98-103975 98-/0. 79
.CITY OF FEDERAL WAY pp,,. p „w, .,I,,,,,,. 4 p PERMIT T N : BLD9S-0 63
y '1.. ..JI.,. N.,.. .. d .,.I� ''1 ,. ", .""'' E. „,,I, II ...II.,. ",U,., ERM 0- 6
33530 First Way South .. 3 :: I Ii ISSUED: 10/23/98
Federal Way , WA 98003 Building Inspection Requests 253- 661.-4140 BY: FC2
2.53 -661--4000 EXPIRES: 04/21/99
ADDRESS: 32061 PACIFIC HWY S
NO. : 150050-0110
PROJECT DESCRIPTION:DEMOLITION OF FACADE ON NORTHERN PORTION OF ROSS PLAZA NEAR 320TH
= OWNER -:w - - _ CONTRACTOR -- - LENDER --- --—
ROSS PLAZA RUSHFORTH CONST CO INC
32057 PACIFIC HWY S 1308 ALEXANDER AVE E
FEDERAL WAY WA 98003 i TACOMA WA 98424 1
s
253-922-1884
RUSHFC*305R1 I
I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
- BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •CC � FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 0: 0:sf STORIES • 0 ' REQUIRED PARKING..: 0 SPRINKLERS' •' BUILDING PERMIT....* $ 35.00
CENSUS CATEGORY •999 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? € SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm 1 CD ADMIN DEPOSIT $ 500.00
•? :? :? •? OTHR: 0: 0:sf EXIST..$: 0 { FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/05/98
: 0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? s
_ r
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS T WATER CLOSETS • 0 URINALS • 0 4 TOTAL FEES $ 539.50
Ali PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.:IIIP<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 1
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0 €(
BBC • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ° x
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE IN ''MOTION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
�, __
OWNER OR AGEN-_ _ _ DATE _./t)/23//S.
FILE COPY
•
CTh
TLD 4:6
Demo Permit Fee $35.00
DEMOLITION PERMIT APPLICATION Surcharge 4.50
CITY OF FEDERAL WAY Cash Bond 500.00
(Person Paying Bond)
BUILDING DIVISION v-iECE_IV� .1
33530 First Way South
Federal Way, WA 98003 CT 1 5 1998
(206) 661-4000-Fax(206) 661-4129
art OF FEDERAL WAY
^BUIILDING DT, ,�C�
DESCRIPTION OF WORK -0 0 L- / JT/4). J /20 -5" L'/.9 2-4
PRIOR TO APPLICATION
NOTE:I understand that the following utilities shall be disconnected and services performed, if applicable,prior to issuance of the demolition permit.
All items are to be signed by the respective agency.
1. ASBESTOS REMOVAL 6. GARBAGE
(Building Official)
2. ELECTRICITY 7. SEPTIC TANK PUMPED AND FILLED WITH CRUSHED ROCK OR
REMOVED/OR SEWER LINE PLUGGED AT PROPERTY LINE.(Inspection
required prior to backfilling).
(Puget Power)
3. TELEPHONE 8. WATER LINE CUT AT PROPERTY LINE(well capped).Inspection required
prior to backfilling.
(US West)
4. GAS 9. ALL UNDERGROUND TANKS PUMPED AND REMOVED UNDER FIRE
DEPARTMENT PERMIT PRIOR TO EXCAVATION.
(Washington Natural Gas)
5. WATER-DISCONNECT REQUEST 10. DELINQUENT UTILITY CHARGES PAID
INFORMATION FOR APPLICATION �f /
JOB ADDRESS -3 Z U / //9 Com-/ c HC/(/: 6 O(.--i✓jamN[
LEGAL DESCRIPTION 6/-71
cj
TAX PARCEL NOS / S^v GQ �— j j C-7-/- 7 (Attach if lengthy.)
OWNER J` 77 J �--C ! // ��/) G ! YCJ�)/ 4:1 / -
ADDRESS 2 7 ' 7 i- l� 4 CK 2 v /0, L. . U o G i '/ 6e,6-0
CONTRACTOR / L Li/4)04S
ADDRESS
CONTRACTOR'S LICENSE
EXPIRATION DATE
2,06 -6/6 -33s-b
�t, �/n�/� �SSignature of Applicant Phone
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CITY OF i- BUILDING DIVISION
• ED 33530 Fust Way South
N)V Ry Federal Way WA 98003
(253)661-4000
Fax(253)661-4129
ASBESTOS REMOVAL AND DISPOSAL
Permittee:
As the holder of a Demolition Permit and/or a Remodeling Permit, you are hereby notified of the possibility that
asbestos may be present in the structure that you are about to demolish and/or remodel.
ANY ASBESTOS FOUND IN THIS STRUCTURE MUST BE REMOVED AND
DISPOSED OF AS PRESCRIBED BY STATE AND FEDERAL REGULATIONS.
Permits for asbestos removal must be obtained from the Puget Sound Air Pollution Control Agency. The
permittee is responsible for obtaining any necessary asbestos removal and/or repair permits. The City of Federal
Way will not be responsible for any actions or fines levied by the federal, state, or regional agencies. Any fines
levied against the City of Federal Way must be paid by the permittee.
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
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 have read and understand the statement above and I will obtain all permits
necessary or required for proper asbestos removal or repair. I agree to pay any fines against the undersigned
and/or the City of Federal Way relating to asbestos removal, repair, and/or handling; and will defend, indemnify,
and hold the city harmless from any loss, including fines, fees, or attorney fees incurred by the city relating to
asbestos removal, repair, and/or handling and arising out of the activities carried on pursuant to Permit N2
Date Permittee
SUBSCRIBED and SWORN before me this day of 19
Notary Public in and for the State of Washington,
residing at
My commission expires
ASBESI'OS.FRM •
REVISED 8/27/97
10/02/9813:13 FAX 253 946 1457 INSIGNIA RETAIL 4001
Lots 7 and 8, Lo': 11 , as adjusted by Lot Line•Adjustment recorded under Property Parcel _Numbers:
King County Reco:•ding No. 8010230726; and Lots 12 and 13, ALL in Plat of
Century, accord/ ig to the plat recorded in Volume 104'.6f Plats, Pages 68 150050-0080--05.
through 72, inclasive, . in King County, Washington. 150050-0110-09
��i•�• • 150050-0070-07
Comae.. 5731 7-1/04,44. 4 AiA 117 150050-0120-07
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