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10-102567City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: LUMBERMEN'S Project Address: 34211 PACIFIC HWY S Demolition Permit #: 10 -102567 -00 -DE Inspection Request Line: (253) 835-3050 Parcel Number: 202104 9053 Project Description: Demolition of (4) detached buildings. This demolition does not include the Chiropractic Office closest to the street. Owner Applicant Contractor HAZ LLC CITY OF FEDERAL WAY NORTHEND EXCAVATING INC. 34211 PACIFIC HWY S PO BOX 9718 NORTHEI961BT (1/30/12) FEDERAL WAY WA FEDERAL WAY WA 98063-9718 10014 149TH AVE NE 98003-6791 GRANITE FALLS WA 98252 Demolition Valuation.............................................8541 PERMIT EXPIRES Sunday, June 17, 2012 Permit Issued on Friday, June 18, 2010 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: Date: 100V/5�4 THIS CARD IS TO REMAIN ON-SITE . Cy" of Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 10 -102567 -00 -DE Address: 34211 PACIFIC HWY S Owner: FEDERAL WAY, WA 98003-6815 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. Approved By Date ❑ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date Federal Way ERM IT V. ,", LICATION itiJ-R.:7r2nr1{• F -U L.'i.i-FJS-2(Uy .1,1 AV S F CO ME P DE EN FP SITE ADDRESSSUITE/UNIT �` �Gr -3Z/xM W # (C @@ PROJECT VALUATION ZONING SESSOR'S TAX/IYARCEL # TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Narne/Homeowner l C ki// rrerzarit Gast Nanie) - )� v'k-ao PROJECT DESCRIPTION 11 h Ll S Detailed description of work to be included on this permit only PROPERTY OWNER NAME ' /� PRI HONE ,_{i/J C' l'�f �` �WL/ ((, / C/✓ MAI G ADD S3 50 E-MAIL / STAjTE Z4 V NAME Le U'i PHONE MAILING ADDRESS // ..ter G /� - 10�1LL E-MAIL CONTRACTOR CAT Fff ( F STATE FAX i 40 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME 4u 0-rr- FaWpw) WaPHONE, �j G'-� — CJ ✓ .___ �. 1 APPLICANT MAIL RE E-MAIL ST FAX PROJECT CONTACT N PHON& � 7 (The individual to receive and MAILING, ADD SS % / E-MAIL// �j, respond to all correspondence concerning this application) / !/'l jf C STATE ZIP./1G ALTERNATE CON ACT, PHO F" (J E --MAIL PROJECT FINANCING NAME /j /-F- t ❑ OWNER -FINANCED Required value of $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) 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. SIGNATURE: DATE PRINT NAME: Bulletin #100 - April 14, 2010 Pagel of 3 k:AHandouts\Permit Application VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (c. --req BOILERS FURNACES HOT WATER TANKS (Gen) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS for Tub/shower Combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS (mtchen/vubM WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES :z.'%>.:':.'::::::.:::..::::...'1�Q`1`A7::::::::.:....:. CRITICAL AREAS ON PROPERTY? Yoe WATERPURVEYOR l_a kc 1 Lu' SEWER PURVEYOR VALUE OF ZX30TING-IMPROVEMENTS EXISTING/PREVIOUS USE J i m4 LvL-,:: r J , - LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? ❑ Yes No PROPOSED FIRE SUPPRESSION SYSTEM?^ ❑ Yes ❑ No ; 7 A AREA DESCRIPTIONI Area Occupancy Groups) I Construction I # of Additional Information in Square Feet Type Stories ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet I I Type I Stories TENANT AREA ONLY Bulletin #100 — April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application 0 CITY OF Federal Way DEMOL TION E DEPARTINIEN'r ot? CorvimuNi-rY DLVELOPMENT SERVICES 33325 8"' Avenue,3outh PO Box 9718 Federal Way WA 9806.3-9718 233-835 2607 Fax X53-835 _2609 ,,Ugft'>derav coin 4�11 1 1 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 - 11 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 Tommic.tvT: Utilities shall be disconnected and services perfornmid, if applicable, prior to issuance of the demolition pertnit. All applicable items below are to be Tig curd dater! by the respective agency repre-Nentativiv. 1. ASBESTOS ABATEMENT 6. ELECTRICITY (Copy of approval form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off nd meter removed) vp Agp,mcy proed) 6L+lZVL 4J � tm (Puget Sound Energy) I / - (City of Federal Way Building Official) I 2. GAS SUPPLY (Gas to be shut off, meter repioved nd ft at bill paid) (Puget Sound Energy) 3. SEPTIC SYSTEM (Tank to be removed or tank to be drained and filled) 9-.e,r (King County Environmental Services) 4. SANITARY SEWER (Check applicable box) a Sewer line capped at property line VExisting sewer line to remaln_e�� (LakehaVen Utility District) S.GARBAGE (All household garbage disposed offand final bill paid) (Waste Management/Other Company) 7. FUEL STORAGE TANKS (Above or below grade fuel tanks, have been pumped or removed un Ft partme:j�C it priorlo any distrizpca —tle/exvation) _ V (SouVi King FireandRescue) 8. WATER -Public Source (Check applicable box) ci Meter to be removed and final utility bill paid ,Meter to remain and be protected LAie.,_-�ti?4urO =L -bat Elie. (Water Supplier) ****** OR ****** 9. WATER - Private Well (Check applicable box) • Private well filled and capped • Private well to be used for other purposes (King County Environmental Services) 0 Completed Construction Permit Application form JUN 18 2010 El Provide the following fees: 1. Demolition Permit Fee Based on valuation. See table on pg 4 of the construction perp. it alicaholL 2. Automation Fee $6.00 -_ r_-EDERAL WAq 3. WA State Surcharge $4.50 �,ITY C CDS Bulletin #122-Jaimmy26,2010 Page I oft k:4llandoulslDeznolitiezi Permit Reqnirementi (3TY OF ri Federal Way DEMOL TION DEPARTMENT COMMUNITY DEVELOPMENT SERVICES 33325 8th Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 va,i n'.ctvotrilerai.:'a�� corn ........---••--------- P� �G ERMIT 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- El ssued ❑ 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 performer, 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 (Copy of approval form and asbestos survey from Puget Sound Clean Air Agency provided) 6. ELECTRICITY (Electricity to be shut off and meter removed) (Puget Sound Energy) (City of Federal Way Building Official) F.2AS SUPPLY to be shut off, meter removed and final bill paid) (Puget Sound Energy) 3. SEPTIC SYSTEM (Tank to be removed or tank to be drained and filled) N ) �t (King County Environmental Services) 4. SANITARY SEWER (Check applicable box) ❑ Sewer line capped at property line ❑ Existing sewer line to remain and be used by proposed new structure (Lakehaven Utility District) S.GARBAGE (All ho u hold garbage disposed off and final -bill paid) k aste Ma agement/Other Company) ❑ Completed Construction Permit Application form ❑ Provide the following fees: 1. Demolition Permit Fee 2. Automation Fee 3. WA State Surcharge 7. FUEL STORAGE TANKS (Above or below grade fuel tanks, have been pumped or removed undf3r Fir�y Department permit prior o any dism the/excava9tion) 44 (Sou0i King Fire and Rescue) 8. WATER - Public Source (Check applicable box) ❑ Meter to be removed and final utility bill paid o Meter to remain and be protected (Water Supplier) ****** OR ****** 9. WATER - Private Well (Check applicable box) ❑ Private well filled and capped ❑ Private well to be used for other purposes County Environmental Services) JUN 18 MID Based on valuation. See table on pg 4 of the construction permit application. $6.00 CITY OF FEDERAL WAY $4.50 CDS Bulletin #122 — January 26, 2010 Page 1 of 1 k:\I-Iandouts\Demolition Permit Requirements 4ik CITY OF Federal Way DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 8'h Avenue South PO Box 9718 Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 www. c ityoffederalway. com DEMOLITION PERMIT CONTACT LIST This list of agencies may assist you in expediting the demolition permit process. Refer to the demolition permit requirements for signature blocks. All applicable signatures are required prior to permit approval. Asbestos Removal: Puget Sound Clean Air Agency 110 Union Street, Suite 500 Seattle, WA 98101-2038 206-343-8800 —OR— 800-552-3565 www.pscleanair.org 2. Electricity: Puget Sound Energy Tacoma Public Utilities Attn: Construction Coordinator Customer Service 22828 68`h Avenue South, Suite #102 —OR— 747 Market Street Kent, WA 98032 Tacoma, WA 98402 888-225-5773 253-383-9600 or 253-383-2471 3. Gas: Puget Sound Energy 805 156"' Avenue NE Bellevue, WA 98004 888-225-5773 4. Telephone: Qwest Communications 801-962-2475 (phone) / 801-237-6491 � (fax) 5. Water: Lakehaven Utility District Tacoma Public Utilities Technical Service Division Customer Service 31623 First Avenue South —OR— 747 Market Street Federal Way, WA 98003 Tacoma, WA 98402 253-941-2288 253-383-9600 or 253-383-2471 6. Garbage: Waste Management 655 Second NW Auburn, WA 98071 253-833-3333 (residential) — OR — 253-939-9792 (commercial) 7. Sewer: Lakehaven Utility District Technical Services Division 31623 First Avenue South Federal Way, WA 98003 253-941-2288 8. Septic King County Environmental Services 14350 SE Eastgate Way Bellevue, WA 98007 206-2964932 9. Fire Department: South King Fire & Rescue 33325 8h Avenue South / PO Box 9718 Federal Way, WA 98063 253-946-7248 Bulletin #109 — March 1, 2007 Page 1 of 1 k:\Handouts\Demolition Permit Contact List MA`( -24-2010 05:53 Frorn:ELECTRIC ST REP 2533956806 CITY OF Oft Funeral Way �U // DEMOt TION To:25:M:352609 P.2/3 • DRFAkTMENT OF CO:NMUNT Y DEVELOPMENT SERV7C -5 33325 e Avenue South PO Box 9718 Federal Way WA 98063 -97 18 253-835-2607; Fax 253-835-2609 PE M�So UIREMENTS A demolition permit is required to remove any structure or structures cn 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 ctrvirotuitental checklist may be required, which will extend the time period before a demolition permit can be issued D Prior to submitting a demolition permit, ,the following items (as applicable) must be signed by the respective agency (see attached Demolition Permit Contact List). NoTs ro.iPPZLGAN7: Utilities shall be diy,.nnertsd and seMcer performed ffappliarble, prior to muancie of rhe dconolition permit All applicable items below au -u to be .sFpned and dated by the respeaive agency repnsentatnw. 1. ASSES7iDs ABA'T'EMENT (Copy of apprwa) form and asbestos survey from Puget Sound Clean Air Agency provided) 6. ELECTRICM ff tff� 94A Sound Energy) (City of Federal Way building QttVdal) 2. GAS SUPPLY J sh tff, VVeer mmov and final bill paid) (Puget Sound Fnergy) 3. EDC SY��<to � (Tank m be drained and fined) (long County EnvironmerrU Services) 4. SANITARY SEWER (Check applicable .box) n Sewerline crapped at property.line ❑ kLsbng sewer Une to remain and -be rsed byproposed new smcwre ¢akehaven Lhillty District 5. GARRAGE (Ail household gartkNe disposed off and final bili paid) (Waste ManagemtnVOtiwCompany) Completed Construction Permit Applicatlon form 0 Provide the following. fees- i_ Demolition Permit Fee 2. Automation Fee 3. WA State Surthairge 7. FUEL STORAGE TANKS (Above or bellow grade fuel tanks, have been pumped or removed un t= t prior any dis ecmvation) ( King Are and Rescue 'S. WATER - Public Sourcce (Check applicable box) a Meter to be removed andlinal tMitty hill paid o Meter to remain and be pratct (Water Supplier) OR ssssss ,9. WATER- Priveft Well (Check applicable box) a Nvaba well filled and -capped o Private well to be usW for ottter,purposes (King County Environmental Services) ruwt Based on valuation. See .table on.pg 4 of the aomstruetiagniq"t application, $6.0.0 $4.50 JUN 18 ]3ulictin X122-Jalttttuy 26, ZO1D Page l of 1 k:\H»n&utslDcawlitionPrcnmlRcquitr to ` • X010W ENVIRONMENTAL SERVICES, INC. Environmental Consulting & Compliance PRE DEMOLITION ASBESTOS INSPECTION 'Old Lumbermans' 34211 Pacific Highway South Federal Way, WA PROJECT: Pre Demolition Asbestos Inspection LOCATION: 34211 Pacific Highway South EXECUTIVE This inspection was completed at the subject property on Tuesday April 20TH, 2010. SUMMARY: Samples of suspect Asbestos Containing Materials (ACM) were taken during this inspection. Locations from which the samples were keyed to the provided drawing. Asbestos Containing Materials No asbestos containing materials were identified in any area inspected. BUILDING The structures inspected included multiple wood framed units previous employed as DESCRIPTION: a retail hardware facility. Built in approximately the early 1980s', the units are constructed from materials traditional to these type of structures. Minimal interior partition walls are a combination of non -asbestos containing 2 x 4 wood framing clad with textured gypsum wallboard and/or wood paneling Ceiling tiles were identified as non -asbestos containing 2 x 4 cellulose materials. Sample analysis of the roofing was found to be built-up non -asbestos containing 3 - tab tiles over plywood sheathing. Insulation where installed was identified as fiberglass w/associated paper backing. JUN 18 ZG1 34004 9th Avenue South, Suite 12, Federal Way, WashCm t 9 M63 FEDERAL W AY Phone: (253) 927-5233 Fax: (253) 924-0323 CDS www.nowenvironmental.com Federal Way, WA CLIENT: City of Federal Way P.O. Box 9718 Federal Way, WA 98063 SITE Cindy Keirsey CONTACT: Phone: (253) 835-2631 E -Mail: Cynthia.Keirsey@CityofFederalWay.com PROJECT Identify asbestos containing materials that will be impacted by planned demolition DESCRIPTION: work. EXECUTIVE This inspection was completed at the subject property on Tuesday April 20TH, 2010. SUMMARY: Samples of suspect Asbestos Containing Materials (ACM) were taken during this inspection. Locations from which the samples were keyed to the provided drawing. Asbestos Containing Materials No asbestos containing materials were identified in any area inspected. BUILDING The structures inspected included multiple wood framed units previous employed as DESCRIPTION: a retail hardware facility. Built in approximately the early 1980s', the units are constructed from materials traditional to these type of structures. Minimal interior partition walls are a combination of non -asbestos containing 2 x 4 wood framing clad with textured gypsum wallboard and/or wood paneling Ceiling tiles were identified as non -asbestos containing 2 x 4 cellulose materials. Sample analysis of the roofing was found to be built-up non -asbestos containing 3 - tab tiles over plywood sheathing. Insulation where installed was identified as fiberglass w/associated paper backing. JUN 18 ZG1 34004 9th Avenue South, Suite 12, Federal Way, WashCm t 9 M63 FEDERAL W AY Phone: (253) 927-5233 Fax: (253) 924-0323 CDS www.nowenvironmental.com 0 BUILDING No suspect ACM plumbing system insulation was observed in any area inspected. DESCRIPTION: (CONTINUED) No flooring materials were identified in any area inspected. INSPECTION On Tuesday April 20TH, 2010 NOW Environmental Services completed the inspection DATE: of the subject property and collected the samples described in this report. INSPECTOR ENDORSEMENT Joseph Hade Project Manager PROJECT REVIEW: / ` Dennis Rauschenberg General Manager ANALYSIS Polarized Light Microscopy METHOD: PARAMETERS: Puget Sound Clean Air Agency (PSCAA) and Washington State Department of Labor and Industries (L&I) regulations require an inspection of all buildings for the presence of asbestos -containing materials (ACM) prior to renovation or demolition. ACM is identified as those building materials containing one percent (1.0%) or more of asbestos as verified by laboratory analysis. All building materials fabricated prior to 1980 are assumed to contain asbestos unless proven otherwise by a certified building inspector. DEFINITIONS: (1) Surfacing Materials: These are defined as those materials that are sprayed -on, toweled -on or otherwise applied to surfaces including, but not limited to, lath and plaster, acoustical plaster on ceilings, paints, fireproofing materials on structural members or other materials on surfaces applied for decorative purposes. (2) Thermal System Insulation (TSI): These materials are defined as those applied to pipes, fillings, boilers, tanks, ducts or other structural components to prevent heat loss or gain. (3) Miscellaneous Materials: All other building materials that may be ACM but not surfacing materials or TSI fall into this category. SAMPLES Six primary asbestos bulk and eight associated secondary samples were extracted for EXTRACTED: the purposes of this inspection. CEIE® JUN 18 2`J CITY OF FEDERAL WAY CDS Pre Demolition Asbestos Inspection Page 2 of 3 34211 Pacific Highway South Federal Way, WA April, 2010 NOW Environmental Services Project # 10-0147 M. 0 • The Following Items Were Analyzed and Found To Be Non -Asbestos Containing Material 'Old Lumbermans' 34211 Pacific Highway South Federal Way, WA Sample # Description Location Analysis 01a Texture Associated w/01c Office Non -Detect 01b Joint Compound Associated w/01c Office Non -Detect 01c Wallboard Office Non -Detect 02a Texture Associated w/02c Office Non -Detect 02b Joint Compound Associated w/02c Office Non -Detect 02c Wallboard Office Non -Detect 03a Texture Associated w/03c Office Non -Detect 03b Joint Compound Associated w/03c Office Non -Detect 03c Wallboard Office Non -Detect 04a Insulation Paper Backing Throughout Non -Detect 04b Dark Mastic Associated w/04a Throughout Non -Detect 05 2 x 4 Ceiling Tile Office Non -Detect 06a White 3 -Tab Roofing Tile Roof Non -Detect 06b Black 3 -Tab Roofing Tile Roof Non -Detect LIMITATIONS During demolition it is possible that additional suspect ACM and / or hazardous AND materials may be discovered within wall, floor, ceiling sandwiches or other INACCESSIBLE areas/systems not accessible at the time of this survey. Should such suspect material AREAS: be discovered, a certified building inspector is required to sample and test the materials to provide evidence that they are non hazardous containing materials NOW Environmental Services is neither responsible for the classification of materials that are not identifiable with reasonable diligence, nor for the identification of materials beyond the scope of this project as we understand it. Disclaimer This report and its contents are limited to the scope and activities performed at the subject property as described. We represent that our services were performed within the limits prescribed by applicable regulations and in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances. No other representation is made to the client, expressed or implied, and no warranty or guarantee is included or intended, W , L_ JUN 18 Pre Demolition Asbestos inspection Page 3 of 3 77Tv 34211 Pacific Highway South Federal Way, WA CITY I O F FEDERAL WAY April, 2010 NOW Environmental Services Project # 10-0147 CDS