HomeMy WebLinkAboutPermit D04-019 - DOAK HOMES - LOT 10 DEMOLITION AND ASBESTOS REMOVALDOAK HOMES, LOT 10
12228 45 AV S
D04 -019
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
DEVELOPMENT PERMIT
Parcel No.:
Address:
Suite No:
0179000715
12228 45 "S TUKW
Permit Number:
Issue Date:
Permit Expires On:
D04 -019
02/27/2004
08/25/2004
Tenant:
Name: DOAK HOMES, INC. - LOT 10
Address: 12228 45 AV S, TUKWILA WA
Owner:
Name:
DOAK HOMES INC
Address:
11812 26 AV SW, BURIEN WA
Contact Person:
Name:
DARRYL E. DOAK, SR
Address:
11812 26 AV SW, BURIEN WA
Contractor:
Fire Loop Hydrant:
Name:
DOAK HOMES INC.
Address:
11917 4TH AVENUE S.W., SEATTLE, WA
Contractor
License No: DOAKHI *092NZ
Phone: 206 372 -2280
Phone: 206 372 -2280
Phone: 206 246 -6587
Expiration Date: 08/08/2005
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 600 SQ FT HOUSE. ASBESTOS REMOVAL BY LICENSED ASBESTOS ABATEMENT COMPANY
PUBLIC WORKS ACTIVITIES INCLUDE: SEPTIC TANK /SYSTEM ABANDONMENT AND INSPECTION OF EXISTING WATER
METER.
Value of Construction: $ $5,000.00
Type of Fire Protection: N/A
Type of Construction:
Fees Collected: $313.50
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
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: N
Public: N
Storm Drainage:
N
Street Use:
N
Profit: N
Non - Profit: N
Water Main Extension: N Private: N Public: N
doc: Devperm D04 -019 Printed: 02 -27 -2004
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City of Tukwila
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Water Meter: N
** Continued Next Page **
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doc: Devperm D04 -019 Printed: 02 - 27 -2004
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, City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Center Authorized Signature: L �-� Date: 0,2 12- - 710(-1
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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws
regulating const io)7 rfomance of work. I am authorized to sign and obtain this development permit.
Signature: Date: 2 7 "� Z
Print Name: 1_L42. 1�// 1—,— f. � ,- )
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.
doc: Devperm D04 -019 Printed: 02 -27 -2004
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Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
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Parcel No.: 0179000715 Permit Number D04-019
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Address: 12228 45 AV S TUKW Status: ISSUED
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Suite No: Applied Date: 01/20/2004
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Tenant: DOAK HOMES, INC. - LOT 10 Issue Date: 02/27/2004
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1: ** *BUILDING DEPARTMENT CONDITIONS * **
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2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division.
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3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any
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construction. These documents are to be maintained and available until final inspection approval is granted.
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4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997
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Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition).
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5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be
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construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any
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other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this
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code shall be valid.
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6: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * **
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7: Contractor shall notify Public Works Utility Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and 0
completion of work at least 24 hours in advance. Z
8: Any material spilled onto any street shall be cleaned up immediately.
9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation
off -site or into existing drainage facilities.
10: 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.
11: From October 1 through April 30, cover any slopes and stockpiles that are 31-1:1V 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.
12: Water utility shall be plugged at the main if it is to be abandoned. If it will be used again in the near future for a
new building, it shall be capped at the water meter. Coordinate with City Utility Inspector.
13: 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.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
doc: Conditions D04 -019 Printed: 02 -27 -2004
' L'.'A�itiW++w4XL.Yi 1W.+ 'f GCMh
f City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
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: t Date 2 — -2 ? ^ o y
f Print Name: , A-.-2l2 c, i -,5 '
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J(,wILA. w CITY OF TUKWILA
�~ l Community Development Department
i Public Works Department
Permit Center
1805 6300 Southcenter Blvd., Suite 100 .
Tukwila, WA 98188
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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 **
King Co Assessor's Tax No.: P/ 17 p" — 0 —
Site Address: / ;Z ?2 g Yr $!,-C 5 • ?uk�°� Suite Number: Floor:
Tenant Name:
New Tenant: .... Yes E] ..No
Property Owners Name: f7oR-A A4444e
Mailing Address: 664 ri e'a IV &
City State Zip
Name: T� Day Telephone: blo - 72 "22. %rD
Mailing Address:
City State Zip
E -Mail Address: Fax Number: .2 O G - 2 y6 - "?Z
Company Name:
Mailing Address: j / S/ z - /?7 /}-!J P s, G' cr e r ess Zip 9
-� City State Zip
Contact Person: �i/i9,CL fi /.f•� �_��- Day Telephone: 5'1$-Ay
E -Mail Address: Fax Number:
Contractor Registration Number i¢`e /j�.l 1�(� �� Expiration Date: LV J? d' �20O S
* *An original or notarized copy of current Washington State Contractor License must be presented at the ti a of permit issuance **
"ARCHYTECT OF,RECORDR. "Ian`s ust`t ej'wetata `` n' p. b Record
P a m► . e t •�1 j' :`,y
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City State
Day Telephone:
Fax Number:
Zip
�E QF= 'R�±C4RD `�U n `la�stnus� be wet stem'' "ed >iy engineer of R ,�
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Company Name
Mailing Address
Contact Person: % j,. y e� _ Day Telephone: e l
E -Mail Address: Fax Number:
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Vppliations%oanit application (7.2007)
3/2003 Page t
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Valuation of Project (contractor's bid prick$ li Existing B ing Valuation: $
Scope of Work (please provide detailed infoiniation): o B
•�� � � oMr ,O.t:� � l7te�o � /x� �'�1�wte � c�..c.�.�_
Will there be new rack storage? ❑ ..Yes ,Q-No
If "yes ", see Handout No. for requirements.
? r r rikr`,a % `ty r [ t 'C iaC AIIiBuilding',Areas`in Square:Eootage ";Beloit; {��'r
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Attached, Carp r
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Covered Deck,
Uncovered Deck i
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 p
g ❑ •••• ❑ . "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑..Sprinklers [..Automatic Fire Alarm [3..None E]. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? E].. Yes F] ..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.
%appliutions*rntit ,application (3.2003)
3/2003
Page 2
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Scope of Work (please provide detailed inf ation):
Call befolre you Dig: 1- 800 - 424 -5555
;f i r4 , :t'- ;rtthlease refer fo Pub Ii Works`Bulletih` #1 for fees and ; $hmafe`sheet� { ±� ht "
Water District
wila ❑... Water District # 125 ❑ .. Highline C] ... Renton
'
... Water Availability Provided
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Sower District
�[7F.-.Tukwila ❑... ValVue ❑ .. Renton ❑ ...Seattle
... Sewer Use Certificate ❑ ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided
❑ ... Septic System- For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department.
Submitted with Applitation (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
Pronosed Activities (mark boxes that a
❑ ...Right -of -way Use - Nonprofit for less than 72 hours
' El- .Right -of -way Use - No Disturbance
❑ ...Construction/Excavation/Fill - Right -of -way
Non Right -of -way _
❑ .. Right -of -way Use - Profit for less than 72 hours
❑ .. Right -of -way Use — Potential Disturbance
❑ ... Total Cut cubic yards ❑ .. Work in Flood Zone
❑ ...Total Fill cubic yards ❑ .. Storm Drainage
❑ ..:Sanitary Side Sewer f .-Abandon Septic Tank ❑ .. Grease Interceptor
❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization
❑ ...Frontage Improvements. ❑ .. Pavement Cut ❑ .. Trench Excavation
❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding
❑...Backflow Prevention - Fire Protection "
Irrigation "
Domestic Water "
❑...Permanent Water Meter Size... WO#
❑...Temporary Water Meter Size.. WO#
... Water Only Meter Size............ WO# ❑...Deduct Water Meter Size........ is
❑... Sewer Main Extension ............ Public Private
... Water Main Extension .............Public Private
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
VppliationApermit application (3.2003)
3/2003 Page 3
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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
.... E]
Replacement
.... n
Commercial:
New
.... ❑
Replacement
.... n
Fuel Type Electric
..... E]
Gas ....
Other:
0 -3 HP /100,000 BTU
Indicate type of mechanical work being installed and the quantity below:
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 1 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.
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Signature:
Print Name:-
Mailing Address:
Date Application Accepted: Date Application Expires: Staff Initials:
J - ZO - o 7_W -o y sot;g
\applicationsklwmit application (7.2007)
7/2003 Page 4
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MECHANICAL CONTRACTOR INFORMATION
Umt.TYPe
Qty'
Unit TYPe
Boiler /..Compressor:
Qt
Furnace <100K. BTU
Air Handling Unit
>= 10,000 CFM
Othcr Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace>I00K. BTU
Evaporator Cooler
3 -15 HP /500,000 BTU
Floor Furnace
Ventilation Fan
15 -30 HP /1,000,000 BTU
Suspended /Wall/Floor
Mounted Heater
Ventilation System
30 -50 HP /1,750,000 BTU
Appliance Vent
Hood
50+ HP /1,750,000 BTU
Heat/Refrig/Cooling
System
Incinerator - Domestic
Air Handling Unit
<= 10,000 CFM
Incinerator — Comm /Ind
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 1 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 O
Signature:
Print Name:-
Mailing Address:
Date Application Accepted: Date Application Expires: Staff Initials:
J - ZO - o 7_W -o y sot;g
\applicationsklwmit application (7.2007)
7/2003 Page 4
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MECHANICAL CONTRACTOR INFORMATION
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
RECEIPT
Parcel No.: 0179000715
Address: 12228 45 AV S TUKW
Suite No:
Applicant: DOAK HOMES, INC. - LOT 10
Permit Number D04 -019
Status: APPROVED
Applied Date: 01/20/2004
Issue Date:
Receipt No.: R04 -00241
Initials: LAW
User ID: 1630
Payee: DOAK HOMES INC
Payment Amount: 262.00
Payment Date: 02/27/2004 04:51 PM
Balance: $0.00
TRANSACTION LIST:
Type Method Description. Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 3616 262.00
i ACCOUNT ITEM LIST:
Description Account Code Current Pmts
i ------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
PW BASE APPLICATION FEE 000/322.100 250.00
PW PERMIT /INSPECTION FEE 000/342.400 6.00
PW PLAN REVIEW 000/345.830 6.00
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Total: 262.00
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C ity of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
i
Parcel No.: 0179000715
Address: 12228 45 AV S TUKW
i Suite No:
Applicant: DOAK HOMES, INC. - LOT 10
Receipt No.:
R04 -00052
Initials:
SKS
User ID:
1165
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
D04 -019
PENDING
01/20/2004
Payment Amount:
Payment Date:
Balance:
Payee: DOAK HOMES, INC
TRANSACTION LIST:
Type Method Description Amount
---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - --
Payment Check 3508 51.50
ACCOUNT ITEM LIST:
51.50
01/20/2004 03:40 PM
$0.00
Description Account Code Current Pmts
------------------------ - - - - -- ---------- - - - - -- ------ - - - - --
BUILDING - NONRES 000/322.100 47.00
STATE BUILDING SURCHARGE 000/386.904 4.50
Total: 51.50
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6734 tai / 22 51710 TOTAL 103.00
doc: Receipt Printed: 01 -20 -2004
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. #0) 4;1-3670 .
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188':,
P ' Inspection -
ct:
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Type of In
rI a
Address:
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Date Called:
Special Instructions:
Date Wanted: a.m.
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Requester:
1
Phone No:
proved per applicable codes. Corrections required prior to approval.
COMMENTS:
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spec r: u Date
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$ .00 REINSPE ION FEE REQUI D. Prior to inspection, fee must be
aid at 6300 Southcenter Blvd., Su a 100. Call to schedule reinspection.
Receipt No.: Date:
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i 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
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Type of Insp ction:
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Date Called: O
Special Instructions: 1 Z
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Date Wanted: LIL3 a.m.
Phone No:
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Corrections required prior to approval. ;
COMMENTS:
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Inspector., Date:
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Receipt No.: Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
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INSPECTION NO. f . PERMIT NO.
CITY OF TUKWILA' UILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: DoaK Horncs
Type of Inspection: Dtmo Final
Address: 1 2 2 - 2 - E q.6- A ve
Date Called: ��! �_ 04
Special Instructions: -Ot ^
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Date Wanted: �� a.m.
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Requester: Darr
Phone No:206-372.-2200
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: Date:
Receipt No.: Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
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INSPECTION NO. PE I N ,F y
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 i
Proje�:
7
Type of In
Stn:
Ad dre : a a n
Date Called:
Special Instructions:
Date Wanted: Date Wanted:
ao Q .En.
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Fl Approved per applicable codes. O Corrections required prior to approval.
COMMENTS: Al
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W.00 REINS ION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 S uthcenter Blvd., Suite 100. Call to schedule reinspection.
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LEE'S SANITATION SERVICE, INC.
P O BOX 66537
Seattle, WA 98166
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11812 26& Avenue SW
ScWde WA 98146
LEE'S SANITATION SERVICE, INC.
P O BOX 66537
Seattle, WA 98166
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11812 26& Avenue SW
ScWde WA 98146
Invoice
Date Invo ice
3/18/2004 1 1672
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i F.O. No. Terms Project
70003 Due on rmlpt
Chantity Dewpwn Rs% Amount
1,000 Pump Out Septic 0.25 250,00T
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Property - 12228 45th Avenue South Tukwila F ftt '�
Soles Tax Seattle ; OAS rU1f &W% 22.00
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Total s272.
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NVL ra orie% Inc.
4708 Aurora Ave. N., Seattle, WA 95103
Voice: 206.547.0100 Fax: 206.634.1936
FAX COVER SHEET
To:
YVV•VJ'7i JJV 1 • V -
Company:
Doak Homes Inc.
Fax number:
(206 -) 246 -5991
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Tel. number:
(20 6) 246 -6587
Email address:
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FAX COVER SHEET
To:
Darryl Doak
Company:
Doak Homes Inc.
Fax number:
(206 -) 246 -5991
O���pp�ptjD
Tel. number:
(20 6) 246 -6587
Email address:
F
Date:
1/19/2004
at,,t� }at�f
6
From:
Lisa Kollasch
Total pages:
11
DESCRIPTION OF DOCUMENT (S)
Draft copy of your report.
RECEIVED
CITY OF: TLIKWII A
COMMENTS
JAJ\l }
Please call if you have any questions
PERMIT CENTER
FILE COPY
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L A $ B S
HAZARDOUS MAt1R{ALS SERVICIS
Asbestos Survey
12228 45 Avenue South
Tukwila, WA
Date Prepared
January 19, 2004
Prepared for:
Darryl Doak
Doak Homes Inc.
1181226 th Avenue Southwest
Burien, WA 98146
Prepared By: Lisa Kollasch
Building Inspector Cert. #: 1004952
Expiration Date: April 22, 2004
Date Inspected: January 15, 2004
Project #: 2004 -8
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Washington State Department of Labor and Industries requires that an employer provide
airborne asbestos concentrations less then 0.1 fibers
per cubic centimeter of air as an average
Lab M: 102063
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TABLE OF CONTENTS
Subject P age
i
1.0 SCOPE OF WORK
1
2.0 SURVEY METHOD
2
3.0 LABORATORY INFORMATION
3
4.0 BUILDING DESCRIPTION
4
5.0 FINDINGS
5 -6
6.0 CONCLUSIONS AND RECOMMENDATIONS
T
7.0 LIMITATIONS OF SURVEY
g
APPENDICES
Sample Locations (Map)
A
Laboratory Results
B
AHERA Certifications & Laboratory Qualifications
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Laboratones, Inc.
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A A RMORATORY 4708 Aurora Ave. N., Seattle, WA 98103
Tel: 206.547.0100, Fax: 206.634.1936 , ww .nvilabs .com As�pS And �r Fibers Ma Wis
by Phase Contrast Microscopy
Client: Sound Asbestos Abatement
Addres: P O Box - 58414
Renton, WA 98058
Attention: Mr. David Gamez
Project Location: MT- 4110 -BR
Batch #: 2400403.00
Method: NIOSH 7400
Client Project #:SWV310358
Samples Received: 2
Samples Analyzed: 2
r Lab I 24001934 Clie nt's Sample #: DG011304-01 Date sampled: 1113/2004
Time Flow Rate Sample type: inside regulated area •
Start 07 :54 PM 9.60 Location: (gain Terminal bridge level MT4110BR mech room 3' N 3'E R3G
End 10:07 PM 9.60 Activity: n/a
Minutes 133 Ave. 9.60 Worker: n/a
Comments:
Liters Pump 10 LOO fibers /cc Fiberslflds FibersJmm RL ficc Fib /cc
1276.8 #1 min 0.030 max 0.392 351 100 44.6 0.002 U 0.
Lab ID: 24001935 Client's Sample #: DG011304 -02 Date sampled: 1/13/2004
Time Flow Rate I Sample type: Excursion
Start 08:40 PM 2.50 Location: Bridge level 3' NE R30
End 09:10 PM 2.50 Activity: Hepa vac and wet wipe
Minutes 30 Ave. 2.50 Worker: Anna Gamez
Comments:
Liters Pump ID LOO fibers /cc Fibersifids Fiberslmm RL %;c Flb�tl'S/CC
75 #4 min 0 .513 max 6.673 0/100 <7.0 0.036 0 .030
t3lank ave.(f/n1ml 0.0 Micro. field area (rnm 0.00785 Effe, filtration area (mm`) 385 (recision + / -16% Accuracy +/- 10
Sampled by: Client
Analyzed by: Zubair Ahmed Date: 01!1412004
Reviewed by: Munaf Khan Date: 01/19/2004 Munaf Khan, Laboratory Director
S2MPlas are analyzed in seaordenw with the NIOSH 7400 (Issue 2: 15 August 1994). If the samp s4 were no; collected by NVL Laboratodes, then the
10CL'r2ev of the results is limited by the methadoloav and ar_uiht of tha r2mNa MOW-tm the r nn
below which t he res ma not be confidently disting from bac kgroun d levels.
__ -. _.. _ _ -_ _. �...._. - -. �..........- ........ ..... •..v n.R: wn�srrar�uVno, rvr ui`.
given volume of the sampled air, above and below which the results may be unrelirable. The RL, Reporting Limit deflned in Mett:od 7400 as LCD, is the fibe<stm
Page 1 of 1
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JAN -19 -2004 12% 54 WL LABS
12228 45 Avenue South, TukWis, WA
Project# 2004 -8
1.0 SCOPE OF WORK
2066341936 ; P.05
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JAN -19 -2004 12:55 rv� LHt3�
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(' p jest # 2004$
2.0 SURVEY METHOD
Asbestos Survey Method
A walk - through inspection of all accessible areas of this structure was performed to identify
potential asbestos - containing materials. The walk - through inspection included a review of the
Internal and external aspects of this structure. The locations and types of potential asbestos
containing materials were noted. Sufficient bulk samples of building materials (vinyl floor tile,
roofing, wall materials, etc.) were obtained of each material to satisfy the requirements of the
Asbestos Hazard Emergency Response Act (AHERA) rules and regulations. These samples
were placed into plastic sample bags, numbered and recorded.
Homogeneous Materials
Homogeneous materials are defined as an area of Asbestos- Containing Material (ACM) or
Presumed Asbestos - Containing Material (PACM) which appears similar throughout in terms of
color, texture, and date of material application. The report listing for homogenous materials will
appear as follows:
Sample
Material
Location As Asbestos
Area �
Friable
Numbe
_
�'ob#
Des cription
�6
-if-ejr
eelno
-01 -01
white floor the
'ob# -01 -02
ob# -01 -03
__ _ kitchen
1 white flo ti
1w hite floor tile
I k
kitchen
Under OSHA Guidelines, a minimum of three negative analysis of a single suspect
homogeneous asbestos containing material is required to prove a negative result for surfacing
materials and thermal system insulation.
NVL Laboratories, Inc., Page 2
4708 Aurora Avenue North, Seattle, VVA 94103
Ph (206) 547 -0100 - Fx (206) 634 -1936
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122284 51h AV enue South, Tukwila;'-WA
Project * 2004.8
4.0 BUILDING DESCRIPTION
General Building type:
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This is a one story single- family residence with three detached sheds and a carport.
Primary external components:
The residence has T -11 siding. All three sheds have wood panel siding.
Type of foundation:
The residence has a post and pier foundation. 'rhe northeast and south storage sheds have a
concrete slab foundation. The carport has a post and pier foundation. The northwest shed has
a wood foundation.
Roofing materials:
The residence has 3 -tab asphalt and rolled asphalt. All three detached sheds have rolled
asphalt roofing. The carport has corrugated plastic roofing.
Window types:
There are aluminum framed windows with no putty, aluminum framed windows with putty and
wood framed windows with putty.
Flooring:
The residence has vinyl tile flooring over a wood substrate. The northwest shed has a wood
substrate. The northeast and south sheds have carpet flooring over a concrete substrate. The
carport has a dirt substrate.
Thermal systems w /insulation types:
No central HVAC system was noted in residence or outlying buildings. Fiberglass insulation
was noted in wall and ceiling cavities of northeast shed.
Finishing:
Wood paneling and wallboard were noted on walls and ceilings of residence. Press wood was
noted on walls of the south storage shed. Wallboard was noted on walls and ceilings of the
northeast shed. Wood oanelina was noted on walls and cailinns nf the nnrthwpct chPH Nn
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1 Pro ect # 2004 -E
5.0 FINDINGS
f Inventory of Suspect Asbestos- Containing Materials
Sample
Material
Location -�
Asbestos j
Area
Friable
Number
Description
°lo
(ft')
es/no)
2004 -8-
1- white sheet
Kitchen cabinet, under
1 :ND
1 -1
vinyl
sink
2- backin mastic
_
2 :ND (_
2004 -8-
1- light brown
Living room
1:3 !
115
No
2 -1
vinyl tile
2 - black m astic
2:ND
2004 -8-
1- dark brown
room
- 1:4
115
No
3 -1
vinyl tile
2- black mastic
2 :ND_
2004 -8- 1 1-
white /blue vinyl
Entryway
1:ND
4-1 I
tile
2- black mastic
I
2:ND
F 004 -8-
-1
1- white vinyl tile
2- yellow masti
Entryway
I 1:ND
2:ND
I
-8-
Popcorn ceiling ~
Living area
NO
2004 -8-
Popcorn ceiling
Bedroom
ND
6 -2
NO
I
2004 -8-
Popcorn ceiling
Bathroom
6 -3
2004 -8-
Window putty
_
East
ND
2004 -6-
8 -1
Vapor barrier
Paper
Exterior, under siding NO
2004 -8-
9 -1
Cement asbestos
boa
Exterior, perimeter 35
150
s Yes
2004 -8-
1- 3-tab asphalt
Roof ^� 1:ND
10 -1
2- vapor barrier
aver
2:ND
_
2004 -8-
1- sheet vinyl
i
' Exterior, west, top of 1:ND
-~
4
11 -1
2- gray mastic
storage box adjacent to I 2:ND
3- white sheet
door. , 3:ND
vinyl
4- g ray mastic
I 4:ND
2004 -8-
Rolled asphalt
I Northwest shed, roof - - ND
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Asbestos
Area
Friable
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1:ND
Sample
1_ 13escrip tion
Material
Location
Asbestos
Area
Friable
Number
2004 -8-
Wallboard
Northeast shed
ND
l
14
1:ND
2004 -8-
1- joint compound
Northeast shed
14-2 1 2-
2004 -8-
wall _
1- joint compound
Northeast shed
2:ND
1:ND
14 -3
2- w allboar d
2 :ND
f ND
2004 -8-
Wallboard
Living area.
15 -1
I r
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2004 -8-
_
1- joint compound
Living area
i 1:ND
15-2
2004 -8-
2- wallboard
1- joint compound
living area
2:ND
1:ND
_
15 -3
2- wallboar
2: ND
2004 -8-
Cement board
Bathroom, splashguard
ND
16-1
'
2004 -8-
1- rolled asphalt
.te
South storage shed, roof
_ _.
j 1 :ND
17 -1
2- vapor barrier
2:ND
20048-
p aper
1-
Residence
1:3
350
i
13 -1
asphalt
2- asphalt with
grains
roof, north
2:ND
No
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ND - None Detected
Any suspect material(s) not identified above should not be disturbed, and tested immediately.
The suspect material must be treated as asbestos containing until testing proves otherwise.
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NVI- Laboratories, Inc., Page 6
4708 Aurora Avenue North, Seattle, YVA 98103
M Ph (206) 647 -0100 Fx i206) 634 -1836
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12228 45 Avenue South, Tukwna,
Project # 2004 -8
6.0 CONCLUSIONS AND RECOMMENDATIONS [[
ASBESTOS
The following summarizes the homogeneous Asbestos - Containing Materials (ACM) and z
Presumed Asbestos - Containing Materials (PACM) identified at the residential structure located
at 12228 45 Avenue South. Tukwila, Washington. w
1. Light Brown 9 11 x9" Vinyl Tile: (material number 2004- 8 -2 -1) c=i
0
There is approximately 115 ft` of asbestos- containing light brown 9 "x9" vinyl floor file in the
living room. The associated black mastic did not test positive for asbestos The substrate is co i
wood. J
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2. Dark Brown 9 "x9" Vinyl Tile: (material number 2004.8.3 -1)
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There is approximately 115 ft of asbestos- containing dark brown 9 "x9" vinyl floor the in the N
living room. The associated black mastic did not test positive for asbestos. The substrate is Cl
wood.
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3. Cement Asbestos Board: (material number 2004.8 -9 -1) z O
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this residence. 0 co
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4. Rolled Asphalt Roofing: (material number 2004- 8 -18 -1) = v
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i There is approximately 350 ft of asbestos - containing rolled asphalt roofing on the residence. 0
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Approximations of square footage are offered as an added service to the client. These v
numbers are not exact values and should be confirmed by the client and participating O
contractors. z
If discovered, all ACMs that will be disturbed as a natural part of renovation /demolition and are
required to be removed and disposed of in accordance with Washington State Regulations.
Washington State Department of Labor and Industries and PSCAA require that the abatement
be performed using Certified Asbestos Workers under the direct on -site supervision of a
Certified Asbestos Supervisor. Further, NVL suggests that an AHERA inspector review this
property after abatement to ensure all ACM has been removed by the contractor.
Hidden wall and ceiling cavities that are not accessible during the time of surveying can
sometimes conceal ACM. Thus, NVL recommends that an AHERA inspector!'project manager
be on site at the time of renovation /demolition to ensure that any potentially asbestos -
containing materials uncovered during the process of renovation /demolition be dealt with
properly.
NVL Laboratories, Inc., page 7
4708 Aurora Avenue North, Seattle, WA 98103
Ph (206) 547 -0100 - Fx (206) 634.1936
Jr'll'1
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•�`
The sole purpose of this survey report is to document asbestos - containing materials
discovered in the surrey of suspect materials by NVL Laboratories personnel at the residential
structure located at 12228 45 Avenue South, Tukwila, Washington on January 15, 2004.
The attic space was excluded from this survey, due to lack of access. The white sheet vinyl
splashguard noted in the water heater room and the storage shed were also excluded, due to
lack of access. The interior of the container exterior and adjacent to the front door was
excluded, due to lack of access.
This site visit consisted of a thorough visual walk- through of the building for the purpose of
viewing and sampling potential ACMs. As hazardous material surveys are non - comprehensive
by nature, NVL Laboratories, Inc., cannot be held liable for materials which require destructive
means to access, materials which are hidden from sight (e.g. materials hidden behind walls),
materials which cannot be found due to their obscure nature, or which otherwise cannot be
discovered with reasonable diligence.
This document is the sole property of NVL Laboratories and the property owner, or his agent,
authorizing this survey.
Inspected by: Reviewed by
Lisa Kollasch
AHERA Building Inspector
AHERA Certification No.: 1004952 Andre Zwanenburg
AHERA Certification Expires on: April 22, 2004 Project Manager
NVL Laboratories, Inc., Page 8
4708 Aurora Avenue North, Seattle, VVA 98103
Ph (206) 547 -0100 • Fx (206) 634 -1936
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City of Tukwila
Department of Community Development ' Steve Lancaster, Director
Steven M. Mullet, Mayor
1908
January 23, 2004
Darryl Doak
1181226 1h Avenue SW
Burien, WA 98146
RE: Letter of Incomplete Application #1
Development Permit Application D04 -019
Doak Homes — House Demo — 45` Avenue South
Dear Darryl:
This letter is to inform you that your application received at the City of Tukwila Permit Center on January 20, 2004,
is determined to be incomplete. Before your application can continue the plan review process the following items
need to be addressed:
Building Department: Ken Nelsen, Senior Plans Examiner, at 206 431 -3677, if you have questions
concerning the following:
1. Site plan must show existing site conditions.
Please address the above comments in an itemized format with applicable revised plans, specifications, and/or other
documentation. The City requires that four (4) complete sets of revised plans, specifications and/or other
documentation be resubmitted with the appropriate revision block.
In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have
enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail
or by aor by a messenger service.
If you have any questions, please contact me at the Permit Center at (206) 433 -7165.
Sincerely, ,
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -019
X Response to Incomplete Letter # 1
PROJECT NAME: DOAK HOMES - HOUSE DEMO - LOT 10
SITE ADDRESS: 45 AVENUE SOUTH
Original Plan Submittal
Response to Correction Letter #
Revision # after /before permit is issued
DEPARTMENTS
Building. Division ❑C Fire Prevention ❑ Planning Division ❑
Public Works Dm Ve' 2.10. Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 02 -03 -04
Complete I Incomplete ❑ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO TING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
I
IN
APPROVALS OR CORRECTIONS DUE DATE: 03 -02 -04
Approved ❑ Approved with Conditions Not Approved (attach comments) ❑
Notation:
y REVIEWER'S INITIALS: DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Documents /rouUng sllp.doc
2 -28.02
PERMIT COORD COPY
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❑ No further Review Required
DATE:
DATE: 01 -30 -04
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PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D04 -0019 DATE: 01 -20 -04
PROJECT NAME: DOAK HOMES - HOUSE DEMOLITION
SITE ADDRESS: 12228 45 AVENUE SOUTH
X Original Plan Submittal
Response to Correction Letter #
_Response to Incomplete Letter #
Revision # after /before permit is issued
DEPARTMENTS: p
1�
Buildi) igision �j3 Fire Prevention Plannm
9 Divi sion
Public Works Structural ❑ Permit Coordinator
DETERMINATION OF COMPLETENESS (Tues., Thurs.) DUE DATE: 01 -22 -04
Complete ❑ Incomplete [M/ Not Applicable ❑
Comments:
Permit Center Use Only
INCOMPLETE LETTER MAILED: Z LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldgv Fire ❑ Ping ❑ PW ❑ Staff Initials: Z'a
TOES /THURS ROUTING:
Please Route ❑ Structural Review Required
REVIEWER'S INITIALS:
❑ No further Review Required ❑
DATE:
APPROVALS OR CORRECTIONS
Approved ❑ Approved with Conditions ❑
Notation:
DUE DATE: 02 -19 -04
Not Approved (attach comments) ❑
REVIEWER'S INITIALS:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
DATE:
Documents/routlng slip.doc
2 -28.02
PERMIT COORD COPY
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1908
City of Tukwila
Department of Community Development - Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
(206)431 -3670
REVISION SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted
through the mail, fax, etc.
Date: 3 O O
Plan Check/Permit Number: D04-019
® Response to Incomplete Letter # 1
❑ Response to Correction Letter #
❑ Revision # after/before Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name DOAK HOMES — HOUSE DEMO — LOT 10
Project Address: 45 AVENUE SOUTH
Contact Person Darryl Doak Phone Number 20G - 3 7.2 2 29 a
Summary of Revision: --S
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
0 Entered in Sierra on /` 3;0
CG
01/23/04
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I NW 1/4, SEI/4, SECTION 10, T23N, R4E, W.M.
30
14r PVC CLEAN -Ol1T
1 PVC CLFAIV OUT ► 6'P11+C salook 1$" PVC TESTING TEE
1-6" PVC TESTING TEE ��. .— _ - , _ — — -- �— —. —•. r.. ....
E : 103.76 ► %V+C, SZ. 6'P�C.S«�2.04� I E : 104.22
N POLY
PERFORATED TIGHTLINE CONNNECTION
INSTAL LL 1' DL III I II i Its II WITH POSITIVE DISCHARGE TO C82 (TYP)
WATER LINE (TYP) 25 III .Il III i
200 PSI DRISCO PIPE ,
• . • • III / . . :: � ' II 6"PVC SIDE SEINER, 5=2.00 96 i
!�
GWC SIDE SEWER, 5=2.00 III s ii I . ' ii I 1 -6"PVC WYE ,
1.6"PVC WYE l : �' 1 -M4TVC
=� J'
1-6"I REDUCER
Ic PVC SIDE SEVER �
4 " PV SIDE SEWER, S -2.00% WITH
S=2.00% WTH 4" C NEAR
�— —� BUILDING VMLL
BUILDING WALL
I
1 I I I F.F. 112.99 + l F. F. 112.60 `Q /
DOWNSPOUT CONNECTION I ! Q
POINT (TYP) 3 PROPOSED i PROPOSED 3 PROPOSED GAS VICE LINE (TYP)
F.F. 113.27 Y GARAGE 1 ! Y
GARAGE J
3 �
3 F. F. 113.54 I i GARAGE a .
PROPOSED 1 t f
b - A RAGE 3 '
o \ --
r {
OOF DOWNSPOUT
S
PROPOSED UNDERGROUND I -- , - 0!
POWER do TV CABLE 55' —sue 5- 0 -
r •0
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4 5. 1 {�. 1 1 --•--
I PROPOSED PROPOSED _ PROPOSED ` I PROPOSED + ! / ; ' OVERFLOW
• w
1 RESIDENCE RESIDENCE RESIDENCE I ( RESIDENCE
i 4' PVC
' 1 '•
L
r- F i �A�� a FA.! J
I ` — o- o 20 s_ s °- t_ 0 s 1
I •_ - 201 -
Lot 12 1 ri t 11 ,Lot 10 Lot 9
DRAINAGE PLAN NOTES:
1. STORM WATER RUNOFF FROM THE ROOF AND DRIVEWAY AREAS FROM EACH LOT
SHALL BE DIRECTED TO THE PERFORATED TIGHTLINE CONNECTION WITH A POSITIVE
DISCHARGE CONNECTION TO CB2,
2. THE FINAL GRADE ELEVATIONS SHOWN ON THIS PLAN MAY BE ADJUSTED AS
NESESSARY TO REDUCE CUTS /FILLS AND /OR MAINTAIN 1% MIN /5% MAX SLOPES
FOR DRIVEWAY DRAINAGE FLOWS PERFORATED TIGHTLINE CONNECTION. THE PROPOSED
RESIDENCE FINISHED FLOOR SHALL BE AT AN ELEVATION HIGHER THAN THE EXISTING
PAVEMENT IN 45TH AVE. S.
4. INSTALL FILTER FABRIC OVER ALL CATCH BASIN OPENINGS DURING CONSTRUCTION.
5. SOIL LOG TEST HOLES WERE DUG ON THE FRONT HALF OF THE LOTS. THE SOIL
TYPE AND STRATIFICATION WAS TYPICALLY AS FOLLOWS:
0---6' BROWN SANDY SILT, MOTTLED
6--9' BLACK FINE SAND
WATER SEEPING AT 6' DEPTH ON 1/6/04
SCS SOIL CLASSIFICATION: URBAN LAND
THE ON --SITE SOILS ARE NOT ADEQUATE FOR INFILTRATION IN ACCORDANCE WITH THE
KING COUNTY SURFACE WATER DESIGN MANUAL.
6. ALL ON -SITE PVC PIPE SHALL CONFORM TO ASTM D-- 3034-- SDR35.
LOT
LOT 9
-- LOT 10
LOT 11
LOT 12
3000 SQ.FT.
AREA
3000 SQ.FT.
3000 SQ. FT.
3000 SQ.FT.
ROOF AREA
1242 SQ.FT.
1242 SQ.FT.
1242 SQ.FT.
1242 SQ.FT.
DRIVE & WALK AREA
574 SQ.FT.
574 SQ.FT.
574 SQ.FT.
574 SQ.FT.
jOTAL IMPERVIOUS AREA
1816 SQ.FT.
1816 SQ.FT.
1816 SQ.FT.
1816 SQ.FT.
TAX LOT NO.
017900 - 710
017900-
017900- 0 7Z O
017900-0 - Izs -
- ;ccc rlan� ha�• hoc rr�• }rcec�? ry the
`I� *crkrz Depar*rncnt for cmiforminCIC Wlt ..
(� r� st.nndardr.. Acceptance is %!f *ct to errr)r ?r
r... -sionc which do not authorizc violatior.s of
zdiol ted standards or ordinances. The
`e c adequaev of the dc,,i gn ruts tota?' y c -t: •',e
r III g7,cr. Additions, deletions or revisions to tl.'
drat mp after this date will void t�;s r ce
acce �a,
a,:3 ail; require a resubmittal of rermed dmm nr
c- s::bsequent appsoral.
;r accr_ ^tance is r.'- ,�iect to fold inspection �r
CONSTRUCT PERFORATED TIGHTLINE CONNECTION
ALONG NORTH SIDE OF DRIVEWAY
20' YIN LENGTH WITH W ASHED ROCK EXTENDED
TO THE DMEWAY SURFACE.
240
_t
.�� J.
WASHED
e PVC PER
I II ' PERFORATED TIGHTLINE CONNEC
I
EXISTING
PROPOSED 15' SIDE ,�
S ANITARY SEWER MH #1334
A
SEWER AND DRAINAG EASMENT I E(8 "N) :103.82
IN FAVOR OF LOT 9--12 \ IE(8 "S):103.98
` I E(6 "SW):1
EXISTING FIRE HYDRANT. \ IE(6"E): 103.90
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CLEAR LIMIT IS THE (TYP) �
PROPERTY LINE
PERFORATED T04TUNE CONNECTION s
GRAPHIC SCALE
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i iri ! 19 A.
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t. SAwTNtr 5E1ER aEM► -wtS SHALL eE W cflK CRUDE
PER 1tnRA S1WO1CAME 5'm OAP. SS-2
Y COMPACTED DEPTH AND DRS\"AY DRAJNAGE COLLECTION
cuss 'W ASPHALT TE
ASPHAL 7REA7M BASE
E COWACIED TO E ' ' ; ti A `-
• "OIL. PATCH APRm WTH MAX 00491Y � ftft'
OF SST 1 WAY (SEE SPECF INM ON SHEET 1)
"PR E_ DR CROSS�SECTION
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