05-106508 � � �
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CityofFederalWay Demolition Permit #: 05-106508-00-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: HANAREUM MART
Project Address: 31219 PACIFIC HWY S Parcel Number: 082104 9174
Project Description: Soft Demolition of shelving and countertops for Plant Shop Area,Juice Area,Pharmacy
Area,and Seafood Area to include small wall removal.
Owner Applicant Contractor
HAN AH REUM MART INC. JAY KIM PRIME CONSTRUCTION&DEVELOPMENT
31219 PACIFIC HIGHWAY S PKIME CONSTRUCTION&DEVELOPMENT PRIMECD955RR(1/18/06)
FEDERAL WAY WA 98003 7728 228TH ST SW 7728 228TH ST SW
EDMONDS WA 98026 EDMONDS WA 98026
Additional Permit Information
CONDITIONS:
After final inspection is complete and approved,Please contact Kari Cimmer by e-mail at Kari.Cimmer@ci.
feder�I�way.wa.us to receive a refund of cash bond.
PERMIT EXPIRES Sunday,''December'��, 2007
Perm��issued on Friday, December 23, 2�05 ,
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 t e ity ofi Federal Way.
Owner or agent: �G�- Date: Z �
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\ �
..� -., THIS CARD IS TO TAIN ON-SITE �`
�,�oF Community Development Inspection Record
FQ��ra� way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106508-00-DE
Owner: HAN AH REUM MART INC.
Address: 31219 PACIFIC HWY S
FEDERAL WAY, WA
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 Date � '�
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��' Federal Way �— --� � C �
PERMITL✓r SF MF CO ME EL P E N FP
COA(MUMTP DBVELOPMEKI'SBRVICES e3 �U O�
33325 8TM AVENUE SOU7ff•PO BOX 9718
s�3���F�zs3�z6o9 APPLICA'��0� � °
wmw.cifuoffedera(urnv.com d �DERAL W .
�viIDING DEPT,
The ollowt is re uired in ormation-an tnco iete a iication wiil not be acce ted. Please rFnt le i in in or
-• � � • - •
SITE ADDRE.55 ��� c1 -^ j t�A �, �G w� ; G✓/J �SUITE/UDTIT#k
ASSESSOR'S TAX/PARCEL�k _ �_��lL��� _ _ _ LOT SIZE(s� `�-��'.T�,
/
LEGAL DFSCRIPTION(e.g.Acme Esfates,Lot 1 J
�"'�'��aaxfa�hv i�d��M
.� � . � -
TYPE OF PERMIT ❑BUII.DING ❑ PLLTIYIBING ❑ 1yIECIiANICAI, -
�EMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work viduded on this ermit onli
PROJECT NAME(Name of Business or Owner Last Name) ;���j��.�(���/j/J� �/����� -
• • • - �
�� � NAME �j �
aVT {�`� � PRIMARY�HO{VE_�_I/t/
OWNER Qy� k•� tT Cl1�
T
�'� x� MA�UNGAD�S 2 /�/�� � CI . A�[P� ��� ���
a �1' ,
CONTRACTOR COMPANY NAME APPWCANT NAME OFFICE PHONE
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C .l`QYl . �i►t �B ��� � � -
WNG ADDRESS CITY,STATE 1P CELL PHONE
7` � �.f� . S�- r�l�-rNcl�cl,s. ( ) - - �c`l c�
CITY OF FEDERAL,WAY BUSMESS LICENSE NUMBER EXPIRATION DATE NUMBER
- �� �'_ �76L�" g L ��� �C�_� � � _
CONT RS REGIST ION NUMBER(cop�of d teqvlred with each appllntioa� EXpIRATlON DATE
� � � � C i� � _ �S g. ��- � ��' ��'�
APPLICANT COMPANY NAME -{- � ..y, APPL[CANT NAME OFFICE PHONE
' .il�i.'�'v�� ��Yt�W�tLin fM.� �Q-a(�. � �'n'rw� � � _
LING ADDRESS CITY,STATE,Z!P CELL PHONE
� ��s� . s� �l'�1 ,� 9��� ( �� �L - 617�
RELATIONSH[P TO PRWECT
F NUMBER
❑ Architect �'Tenant ❑Agent ❑ Other(Desca�eJ � � _
CONTACT NAME
�� �;�` PRIMARY PHONE E-MAILADDRFSS
LENDER K �� - �/� ��rnec.ND Q c[�o�' �L.� -
NAME
MAILlNO ADDRESS pTY.37'ATE,ZIP
� � : 1 � • ' �
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE � VALUE OF PROPOSED WORK S$ �pOD� '
SPRINKLERED BiiILDING? �(YF.S ❑ NO FIRE Si7PPRESSION SYSTEM PROPOSED/RF.QUIgEDp ❑yES ,�(NO
WATER SERVICE PROVIDER ❑ LAI�HAVEN ❑ ffiGI�INE a TACOMA ❑pRI{�ATE(9VELL)
SEVf�R SERVICE PROVIDER O LAKEHAVEN ❑ ffiGEiLIIQE ❑ PRIVATE(SEPTIC)
-. • • -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S .FT. S .FT. S .FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH ' .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
E7Q5[INQ �ROMS6D 70TAL • ...Ot . . . ' .. ..:"TR....._..._.WS�ji;:'. �. .......�;_'��"7�:. . .
NUMBER OF FLOORS '" -�';�`
,.. <:_. :..._:. _� '°�s�"�:
•'NEW HOMES ONLY`• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• -
Indicate number of each type of fixture to be insta!(ed or relocated as part of fhis project. Do not include existing fuctures to rem.ain.
MECIiAHICAL '
Value of Mechanica!Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS i
BBQS FANS HOODS�co���dm� WOODSTOVES
BOILERS FIREPLACE INSERI'S RAN(3ES MISC(Describe) i
� COMPRESSORS FURNACES l�AB WATER HEATERS
DUCTS (}AS PIPE OUTLETS
�
PLUMBING !
BATHTUBS(or7Lb/showercombo� SHOWERS WATER CLOSETS�rotk� MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLEI'S SUMPS RAINWATER SYST �
WASHING MACHINES URINALS HOSE BIBBS I
LAVS(gattuoomsinln� VACUUM BREAKERS ELECTRIC WATER HEATERS �
� •
I cert�y under pena(ty of perfury that the tr�ormatton farntshed by me is true and correct to the best of my knowledge,and further, that I
am autiaoriaed 6y the owner oj the a6ove premises to perform the work jor whtch the permit appitcallon is made. I further agree to hold
harmless the City of Federai Way as to any cIaim(inciuding costs, expenses, artd attorneys'fees tncurred in the investtgatton and dejense of
such clairrQ,which may be made by any person,inciuding the undersigned,and itled aryainst the GYty ojFederai Way,but only where such ciaim
arises out of the reliance of the ci[y,including its ojflcers and empioyees,upon the accuracy of the t►{jormatton suppiied to the city as a part oj
this appitcatton.
� NAME/TITLE -�-• ��(f ���` :C� ZC-'� '-' DATE ���`�'� ��S
(sig ture► < (Tiue�
RELATIONSFiIP TO PROJECT ❑ Owner ❑Agent O Contractor ❑Architect ❑ Other
i
Bullet�n#t00—January 7,2005 , Page 2 of 4 kU-Iandouts�Permit Application
�
n DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
� , �,�4�E�V�� 33325 8`hAvenue South
� . PO Box 9718
CITY OF Federal Way WA 98063-9718
Fed e ra I VUay �E� � � 1 J`;' 253-835-2607;Fax 253-835-2609
www.cityoffederalway.com
CI`CY O�FEDERA� WAY
BUILDING DEPT
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 TOAPPLICANT: Utilities sha11 be disconnected and services performed, if applicable,prior to issuance of the demolition permit.Al1 applicable
items below are to be slXned and dated by the respective agency representatives.
1.ASBESTOS ABATEMENT 6. ELECTRICITY •
(Copy of approval foRn and asbestos survey from Puget Sound Clean Air (Electricity to be shut off and meter removai)
Agency provided) �; ��
� �►� � {�( uget Sound Energy)
(City of Federal Way Building Officiai)
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
N /��- under fire Department permit prior to any dismantle/excavation)
(Puget Sound Energy) ru ��.
(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) ❑Meter to be removed and final utility bill paid
❑Meter to remain anNb�protected
�� (r�- � � ��
(King County Environmental Services) (Water Supplier)
******pR******
4.SANITARY SEWER (Check applicable box) 9.WATER- Private Well(Check applicable box)
❑Sewer line capped at property line o Private well filled and capped
❑Existing sewer line to remain and be lised by proposed new structure ❑Private well to be used for other purposes
!� l��� i1 f i�
(Sewer District) (King County Environmental Services)
5.GARBAGE
(All household gart�age disposed off and final bill paid)
ti- /�� � � �
(RST Disposal/Federal Way Disposal)
�Completed ConstrucNon Permit Application form
�Provide the following fees: 1.Demolition Permit Fee $63.50
2.Automation Fee 5.00
3.WA State Surcharge 4.50
4. Cash Bond Deposlt 500.00 (Refundable upon Completed Final Inspection)
$573.00
Bulletin#122—Mazch 9,2005 Page 1 of 1 k:U-Iandouts�Demolition Permit Requirements
� � DEPARTMENT O MMUNITY DEVELOPMENT SERVICES
� 33325 8`�'Avenue South
, PO Box 9718
����F �� ' Federal Way WA 98063-9718
Federai Way 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 approval.
1. Asbestos Removal: Puget Sound Clean Air Agency
110 Union Street,Suite 500
Seattle,WA 98101-2038
206-343-8800-0R—800-552-3565
http://www.pscleanair.org
2. Electricity: Puget Sound Energy
Attn:Construction Coordinator
22828 68`�Avenue South,Suite#102
Kent,WA 98032
888-225-5773
3. Gas: Puget Sound Energy
805 156�'Avenue NE
Bellewe,WA 98004
888-225-5773
4. Telephone: Qwest Communications
801-962-2�75(phone)/801-237-6491 (fax)
5. Water: Lakehaven Utility District Tacoma Public Utilities
Technical Service Division Customer Service
31623 First Avenue South -0R— 747 Market Street
Federal Way,WA 98003 Tacoma,WA 98402
253-941-2288 253-383-9600 or 253-383-2471
6. Garbage: Waste Management
655 Second NW
Auburn,WA 98071
253-833-3333(residential)—OR—253-939-9792(commercial)
7. Sewer: Lakehaven Utility District
Technical Services Division
31623 First Avenue South
Federal Way,WA 98003
253-941-2288
8. Septic: King County Environmental Services
14350 SE Eastgate Way
Bellewe,WA 98007
206-296-4932
9. Fire Department: Federal Way Fire Department#39
31617 First Avenue South
Federal Way,WA 98003
253-839-6234
Bulletin#109—October I,2004 Page 1 of 1 k:�I-Iandouts�Demolition Permit Contact List