HomeMy WebLinkAboutPermit D05-225 - GAMBETTY RESIDENCE - RESIDENCE DEMOLITIONGAMBETTY RESIDENCE
4661 S 148 ST
D05 -225
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�NIIl�4,� City a ,. ' Tukwila Steven M. Mullet, Mayor
o '� Department of Commuuity Developmeut Steve Lancaster Directo,-
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
i
03 � Fax: 206 -431 -3665
Web site: ci.tukwila.wa.its
DEVELOPMENT PERMIT
Parcel No.: 0042000145 Permit Number: DOS-225
Address: 4661 S 148 STTUKW Issue Date: 07/18/2005
Suite No: Permit Expires On: 01/14/2006
Tenant:
Name: GAMBETTY RESIDENCE
Address: 4661 S 148 ST, TUKWILA WA
Owner:
Name: HANSON FAMILY REV LVNG TRST Phone:
Address: 1315 115TH CT NW, GIG HARBOR WA
Contact Person:
Name: SUSAN GAMBETTY Phone: (206)243 -0210
Address: 4661 S 148 ST, TUKWILA WA
Contractor:
Name: DEMOLITION & DISPSL SYSTEMS INC Phone:
Address: 7630 S 259TH ST, KENT WA
Contractor License No: DEMOLDS027R9 Expiration Date: 06 /03/2007
DESCRIPTION OF WORK:
DEMOLISH AND HALL AWAY EXISTING 400 SQ. FT. HOME.
WD #125 WATER IS CAPPED OFF ALREADY.
PUBLIC WORKS ACTIVITIES INCLUDE CAPPING OFF EXISTING SEPTIC SYSTEM OR REMOVING /ABANDONING THE
SEPTIC TANK.
Value of Construction: $4,350.00 Fees Collected: $497.84
Type of Fire Protection: NONE International Building Code Edition: 2003
Type of Construction: 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: Y
Sewer Main Extension: N Private: Public:
Storm Drainage: N
Street Use: N Profit: N Non - Profit: N
doc: IBC - Permit D05 -225 Printed: 07 -18 -2005
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C Tukwila
City oA
Departnteitt of Canntuttity Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: ci.tulnvila.tiva.us
Permit Number:
Issue Date:
Permit Expires On:
Steven M. Mullet, Mayor
Steve Lancaster, Director
D05 -225
07/18/2005
01/14/2006
Permit Center Authorized Signature: Y Date:
I hereby certify that I have read and examined this 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 t ' permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating constr ion or the pe or Znce of work. I am authorized to sign and obtain this development permit.
Signature: LLso Date:
C
Print Name:. ` amlok
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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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4 City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
Parcel No.: 0042000145
Address: 4661 S 148 ST TUKW
Suite No:
Tenant: GAMSETTY RESIDENCE
1: ** *BUILDING DEPARTMENT CONDITIONS * **
Permit Number:
Status:
Applied Date:
Issue Date:
D05 -225
ISSUED
06/30/2005
07/18/2005
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: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary
sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other
excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of
this requirement.
5: Removal of septic tanks require approval and compliance with permit and inspection requirements through the
Seattle /King County Department of Public Health (206/296- 4722).
6: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. A copy can be
obtained at City Hall in the office of the City Clerk.
7: 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.
8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
9: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least
24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance.
10: Any material spilled onto any street shall be cleaned up immediately.
11: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
12: The site shall have permanent erosion control measures in place as soon as possible after final grading has been
completed and prior to the Final Inspection.
13: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV 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.
doc: Conditions D05 -225 Printed: 07 -1 B -2005
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City of Tukwila
19ce
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
14: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All
disturbed areas of the site shall be permanently stabilized prior to final construction approval.
15: As part of this permit applicant has applied to cap off the sewer service leading to the septic tank and leave the
septic tank in the ground. Per King County Health Department the existing septic system was placed prior to 1990 and
more likely doesn't meet the current code and may not be suitable to serve future residence. However it is up to the
applicant to leave it in the ground. APPLICANT AGREES TO PROCEED AT HIS /HER OWN RICK and understands that the existing
septic tank system may not be adequate to serve the future house and may need to be removed /abandoned and replaced with
a new septic tank system. If however the applicant decides to abandon /remove the existing septic tank system UNDER THIS
PERMIT the septic tank 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 Mr
Greg Villanueva at (206)431 -2442. Septic tank abandonment
shall be performed per general procedure spelled out in Public Works Development Bulletin C6, which is attached as part
of this permit approval.
* *continued on next page **
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doc: Conditions D05 -225 Printed: 07 -18 -2005
City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
doc: Conditions D05 -225 Printed: 07 -18 -2005
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CITY OF TUKWIrA
Community Development "7artment
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
j 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"
SITE LOCATION.
King Co Assessor's Tax No.:
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Site Address: Se ST �e-1 t 1 /a- W25 Suite Number: Floor:
Tenant Name: t�,s� G -Q/�', New Tenant: ❑ .... Yes p-- No
Property Owners Name:
Mailing Address: W
5"'k- ma 1 l,'1? !S
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1 (4 ku0
City
Stale Zip
CONTACT: PERSON
Name: Day Telephone: C906
Mailing Address:
City Slate Zip
E -Mail Address: f rgnK GgrA ktJ4 4 ,f, 1115 n, CC)h', Fax Number:
I
ARCHITECT. OF RECORD -;All plans must.be wet stamped by Architect of Record
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
ENGINEER OV RECORD - All plans must be wet stamped by Engineer of Record
GENERAL INFORMATION (Mechanical Contractor information on back page)
( i
Company Name: %3 I � v C.
Mailing Address: - 7�P� C7 S I 5 99 0 c3
e City . 253 State Zip
Contact Person : _ r j 1, � •QZn Day Telephone: , 3 ^ CS
E -Mail Address: 1) 1 nS (•C,P, (XG ► CO to Fax Number 53 n 9 .3-"T,�9X .
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"
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
q:\ \permits plus \ice chanses\perrnit application (7.2004)
Revised: 6.8.05 Page 1
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BUILDING PERMIT INFORN ION . 206.431 -3670 � .
Valuation of Project (contractor's bid price): $ S�?' G Existing Building Valuation: $ QM
Scope of Work (please provide detailed information): '' Q /^ L r < P1 4 4
Z34s tl rfQ horr-'e- a a5 ,b�7- S -- fRoyg n ti
`4 R.9 9
Will there be new rack storage? ❑ ..Yes El.. No If "yes ", see Handout No. for requirements.
Provide All Building Areas 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:
El.. Sprinklers ❑..Automatic Fire Alarm []..None El. 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.
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q:\ \permits pius\icc changes \permit application (7.2004)
Revised 6 -9-05 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 b1 Floor
CAR P or t'
2 "... Floor
3r .Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached 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:
El.. Sprinklers ❑..Automatic Fire Alarm []..None El. 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.
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q:\ \permits pius\icc changes \permit application (7.2004)
Revised 6 -9-05 Page 2
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;MECHANICAL PERMIT INF(� vIATION — 206- 431 -3670
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): $
Scope of Work (please provide detailed information):
Use: Residential:
New
....❑
Replacement .....
❑
Commercial:
New
.... ❑
Replacement.....
❑
Fuel Tyne Electric ..... ❑ Gas....❑ Other:
Indicate type of mechanical work being installed and the quantity below:
Unit Type:
Qty
Unit T e:
Qty
Unit Type:
Qty
Boiler /Com pressor:
Q
Furnace <100K BTU
Air Handling Unit >I 0,000
Fire Damper
0 -3 HP/ 100,000 BTU
CFM
Furnace >100K BTU
Evaporator Cooler
Diffuser
3 -15 HP 1500,000 BTU
Floor Furnace
Ventilation Fan Connected
Thermostat
15 -30 HP /1,000,000 BTU
to Single Duct
Suspended/Wall /Floor
Ventilation System
Wood /Gas Stove
30 -50 HP /1,750,000 BTU
Mounted Heater
Appliance Vent
Hood and Duct
Water Heater
50+ HP /1,750,000 BTU
Repair or Addition to
Incinerator - Domestic
Emergency
Heat/Refrig/Cooling
Generator
System
Air Handling Unit
Incinerator — Comm/Ind
Other Mechanical
<10,000 CFM
I
I Equipment
PERMIT APPLICATION NOTES - Applicable to all permits in_this application
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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested
in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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.
k
Date:
Nn-L 011 l O
Print Name: Ca �.
rin Q Day Telephone: Ln o so t K., WAX y` S
Mailing Address: ( S�� i�S t
II C1 KW WA {�
-� City State Zip
Date Application Accepted.. Date Application Expires: Staff Ini ials:
q.11permits pluslicc chmpslpermii application (7.2004)
Revised: 6.8.05 Page 4
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C i , ty of Tukwila
i
j 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
i
{ RECEIPT
Parcel No.: 0042000145
Permit Number:
Address: 4661 S 148 ST TUIKW
Status:
Suite No:
Applied Date:
Applicant: GAMBETTY RESIDENCE
Issue Date:
D05 -225
APPROVED
06/30/2005
Receipt No.: ROS -01041 Payment Amount:
Initials: BLH Payment Date:
User ID: ADMIN Balance:
Payee: SUSAN GAMBETTY
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------------- ------ - - - ---
Payment Mon Ord 81547390 408.28
ACCOUNT ITEM LIST:
Description
------------------------
BUILDING - NONRES
PW BASE APPLICATION FEE
PW.PERMIT /INSPECTION FEE
PW PLAN REVIEW
STATE BUILDING SURCHARGE
Account Code Current Pmts
---------- - - - - -- ------ - - - - --
000/322.100 137.78
000/322.100 250.00
000/342.400 8.00
000/345.830 8.00
000/386.904 4.50
408.28
07/18/2005 04:34 PM
$0.00
Total: 408.28
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5128 07/20 9710 .TOTAL 408.28
doc: Receipt -`° Printed: 07 -18 -2005
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f City of Tukwila
lace
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
i
I Parcel No.: 0042000145
Address: 4661 S 148 ST TUIKW
j Suite No:
Applicant: SUSAN GAMBETTY DEMO
Receipt No.:
R05 -00948
Initials:
LAW
User ID:
1630
RECEIPT
Permit Number: D05 -225
Status: PENDING
Applied Date: 06/30/2005
Issue Date:
Payment Amount: 89.56
Payment Date: 06/30/2005 04:28 PM
Balance: $142.28
i . Payee: SUSAN GABEfTY
i
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z TRANSACTION LIST:
j Type Method Description Amount
i ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 4659 89.56
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doc: Receipt Printed: 06 -30 -2005
_N:.__...... .,. ._...._ . _.._..._.. - _ ...
1
INSPECTION RECORD
Retain a copy with permit p�
INSPECTION N0. PER O.
CITY OF TUKWILA BUILDING DIVISION •
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 431 -3670 `
Project:
— h yy\� ci�� " C�'
Type of Inspection:
- F A
Address:
Date Called:
Special Instructions: �, 3�
e._
t�{o?—
Date Wanted:
Requester:
Phone No:
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Approved per applicable codes. Co rr ections�require8 rior fo app al.
COMMENTS:
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pe r Date:.....
8.00 REINSPECTION FE REQUIRED. P or to inspection, fee must be
aid at 6300 Southcenter B vd., Suite 100. Call to sechedule reinspection.
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Receipt No.: Date:
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INSPECTION RECORD Dos-22 s
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:lta�'Y3bi+
Il
TYPn lYlD� on: f
Address:
bbd S 1�� .fit
Called:
Date Called-
11 - O5
Special Instructions:
Date Wanted: tt ey
a.
Requester:
it
Phone No: �L / J j� y(�) �y /), ■(j
• � ��. f.��V •~ D I-'I I�
2.a6- 3 75— b 2Z C41 I
Approved per applicable codes: Correct . 2-06-7 - 375—
ons required prior to al al.. ,
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COMMENTS:
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$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
5
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brads6awis Environmental Resources, Inc.
boo d Faith Asbestos Survey
Susan Gam6etty Property
+655 1 48t h 5t.
Tukwila, Wa. 98 1 68
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Prepared 6
Roxanne 11. F)radskaw /EjER Inc
ANERA building inspector
Cert.# 3508 04 -03, exp.date: 7128105
RECOM
OMY 01: TUKWILA
JUN 3 Q 2005
PERMIT CENTER
��.R #: 25-025
Date Prepared: 612712005
5118, Inc., 2328 Tacoma Ave 53 Tacoma, Wa. 98402
Office: 2 53 -779 -9872, Cell: 2o6 -354 -8995 Fax: 253- 274 -5040
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On May 20, 2005, I, Roxanne E. Bradshaw of BER, Inc. performed an asbestos survey of the following:
• Single family, single story residence, 4655 S. 148` St., Tukwila, Wa. 98168.
Field inspection, data collection, and report were based on the following scope of work:
? Asbestos Containing Materiais (ACS
Bulk sampling of suspect ACM.
• Analysis of suspect ACM by NVLAP accredited laboratory.
• Identify ACM to be removed prior to demolition or renovation.
The survey was intended to identify possible asbestos- containing materials (ACM) on the exterior and interior
building. This inspection covered only those areas which were exposed and physically accessible to the inspecto
Although BER, Inc. made the best effort to attempt to identify all suspect materials, unseen materials that require
highly destructive means to access or sample (ie: inside walls, underground, etc.) are not included in this report.
Materials uncovered during the course of demolition, renovation, or maintenance activities that are not identified in
this report must be presumed to contain asbestos until PLM analysis proves otherwise.
1 Sampling of suspect asbestos- containing materials were conducted as prescribed in CFR 763.86.
Summary of.4CM.-
No Asbestos was found.
Non Asbestos building materials:
B -01 Multi layered sheet vinyl from kitchen.
B -02 Sheet vinyl from bathroom.
B -03 Multi layered sheet vinyl from living room.
B -04 Multi layered sheet vinyl from bedroom.
B -05 Roofing material from carport.
All floors and rooms were physically inspected for possible asbestos containing materials, including the main floor
roof, exteripl, and carport. ,
Per local, state, and federal regulations, all friable asbestos containing materials must be removed prior to
demolition.
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5ample #: 5-01 Multi- la the and sheet vin from kitchen. 120sgft. Non
, at6room. 1 8 sq ft. Non-As6estos.
5ampl e #: 5-05 Multi - la skeet vin from living room. 1 20 s ft. Non-As6estos.
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Client f3Crtyrva,
Street 2328 TavornA Ave S.
Tacoma WA 9840
Project Manager R 13r-a dshaw _
Project Looati
Pho ( ZO6 ) 354 - _ Pax (2b 3) 2 -5 040
Asbestos Air PGM (NIOS 7400 C] TEM (NIOSH 74_02
Jgj/lsbestos BuikS.pLM (EPAM M0A40118) L7 PLM (EPA Poin
Client Job Number_ ,-A -
Total Samples _ lIr _ _... __. _ - _... -._ _ ... -
Turn Around Time C 1•Hr [ 124 -Hrs 04Days
L 12 -Hrs 0 2 bays Days
() 4 - Ws C .1 3 Days re to 10 Days
Please calf for TAT Jew than 24 Mrs
Ema)i address bp —, _ _ _
_Ce (2_06) 354 -8995 .._
TEM (A ❑ TEM (EPA Level It) r � Other i
aunt) F PLM (EPA Gravaneby) j1:3 TEM Bulk
Air U Mold Bulk ( Rotameter Calibration
YCTRI McMls (7 i=AA (ppm) i =Nie`r [� �arn"tZh cm
TCLP (J ICP (ppm) U Drinkkrg waw L ;; Waste Water
I j GFAA (ppb) L •1 Dust/wipe (Area) [l t)ther
i U C:VAA (ppb) rj Soil
lul Paint Chips In %
Condition of Pa-ckape�
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! Other Types Fiberglass ❑ Nuisance Dust (] Other (Specify) ItF
I afAnalysk n Slllce - Respirable Dust
Good L Damaged (no spil r, Severer damage (spillage)
Ct'Mnt_Ssmple N u m btr� Co_mmeMs e 9 Sample are, Ssntgle Volume et c)
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l ip - ecial Instructions: Unless requested in writing, all samples will be disposed of
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JUN, 23.2005 10 :03AM NVL LABS
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....._�. N0. 16 9 0 M P, X3/4 ,
4708 Aurora Ave. N., Seattle, WA 98103 #102063
7e1: 208.547.0100, Fax: 206.634.1 B A Fb A �
www.nvltabs.com [xliR t Mai�l�17
Client: BER, INC By Polarized Light Microscopy
Address: 2328 Tacoma Ave S.
Tacoma, WA 98402
Attention: Ms. Roxanne Bradshaw
Project Location: Gambetty Residence 4655 S. 148th St. Tukwila, We
98168
Batch #: 2508672.00
Client Project # :25 -047
Samples Received: 5
Samples Analyzed: 5
Method: EPA160OR- 931116
Lab 10 : 25053310 Client Sample* B
Location: Gambetty Residence 4865 S. 148th St. Tukwila, Wa 98168
Layer 1 of 4 Description: Yellow sheet vinyl
Non - Fibrous Materials: Other Fibrous Materials: %p
Vinyl/binder None Detected ND
Layer 2 of 4 Description: Tan fibrous backing with mastic
Non - Fibrous Materials: Other Fibrous Materials:%
Binder/Filler, Mastic/binder Cellulose 65%
Layer 3 of 4 Description: Brown the
Non - Fibrous Materials: Other Fibrous Materials:%
VinyMnder Cellulose I %
Layer 4 of 4 Description: Black mastic
Non - Fibrous Materials: Other Fibrous Materials:%
Masticibinder Cellulose 5
Asbestos Type: %
None Detected NO
Asbestos Type: %
None Detected ND
Asbestos Type: %
Chrysotile 3%
Asbestos Type: %
None Detected NO
Lab iD : 25053311 Client Sample #: B - 02
Location: Gambetty Residence 4655 8. 148th St. Tukwila, Wo 98168
Layer 1 of 2 Description: Whitelbrown sheet vinyl
Non - Fibrous Materials: Other Fibrous Materials:%
Vinyl/binder None Detected ND
Layer 2 of 2 Description Gray fibrous backing with mastic
Non - Fibrous Materials: Other Fibrous Materials :%
Binder/Filler, Mastic/binder Cellulose 65%
Asbestos Type: %
None Detected NO
Asbestos Type: %
None Detected ND
Lab lD :25053312 Client Sample #: B-03
Location: Gambetty Residence 4655 S. 148th St. Tukwila, Wa 98168
Layer 7 of 4 Description: Brown Vinyl
Non - Fibrous Materials; Other Fibrous Materials:%
Vinyl/binder None Detected ND
Layer 2 of 4 Description Black asphaltic fibrous felt with mastic
Non - Fibrous Materials: Other Fibrous Materials: %p
Asphatt/binder, Mastic/binder Cellulose 65%
Sampled by; Client
Analyxed by: Wei tong Tai
Date Analyzed: 06/23/2005
Asbestos Type: %
None Detected NO
Asbestos Type: %
None Detected NO
DRAFT
Note: If samples are not homogeneous, then subsampies of the ownponents were analysed separately. All bulk samples are analyzed using EPA
600/R- 93/116 Method wish the following measurement uncertainties for the reported % Asbeelos (1Qb=O-�I96, 5 =1.9 10 % = 5 -15%, 20 %00 -30%,
50 %=40.80 %). This report relates only to the items tested. If sample was not colleted by NVL personnel, then the accuracy of the results is limited by
the methodology and acuity of the sample collector. This report shall not be reproduced except in full, without written approval of NVL Laboratoiles,
Inc. It shall not be used to claim product endorsement by NVLAP or any other agency of the US Government.
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JUN, 23. 2005 10:03AM NVL LAB
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M&Lcbordbw Inc. -,
4708 Aurora Ave, N., Seattle, WA 98103 #102063
Tel* 206,547,0100, pax: 206,834,1936 B q, C,�,, s an, V ; c
www.nvllabs,com L� /�"\ �t�1� i'�'�►.�'`�
Layer 1 of 4
Description; Gray vinyl
Non - Fibrous Materials: Other Fibrous Materials:%
Asbestos Type; %
Vinyl/bindw None Oetected ND
None Detected NO
Layer 2 of 4
Description: Black asphaltic fibrous felt with mastic
Non - fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Asphalt/b)nder, Mastio/binder, Binder/Blfer Cellulose 65%
None Detected NO
Layer 3 of 4
Description: Off -white vinyl
Non- Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Vlnyllbinder None Detected ND
None Detected NO
Layer 4 of 4
Description: Black asphaltic fibrous felt with mastic
Non - Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
AsphaWbinder, Mas Binde_Nfiller Cellulose 65
None Detected NO
Lab ID : 25053314 Client S mpie #: 5r05
Location: Gambetty Residence 4655 S. 148th St. Tukwila, Wa 98168
Layer i of 1
Description: Black asphaltic material
Non - Fibrous Materials: Other Fibrous Materials:%
Asbestos Type: %
Asphalt/binder Cellulose 20%
None Detected NO
Vinyl/binder None Detected ND None Detected NO
Layer 4 of 4 Description: Black asphaltic fibrous felt with mastic
Non - Fibrous Materials: Other Fibrous Materials :% Asbestos Type: %
Asphelt1binder, Binderlfille M C 65% None Detected ND
Lab 10: 25053313 Client Sample #: "4
Location Gambetty Residence 4655 S. 148th St. Tukwila, We 98168
By Polarized Light Microscopy
Client: BER, INC Batch M 2508672.00
Address: 2328 Tacoma Ave S. Client project #:25 -047
Tacoma, WA 98402 Samples Received: 5
Attention: Me. Roxanne Bradshaw Samples Analyzed: 5
Project Location: Gambetty Residence 4655 S. 148th St. Tukwila, Wa Method: PPA/t300R- 931116
98168 _
Layer 3 of 4 Description: Yellow vinyl
Non - Fibrous Materials: Other Fibrous Materials:% Asbestos Type: %
Sampled by: Client
Analyzed by: Wei Long Tel
Date Analyzed.-06 /23/2006
DRAFT
Note: If samples are not homogeneous, then subsamples of the components were analyzed separately, All bulk samples are analyzed using EPA
600JR- 93/1113 Method with the following measuremnt uncertainties for the reported % Asbeslos (1%=0.3 %, 5%=1 -9%, 10°6= 5.15 %, 20 °A =10.3096,
50%=40 -60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by
the methodology and acuity of the sample collector. This report shall not be reproduced except in fug, without written approval of NVL LaboraMes,
Inc. It shag not be used to Balm product endorse by NVLAP or a other agency of the US Gov
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12 -05 -2005
SUSAN GAMBETTY
4661 S 148 ST
TUKWILA WA 98168
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development
RE: Permit No. D05 -225
4661 S 148 ST TUKW
Dear Permit Holder:
Steve Lancaster, Director
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.
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
prevented action from being taken.
In the event you do not call for the above inspection and receive an extension prior to 01/14/2006, 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,
VI Y1f I�- �G��,n,��
ennifer arshall,
Permit Technician
xc: Permit File No. D05 -225
6300 Southcenter Boulevard, Suite #100 * Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax. 206 - 431 -3665
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PERMIT COORC COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER D05 -225 DATE: 6 -30 -05
PR03ECT NAME GAMBETTY RESIDENCE
SITE ADDRESS 4661 S 148 ST
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter Revision # After Permit Issued
DEPARTMENTS:
Buil ing Di isi n Fire Prevention Planning Division
Publ'c Works Structural ❑ Permit Coordinator
Complete E�
Comments:
.TENE : (Tues., Thurs.)
Incomplete ❑
DUE DATE: 7-5-05
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TOES /THURS 7TING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required
DATE:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /routing sllp.doc
2.28 -02
DUE DATE: 8-2-05
Not Approved (attach comments) ❑
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DEPARTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
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CC01 ;EDEMOLD$027R9 06/`0,3120;07
DEMOLITION & DISPSL SYSTMS INC
7630 S 259TH ST
KENT .WA 98032
F625'765'..2-0001(8/97.) -- _
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Detach And Display Certificate
File: DO5 -0225
35mm Drawing
#1
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Permit yo.
1 1 • • «• '71 1 • 1 • •
BY
Date:
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These plans have bee i
n�ev ewed by the Public .
Works Department f000nformance with current
City standards. Acceptance is subject to errors and
omissions which do not authori',e violations of
adopted standards or ordinances.:The responsibility
for the adequacy of the design tests totally with the
designer. Additions, deletions or revisions to these
drawings after this date will -void this acceptance -
and will require a resubraittal of
revised drawings
for subsequent approval.
:�"��q, -��. -`
Mme::
Final acceptance is subject ~ to field inspection ."J'.
_ :.
the Public Works utilities inspector.
Date - �.,
5se PuBuc w nR&S
fir covoirmys IrA
No changes shall be - - - M to the
of work without Prlor approval o
'B'ukwila Building DlvWon.
NOTE: revisions will require a new plan submittal
and may Include addit ml plan review fees.
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NOTE: revisions will require a new plan submittal
and may Include addit ml plan review fees.
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