09-101655 � y Demolition
City of Federal Way 2)`
Community Development Services Permit #: 09-101655-00-DE
FILE P.O.Box 9718
Federal Way,WA 98063-9778
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KIM
Project Address: 27824 PACIFIC HWY S Parcel Number: 720480 0166
Project Description: On-site demolition of mobile home.
(Note-work was completed prior to permit)
Owner Applicant Contractor
YONG KIM YONG KIM YONG KIM
27818 PACIFIC HWY S 27818 PACIFIC HWY S 27818 PACIFIC HWY S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
PERMIT EXPIRES Thursday, May 5, 2011
Permit Issued on Tuesday, May 5, 2009
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: �-`r�`�� Date: 0S 14 P/'1-
THIS CARD IS TO MAIN ON-SITE
CITY OF ! ommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101655-00-DE
Owner: YONG KIM
Address: 27824 PACIFIC HWY S
FEDERAL WAY, WA 98003-3401
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. PO 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)
Approved
By G (.—) Date 5:,i/Bq
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
= EIV
nrr of
Federal Way
MAY 0 5 2008 PERMIT ��`� SF MF Co ME EL P ' EN FP
C061MUN17Y DEVELOPMENT SERVICES
33325 8Th AVENUE SOUTH•PO BOX 9718
FEDERALWAY,WA FE®ERALI CATI O N in) (----7---------,„L______)
+ 253 8352607;
wnu,.atrro "" CDS
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION J
SITE ADDRESS .27r/8 "az '`L � $• I X0o? SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ,
-�dz Q y � � - �� ��LOT SIZE(Sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach ePage for 1le9.1d
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
tle6EMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
P :();JECT DESCRIPTION(Provide detailed dw,aiption of work included on this permit onlu)
1( DPof%(%a ah-// , f
PROJECT NAME(Name of Business or Owner Last Name)
1111 PEOPLE INFORI\IATION
PROPERTY NAME
PR! PH33 ONE ono_ k . �`17)1 (40 S - g9,1 LNG ADD CITY, ADDRESS
"la S. z.��L ,ed w47 , � ,s-e/k
s
a/.0
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS (')`I \ CITY,STATE,ZIP CELL PHONE _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAMEr.., APPLICANT NAME OFFICE PHONE
MAILING ADDRESS e) A, ( )
CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑ Tenant ❑Agent ❑ Other ( )
PROJECTNAM V�� ��/ PRIMARY PHONE Q E-MAIL ADDRESS
CONTACT —� V (.243) 831 _ 3 0 , ^1
LENDER NAME Per RCW 19.27.095:
Lender in formation is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED W. • c $ esOO d O
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/- D.• 'II- - ■ YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST .
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERE,?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS TOTAL TOTAL=ATOM Sr roredrROPOSSosr miss,
'*NEW HOMES ONLY* NUMBER OF BEDROOMS ESTIMATED SE A I� G PRICE $
■ FLXTURES
Indicate number of each type of fixture to be installed or relocat-• • p, of this project Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR TE 1 BE INCLUDED WITH APPLICATIOIV) •
•
AIR HANDLING UNITS EVAPORATIVE C••LERS • 'r'E OUTLETS WOODSTOVES
BBQS FANS GAS W - HEATERS MISC(Describe)
BOILERS FIREPLACE 'SERI'S HOODS
COMPRESSORS FURNAC RANGES
DUCTS GAS • SETS �_-REFRIG.SYSTEMS
PLUMBING
BATHTUBS f.r ub/Shower Combo► VS(Bathroom URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS gas:*
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
• SIGNATURE
I cert((lj under penalty of perjury that I am the property owner or authorised 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 worse 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 appli-• •n.
SIGNATURE: DATE i��75�0�
- •perty•• •• or Authorized Agent
•
a NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES o.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a No
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2009 Page 2 of 4 IdHandouts\Permit Application
} �
DEPARTMEN COMMUNITY DEVELOPMENT SERVICES
33325 8th Avenue South
PO Box 9718
CITY OF Federal Way WA 98063-9718
Fed era I \IVa253-835-2607;Fax 253-835-2609
www.cityoffederalway.cotn
DEMOLITION PERMIT 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.
❑ 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 performed,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 6.ELECTRICITY
( , of. - form and asbestos survey from Puget Sound Clean Air (Electricity to be shut off a d meter remov )
/ ,gency . •vid Se 3 acL e
(Puget Sound Energy)
(City of Federal W uilding Official)
2.GAS SUPPLY 7. FUEL STORAGE TANKS
(Gas to be shut off,meter removed and final bill paid) (Above or below grade fuel tanks, have been pumped or removed
� under Fire Departmei t permit prior to any dismantle/excavation)
/1/1,(Age Sound Energy) A.°r /° -
(South IGng Are and Rescue)
3.SEPTIC SYSTEM 8.WATER- Public Source (Check applicable box)
(Tank to.be removed or tank to be drained and filled) *Meter to be removed and final utility bill paid
❑Meter o rem 'n and be protected
• 1C :��.�� _jLz At (.4 z c J (S/�"/ I—Atec€=1AAve-N 3/2 501
(King County Environmental Services) (Water Supplier)
******OR******
4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well(Check applicable box)
o Sewer line capped at property line o Private well filled and capped
o Existing sewer line to remain apd be used by proposed new structure o Private well to be used for oth purposes
(Lakehaven Utility District) (King my Environmental Services)
5.GARBAGE
(All household garbage disposed off and final bill paid)
J (Waste Management/Other Company)
❑ Completed Construction Permit Application form
❑Provide the following fees: 1.Demolition Permit Fee Based on valuation.See table on pg 4 of the construction permit application.
2.Automation Fee $6.00
3.WA State Surcharge $4.50
4.Cash Bond Deposit 120%of calculated building permit fee
Refundable upon Completed Final Inspection
Bulletin#122—January I,2009 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
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