HomeMy WebLinkAboutPermit D05-021 - LA PIANTA LLC - RESIDENCE DEMOLITIONLA P1ANTA DEMO
5665 S 178 ST
D05-021
s
City at ; Tukwila .
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
DEVELOPMENT PERMIT
Parcel No.: 3523049040
Address: 5665 S 178 ST TUKW
Suite No:
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
DOS -021
02/11/2005
08/10/2005
Tenant:
Name: LA PIANTA LLC - HOUSE DEMO
Address: 5665 S 178 ST, TUKWILA WA
Owner:
Name:
Address:
Contact Person:
j Name:
Address:
f Contractor:
C Name:
' Address:
Contractoi
MARTIN WINDONA
5665 S 178TH, SEATTLE WA
BARRY SENNETT
P.O. BOX 88028, TUKWILA WA
LA PIANTA LLC
PO BOX 88028, TUKWILA WA
License No: LAPIAL *00838
Phone: 206 - 575 -7000
Expiration Date: 04 /01/2006
DESCRIPTION OF WORK:
DEMOLITION OF HOUSE - REMOVING STRUCTURE AND FOUNDATION OF 1240 SQ FT SINGLE FAMILY RESIDENCE
PUBLIC WORKS ACTIVITIES INCLUDE: TERMINATE AND CAP ALL UTILITIES. PUMP AND REMOVE SEPTIC TANK.
REGRADE TO MATCH ADJACENT EXISTING CONTOUR ELEVATIONS. EROSION CONTROL.
WATER IS HIGHLINE WATER DIST.
Value of Construction: $6,500.00
Fees Collected: $567.13
Type of Fire Protection:
International Building Code Edition: 2003
Type of Construction: VB
Occupancy per IBC: 0022
Public Works Activities:
Channelization / Striping:
N
Curb Cut / Access / Sidewalk / CSS:
N
Fire Loop Hydrant:
N
Number:
0 Size (Inches): 0
Flood Control Zone:
N
Hauling:
N
Start Time:
End Time:
Land Altering:
N
Volumes:
Cut 0 C.y. Fill 0 c.y.
Landscape Irrigation:
N
Moving Oversize Load:
N
Start Time:
End Time:
Sanitary Side Sewer:
N
Sewer Main Extension:
N
Private:
Public:
Storm Drainage:
N
Street Use:
N
Profit:
N Non - Profit: N
doc: IBC - Permit D05 -021 Printed: 02 -11 -2005
Phone:
Phone: 206 396 -2012
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0 2 Departmei :t of Commui:ity Development
—t 0 6300 Southcenter Boulevard, Suite #100
2 Tukwila, Washington 98188
Phone: 206 - 431 -3670
1908 Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.us
Water Main Extension: N Private:
Water Meter: N
* *continued on next page **
Steve Lancaster; Director
doc: IBC - Permit D05 -021 Printed: 02 -11 -2005
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Cit y at Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: ci.tukwila.wa.its
1 °~ )
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D05 -021
02/11/2005
08/10/2005
1
Permit Center Authorized Signature: Date:
I hereby certify that I have read and examined As permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating construction or th rformance of work. I am authorized to sign and obtain this development permit.
Signature: Date: Z �l
Print Name:
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is
suspended or abandoned for a period of 180 days from the last inspection.
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doc: IBC-Permit D05 -021 Printed: 02 -11 -2005
>< � City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 3523049040 Permit Number: DOS -021
Address: 5665 S 178 ST TUKW Status: ISSUED
Suite No: Applied Date: 01/20/2005
Tenant: LA PIANTA LLC - HOUSE DEMO Issue Date: 02/11/2005
1: ** *BUILDING DEPARTMENT CONDITIONS * **
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
5: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
6: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
7: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and
completion of work at least 24 hours in advance.
8: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of
10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed
areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this
period. Inspect and maintain this stabilization weekly and immediately before, during and following storms.
9: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from
the business that performed the pumping shall be provided to the City Utilities Inspector.
10: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
11: Applicant to coordinate with Highline Water District to cap and remove water lines and water meter, as required by
district.
* *continued on next page **
doc: Conditions D05 -021 Printed: 02 -11 -2005
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City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
Print Name: q&N C dC&-
Date: /, �OS
doc: Conditions D05 -021 Printed: 02 -11 -2005
;ALl" CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
X806 f 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Btulding Pet`ni�t No '"�'
Public Works Permit' No `'
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Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
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Name: Barry Bennett Day Telephone 206/396 -2012
Mailing Address PO Box 88028 Tukwila WA 98138
City state Zip
E -Mail Address bbennett @segalebp.com Fax Number 206/575 -1837
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Company Name: La P i an t o LLC
Mailing Address PO Box 88028 Tukwila WA 98138
city State Zip
Contact Person: Barry Bennett Day Telephone 206/396
E -Mail Address: bbennett @segalebp.com Fax Number 206/575 - 1637
Contractor Registration Number: LAP IAL 0 0 8 J8 Expiration Date: 4/1/06
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
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King Co Assessor's Tax No.:
3523049040
Site Address
5665 S . 178th Street
Suite Number:
Floor:
Tenant Name:
n / a
New Tenant:
❑ .... Yes []..No
Property Owners Name:
La P i an t a LLC
Mailing Address:
PO' Box 88028
Tukwila
WA 98138
city
State Zip
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Name: Barry Bennett Day Telephone 206/396 -2012
Mailing Address PO Box 88028 Tukwila WA 98138
City state Zip
E -Mail Address bbennett @segalebp.com Fax Number 206/575 -1837
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Company Name: La P i an t o LLC
Mailing Address PO Box 88028 Tukwila WA 98138
city State Zip
Contact Person: Barry Bennett Day Telephone 206/396
E -Mail Address: bbennett @segalebp.com Fax Number 206/575 - 1637
Contractor Registration Number: LAP IAL 0 0 8 J8 Expiration Date: 4/1/06
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
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Valuation of Project (contractor's bid price): $ 6,500. Existing Building Valuation: $ 76,000
Scope of Work (please provide detailed information) demolish house
Remove str ucture and foundation of 12+0 sf single family residence,
Terminate and cap all utilities. Pump and remove septic tank.
Regrade to match adjacent existing contour elevations.
Will there be new rack storage? ❑ ..Yes ❑.. No
If "yes ", see Handout No. for requirements.
Provide All'Building.Arent in Square Footage Below
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm []..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ ..No
If "yes ", attach list of materials and storage locations on a separate 8 - 112 x 11 paper indicating quantities and Material Safety Data Sheets.
%permits plusUec chsnges%pemtit application (7.2004)
Page 2
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Existing
Interior
Remodel
Addition to -'
Existing
Structure
New
Type of :.::
Construction
per IBC.
Type of
Occupancy per
IBC
1't Floor
1240
2 Floor
3t Floor
Floors - thru' '
Basement
Accessory Structure*
Attached Garage
..petached Garage
Attached Carport
Deiached. Carport -
Covered Deck .
Uncovered Deck.
PLANNING DIVISION:
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain:
FIRE PROTECTIONIHAZARDOUS MATERIALS:
❑.. Sprinklers ❑ ..Automatic Fire Alarm []..None ❑ . Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑ ..No
If "yes ", attach list of materials and storage locations on a separate 8 - 112 x 11 paper indicating quantities and Material Safety Data Sheets.
%permits plusUec chsnges%pemtit application (7.2004)
Page 2
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•.. , ��:1. �.. .. v.,. : {;.,:: it .4.'� �.,�••• , :i� ! }i i
Scope of Work (please provide detailed information):
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works'Bulletin #1 for fees and estimate•sheet..'
Water District
❑ ...Tukwila ❑ ... Water District # 125 Highline ❑ ...Renton
❑ ...Water Availability Provided
Se er District
..Tukwila El ... Va1Vue El.. Renton ❑ ...Seattle
❑ ...Sewer Use Certificate ❑ ... Sewer Availability Provided El.. Approved Septic Plans Provided
❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Su fitted with Application (mark boxes which apply):
..Civil Plans (Maximum Paper Size — 22" x 34 ")
❑ ... Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis
❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ ... Hold Harmless
Proposed Activities (mark boxes that apply):
❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use -Profit for less than 72 hours
� ❑ Right -of -way Use - No Disturbance ❑ .. Right -of- -way Use — Potential Disturbance
Construction/Excavation/Fill - Right -of -way . V
Non Right -of -way
❑ ...Total Cut cubic yards
❑ ...Total Fill _ cubic yards
OAanitary Side Sewer
Cap or Remove Utilities
❑ ...Frontage Improvements
❑ ...Traffic Control
❑ ...Backflow Prevention - Fire Protection _
Irrigation
Domestic Water
❑ .. Work in Flood Zone
❑ .. Storm Drainage
Abandon Septic Tank
❑ .. Curb Cut
❑ .. Pavement Cut
❑ .. Looped Fire Line
❑ ...Permanent Water Meter Size... WON
❑ ...Temporary Water Meter Size.. WON
❑ ... Water Only Meter Size............ WON
❑... Sewer Main Extension ............ Public Private
❑ ... Water Main Extensioti ............. Public Private
❑ .. Grease Interceptor
❑ .. Channelization
❑ .. Trench Excavation
❑ .. Utility Undergrounding
❑ ... Deduct Water Meter Size ........ "
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ ,..Water ❑ ...Sewer ❑ ...Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address: City state Zip
Water Meter Refund/Billing:
Name: Day Telephone:
Mailing Address:
City State Zip
1pwniu plusticc clunsestpermit application (7.2004)
Page 3
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MEC' AEI"' PERMITI-I1�, tMATYON' � 2U6 =4 1 =3.670
. . r .. .. _:. ., r .. . I .. .r .. •. .. ..... r r �' a ... . ...'.;.
I.
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance"
Valuation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑
Commercial: New .... ❑
Fuel Twe Electric ..... ❑ Gas .... ❑
Replacement..... ❑
Replacement..... ❑
Other:
Indicate type of mechanical work being installed and the quantity below:
"Unit.T e:
Unit Type:
UnitT e:
QtY
Boiler /Com ressor:
Qty
Furnace <100K BTU
Air Handling Unit >I0,000
Fire Damper
0 -3 HP /100,000 BTU
CFM
Furnace>100K BTU
Evaporator Cooler
Diffuser
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Sin le Duct
Suspended/Wall/Floor
Ventilation System
Wood/Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Wa ter Heater
50+ HP /1,750,00 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
System
Air Handling Unit
Incinerator — CotntntInd
Other Mechanical
<I0,000 CFM
Equipment
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PERMIT` >:APPLTCATION .TES;, A. Ica e a rall!: e. t
:. 1�1...:. ......: . ............�1.__. Q. rmlt s..>tt� is a licatol
,. r. Fp pr:
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 0 UTHO GENT:
Signature: C Date: 1/18105
Print Name: Mark Hancock Day Telephone: 206/575-2000
Mailing Address PO Box 88028 Tukwila WA 98138
City state zip
Date Application Accepted: Date Application Expires: �r Staff Initials:
"at���� -2e rD J Z_ 's
%permits plusVcc changes\permit application (7 -2004)
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
` PROJECT NAME LA LLC_ ko vsE beem
a
PERMIT # ho5 - 0Z I
If you do not provide contractor bids or an engineer's estimate with your permit application,
Public Works will review the cost estimates for reasonableness and may adjust estimates.
1 ,
1. APPLICATION BASE FEE $250(l)
2. Enter total construction cost for each improvement category:
i General
Erosion prevention
i Water 2.5b
Sewer S
j Storm water
Road /Parking /Access
A. Total Improvements 50
3. Calculate improvement -based fees: -7
B. 2.5% of first $100,000 of A. l3
C. 2.0% of amount over $100,000,
but less than $200,000 of A.
D. 1.5% of amount over $200,000 of A.
'7 S
4. TOTAL PLAN REVIEW FEE (B +C +D) $ ! 3 (4)
5. GRADING Plan Review and Permit Fees $ — (5)
Enter total excavation volume — cubic yards
Enter total fill volume — cubic yards
j
Use the following table to estimate the grading application fee. Use the greater of
the Pxcavntinn and fill vnlumes_
QUANTITY IN CUBIC YARDS
RATE
Up to 50 CY
Free
51-100
$23.50
101-1,000
$37.00
1,001 - 10,000
$49.25
10,001 - 100,000
$49.25 for 1 10,000,
PLUS $24.50 for each additional 10,000 or fraction
thereof.
100,001 - 200,000
$269.75 for 1 100,000,
PLUS $13.25 for each additional 10,000 or fraction
thereof.
200,001 or more
$402.25 for 1 200,000,
PLUS $7.25 for each additional 10,000 or fraction thereof.
TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION
(1 +4 +5) $ - Z I -
The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the
submission of the application /plan and 2) a follow -up review associated with a correction letter. Each
additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the
Total Plan Review Fee.
Approved 09.25.02
Revised 03.18.03
Revised 05.13.03
Revised 06.07.04
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW ma ad ust estimated fees
6. Permit Issuance /Inspection Fee (B +C +D) $ 13 (6)
7. Pavement Mitigation Fee $ — (7)
y The pavement mitigation fee compensates the City for the reduced life span due to removal of
? roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and
on the condition of the existing pavement. Use the following table and Bulletin 1 B to estimate
the pavement mitigation fee.
Approx. Remaining
Years
Pavement Overlay and
Repair Rate
(p er SF of lane width
20 -15 100%
$10.00
15-10(75%)
$7.50
10-7(50%)
$5.00
7-5(33%)
$3.30
5-2( 25%)
$2.50
2 -1 10%
$1.00
0 -1
$0.00
3
8. GRADING Permit Review Fee $
Grading Permit Fees are calculated using the following table. Use
the greater of the excavation and fill volumes from Item 5.
QUANTITY IN CUBIC YARDS
RATE
50 or less
$23.50
51-100
$37.00
101-1,000
$37.00 for I s' 100 CY
plus $17.50 for each additional 100 or
fraction thereof.
1,001 - 10,000
$194.50 for 1 CY
plus $14.50 for each additional 1,000 or
fraction thereof.
1.0,001 - 100,000
$325.00 for the .1 CY
plus $66.00 for each additional 10,000 or
fraction thereof
100,001 or more
$919.00 for 1" 100,000 CY
plus $36.50 for each additional 10,000 or
fraction thereof.
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Revised 03.18.03
Revised 05.13.03
Revised 06.07.04
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BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
0
TOTAL OTHER PERMITS
A. Water Meter - Deduct ($25)
B. Flood Control Zone ($50)
C. Water Meter- Permanent*
D. Water Meter - Water only*
E. Water Meter- Temporary*
* Refer to the Water Meter Fees in Bulletin Al
Total A through E $ (9)
i
10. ADDITIONAL FEES
A. Allentown Water (Ordinance 1777) $
B. Allentown Sewer (Ordinance 1777) $
C. Ryan Hill Water (Ordinance 1777) $
D. Special Connection (TMC Title 14) $
E. Duwamish $
F. Storm Drainage Mitigation $
i G. Other Fees $
Total A through G $ (10)
i
DUE WHEN PERMIT IS ISSUED (6 +7 +8 +9 +10) $ I'?, y
i
ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE
This fee includes two inspection visits per required inspection. Additional inspections (visits)
attributable to the Permittee's action or inaction shall be charged $47.00 per inspection.
i
2�9 cs
Approved 09.25.02 3
Revised 03.18.03
Revised 05.13.03
Revised 06.07.04
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City of Tukwila
s inns _
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 3523049040
Address: 5665 S 178 ST TUKW
Suite No:
Applicant: LA PIANTA LLC - HOUSE DEMO
Permit Number: DOS -021
Status: APPROVED
Applied Date: 01/20/2005
Issue Date:
Receipt No.: R05 -00194
Initials: SKS
User ID: 1165
Payment Amount: 278.00
Payment Date: 02/11/2005 03:07 PM
Balance: $0.00
Payee: SEGALE PROPERTIES
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 48092 278.00
ACCOUNT ITEM LIST:
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PW BASE APPLICATION FEE 000/322.100 250.00
PW PERMIT /INSPECTION FEE 000/342.400 14.00
PW PLAN REVIEW 000/345.830 14.00
Total: 278.00
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9902 0715 9716 TOTAL 834.00
doc: Receipt Printed: 02 -11 -2005
I
Total: 289.13
9132 01/21 9716 TOTAL 867.39
doc: Receipt Printed: 01 =20 -2005
�_. 1908 �-Q Cit of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
�LU
Parcel No.: 3523049040
Permit Number
DOS -021
O
Address: 5665 S 178 ST TUKW
Status:
PENDING
Cl) o
Suite No:
Applied Date:
01/20/2005
w =
Applicant: LA PIANTA LLC - HOUSE DEMO
Issue Date:
u .
Receipt No.: ROS -00074
Payment Amount:
289.13
LL
0
Initials: SKS
Payment Date:
01/20/2005 10:47 AM
LU
User ID: 1165
Balance:
$0.00
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Payee: SEGALE PROPERTIES
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TRANSACTION LIST:
Type Method Description
Amount
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- -- - -- -------- - - -- - - -- -
------------
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Payment Check 47924
289.13
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ACCOUNT ITEM LIST:
Description Account Code
Current Pmts
BUILDING - NONRES 000/322.100
172.50
PLAN CHECK - NONRES 000/345.830
112.13
STATE BUILDING SURCHARGE 000/386.904
4.50
Total: 289.13
9132 01/21 9716 TOTAL 867.39
doc: Receipt Printed: 01 =20 -2005
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INSPECTION RECORD
Retain a copy with permit
INSP ION NO. PER
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
P oject:
Type of Inspecti
A ss:
�
Date Called: �`
v
Specia Ins ructi ns:
A
COL Requester
621'ld
Date Wanted:
Phone �o:
-
•f
1
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n - .
prove per app i able co es. Corrections required prior to approval.
COMMENTS:
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
.6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
1Cl��z'i
Type of Inspection:
1 /)a
Addr ss:
E66 17f S-6
Date Call d:
0 is l v5
Special Instructions:
111Sp'
Date Wanted: a.m.
Requeste
Phone . '!�
l �
Fl Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
c-,a �
Inspector: � i Date: 2 �
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectior
Receipt No.: Date:
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NORTHWEST CASCADE INC.
CN POST OFFICE BOX 73399, PUYALLUP WASHINGTON 98373 NORTHC1148BG
TACOMA (253) 848.2371 • SEATTLE (253) 838-2359 • FAX (253) 848-2545
DBA: CASCADE HONEY BUCKETS • FLOHAWKS SEWER & DRAIN CLEANlt_Qq-, 60549B3 ,
TOLL FREE (800) 444-2371
R f 5
C'
=1 T 1; J- F. v e Norma 1 7 1? '18 1?
a e 0 1 1 1 1 0S
I.- Date 0 1 /2 S 0 S
t j. a n
Loca
LA RIANTA U-C SEGALE BUSINESS PARK
— EGALF- PK DR-C
d "w"I SE GALE E %1l\lFq5 PARK
P OBOX 28028 T IJ IA [-J I L A, WA 981881
/GALL0l'-IS
WED
FEE - 7 205
INVOICE
PLEASE PAY FROM THIS INVOICE
Terms: Net 10th Prox, Delinquency Charge - 1 °b per month.
I I
3 4 0. G0
Sul) to t" al 840.00
Sales Tax: 'S. 92
.°INSPECTION RECORD W,,
INSPECTION NO. Retain a copy with permit CITY OF TUKWILA BUILDING DIVISIO
6300 Sou Blvd., #100, Tukwila, WA 98188 (206)4.31 -36
Project* /� 1
J ' cruse ux/s'l D
Type of Ins ectio
/ /LF'
Address:
Date Called:
Special Instructio s:
�!
C: CI
ate Wanted: a.m.
Requesterf�
Phone No.
1� o 11Z
Approved per applicable codes. Corrections required prior to approval.
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COMMENTS:
` c
Inspector: Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
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INSPECTION RECORD
Retain a copy with permit b0
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Type of Inspectio
Address:
Date Called:
_
�y
515ecial Instructions:
Date Wanted: a.m.
p.m.
Requester:
Phone No: "
24 - &� 20 .
C
Wj
Inspector: Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectioi
Receipt No.: Date:
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THIS NOTICE IT IS DUE TO: THE
a
Agency Case No. _\ PUGET SOUND CLEAN A'—
AGENCY r
.... ............. 110 Union Street, Suite 500
2 00500179 ... Seattle, WA 98101 -2038
www.pscleanair.org
NOTICE OF INTENT
Y.
s
JAN 14 2000
PUG61eF+ WCQjh
A. Proiect Tyne: 1. ❑ Friable Asbestos Removal 2. ® Friable Asbestos Removal & Demolition 3. ❑ Demolition Onlv
B.
Property Owner La Pianta LLC
Phone: 206/575 -2000
Mailing Address: PO Box 88028
City Tukwila
I State WA
i zip :98138
C. Asbestos PLEASEPRINTCLEARW; THIS IVILLBE YOUR RETURNAUILINGLABEL.
Contractor: Northwest Abatement Services
Mark Stephens
Owner /CEO Anthony Betz
Date of Asbestos
Was Friable Asbestos Identified? CdYes IJNo
Contractor
Mailing Address: 9822 32nd Ave Court S
Phone: 253/588-0440
Job No.:
City Lakewood
State: WA
zip: 98499
Fax: 253/588-0340
D. Site 1 - Seatac
Address see attached list (4 houses) Cit : - Tukwila Zip 98031
Site
Manager: Barry Bennett '" Local Phone: 2 0 6 / 3 9 6 — 2t 12
E. Asbestos Survey or
N8" of
Date of Asbestos
Was Friable Asbestos Identified? CdYes IJNo
❑ Mat'[ P resumed
Structures: 4
Survey: 1/
Was Nonfriable Asbestos Identified? ®Yes ❑No
Attach a copy of the survey when friable asbestos
AHERA Building
Certification #: 1014263
Inspector Chad Yun e
Ex p. Date 5 2006
has not been identified.
An AHERA Survey is reattired before all demolition Drokects
F. Demolition
Start
No. of
1. LJ Training Fire (List Fire Dept.)
Information:
Date: 1/24/
Structures: 4
2. ❑ Ordered Demolition attach copy of Order)
Demolition
insert demolition contractor's mailing address on back.
Will nonfriable asbestos be left in place during demo? L1 Yes 24 No
Contractor:
La Pianta LLC
I If yes, list type and qty.
G. Friable Asbestos
Project Information:
Start Date: 1/17/
Com letion Date:. 1/21/05
Work Days: F Sa Su
Hours: 8-5
Will all friable asbestos Yes
materials be removed? ❑ No
(House #1)
Total Qty. to be Removed: 40 Linear Ft.
10 Square Ft.
BoilerTumace Insulation U Duct Insulation Pipe Insulation Ll Fireproofing Paints LJ Plaster LJ Textured Coating's
Cement Board LJ Cement Pipe LJ Friable Flooring LJ Friable Roofing Material Other:
H. Asbestos /Demolition Project Categories:
Notification Period
Project Demolition
1. Single - Family Residence (owner- occupied):
Fee Surchare
A. ❑ Asbestos Removal Project Only
A. Prior Notice
A. $25
B. ❑ Demolition Project (with or without asbestos removal project)
B. 10 Days*
B. $50
*(Asbestos removal can begin upon notification; demolition must w ait 10 days
Note: If the single family residence is owned by one family who has been or will be using the residence as their domicile, the above boxes
IA or 1 B may be checked. If this is not an owner- occupied residence, one of the categories listed beloiv must be used. A single family
residence does not include rental ro er , midti-Jamily units, or an y mixed -use buildin .
2. LJ All Other Demolitions with no Asbestos removal or Nonfriable Asbestos
10 Days
$200
onl
Friable Asbestos Projects other than Single Family Residence):
Asbestos Demo
3. >— 10 - 259 linear feet and/or > :48 - 159 square feet of asbestos
Prior Notice 10 Days
100 $100
4. U 260 - 999 linear feet and/or 160 - 4,999 square feet of asbestos
10 Days
$200 $100
5. U > 1,000 linear feet and/or >5,00 s u are feet of asbestos
10 Days
$750 $250
6. 0 Emergency Asbestos Project or Ll Emergency Demolition Project
Prior Notice
Twice Project Fee
(Single - Family Residences are exempt from emergency fee; however, property owners must provide a
written emergency request)
I. 1 certify that the informa 'on contained in this notification & supplemental data is, to the best of my knowledge, accurate & complete. Age p y Use Only
how La Pianta LLC / �?
wgrtature (',�(�/ Representing to a FM Date Revi rved
Puget Sound Clean Air Agency Form No.: 716 R71mm r ^ v�
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PERMIT CENTER WITT.
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j The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project
involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects
(regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation
III, Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agency
forms. Asbestos removal and demolition projects involving materials and structures below the notification threshold are
still subject to all other requirements of Regulation III, Article 4
After receiving a complete notification with the appropriate project fee, the Agency will review the form and return a
copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification.
J. Demolition P2.43TTEVTU EARLY. 17I1S117LLBErOURRETURV ILIILLVGLIBEL
Contractor La Pianta LLC
O w e r EO: Land Dev t Inc. - Mgr.
Mailing Address: PO BOX 88028
Phone: 206/575-2000
Contractor's
Job #:
n/a
city Tukwila
I State: WA
zip 98138
Fax: 206/575 -1837
GUIDELINES FOR SUBMITTING AN ASBESTOSIDEMOLITION NOTIFICATION
Step 1. Check the appropriate project type in Box A. Friable asbestos includes popcorn ceiling material, sheet vinyl flooring, cement
asbestos board siding, and duct insulation. Nonfriable asbestos is normally found in vinyl floor tiles, window putty and most roofing
materials.
Step 2. Enter property owner information in Box B.
Step 3. Enter the asbestos contractor or property owner information, if the property owner is conducting a single- family residential
project, in Box C. Print clearly this is your return mailing label.
Step 4. Enter the site address for all notifications in Box D. For multi - structure projects, attach supplemental sheet with a site map
(include an address for each site) and a list of the type and amount of friable asbestos to be removed from each structure.
Step 5. Check either asbestos survey or material presumed in Box E. All demolitions require that an Asbestos Hazard Emergency
Response Act ( AHERA) asbestos survey be conducted by a certified AHERA building Inspector. Attach a copy of the survey to o the
notification of a demolition project when only nonfriable asbestos or no asbestos is identified on the survey
Step 6. Enter the project information in Box F. and check the training fire or ordered demolition box if appropriate (a copy of the
official order must be attached). All asbestos must be removed prior to conducting a training fire. Additional training fire
requirements are contained in Regulation 1, Section 8.08. If any nonfriable asbestos materials will be left in place during demolition,
check yes and list the type and quantity of material.
Step 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed: surfacing material such as
popcorn ceilings or plaster, sheet vinyl flooring, duct and pipe insulation, cement asbestos board siding or pipe, etc.
Step 8. For owner- occupied Single - Family Residential projects, check BOX H1A for renovation projects or BOX H1B for
demolition projects (with or without asbestos removal). Asbestos removal may be conducted after a complete notification is
received, but demolition activities can only begin on the 10` day after the notification is received. Note: If the single family
residence is owned by one family who has been or will be using the residence as their domicile, boxes IA or IB may be checked. A
single family residence does not include rental property, multi -family units, or any mixed -use building.
For Commercial asbestos projects (or projects that do not qualify as Single Family Residential); check the project category H2 -
5 that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropriate surcharge
(additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box 1 — 5 and the
applicable emergency box in H6. All emergency requests must be accompanied by a letter from the property owner demonstrating the
need to conduct the project immediately in accordance with the requirements in Regulation III, Section 4.03 (c).
Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box 1.
Mandatory amendments to the notification are required for changes that increase the project category, change the types of asbestos
materials to be removed and changes to start date, completion date and work schedule for asbestos projects. No fee is required for
work schedule changes if the contractor is participating in the Agency work schedule fax program. A $25.00 processing fee is
required for all amendments.
Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at www.pscleanair.org.
For technical assistance call (206) 689 -4058 and for administrative inquiries call (206) 689 -4090.
Puget Sound Clean Air Agency Form No.: 66 -160 (Revised 1/04) TS
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LA PIANTA LLC - HOUSES
January 2005
House #1 (green) House #2 (tan)
5365,178`" Street 17835 57` Ave So.
Seatac, WA 98031 Tukwila, WA 98031
TO DEMOLISH
House #3 (maroon)
5665 So. 178 "' Street
Tukwila, WA 98031
House #4 (dark brown)
18059 Southcenter Parkway
Tukwila, WA 98031
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07 - 05 - 2005
I I
City of Tukwila Steven M. Mullet, Mayor
Department of Community Development Steve Lancaster, Director
BARRY BENNETT
P.O. BOX 88028
TUKWILA WA 98138
RE: Permit No. D05 -021
5665 S 178 ST TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division.
Per the International Building Code and /or the International Mechanical Code, every permit issued by the Building Division under the
provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not
commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 - 431 -3670 to arrange for the next or final inspection.
i
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the Building Code does allow the Building Official to approve a one -time extension up to 180 days.
Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have i
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 08/15/2005, your permit will become null and
void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Brenda Holt,
Permit Coordinator
xc: Permit File No. D05 -021
Bob Benedicto, Building Official
6300 Southcenter Boulevard, Suite #100 - Tukwila, Washington 98188 - Phone: 206 - 431 -3670 - Fax: 206 - 431 -3665
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PERMIT COORD COPS
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D05 -021
DATE: 01 -20 -05
PROJECT NAME: LA PIANTA LLC - HOUSE DEMO
SITE ADDRESS: 5665 SOUTH 158 STREET
X Original Plan Submittal
Response to Incomplete Letter #
_Response to Correction Letter #_ Revision #_after /before permit is issued
DEPARTMENTS:
V & � j , /� _
Buil ing Division [� Fire Prevention 0 Plan�gin� Uvision IM
Public Works f �� �� R Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 01 -25 -05
Complete [� Incomplete Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: - LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping." I _ PW ❑ Staff Initials:
TUES /THURS ROUyING:
Please Route Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS DUE DATE: 02 - 22 - 05
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
PERMIT COORD COPY
Documents /routing sllp.doc
2 -26.02
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DEPARTMENT OF LABOR AND INDUSTRIES
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REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
EXP "DATE':
CC01: LAP .IAL *008J8 04/01/2006 i
EFFECTIVEDATE. 04/28/2000
LA PIANTA LLC
PO BOX 88028
TUKWILA WA 98138 -2028
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File: D05 -0021
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These plans have been reviewed
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