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
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NAME r (
(PPHH(ONE
15 s '
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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