11-101200 '" ty y • Demolition
�.{
Community
of DevelopmentFederalWaServices Permit #: 11 -101200-00-DE
P.O.Box 9718 1, ,.
Federal Way,WA 98063-9718F 1 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: LEE
Project Address: 33301 PACIFIC HWY S Parcel Number: 172104 9026
Project Description: Demolition of one residential structure and 2 sheds.
Owner Applicant Contractor
KEE WON LEE MYONG SOO MYONG SOO
MYONG SOO 7522 167TH ST SE 7522 167TH ST SE
7522 167TH ST SE SNOHOMISH WA SNOHOMISH WA
SNOHOMISH WA 98296 98296
98296
Additio , 'OWN , 14 o i,
Demolition Valuation 1000
PERMIT EXPIRES Friday, March 29, 2013
Permit Issued on Wednesday, March 30, 2011
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: k� ( ti .,,� Date: b l
l /
3
• THIS CARD IS TO .MAIN ON-SITE -
CITY OF ...�..�,, Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101200-00-DE Address: 33301 PACIFIC HWY S
Project: KEE WON LEE FEDERAL WAY, WA 98003-6806
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 Date
Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
iii
QTT OF SP ERM IT —SIVE CO ME PL DE EN FP
4 Federal Way
CO2 835 607v FAX 2533-835E2609ES APPLICATION RECEIVED
_u._uru.cl�jickL f_pLron, 9$'1
MAP, 3 0 2011
SITE ADDRESS , #
-. 3c- ' , -' -' pa5,c.1, F 1 L K 1 C-)h V2> CITY OF FEDERAL WAY
PROJECT VALUA.TION ZONING ASSESSOR'S TAX/PARCEL# CDS
,
TYPE OF PERMIT 11BUILDING ElPLUMBING IAMECHANICAL
U.DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /
PROJECT DESCRIPTION C'yti1C 11 sG , ]-74_, 12 ': 1 L-7, (
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER }.-1 \<(y ,v CA LSE ,�g?
'"1 .
MAILING ADDRESS E-MAIL [T'Z
crry ,,,, / STATE ZIP
/1 ;1 1 t S Gu.e'yye-)--16
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR CI cc n 4.1,----
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY ( - CL: `1 �r�/ STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
Ill OWNER-FINANCED
Required value of$5,000 or more
(RCW 79.27.095/ MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 arty 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 application.
ftlSIGNATURE: A/ , _ )) DATES
PRINT NAME: Al e 1 as (,_.
S '-p
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
i 0
i v„s . �' Y `z "'?r'�`�. 1.3A rt % - f - T,* z
tea"- �° �'""" t*,- .r'xV;,..; a lr'
VALUE OF MECHAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) 7
BOILERS FURNACES HOT WATER TANKS(Gas(' _
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.q �'.. � M�:i sT" Y. 3 t�� S ` "3� • 4 xt.
Indicate how many of each type of fixture to be installed or relocated as partof this project.: Do not include existing fixtures to remain.
BATHTUBS(or Tub/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)
ttS Q. t �:
4,l e .,WASHING MAHINES r _ >HOSE BIBBS SUMPS
, -,aI K «,:L
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING MPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYST M? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes 1:1 No
Yes No
�REsmE:'�T/A ,. NEW OR ADDITION ION r
AREA DESCRIPTION(in square feet) EXISTING PROPOSED L TOTAL FOR OFFICE USE
BASEMENT 117
FIRST FLOOR(or Mobile Home)
SECOND FLOOR , s " • . . ,'
COVERED ENTRY
xt
GARAGE ❑ CARPORT ❑
OTHER(describe) I
(
EtiJSTIN. PAOPc)SED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS__-
NIMERcLL—Nf l%/: ,1)7)4„,_l'+I � 4
Area Construction # of
AREA DESCRIPTION I Occupancy Group(s) Additional Information
J in S.uare FeetT .e Stories
NEW BUILDING
ADDITION
COMMERCIAL-- REMO I"IMPROVEMENTS ;
I>. . �-.. Construction
Pe .Ki S.rt,oroife
s
AdditionaInom
a
tionAreaAREA DESCRIPTION Occupancy Group(s)Square Feet era j. ra atc� i, L F v r -�`:. e -v ea . -T# . ,
TENANT AREA ONLY
. TAN TA=a AONLY - : �' c
Bulletin#100—January 1,2011 Page 2 of 3 k:Wandouts\Permit Application
« jaista
• AR'NT OF COMMUNITY DEVICLO1Pirtwr itavIC rs
1 CITY OF 33325 8m Avenue Sculls
Federal P9 Do718
Federal Way WA 9gf13-9718
253-835.260'7;Fax 253.3.35-2609
DEMOLITION PERMIT REQUIREMENTS
A demolition permit is required to remove any structure or structures on a subject property.
Division to see if the proposal exceeds thresholds that tri P ICn Check with the City's Planningd
subts>zttal of an environmental cbecklist may be required,which��ilY� eac ��ew.An an�ro�I review a�
issuedperiod before a demolition permit can be
0 Prior to submitting a demolition permit,the following items(as applicable)must be signed by the respective agency
(see attached Demolition Permit Contact List).
Aorz Po. P1.[ Utilities shall be disconnected and services performed 'f af'Plrcuble,prior to issuance of the demolition permit.Alla licable
to b
items below are to be At by the
respective agency representatives. PP
X.ASIBESTt>S ABATEMERT z�rd e� i1(i
(Copy,of approval frim and abeam survey 6.ELECTRICITY -8v - 7
yfromP
Aq ,_,) Puget Sound Clean Air (Ektc igty to be shut off and me. r+°mcxted) ePGnc y1 e S iavi'C -
al,n '''.!:^1 (142 t
= .. ..T9'.
2.GAS SUPPLY
(!gas to be shut off,meter removed and lira bill paid) 7.FUEL STORAGE TANKS
--...._.-..-- - Tam below grade filel dirks, have Leen pumped or n�nor�ed
{Puget Soon :nay Department pen*prior in any / ration)
�5auth bng Flre and Rescue_..-_.._.___ ___�
3.SEPTIC SYSTEM
Crank b be removed or tank to be drained and Pilled) 8.WATER-Pia blit Seems (Check a livable box)
/� I .�.o Meter to be rArnnvred and final utility ball paid�aot .. !/ . , A.( LI Meter to remain and be protected
____ (�.County t:rrvxon`�"—arvIcisT—--- -
ater Supplier) ---
4.SANITARY SEWER (Check applicable box) ******OR rvn.***
Sewer line capped at property line 9.WATER^Private Well
(CheckQ Existing sewer line to remain and be used by proposed new a Private well Plied and capper appricable box)
o Private well to be used fir other er purposes
purpy
aver tltitity pct) 6 1/4...)---
S.GARBAGE
___. vz,nty 6w[ranrnental Services)---
(Ati hcr:rrhold garbage disposed off and final bill paid)
(Waste Manage"' ompany
D Completed Construction Permit Application.form
0 Provide the.follvsving fees: I.Demolition Permit Fee
2.Automation Fee $3 sed en van. ;table°nP8 4 of the construction permit3.WA State Surchar aG.00
g $4.50 RECE I V
P,,,,
�leun a���-r�;n�,y a6,zoio��--_-
Pageof-1"---
k_1HndouMDertwtitian 1'arrtbt Reiyrrireaneat9 .
MAR 3 0
CITY OF FEDERAL WAY
CDS
• •
TMP INT
EXECUTIVE SUMMARY
Tri Point Industries, Inc. (Tri Point)was retained by Mrs. Myong Soo Lee to conduct a limited asbesot survey pre
demolition inspection for three structures (main house, carport and storage shed) located at 33301 Pacific
Highway, Federal Way, Washington. Mr. Justin Lyles, an AHERA-accredited Building Inspector, conducted the
inspection on January 31, 2011. This inspection was conducted to fufill the Washington State Department of
Labor and Industries and Puget Sound Clean Air Agency requirements for an Asbestos Survey prior to
demolition of a structure.
Ten samples of suspect asbestos containing materials (ACM's) were collected and analysed to deterimine the
presence of asbestos. Six of the ten samples collected were identified as ACM's and five of the six ACM's
consisted of multiple layers of material,with the ACM identified at varying layers.
The following building materials were identified as asbesots containing materials:
• Silver paint on roofing components;located on all.structures
• Ceiling and wall textures;located throughout the main house
• Sheet vinyl flooring;located in the kitchen
RECEIVED
MAR 3 0 ?011
CITY OF FEDERAL WAY
CDS
1:\Volumes\9'ri Point\Proiects\Survevs\1 LO1 S-131 Lee\Reoon Lee Res.doc
Asbestos Survey_Pre Demolition Inspection January 31,2011
33301 Pacific Highway,Federal Way,WA 98003 Pg.4
• i