20-102963 Demolition
City of Federal Way Permit #:20-102963-00-DE
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SACAJAWEA JUNIOR HIGH
Project Address: 1101 S DASH POINT RD Parcel Number:052104 9024
Project Description: Demolition of portable classroom.
•
Owner Applicant Contractor
STEPHEN NUTTFEDERAL WAY PUBLIC KURT HUBERHUBER GENERAL HUBER GENERAL CONTRACTORS INC
SCHOOLS CONTRACTORS
1211 S 332ND ST 10341 SE 185TH PL HUBERGCO27JT(5/15/21)
FEDERAL WAY WA 98003 RENTON WA 98055 10341 SE 185TH PL
RENTON WA 98055
Additional Permit Information
PERMIT EXPIRES Wednesday,27 January,2021
Permit Issued on Friday,July 31,2020
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: F I L.. E Date:
.
THIS CARD IS TO REMAIN ON-SITE
`""CConstruction Inspection Record
� �@I"d�Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 102963 00 Address: 1101 S DASH POINT RD
Project: STEPHEN NUTT FEDERAL WAY WA 98003-3735
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.
Final-Building(4050)
par Am a.Approved
By A iS Date 9-!S'a0
•
Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date
By Date
RECEIVED PERMIT APPLICATION
CITY OF
Federal
JUL 3 0 2020 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcente a-cityoffederalway.com
CITY OF FEDERAL WAY
V y� COMMUNITY DEVELOPMENT /�
PERMIT NUMBER �C / /_ L0_ A . 4-4 _ }► TARGET DATE �"`�•
SITE ADDRESS L LL SUITE/UNIT#
1101 S Dash Point Rd, Federal Way
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 10,000 0 5 2 1 0 4 9 0 2 6
TYPE OF PERMIT El BUILDING El PLUMBING El MECHANICAL I DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT Sacajawea Middle School Portable Demolition
demolish one existing portable building
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Stephen Nutt do Federal Way Public Schools 253-945-5990
PROPERTY OWNER MAILING ADDRESS E-MAIL
1211 S 332nd St snutt@fwps.org
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Kurt Huber,Huber General Contractor 206-391-6950
MAILING ADDRESS E-MAIL
CONTRACTOR 10341 SE 185TH PL hubergc1@yahoo.com
CITY STATE ZIP FAX
Renton WA 98055
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
HUBERGCO27JT 5 / 15 /2021
NAME PRIMARY PHONE
Same as Property Owner
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Kurt Huber 206.391.6950
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence hubergcl@yahoo.com
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING B 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 tothecity as a part of this application.
SIGNATURE: C2)4*,i DATE 7/30/2020
PRINT NAME: Stephen Nutt
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
- N/A VALUE OF MECHANICAL WORK
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.
2 AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerc(al)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT - N/A
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(or'Rib/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
None Lakehaven Lakehaven $Unknown-Government Owned Parcel
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
School 545,343 ❑Yes ❑ No n Yes ® No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
— — *:NEW HOMES ONLY*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stones
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING`
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application
COMMUNITY DEVELOPMENT DEPARTMENT
33325 8th Avenue South
Federal Way,WA 98003
CITY OF `" 253-835-2607.Fax 253-835-2609
www.cityoffederalway.com
Federal Way
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure on a subject property. Demolition of separate
structures may require separate permits.
❑ Address of Demolition: \IG 1 E›, t.s-r - rya Ai i ' L.y rczo
❑ 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 Permit Application form is also required.
1.ASBESTOS ABATEMENT
(Provide copy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY
and copy of inspection report by AHERA-certified inspector)
At t .: t� I'Zl`>
(Puget Sound Energy/Tacoma Power)
(City of Federal Way Building Official)
2. FUEL STORAGE TANKS 6. NATURAL GAS
o Under grade tank(s)is/are present ��
o Above grade tank(s)are present
o Tank(s)has been pumped or removed under South King Fire&Rescue (Puget Sound Energy)
permit prior to any dismantlingww ;; or excavation
kV
(South King Fire and Rescue) 7.WATER-Public Source
NP
(Lakehaven Utility District)
3.SEPTIC SYSTEM DECOMISSIONING
8.WATER-Private Well
(King County Environmental Services)
(King County Environmental Services)
4.SANITARY SEWER;
Pt
(Lakehaven Utility District)
0 Please Note: Erosion control measures must be in place during the demolition and through
completion of the site clean-up.
14.....644 Qtr.\e \ �:a c-4f..be4
(Applicant)
t�,; -i th z-4— 2:; 3ci I- 5��
Bulletin#122-March 16,2017 Page 1 of I k:\1iandouts\Demolition Permit Requirements
P.O. Box 81005
Seattle, WA 98108- 1005
Environmental Construction LLC Phone: (206)267-0746
Asbestos-Lead-Mold- Demolition Fax: (206)267-0753
July 17, 2020
Name: Federal Way Public Schools
Attn: Stephen Nutt
33330 8th Ave S
Federal, WA 98003
Completion Date: 07/16/2020
Email: snutt@fwps.org
--- Letter of Completion --
(20307)
Re: Asbestos Abatement Services at: 1101 S Dash Point Rd. Federal Way, WA 98003
This is to certify that American Environmental Construction LLC has removed the
asbestos containing material from the above referenced address per our Proposal and
Contract dated June 26, 2020.
Clearance Air Monitoring (Sample Type=CL) as reported on the Air Sample Data Sheet
(available upon request) indicates that the airborne asbestos level is below the EPA
established standard of .01 fibers/cubic centimeter for clean air after an abatement
project. Accordingly, the work area is safe, regarding asbestos exposure, for demolition.
Please call me at 206-267-0746 if you have any questions or comments regarding this
Letter of Completion.
Respectfully submitted,
American Environmental Construction, LLC
Dee Surface-Office Manager
h
l �
7126/2020 .Approved Transaction
pscleanair.org
Puget Sound Clean Air Agency
Notification Case #: 202003127
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 # AA0A4A9851EC
Transaction Date 07/26/20
Owner's Name Federal Way School District Phone (206) 391-6950
Project Street Address 1101 5 Dash Point Road
City Federal Way Zip 98003
Contact Person Kurt Huber Phone (206) 391-6950
Mailing Address 10341 SE 185th Place
Renton, WA 98055
This project includes a demolition.
Demolition Start Date 08/06/20 Completion Date 08/15/20
Demolition will be completed by a demolition contractor
Demo Contractor Huber General Contractors, Inc. Contractor Job #
Contact Kurt Phone (206) 383-6053
Mailing Address 10341 SE 185th Place
Renton, WA 98055
(1) I certify that the information I have provided is to the best of my knowledge true and accurate.
(2) I understand that I must file an Amendment to this Notification if:
• The type of project has changed. The project types are asbestos and demolition.
• The quantity of friable asbestos to be removed meets a larger project category.
• The project's start or completion date has changed.
(3) I understand one Notification must be filed for each structure. The
only exception is for a single-family residence that includes multiple
ancillary structures, such as a detached garage or other outbuildings
having the same street address. If there is no street address, I have
used a building number.
(4) I understand the fees for this Notification are nonrefundable.
Create Another Notification
If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058.
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