unfit structure. The city has received nume sous complaints concerning this problem and feels it is necessary to act. The purpose of this notifica ion is to allow you to contact the city's code compliance section with any plans you may have co venting the removal or rehabilitation of the subject property. Please contact me at 253-835-2621 within ten(10)business days from the date of this letter to discuss alternatives regarding this p operty. Failure to contact the city ' regards to this property will result in further enforcement action, which could include demoli ion of the structure in question. Sincerely, R. Lee Bailey, CBO 't Building Official Enc: Ordinance#O7-566 CIT'OF I ECEI ^ ED/ r Federal way E R C%? - D 3 ,, LOWS MIT g‘ SF SF CO ME EL PL DE N FP COMMUNITY DEVELOPMENT SERVICES.J 1 L 33325R SOUTH• BOX 9718 P L I C A T I O N FEDERAL L WA WAY,WA 9806363-9718 TD 253.835-2607•FAX 253-835-2609 f)F RAI_ www.cituofTederulwau.com ,art The following is requ red information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION - SITE ADDRESS_ 824 seo j/oz S i /5---7-0&_-.A.:;44. ,4 Y SUITE/UNIT# ASSESSOR'S TAX/PARCEL# D 7 t.-" / U 4- - 9' J 01 1 s) LOT SIZE( LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) \t// /i2O 7 Of t. 330 F/ a, 5" 3'640/Z ®/L— _ for lengthy( dowi•ti• 5� �/ t . 1 !�/ a F S t i� to, .� e8ar - ■ PROJECT INFORMATIONI TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL •DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) rE) I1 Ey /400-7- ( ECA r 0 S —l©C f F 9 r(f?0 --SCJ -D f.in c i i 5 i-i Priv e iNIS 4e- ,Ex 1.‘.;77,05 S°relic 12if2 (..) AT z1T / PROJECT NAME(Name of Business or Owner Last Name) MAW -- tfs(Efir` S/b. 'r /7747- I 7 7- PEOPLE INFORMATION PROPERTY NAME y� rPRIIM,ARY PHONE OWNER aLl DEEV - 1► l d'�(1 G )94/-34-77 MACIT',STATE,ZIP E-MAIL ADDRESS f 5 LG 61 � ki-e f• -- /_,i.;,,-� ,.-- is e el‘( CONTRACTOR COMPANY NAME A �R-� APPLICANT NAME OFFICE PHONE .COD ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ( ) CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE _�71 2E /''72r, ( U)d(ff ( ) _ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER 0 Architect ❑ Tenant ❑Agent 0 Other ( ) - PROJECT NAME PRIMARY PHONE CONTACT E-MAIL ADDRESS j / KN !t'�/ELL �® (125.1<,-4-- }"C6--f-r", 714",1` LENDER NAME �1r/,l�-shyL��.r Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) — a DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 0 PROJECT FLOOR AREAS , AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ.FT. SQ. FT. BASEMENT C7 C t FIRST /CO t 0 Cf7 C SECOND C.0U 6 THIRD C.- 0 ADDITIONAL FLOORS(DESCRIBE) C O DECK(0 COVERED OR 0 UNCOVERED?) i) GARAGE CARPORT ❑ ("9 EXISTING PROPOSED TOTAL TOTAL EXISTDVO Sr TOTAL PROPOSED ST TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offacture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS „%" HOODS(commercial) COMPRESSORS FURNACES , RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tolley ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS/ SUMPS SIGNATURE 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 city as a part of this application. -&--,....e..,/—/ "�-L ' /4-1----4---- s-----__""SIGNATURE: `C/ � DATE I /c..1.-" / / Property Ownerand/or Authorized Agent / . o NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? ❑YES a NO ZONING DESIGNATION CHANGE OF USE? ❑YES 0 NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES a NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO Bulletin#100—January I,2008 Page 2 of 4 k\Handouts\Permit Application