12-103959r
Demolition
City of Federal Way E c #
Community & Ecoh Dev. Services y Permit #. 12 -103959 -00 -DE
33325 8th Ave S
Federal Way, WA 98003 253 1 835-3050
Inspection Request Line: xr
Ph: (253) 835-2607 Fax: (253) 835-2609 p q
Project Name: KING COUNTY LIBRARY @ SOUTH 320TH STREET
Project Address: 848 S 320TH ST Parcel Number: 082104 9222
Project Description: Demolition of 10,000 square foot brick library structure.
Owner
AR1211can
Contractor
KING COUNTY LIBRARY SYSTEM
PEASE CONSTRUCTION INC
PEASE CONSTRUCTION INC
960 NEWPORT WAY NW
PO BOX 98046
PEASECII 190A (9/1/13)
ISSAQUAH WA 98027-2702
LAKEWOOD WA 98496
PO BOX 98046
LAKEWOOD WA 98496
Demolition Valuation.............................................25000
PERMIT EXPIRES Wednesday, August 27, 2014
Permit Issued on Monday, August 27, 2012
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. J
Owner or agent: Date: g/ -�' 7 // -4z-
FINg4b A /Z fi// &
VMS-
Federalay ve®
*ERMIT
COMMUNITY DEVELOPMENT SERc�� A p p L I C A'I' I O N
253-835-2607• FAX 253-835-26099 ^�t"1
aruorrede� 1w.1i.m.2 n ` �f:
--/0 -3 D � 4SAF/
CO ME PL EN FP
SITE ADDRESS F 5SUITE/UNIT
c / P 1:' (
#
PR CT VALUATION
$ �' �l Oct
ZONING
e--
-0
ASSESSOR'S TAX/PARCEL #
- _ 2 2—
TYPE OF PERMIT
0 BUILDING 0 PLUMBING O MECHANICAL
DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name]elafz
r
rc
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME _
4 - elx�& Z ` S�
PRI Y PHONE
:�,700
ING ADD
E-MAIL
CITY
-
STATE
1t/
ZIP
gYo7
NAME
PHONE
MAILING ADDRESS Cc� //
/S 'f/] ltJ �.L�i Fj3CT
E-MAIL
F1 /' "'
CONTRACTOR
CIlE
ZIP
/y
SCJ:
�j�%`.
�vA✓�R
`C `-�� C7 / / t''
W 7TA E CONTRACTOR'S LIC SE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMEj> ��ff/�
G 7�'GCS
PHONE
MAILING ADDRESS ,}
._ l fi S
S 7N 'So
MAIL
r %t Je146,(f00 .
APPLICANT
ST TE
ZIPC{
FAX (��
7O S
PROJECT CONTACT
(The individual to receive and
NAME
ZS - �Z
MAILING ADDRESS
of
-MAIL
,,
respond to all correspondence
concerning this application)
CITY
L
STATE
W
ZIP�y
LJ� `k!4�
FAX
ALTERNATE CONT4=7E:
PH NE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW I9-27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 certify that to the best
Of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 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 fled 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 applicatto
SIGNAT DATE
PRINT
Bulletin #100 - January 1, 2011 Pagel of 3 k:U-Iandouts\Permit Application