07-103168 - u1
City of Federal Way Demolition Permit #: 07-103168-00-DE
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: KUMAR
Project Address: 29624 18TH AVE S Parcel Number: 367440 0115
Project Description: Removal of 900 sq ft house
Owner Applicant Contractor
KEN KUMAR KEN KUMAR KEN KUMAR
29624 18TH AVE S 29624 18TH AVE S 29624 18TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
CONDITIONS:
After final inspection is complete and approved,Please contact Kari Cimmer by e-mail at
Kari.Cimmer@ci.federal-way.wa.us to receive a refund of cash bond.
PERMIT EXPIRES Wednesday, June 10, 2009
Permit Issued on Monday, June 11, 2007
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: Date: ),s -t~"`�
THIS CARD IS TO *MAIN ON-SITE
CITY OF •. tommuntY Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-103168-00-DE
Owner: KEN KUMAR
Address: 29624 18TH AVE S
FEDERAL WAY, WA 98003-4201
This card is part of your required inspection documents. 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)
Approved
By KA . Date 6-12--.57
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIV 0 3
CITY OF / /
Way 7 / �°-(moi
Federal Y JUN �� P F,R M IT '
COMMUNITY DEVELOPMENT SERVICES 3-T" MF CO ME EL PLI�)EN
33325 PTH AVENUE SOUTH•PO BOX 18 Ate'L I CATI T I 0 N- TD
FEDERAL WAY,WA 98063-971 ITy OF FERE / /
253-835-2607•FAX 253-835-260 BUILDING
www.c I,joffederalwaq.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 2,`Z�y 6 8 11 ' 5 fl 5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE (sf) 1 2 ap
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
7 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
q cb - ei FEg-r. KtivS ' m.o.L'"'1aly
PROJECT NAME(Name of Business or Owner Last Name) _ Ai'
i L))f.
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER E'EN Kvm 61 — ( o1•k)3 Sd -(53S-
MAILING ADDRESS I CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5 nA Pm w- C-arc -rlv _- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
s Ai-vv�.fz A b t VC (2.• G1 3 8 0- 635-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
OFZ0octo3otZ - O,O ? - ( -07
• CONTRACTOR'S REGISTRATION ERE( D
E-MAIL ADDRESS
COPY of card required I ` I �► w /� 3- 9
,•
with each application C ry /}--(/ w\ /F- 't 0 1/ - 5- ro r (o5
APPLICANT COMPANY NAME '` ��i� `/ VAPPLICANT NAME!! OFFICE PHONE
K5 rJ K vi A 12--- ( 1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( 2* ) 38c' -%53 S'^
RELATIONSHIP TO PROJECT . FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other . ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Ken/ KV✓rm "112— ( ) -
LENDER NAME • Per RCW 19.27.095:
Lender information 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 WORK $
'SPRINKLERED BUILDING? ❑ YES ❑ NO F ;UPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAV 0 HIGHLIT0 TACOMA 0 PRIVATE(WELL)
a
SEWER SERVICE PROVIDER 0 LAKE N 0 HIGHLINE o PRIVATE(SEPTIC) .
•
• PROJECT FLOOR AREAS
AREA DESC' PTION EXIST G PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST < 9 y A si
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
J�
DECK(0 COVERED OR ❑ UNCOVERED?)
i
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS 2. ESTIMATED SELLING PRICE $
•
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commereia!)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(eamroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 application.
NAME/TITLE - / lit ' DATE J 7 0 r O
(Signatur (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
. 4
c(-- —s— ,4,14
_ A.tes.A-c e.,/(
f--t
.4 ,
tc"
etc( 47- L./ cs,/-
"47 461. 7— — 49‘,
s ‘7.-z • r <—
Yz7
t4 .1("" "" • /44" //
,p„ 6--(
/-„. _
4,,,,(.. 5 .„1--4<. 4,5 11.e.:.1
4 /24, Li
"<-61-"Oe/eezwv e T —
/iv? 5
Ze°
( 54.r.i 41/4, /cia f, -7 741
5 /-44_/ 14e. /414,4-L. evox e "
—74
(02
7 A „,--e
erAae-,- 5 t e ( t't
(
76 IC
27
1�✓ c.
• DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
33325 8`h Avenue South
PO Box 9718
CITY OF f P.01^1 l 1 1 5 N ACV YY1�era-- Federal Way WA 98063-9718
FederalNay 6 ,3$0 15 3S---C-Cu- 253-835-2607;Fax 253-835-2609
S ���5.r �� qO —PAix www.cityoffederalway.com
2,5'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.
El 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
(Copy of approval form and asbestos survey fr uge ound Clean AIY (Electricity to be shut off and meter removed)
Agency pro ' )
(Puget Sound Energy)
(City of Federal Way Build,
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
i - under Fire Department permit prior to any dismantle/excavation)
(Puget Sound Energy) ,V -
(Federal Way Fire District#39)
3.SEPTIC SYSTEM 8. WATER- Public Source (Check applicable box)
(Tank to be removed or tank to be drained and filled) o Meter to be removed and final utility bill paid
,M.Meter to remain and be protected
/v, k /"1 �it ,...,-' LRN-A-06t3 iJlm76ZtcT (i/13J6(c
(King County Environmental Services) (Water Supplier)
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 and be used by proposed new structure o Private well to be used for other purposes
(Sewer District) pa (King County Environmental Services)
5.GARBAGE
(All household garbage disposed off and final bill paid)
(RST Disposal/Federal Way Disposal)
El Completed Construction Permit Application form
❑ Provide the following fees: 1.Demolition Permit Fee $65.50
2.Automation Fee 5.00
3. WA State Surcharge 4.50
4. Cash Bond Deposit 500.00 (Refundable upon Completed Final Inspection)
$575.00
Bulletin#I22—January 1,2006 Page 1 of 1 k:\Handouts\Demolition Permit Requirements
41/1
ji l--- 2 ?B PARTMEN7'L1 -
- ' MUNITY DEVELOPMENT SERVICES
25.3 • 33325 8th Avenue South
PO Box 9718
CITY OF Federal Way WA 98063-9718
Federal Way w 253-835-2607;Fax 253-835-2609
/� www.cityoffederalway.com
DEMOLITION PERMIT CONTACT LIST
This list of agencies may assist you in expediting the demolition permit process.Refer to the demolition permit
requirements for signature blocks. All applicable signatures are required prior to permit apprroovv.
1. Asbestos Removal: Puget Sound Clean Air Agency
110 Union Street, Suite 500 _ tipPer ----/IT 11
Seattle,WA 98101-2038 t- -- t , 1. '
206-343-8800-OR-800-552-3565
http://www.pscleanair.org
2. Electricity: Puget SoudnEnergy l) IV I Xi L i
Attn: ConstructionhCoordinator _.> � 6, � .0722828 68 Avenue South, Suite#102 Y�� S
Kent,WA 98032 � � 39S-
� �(
,
V 888-225-5773 � r Q53 3 1S - Elam 0
3. Gas: Puget Sound Energy ‘ -, n
805 156`h Avenue NE 6_ 1—. ) Lk- '
Bellevue WA 98004 _ // 6-7
/ .
Ftssp 453
888-225-57738^ l 3 �j��
k.
4. Telephone: Qwest Commur.ications ail
J q
801-962-2475 phone)/801-237-6191 (fax) ----�", •G�� L 1 ) - 13 . .
c
V
5. Water: Lakehaven Utility District Tacoma Public Utilities
Technical Service Division Customer Service
31623 First Avenue South -OR- 747 Market Street
Federal Way,WA 98003 Tacoma,WA 98402
253-941-2288 253-383-9600 or 253-383-2471
6. Garbage: Waste Management riff-'f. (3 6 3 .. 1 •;3 7
655 Second NW
Auburn,WA 98071 di< — LJ !�y 5„4_253-833-3333 (residential)-OR-253-939-9792(commercial) r'.... , -
7. Sewer: Lakehaven Utility District
0X Technical Services Division
31623 First Avenue South
Federal Way, WA 98003
253-941-2288
8. Septic: King County Environmental Services
14350 SE Eastgate Way
Bellevue, WA 98007
206-296-4932
,>(j 9. Fire Department: Federal Way Fire Department#39
/ 31617 First Avenue South
Federal Way, WA 98003
253-839-6234
Bulletin#109—October 1,2004 Page 1 of 1 k:\Handouts\Demolition Permit Contact List
1,10l) 13 2006 14: 54 FR TRAFTON 13 253 471 1324 TO 12539456690
NOLJ-13-2226 12 i 34 FRCM: 25:7E051256
410
4. .,
DIYABTRIF:rfl'01 C.7.3,NINtul. !TY DEVW.OPMENTSERYtati
33325 e A vlAroie Soitai
tw
PO le9'11 t
CITY OP A „:21,2...em!,.. ",.„ 40 revera. Federai Way WA 9&063-971&
Federal Way vjt, ..3102 IS35 -
- -c_CLA., 2j3-E35-2607;Fax 253-635-2609
wo:-A.cityoffeCvolyrovioni
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is reqo ired'i.-:-remove ii.-iy structure or structures on a subject property. Check with.the Ciry's Nanning
. Di visidn to see if the proposal exceeds tArestiolcis thin trigger an environmen'ast review,An environmental review and
--,irtittal of an envi- *lentil checklist may be required,which will extend the time period before a demolition permit ear
_ , .m..,
pe issued.
0 Prior to so bmittin a dernelitiot permit,the follOwluR Items(o.R epplicable)magi:be tige6d by the ler
;agency
(see pred.chee coomontio Pomakt Contact Ust).
NOT5 T e),iilut:,'07.. Liti),"ties 2:h0:1 b. ei,1 '.,)4111e0...j tilld Sgryletv performed, &pi:table,?rics Eal Ismilize of dm tehIcht Ao$Demo Ai;Wileable
;rens .
E'er i-are to be ttengWriAgitttly relf ralpseigvi agvAcy represcatatlyrz
-0
2.ASBESTOS'ABATEMENT 6.ELEacticfri
(crpy of pp?ovai ityrn ant asbestos air am Pt sour2 Clean Ar4 (! arty to be it oft arc meter r(111Z4ed;
Asom prow doe;
---------Tiii-M71 F.ret—ily-------
— ,r_CTty of resleraI Way 504..TF:Trair--
2,.GAS SUPPLY 7.FUEL STORAGE TANKS
(Gas to be shlt cif,met 'emu&and Ilniitilt;Ad) (A trove or beim.;grade Fuel taror.5,!lave beers purnptt-.or removed
under Fire Department relt prior tt)any dIsmantla,/nrairation)
------ (Puget SOUNI Ener )
3,SEPTIC SYSTEM B.WATER- PUblit SuUmu (Check aPPilcbble WV)
(Tank r:r be tetrcved or tell,rc be dree are r,%0 c Meter tc bo removed arid Ilra Alin/bin pald
XpIeer fa,mr0,z?in and be protected
4.21.m.,„........d
it/
(KIM trCiirTy-.. frneib-TtriiiilairZe—Wifir----- Niger SLIPPget)
*ray.**OR..*•*••
4,SANITARY SEWER (Chen bpp!itabil 1304' g.WATER- Private Welt(Check applicable bow.)
o Sewer rne mow!at oseperti iine o Private eafilled anti 00;r1e-,i
rt,...LV 1.1
.° SeWer ing tea I.efran 4 '' Sed Lir Pirr. ti new Viltcure c 1:YiVete Well t.C.,be MIK;ro,-wilt! puri.ames
_....,_,
------- et Ditur.t; 71:17FCE:LirWiTaTibre—er, f Er-6-7MCIES
5,GARBAGE
(MI htusehold gerbr,ge tivesed aff ald Ana!VI paid) °' Q 4)iz, 6 7— c 6/77 in vbif CPI 1 'N5
T'ST DISP0,2iFede't Way D.-.)0,53-T5 X Th-i-li ilN6 0/07-6FF I-4 Al2rovG12
l7, r.nmpic&cd Construction Pcrxrtil Appikation form
- -•-•-•-b-LE21 .2.42ZE
Agt
L Provide the following fees: I.Demolition Permit Fee S65.50
,!
, AutotnO'on Fee 5.00
WA State Surcharge 430
4,Cosh Bond Deposit 500,40 attionosab]&upon Completed Floe lidipetirk00
$575.00
——._
Bulletin AM,.Anuary I,z013•5 Page 1 al i icAtitindeoutiWernOilitei Femfit Kfteurrowyent.i
** TOTAL PAGE .01 *'4
I '-lE-'4n77, 4.2b ..131:,', 7-841 POO / O1 F-722
_ , f
!AK "•••••'• #
•
DPARIMErrr of COMNILlitr,Dinfirlonfeer sun:Icy:1
:.133%.1 111 Avenue South
PO Box?../1
(-ATV c;IF 101DatZ4410"4".' ri24,01X4Wg Prora- Federal Way 1,1A 98063-97
Federal Way rfr
.31v IS. 253-83S-2667-,Fax.2:53435-2609
www.cirvoffeeorelw,tiv.corn
203, 6104 — CVO
DEMOLITION PERMIT REQUIREKIENTS
A demolition permit is required to remove zry structure or n-uCt1.1TC.3 on 3 Subjc,ct property. Check with the CityPlannibDvor ig
to 5e0 if the ProPosal exoted6 thresholds that tligger an environmental 71%V;eVf.An environmental revirw axid
submittal.of an environmental checklist may be required,which will extend the time period before a demolition permit can
be issued.
1]P-or to submitting a dernolftion pel-nlit, folkuirig items niust b igid by the respective
AgenCy See attached Demolition Permit tThieseti
Vrr 11)APPLTNr: UiIl1Ia 4'ite,11dizonnec1ed. ttt .ao•Nices•peliv.r.-sci,9'appileablt,prior to Fs:Ili:Inez e,:f toi,c sien•.-Mt:ort perme,411 up,plitattfe,
stem.beiow ore ft,bE ACIed.,24kAtitfiy ehf:•entetiyc agency frepraterdativet
I,/Stilt STOS ABATEMENT 4ECTRICrne ,
“:41:11 of orProval frrir:&lc/asttos survey from Pt Sound'Cean'Alr f:Eir-,W404;lx:brrt.1iht•qp1":1404.7. 114
Agency p00) ) v ...
get sous, gy)
(cp..y t4 764:101ral VT:ty Ouilah
Z.GAS SUPPLY " 7.FUEL STORAGE TANKS
sp.lt off frnerer anc.?s bil; (Above or r tZnk.,v,heve been pumped or rernovffi
, under Fre Department pernA r tn any nibmannexicavatoo)
r Energy)
"—(Merat Way Fre-EMT4113-9j-
3.SEPFIC WS-TEM 8.WATik -Public Source (Check apOicebie box)
(Tni o t-e filfnVelOtconk to be crainesiri ei 0 Yleto co ix telTiOVect and anal Utth): plict
III,Matar No remain ald Sc.proDtd1
N T ‘+ ilia 4
Cto5:1,-VirEftrtieft'W Se-ACM) (116/NAT Suppl,u
***wwk 0 R.
4.SANITARY$3E1WER (Check pplIcabie 3ox) WATER-Private Well(check 'applicable box)
o Sewer1.1neC3ppe Jt t.s.repery 11ne CiPriwate w irert and cappfm
Ci ExZstitICI gAt4wr 0'4 !ernain and be used óy Prvre'SOd troLtire Privdto ir,e11 to be ustt!for other p2nitims
f,Krtc—Cr.4.0A
GARBAGE
Oispcwed off.:esd tirsai !m1T)
D Completed Construction Permit Application form
5 l?Tovide the following fees: 1.Demolition? unit Fee $65,80
2.Autcouttiori Fee 5.00
3. WA State S'tirchargc 4.50
4.CffSh Bond Deposit 5110.00 (Rc1undat41 upon Critoplced T1n23 Enspestiln)
$575,00
Bitkiin?m2 janUary 1,70.0f Fir of 1
kkat.peGuo'Dcrralition ftrtra..unitoitz