05-102797 • 4111
City of Federal Way Demolition Permit #: 05 - 102797 - 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) 835-305a
Project Name: MULTI-SERVICE CENTER
Project Address: 33305 24TH SW Parcel Number: 932090 1050
Project Description: Demolition of a 3-parking stall carport structure with an attached storage shed. This carport spans 3
parcels.
Owner Applicant Contractor
SOUTH KING COUNTY MULTI S SOUTH KING COUNTY MULTI S M C CONSTRUCTION*MONTE MECKLENI
PO BOX 23699 PO BOX 23699 6715 167TH ST E
FEDERAL WAY WA 98093-0699 FEDERAL WAY WA 98093-0699 PUYALLUP WA 98373
(253)531-4494
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 June 15,2007.
Permit issued on June 15,2005
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.
ts- c 5
Owner or agent L ,,..d Date: (Jo'�
THIS CARD IS TOOMAIN ON-SITE
CITY OF , AL ida�'' Ilt ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102797-00-DE
Owner:
Address: 33305 24TH AVE SW
FEDERAL WAY, WA 98023-2809
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 Ci Date 6-30 . a�..—...0
1 40
•
Fps gi _ fu'/)T�-
Federal Way;�EGE �+ PERMIT --� —
COMMUNITY DEVELOPMENT SERVICES A SF MF Co ME EL P!`DE i N FP
33325 STH AVENUE SOUTH•63 BOX 97 Z 200 771'3 p L I C A T I O N TD
FEDERAL WAY,FAX
98063-260 . 1V + ' / /
253-835-2607•FAX 253-835-2609
www.eitgoffederalwap.corn D
( D�FE E0
u Ep1
The ollowin• is r-• _,. ^'. •tion-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in in or
• PROPERTY INFORMATION
SITE ADDRESS 333C)cS 3'33011, 3-Y301 3 -( ke S f e�t)Qi pl-( SUITE/UNIT# -5 ,pp-t-S,.
ASSESSOR'S TAX/PARCEL# �� - 0 ��~ LOT SIZE (sf) I L'ct c -
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) '(� "C-, �� 1
1 e C ��
'-6-6l Cbl (Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
1V EMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
I�' er-\brf C+�RPoRT owes 3 (i3arU - SQtoceS , 1- Sthec. a.4,,&
PROJECT NAME(Name of Business or Owner Last Name) vt,A,L t-i - SERV( CL 02€,A,1-4--ext,
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE �j
OWNER MV,.t.Ti' - Se12v'\c 'L��-�-N - (t��3) ' 7 5 -�`7 404
MAILING ADDRESS�, �px CITY,STATE,ZIP
%aoo s. 3310 S T. J ,A3 to 99 T-ezte..z as w , L&)ict- cigoq 3 =- Ovi 9
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ke. C_o"S- R -
- ;
c` a);3 fR4e tYketSLQ 4bu`'�'`'r�� (a53) 35 I - HL4'9t1
MAILING ADDRESS CITY,STATE,ZIP V CELL PHONE
to71.5 — 110'1 ST EptsT ~kv.1cL.+.-ur 1�f k G 31'D (a53) �� - `I 570
ta- a5-j
OF FEDERAAY BUSINESS LICENSE NUMB R ..�JPIRATION DATE FAX NUMBER
Q - B L i2/3+�o ti / o Q (w3 - 390 (
CONTRACTOR'S
�T CT R'S REGISTRATION NUMBER(copyarrequired with each application) •u EXPIRATION DATE
e 0 ` * .k 1 I (.ttk - 3 1 of 0
APPLICANTCOMPANY NAME APPLICANT NAME OFFICE PHONE
rkkik":„SeA)/cc. 0i?y'1'kk. VALe-ei ki\i .2s - (as3)s54 -440(o gU T
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
515 4. 1.- �g,s c.:)t• 4#,RD5 K'EN'T wvA- cis G 3-c; (as3) (c'1® -419(c
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant iii4gent 0 Other(Describe) ( 53) cp 5'4 - 1550 1 5 5 0
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
R% PA k)DE QScw ( 5-31 (I, 10- y i Ci (i.7 �'A,142-r p t A..a)Mu i+,<-r�kive
LENDER Per RCW 19.27.095: Lender information is NAME C e YZ CO
wli
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE e {w,1; ,,..1 PROPOSED USE O R\V'e W A Kra C R rt.)Pa 01'
EXISTING ASSESSED/APPRAISED VALUE $4,L 00 VALUE OF PROPOSED WORK $ '7ccoa
SPRINKLERED BUILDING? 0 YES IP NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES Q 1r0
WATER SERVICE PROVIDER PILAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 12 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ. FT. SQ. FT. SQ. FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT Z'
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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.
MECFIAIVICAL `�l' Pc
Value of Mechanical Work $ I
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) 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(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinha) 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. �,Q
NAME/TITLE { A-ms` s-.'= DATE U 5
(Signature)
�� (Title)
RELATIONSHIP TO PROJECT ❑ Owner [Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
1
. . • S
RECEIVED DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
, 4k.
33325 8`h Avenue South
CITY OF JUN 1 4 2005 PO Box 9718
Federal Wa A 980631$.
FederalWay
253-835-2607; ax 253-835-2609
CITY OF FEDERAL WAY www.cityo :Com
BUILDING DEPT.
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.
0 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 signed and dated 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)A4._4.-4--,_____ p F AA4._4.-4--,_____ 'v (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
A under Fire Department permit prior to any dismantle/excavation)
(Puget Sound Energy) WK.
(Federal Way Fire District#39)
3. 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
Oo Metertto remain and be protected
N (King County Environmental Services) N
(Water Supplier)
****** OR******
4. SANITARY SEWER (Check applicable box) 9.WATER- Private Well (Check applicable box)
o Sewer line capped at property line n Private well filled and capped
o Existing sewer line to remain and be used by proposed new structure ❑Private well to be used for other purposes
i`t F\ (Sewer District)
(King County Environmental Services)
5.GARBAGE
(All household garbage disposed off and final bill paid)
KI
(RST Disposal/Federal Way Disposal)
❑ Completed Construction Permit Application form
❑ Provide the following fees: 1. Demolition Permit Fee $63.50
2. Automation Fee 5.00
3. WA State Surcharge 4.50
4. Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection)
$573.00
Bulletin#122—March 9,2005 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
r
Agency Case No. PUGET SOUND CLE ,Q{I•`,E E E
AGENCY RM�G�v
110 Union Street,Suite 500
�� ; Seattle,WA 98101-2038
200500515 4 2005 JUN 4 2005
www.pscleanair.org JUN 1
Clean Air Agency NOTICE OF INTENT. FDERAI-W' PUCET ff1(isCe t�$a�'
t,UILDINDlfi' AIR , .ENCS`
A.Project Type: 1. ❑ Friable Asbestos Removal 2. ❑ Friable Asbestos Removal&Demolition 3. I' Demolition Only
B.
Property Owner: u LT I - S C R v i C C C-c rsl I e Phone: cAS 3 83 5 ( V O
3-3(.0 P � 9 �Mailing Address: ‘Dj(j( , CJ t • I O. �►��ICity: ��k�rWc..1 State 1� Zip9%QQ3- olocii
C. Asbestos PLEASE.PR/NT CLEARLY,THIS WILL BE YOUR RETURN MAILING LABEL.
Contractor: OR\oKJ EI.1V1 at11J IY1rrt I-nal_ KATORkner/CEO:
-ONn Contractor
Mailing Address: 3'\L�Oi4 —9 "pc s , `ju.�tZ N5 Phone:a53 �5a 1 1r Job No.:
City: t' t. 1c.)L W State: WIN Zip: lsbcz Fax: a5 ‘‘..4 411 1
D. Site
Address: .Y3305 j C�7t 3' '30., -rAle rt\ ci - ck Yi%�„ �.f% p:(�1Zi (-
Manager: i���LERIL Site
C.Q.rroo,t'°frity
,�/ f\I\I.h C. S ' Local Phone: �(! 10 Li 19`P
E. Asbestos Survey or No.of Date of AsbestosWas Friable Asbestos Identified? ❑Yes f o
U Mat'l Presumed Structures: Survey: to % •-013 Was Nonfriable Asbestos Identified? ❑Yes o
AHERA Building etzvifiaat."e nT.c.l Certification#:Val P-,4,--s,..O5.Attach a copy of the survey when friable asbestos
Inspector: 0g IN.' �O(c(Vbc Exp.Date:3 r 10_ ,, 17 has not been identified.
An AHERA Survey is required before alldemolition projects
F. Demolition Start i r a3 r p 5 No.of 1. ❑ Training Fire(List Fire Dept.)
Information: Date: Structures: I 2. ❑ Ordered Demolition(attach copy of Order)
Demolition Insertdemolition contractor's mailing address on back. Will nonfriable asbestos be left in place during demo? ❑ Yes ❑ No
Contractor: Inc• Q014s�--& *;
61\1 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: A Completion Date: Hours:
Will all friable asbestos ❑ Yes
Total Qty. to be Removed: Linear Ft. Square Ft. materials be removed? ❑ No
❑Boiler\Furnace Insulation U Duct Insulation U Pipe Insulation ❑ Fireproofing ❑ Paints ❑ Plaster U Textured Coatings
❑ Cement Board ❑ Cement Pipe U Friable Flooring ❑Friable Roofing Material Other:
H. Asbestos/Demolition Project Categories: Notification Period Project Demolition
1. Single-Family Residence(owner-occupied): Fee Surcharge
A. ❑ Asbestos Removal Project Only A.Prior Notice A. $25
B. ❑ 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 is owned by one family who has been or will be using the residence as their domicile,the above boxes
IA or IB may be checked. If this is not an owner-occupied residence,one of the categories listed below must be used instead. A single
famil residence does not include rental property, multi family units, or any mixed-use building.
• 2. All Other Demolitions(with no Asbestos removal or Nonfriable Asbestos 10 Days '-'- '70-(_
only or less than 10 linear feet and/or 48 square feet of friable Asbestos)
Friable Asbestos Projects(other than Single Family Residence): Asbestos Demo
3. ❑ >_ 10-259 linear feet and/or_>48- 159 square feet of asbestos Prior Notice 10 Days $100 $100
4. ❑ 260-999 linear feet and/or 160-4,999 square feet of asbestos 10 Days $200 $100
5. U >1,000linear feet and/or>5,000 s uare feet of asbestos 10 Days $600 $100
6. ❑ Emergency Asbestos Project or Emergency Demolition Project Prior Notice $50 Emergency Fee
(Single-Family Residences are exempt from emergency fee;however,property owners 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. Ageir se 0 my
`s.-Nt'r V Lc c. - lAulV%-&.&v ce_ e_R_.11 • ` fri, •- -,05 _orf..0��
Signature Representing • ii-la _ Date Reviewed B
Puget Sound Clean Air Agency Form No.: 66-160(Revised 2/05)TS G Q
AMOUNT
RCPT. E9.
•
The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project
involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects
(regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation
III, Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agency
forms. Asbestos removal and demolition projects involving materials and structures below the notification threshold are
still subject to all other requirements of Regulation III,Article 4.
After receiving a complete notification with the appropriate project fee, the Agency will review the form and return a
copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification.
J. Demolition PLEASE PRINT CLEARLY.THIS WILL BE YOUR RETURN MAILING LABEL
Contractor: N\ . e. NsTYLtxCI'1& i Owner/CEO: h 1f ec -' be-it.i#.
S (17 E Phone:R5' CA-570 Contrac or's
Mailing Address: 5 to Job#:
city:"V LL"4 Cukk Stater A Zip: 1%3]5 Fax:
GUIDELINES FOR SUBMITTING AN ASBESTOS\DEMOLITION NOTIFICATION
Step 1. Check the appropriate project type in Box A. Friable asbestos includes popcorn ceiling material,sheet vinyl flooring,cement
asbestos board siding,and duct insulation. Nonfriable asbestos is normally found in vinyl floor tiles,window putty and most 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 friable asbestos to be removed from each structure.
Step 5. Check either asbestos survey or material presumed in Box E. All demolitions require that an Asbestos Hazard Emergency
Response Act(AHERA)asbestos survey be conducted by a certified AHERA building Inspector. Attach a copy of the survey to the
notification of a demolition project when only nonfriable asbestos or no asbestos is identified on the 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 must be attached). All asbestos must 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: Demolition debris containing nonfriable asbestos materials must be
labeled as"nonfriable asbestos-containing waste"and be deposited at an authorized waste disposal facility.
Step 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed:surfacing material such as
popcorn ceilings or plaster,sheet vinyl flooring,duct and pipe insulation,cement asbestos board siding or pipe,etc.
Step 8. For owner-occupied Single-Family Residential projects, check BOX H1A for renovation projects or BOX H1B for
demolition projects (with or without asbestos removal). Asbestos removal may be conducted after a complete notification is
received, but demolition activities can only begin on the 10th day after the notification is received. Note: If the single family
residence is owned by one family who has been or will be using the residence as their domicile, boxes IA or IB may be checked. A
single family residence does not include rental property,multi family units,or any mixed-use building.
For Commercial asbestos projects(or projects that do not qualify as Single Family Residential);check the project category H2-
5 that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropriate surcharge
(additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box 1 —5 and the
applicable emergency box in H6. All emergency requests must be accompanied by a letter from the property owner demonstrating the
need to conduct the project immediately in accordance with the requirements in Regulation III, Section 4.03(c).
Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box I.
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 fee is
required for all amendments.
Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at www.pscleanair.org.
For technical assistance call(206)689-4058 and for administrative inquiries call(206)689-4090.
Puget Sound Clean Air Agency Form No.: 66-160(Revised 2/05)TS
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•
Aye
ORION Environmental Services
An Environmental Compliance ConsultingE'vED
WBE W2F5912535
JUN 1 4 2005
Report Date: June 13, 2005 Executive Summary
Ms. Valerie Anderson CITY of FEDERAL WAY Project No. 051574
BUILDING DEPT.
Multi-Service Center
515 West Harrison Street, Suite 205
Kent, Washington 98032
RE: Asbestos Survey Report— Carport
Dear Ms: Anderson
On June 13, 2005 under an agreement with your organization, my technician performed an
asbestos survey on a carport associated with the apartment complex located at 33305 24th
Avenue SW in Federal Way, Washington. At your request, the purpose of this survey was to
ascertain the existence of asbestos containing materials as well as providing characterization
and quantities. This survey was performed in conformance with procedures and methods
outlined in applicable federal, state, and local regulations.
Investigating Team
Team Asbestos Accreditation and Experience
Building Inspector • AHERA Building Inspector UMP-NESI-05-14 -
Donna McNeal Argus (expires March 10, 2006)
Investigating Protocol and Findings
Building materials that contain asbestos fibers in the amounts greater than 1 percent (1%) is
regulated by Washington State Department of Labor and Industries and Puget Sound Clean Air
Agency. Based on what was observed, no suspect materials were identified as part of this
investigation.
Questions concerning this Executive Summary may be addressed to me directly. Thank you for
the opportunity to serve you. I hope we can be of assistance to you on future projects. If there
is anything additional I can do to expedite your operation, please do not hesitate to let me know.
Professionally Yours,
OR„I� N Environmental Services
Nelso Iles
AHERA Building Inspector
♦ 0 . 11:1'. \.‘L! il':
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