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18-101777Ike ik� ' Demolition City of Fed eralWay Permit #:18 -101777 -00 -DE Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax (253) 8352609 Project Name: GOODWIN Project Address: 3128 SW 302ND PL Parcel Number: 012103 9070 Project Description: Demolition of structures on existing single family lot. Owner Applicant Contractor ROGER GOODWIN ROGER GOODWIN GREENS LANDSCAPING LLC 1600B SW DASH POINT RD UNIT 452 1600B SW DASH POINT RD UNIT 452 GREENLL922C9 (2/28/20) FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 16918 SE 149TH ST RENTON WA 98059 Additional Permit Information PERMIT EXPIRES Monday, 22 October, 2018 Permit Issued on Wednesday, April 25, 2018 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. L�— Owner or agent: ' 17t)7ye� C~C—ALI> Date: F�o OM .S� 'IU pig THIS CARD IS TO REMAIN ON-SITE CWT Cw Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18101777 00 Address: 3128 SW 302ND PL Project: ROGER GOODWIN FEDERAL WAY WA 98023-2342 Scheduled inspections may be failed if this card isnot 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 By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date . RECEIVED CITYOF PERMIT APPLICATION APR 2 3 2018 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 Federal Way 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com CITY OF FEDERAL WAY COMMMUNrN DEVELOPMENT PERMIT NUMBER TARGET DATE 0 1 tA SITE ADDRESS v,JA SUITE/UNIT # PROJECT VALUATION ZONING ASSESS R'S TAX/PARCEL # z o -7 $ 13 Seo o I C� 3_ TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT CIC16 EI�— bcc: Uj f PROJECT DESCRIPTION � `_` (/ )l.i rid- PIC, C `� F L �� � ► ►'v Detailed description of work to be included on this permit only NAME PRIMARY PHONE (' c- — z 5 Fel 3 , PROPERTY OWNER MAILING ADDRESSC P �� 2 w " a S t�v x-11 E-MAIL r i V"iCITY Fl- � L WA STATE W4-1 zI-I 00r;-] Ll NAME r ( (PPHH(ONE 15 s ' — V r MAILING ADDRESS E-MAIL' CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSSE # 6 L C_ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE ` / AS A ,^`+ V' APPLICANT- MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME _ A' i PRIMARY PHONE PROJECT CONTACT MAILING ADDRESS - E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED When value is $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 apart of this application. SIGNATURE: ` DATE Z 3 ,, r PRINT NAME: L� i� L / V ' Bulletin #100 — January 29, 2016 Page 1 of 2 UHandouts\Permit Application I 4% CITY OF Federal Way RECEIVED APR 2 3 2018 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT COMMUNITY DEYELUPMENT DEPARTMENT 33325 a Avenue South Federal Way,.WA 98003 253-835-2607; Fax 253-835-2609 www.cityoffcderalwgy.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. 31 Vlo X Address of Demolition: ❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construcdon Perm&Appllcadon form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound dean Air Agency and copy of inspection report by AHERA-certified inspector) (City of Federal Way Building Official) Z. FUEL STORAGE TANKS o Under grade tank(s) is/are present o Above grade tank(s) are present ❑ Tank(s) has been pumped or removed under South King Fre & Rescue permit prior to any dismantling or excavation (South King Fire and Rescue) 3. SEPTIC SYSTEM DECOMISSIONING (King County Environmental Services) 4. SANIJARY SEWER E'er & ELECTRICITY (Puget Sound Energy/Tacoma Power) 6. NATURAL GAS (Puget Sound Energy) 8. WATER - Private Well (King County Environmental Services) ❑ Please Note: Erosion control measures must be In place during the demolition and through completion of the site clean-up. Bulletin # 122 -May 13, 2015 Page 1 of 1 kAiandouts0emolition Permit Requirements 4/19M18 Approved Transaction RECEIVED pscleanair.org APR 23 2018 Puget Sound Clean Air Agency Single -Family Notification Case *: 201801714 CFTY OF FEDERAL WAY COMMUNITY DEVELOPMEW 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 $65.00 Credit Card Transaction * AI1F78EBB5D2 Transaction Date 04/19/18 Owner's Name Sana Goodwin Project Street Address 3128 SW 302nd PI City Federal Way Contact Person Roger Goodwin Mailing Address 1600 B SW Dash Point Road #452 Federal Way, WA 98023 This project includes a demolition. Demolition Start Date 05/14/18 Completion Date 05/18/18 Demolition will be completed by a demolition contractor Phone (425) 894-6095 Zip 98023 Phone (425) 894-6731 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 1/1 1% RECEIVED MILLEMCGHTRACTING APR 2 3 2018 s4_=raU11=4=� CfTY OF FEDERAL WAY COMMUNITY DEVELOP#Ysr �`r i 1-26-2018 Roger Goodwin 1600b Dash Pt. Rd. #452 Federal Way, WA 98023 RE: 3128 302nd. Pl. Federal Way, WA 98023 Asbestos Good Faith Survey Miller Contracting Services Group, LLC conducted a limited asbestos survey dated 1- 16-18 at the property listed above. This is a property that has two single-family homes on it that have been scheduled for demolition. The two structures are cabin style homes with the main home approximately 1,500sf. and the smaller cabin at 400sf. The main home sits on a slab foundation and is wood construction with wood siding, three -tab roofing. Samples were collected for determining potential hazards to workers during demolition, repair and or renovation of these residential spaces. State laws require hazards be identified before structures or components are impacted as part of demolition activities. Suspect materials were limited to roofing, flooring, ceiling tiles and window caulking. During demolition, any materials not identified in this survey will need to be tested. Unless presumed asbestos containing, any materials or components containing one percent 1% or greater asbestos is regulated by state, federal and local agencies. No samples were positive for asbestos. No other suspect materials or components were identified in association with this house. Let me know if you have any questions or if we may be of further assistance. Professionally Yours, Miller Contr Group, LLC AHERA Building Inspector #BIR -NES -01- 11- 17-05 Project Manager 4ikI CITY OF • �'Tb, RECEIVED APR 2 3 2018 CITY OF FEDERAL WAY COMMUNrrY DEVELOPMENT COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South Federal Way, WA 98003 253-835-2607; Fax 253-835-2609 www.citvoffederalwa, DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. 3125 PC Address of Demolition: 5UJ. ❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construction PermitApp/ication form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency and copy of inspection report by AHERA-certified inspector) (City of Federal Way Building Official) 2. FUEL STORAGE TANKS ❑ Under grade tank(s) is/are present ❑ Above grade tank(s) are present ❑ Tank(s) has been pumped or removed under South King Fire & Rescue permit prior to any dismantling or excavation VA (South King Fire and Rescue) 5. ELECTRICITY 98t: - 24_�_o11P POA ��� P e g a�ma P_ow��• � 6. NATURAL GAS ^'V� 'Ul (Puget Sound Energy) 7. WATER - Public Source (1--akehaven Utility District)D- 3. SEPTIC SYSTEM DECOMISSIONING S 4)0 c S. WATER - Private Well (King County Environmental Services) PA , (King County Environmental Services) 4. SANI ARY SEWER ( ehaven Utility District) Please Note: Erosion control measures must be in place during the demolition and through completion of the site clean-up. P:57 --z (Applicant) Bulletin 4 122 —May 13, 2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements