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HomeMy WebLinkAboutPermit D04-108 - EISIMINGER RESIDENCE - RESIDENCE DEMOLITIONEISIMINGER DEMO 3923 SOUTH 113TH STREET D04-108 z is— 6 re 2. 6 = -J 0 O 0 U) 0 COW W -J I u. uj 0 < co I • u±1 o zi- Wtjj 2 0 0 9- 0I- 11.1 I 0 t— a; co 0 y 0 tiu R.� City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 DEVELOPMENT PERMIT Parcel No.: 3351400135 Permit Number: D04 -108 Address: 3923 S 113 ST TUKW Issue Date: 03/26/2004 Suite No: Permit Expires On: 09/22/2004 Name: EISIMINGER RESIDENCE Address: 3923 S 113 ST, TUKWILA WA Owner: Name: EISIMINGER WILLIAM F Phone: Address: 3644 CORLISS AVE N, SEATTLE WA Contact Person: Name: GEORGE TEODORO Phone: 206 632 -1234 Address: P.O. BOX 31172, SEATTLE WA Contractor: Fire Loop Hydrant: Name: OWNER AFFIDAVIT - GEORGE TEODORO (AGENT) Phone: 206 632 -1234 Address: P.O. BOX 31172, SEATTLE WA Contractor License No: Expiration Date: DESCRIPTION OF WORK: DEMOLISHING BURNED -OUT REMNANTS OF HOUSE. SEPTIC TANK TO BE LEFT IN PLACE, WATER METER TO BE REMOVED AND LINE CAPPED. Value of Construction: $ $0.00 Type of Fire Protection: N/A Type of Construction: VN Fees Collected: $51.50 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: Hauling: Start Time: End Time: Land Altering: Volumes: Cut 0 C.Y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: Non- Profit: Water Main Extension: Private: Public: Water Meter: N doc: Devperm D04 -108 Printed: 03 -26 -2004 z Z �w 2 �0 U N J S2 LL w L? � =w Z� �_0 Z F_ w w U O N o� w w LL- O 1i Z W U= O Z -�g City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of word. I am authorized to sign and obtain this development permit. Date: Print Name: ��(' —�, "D �oDc c Ag CN "1 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 -108 Printed: 03 -26 -2004 Z Z �W ¢¢ UO UD w= J � CO LL WO U- Q = d F W Z= P ZO W W U O N. 0 t` W W U LL HO .. Z W U= H O~ Z �.. oe City ��� of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: Address: Suite No: Tenant: 3351400135 3923 S 113 ST TUKW EISIMINGER RESIDENCE Permit Number: Status: Applied Date: Issue Date: D04 -108 ISSUED 03/26/2004 03/26/2004 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 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. 3 Signature. Date: Z 4 Print Name: - D (scr—z2fzo /+(J - ) its' --i rasa X46 ,,r er- 1. k I I I. 1 ,A -rtn >_' _ 'G_ 1 c- ti M l r1J G z �z �W QQ UO to o CO UJ J �- N U- WO LL CO) d =W F- _ z�- H - O z E- 25 Dp U O N off W UJ LLP �O .z W U= O z MAR 12 1 04 02 :35P11 TUKWILA DCDfPW �.� CITY OF TUKW r Community Development Department Public Works Department -b\ f Perntlt Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 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 paint ** P. 2%7 King Co Assessor's Tax No.: 1q o i Site Address: :3f i 3 5 l L Ty �w:�� , W �I�'i �'�� Suite Number: Floor: "- Tenant Name: -- New Tenant: Yes No Property Owners Name: Lk) a a_t_ i ttM Mailing Address, - '0 BCX '3 1 1'37- 6a✓PMLa , W t1 C 16 1 0 3 -1 117- City State lip Name: Ggr Day Telephone-. "�c >!� °-+ -'3 L Mailing Address: tom' i3 0 A �0 V 17 - L City Sher :tip E -Mail Address: Corot Fax Number:, Company Name: i.W ; L- -) A M 16 a 61 M i ►tit 4 ir2 Mailing Address: PO r�-0X ZI V:M W(4 gq& ' City sta:o Zip Contact Parson: G 6CF-4E TCort or-o CSo,,J t- A% IST.) Day Telephone: E -Mail Address: I ro i its e r -- Qn' Qa I - W M Fax Number: 766 -676 - 0 97Z Contractor Registration Number: Expiriuion bate: • *An original or notarized copy of current 'Washington State Contractor License must be presented at the time of permit issuance ** Company Name ]Failing Address: Cdy Slate - Contact Person: Day Telephone: F. -Mail Address: Fax Number: Company Name a� _ Mailing Address: city State ZIP Contact Person: Day Telephone: E -Mail Address: Fax Number: %Ipylicadom�ponoil epPll adon (�•3011i) JAOO; Page t Z k- W D UO (n o J H CO U. WO LL ? N C1 = W H Z� 25 U ON (3H WW H� LL O .. Z U= O Z P nA MP: Valuation of Project (contractor's bid price): Scope of Work (please provide detailed infoi DCD /PW N Existing buildi Valua P.3/7 Will there be now rack storage? (] ..Yes 0 ., No If "yes ", see Handout No. _ for requirements. PLANNING DIVISION: Single family bullding footprint (arai of the foundation of alt atructutes, plus any decks over l6 inches and overhangs grealer than I8 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 Smlla Providod: Standard: Compact: Handicap : _ _ Will there be a change in use? ..,.Yes [].,No if "yes ", explain.: i F>(R.E PROT>F J10N /HAZARDOUS MATERIALS: Sprinklers ❑ ..Automatic Fire Alarm [] ..None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the budding? ❑ .. Yes 7-No !f "yes ", attach list of materials and storage locations on a mparater 8.112 x I1 paper indicating quantities and Afaterial Safety Data ,Sheets, bPD iC1G9m1permitopDlicaiioa (3 -0003) JIZQOJ Ptl�c 2 1 Z 1 z '~ W Cr_2 JU UO to 0 CO W J N LL WO cL Q CO D l.. W Z F- � O Z H W5 O N C) N WW H~ LL. O .. Z W U= O Z MAR 12 '04 02 :37PM TUKWILA DCD/PW P.4/7 Scope of Work (please provide detailed information)., `s3u?4JT - air( 96M N6n5 eF HAS E 70 65 • i'-6" i f K- 70 P,t try-7 /N 4&,1 . W A rr- ?- MV?ep— )U Z S 1,jt5:o " L1Nt5 G! F5D Call before you Dig: 1- 800-424 -5555 'f er District kwila El ... Water Districi 4125 (� .. Highline E]-Renton .WatcrAvailability Provided Sewer District 0 ...Tukwila C]... Valvue ❑ .. Renton ❑ ...9eattlt ❑ ...Sewer Use Certificate ❑ •.. Sewer Availability Provided 0- Approved Septic Plans Provided X . -Septic; System - )For onshe septic system, provide 2 copies of a current septic design approval by King County Heaitb Department. Submitted with AppUtAtion mark boxes which apply): ❑ ..,Civil Plans (bblimum paper Stu- 22" r 34 Q ...Technical Information Report (Storm Drainage) ., Gcotechnical Report ❑ ... Traffic Impact Analysis ...Bond ©.. Insurance ❑ .. Easomcnt(s) ❑ ., Maintenance Agrecment(s) f ] ,,,hold Harmless Proposed Activities (maul 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 DSisturbatioe .. Right -of -way Use - Potential D)isturbuncc ❑ ...ConstructionlExcavation/Fill - Right -of -way Non Right-of-way ❑ .,.Total Cut cubic yards ❑ .. Work in Flood Zone [M ...Total Fill cubio yards (] „ Storm Drainage []...Sanitary Side sewer ❑ .. Abandon Stptic Tank ❑ .. Grease Interceptor Cap or Removo Utilities Curb Cut ❑ .. Channell=ion ...Frontage Improvements [] .. Pavement Cut .. Trench Excavation [J ...Traffic Control 0 .. Loopcd Fire Line .. Utility Undcrgrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water ❑ ...Permanent Water tviotcr Size... 5 /f, WO# C1...Temporary Water MeterSiu., " WOW ❑ ... Water Only Mster Sire...,.....,.. WO# ❑ ...Deduct caster Mater Size.,...... ❑ ...Sewer Main Extension ............ P011c _ Private ❑. ..Water Main Bmtosioa .............*Public Private Fire Line Size at Property Line (],..Water [ Monthly Service Biliin to: Numbor of Pub] i0 F irc Hydrant(s) Q ... Sewage 'rreaunent Z W W2 �U 0 to 0 CO W J� NW WO �j CO d = W E- _ Z F- H O Z l- LU �5 �0 U O N 0 1-- W LI J HF liJ Z CO 0 Z Name Day Telepbone: MAR 12 '04 02:3ePM TUKWILA DCD/PW MECHANICAL CONTRACTOR INFORMATION P. 5 %7 Company Name: Mailing Address: eat, stale ZP Contact person: Day Telephone: E -Mail Address: Fax Number: Coutractor Registration Number: Bxpixation hate: "An original or notmked 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): Use1 Residential: Now.... [] Replacement .... ,,:AitT, .�, ;� Commercial: New .... ❑ Replacement [] FuelTwe Electric.—.[ am .... Q Other: Indicate type of mechanical work being Installed and the quantity below: IIi 'TJ'pe:, .;,, ;,Qty ' �iJ"riifh`E�' e= ;,,. ; <<;;;" ; , ,,:AitT, .�, ;� ^Btill�r .Furnace--100 BTU Air Handling Unit Other Mechanical 0.3 HF /100,000 BTU > 10,000 CFM Equipment tunacc>100K BTU Evaporator Cooler -1 HP,500,000 BTU Floor Furnace Vent= aLon Fan 15 -30 BP/1,0000000 BTU Suspen oor Ventilation Systein 3040 HP /L,750,000 LI Mounted Hcatcr Appliance enl Hood 50+ JIP11,750,000 BTU eiWRe 'g/Coo ing Incinerator - Domestic ta• stem Air Handling Unit Incinerator — Conntn/Ind tai 0,000 CFM Value of Construction-1n all cases, avalue of construction amount should be entered by the applicant. This figure will be reviewed and 1s subject to possible revision by the Permit Center to comply with current fee schedules. )Enpirotaion of Plan P. Mcw — Applications for which no penult Is Jssued within 180 days following the date of application shall expire by limitation. , "The Building Offletal may extend the time for action by the applicant for t< peried not exceeding 180 days upon writton request by the applicant as defined in Section 107.4 of the Uniform Building Coda (ourrcnt edition). No application shall be oxtendcd mare than once, I BEREBY CERTIFY THAT I HAVE READ kND J33CAMINEIJ THIS APPLICA AND KNOW TIE SAME TO I3r TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I A.M AUTHOR1 —ED TO APPLY FOR TRIS PEFM'IT. BUTLDINO OWNER OR A IO�I� A 3 Signature: Date: tD o PrintName: O I trt. tl M F. s(6, M I Ag-) Day Telephone: 7-06 6S2 Mailing Address: TO 'ZOX 311 � i✓At n 1 W iq �I FS (ys City stare Zip Date Application Acoopted; Date Application Expires: Staff Initials: NUOtiCMiOss'paadt appdcukti (3.2003) 12003 Puge 4 1 Z �Z ~ W t � JU UO to o J h N U 0 9 -1 LL co = W H Z l.- Z� W5 U� ON t] 1— WW HL ) u. O .Z W U= O Z i �,WN�l.1y 1 ~ City of Tukwila INS i 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3351400135 Address: 3923 S 113 ST TUKW Suite No: Applicant: EISIMINGER RESIDENCE Permit Number: Status: Applied Date: Issue Date: D04 -108 PENDING 03/26/2004 Receipt No.: R04 -00368 Payment Amount: 51.50 Initials: SKS Payment Date: 03/26/2004 02:26 PM User ID: 1165 Balance: $0.00 Payee: WILLIAM F. EISIMINGER j TRANSACTION LIST: 4 Type - - - - -- Method Description - - - - -- Amount -- - - - - -- --------------------------- Payment Check 22150 51.50 I I ACCOUNT ITEM LIST: ' Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- BUILDING - NONRES 000/322.100 47.00 STATE BUILDING SURCHARGE 000/386.904 4.50 i i Total: 51.50 doc: Receipt Printed: 03 -26 -2004 II 1 z :LZ z �W QQ JU UO moo. co W J = H CO LL WO co �. = cy, 1- _ z� 1-0, z F- W Uj � p' CO) O D F- . W L 0 til Z U UY z �_ INSPECTION RECORD �� Retain a copy with permit INSPECTION NO. PEft CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro' ct: Type of Inspection: Address:ti� Date Called: Special Instructions: Date Wanted :' ;'-'Mn Requester Phone No: J�►pproved per applicable codes o -�ons requ rid pri�or approval. �� f 2 �W JU 0 0 w� U_ WO U. U� =d � W ZO W �p UN 0 H W W ~ P L' O LLJ Z U= O Z INSPECTION RECORD C ! Retain a copy with permit I to <f mo INSPECTION NO. P m CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206 431 -3670 Projects �� Type of Inspection Address: 10 Date Called_ Special Instructions: Date Wanted: C d [/ a.m. p.m. Requestee -6 e lr6 E: ' o G Phone No: 1k proved per applicable codes. 13 Corrections required prior to approval. COMMENTS: /� C/�,c SCE v-55x d J ( / (mil c� v J� �' r�`I T Q�'t�• tn, tor: Date_ C7!�/ '47.00 REINSPECT N FEE REQUIRi rior to inspection, fee must be Paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: I I Date: � %ICJ Z Z �W QQ � JU UO CO 0 CO) UJI I— LL W o LL = C1 W Z� F- O W H W O N. o F- W W. LL Z 111 Cl) O Z March 26, 2004 City of Tukwila Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Re: Demolition Permit Application 3923 South 113 Tukwila, WA 98168 Parcel # 3351400135 ki ll i��� V}`1rt r).:��.1•,,( - I , `('v s dog ca• f,l p ��� d co�• �' �,L•: ado s covi Uc VS �5 To Whom It May Concern: My name is William F. Eisiminger, sole owner of the property at 3923 S. 113" Tukwila, WA 98168. Per my agreement with the City of Tukwila, I am filing for a demolition Clf y OF pe rmit to p roceed with the demolition of the remnants of the hll as the r Pe P ouse, as we IRA overgrown plant -life on that property. No new construction will b.. happening in the APPRUVEll immediate future at this site, so this application is for demolition only. ? 6 2004 As part of the terms of the agreement with the City of Tukwila, the septic tank is be AS N0if:0 allowed to remain in place and protected for the possibility of future use. Therefo�ii0iA, ;. 1 �-- .. have not had the tank filled and capped. I will be completing all of the demolition work myself, and will not be hiring a contractor to do the work for me RECEIVED CITY OF TUKWILA All of the demolished materials will be removed through the Rabanco Company. MAR 2 fi 2004 The gas meter was removed and the line capped by Puget Sound Energy as of AugustFZ3 ;, 2000, and that information was verbally confirmed for me by P.S.E. on March 25, 2004 through their service center. Asbestos abatement was approved by Puget Sound Clean Air Agency, and a copy of the approved Notice of Intent, #200400338 is included with the application. If there are any questions about the nature or scope of work to be done at the site, feel free to contact me, or my assistant George Teodoro, at 206- 632 -1234 or by email at billeisiminger(�i aol.com If you have any questions about the terms of agreement between the City of Tukwila and myself, please refer to the attached Stipulation and Order, or contact City of Tukwila attorney Stephen King at 425- 392 -7090. Z ' W 0 ND C0 W J = H N LL 10 LQ CO)� = �W z rr z� W U� O o�_ WW t- -O ui Z U= 0 1-- Z Thank you for your time and effort. Any assistance you can give, me in expediting this process is much appreciated. Sincerely, William F isiminger PO Box 31172 Seattle, Washington 98103 -1172 206- 632 -1234 billeisiminizer@aol.com M p�jr CEO MAP Z 6 20o z z'. �w QQ J U UO �o CO w: J to LL w o, U. �d = w` Z � O: z �- w �5 U� O N', o � w w :. L� W Z - U CO: O Z i4 fl2dilA C-01 WA SC-P-kl&6 Cl-VAl?, Z ACgBaf-iCS , 9 161 74 CITY OF rUi'r� G1 APPROVE0 MAR 2 6 2n�- AS w /ae / / � 6 ----------- -------- - ----------- r j A GAS OP b r w NAR 2 p I zco -pi ECK z Z w 2 D 00 NO U) w W:c I-- U- 0 2 9:3 U. cl) UJ z �- 0 z �- UJ uf 2 a D 0 'o :c) UJ L U U- - - z U 0 ,z Agency Case No. PUGET SOUND CLEAN A' RRC "Date Received �. Zi C' I Contractor AGENCY •IY OF TU Phone: 4, - iy j'Z - I Z' ' ' Job No.: 200400338 110 Union Street, Suite 500 �� n c Seattle, WA 98 38 G U www.pscleanair.org ir.org NOTICE OF INTENT PERMIT CL O � 4 .�� 20O� TAI:: �1�,►� Fax: - Zx , t., ' t;• 7 S - L 7 7 has not been identified. A. Project Tvoe: 1. ❑ Friable Asbestos Removal 2,,-W Friable Asbestos Removal & Demolition 3. ❑ Demolition Only Property Owner: t w t /l+dlll F 5; M I t G Phone: I Z SL4 Mailing Address: E [ City: 1 1. E State ��t - Zi :q 10 J C. Asbestos NLEASEYRIMCLEARLY. MIS WILL BE YOUR RtTOW.WILINGLABEL. Contractor: i t A ; nn t = Owner /CEO: Ci v ;� U� >_ pt �. Zi C' I Contractor Mailing Address: F F)cy� Z i 1q Phone: 4, - iy j'Z - I Z' ' ' Job No.: City: � r- , t t� t State: w � Zi : Fax: - Zx , t., ' t;• 7 S - L 7 7 D. Site Address: ` , �9 'Z3 1 (?� Ci v ;� U� >_ pt �. Zi C' I Site Structures: Survev: Z o Manager: , V\1 , t,1-% a <,, m, Local Phone: 7-0( ., T�q - L --, 72o, E. Asbestos Surveyor No. of Date of Asbestos 3 Was Friable Asbestos Identified? Yes o Mat'l Presumed Structures: Survev: Z o Was Nonfriable Asbestos Identified? ❑Yes,3No Attach a copy of the survgv when friable asbestos AHERA Building Certification : t CC L1 Inspector: P hFI V �... ,'1 c��n N - o Ex .Date: r� i - ZC, y has not been identified. An A HERA Su is r before all dem pr ojec ts F. Demolition Start /'Z1 No. of I.. Ai ;. i$ Fire Dept. 'r Information: Date: Ot Structures: 2. Or t�i3n (attach co of Order Demolition Insert demolition contractor Inailing address on back. Will nonfriable asbestos be left in place during demo? U Yes A No Contractor: L J i�t F E� :rut u If yes, list type and qty. MAR `J t4M G. Friable Asbestos Project Information: a Start Date: Zc� L'1 3 Completion Date: / Z _ AMofk p, Xl ;: M T W Th F Sa Su _Hours: W 0.1 Ri ,� Yes materials be removed? ❑ No Total to be Removed: Linear Ft. !L A' 2 C%C� S uare Ft. Boiler \Furnace Insulation U Duct Insulation LJ Pipe Insulation Fireproofing Paints Plaster U Textured Coatings Cement Board LJ Cement Pipe Ll Friable Flooring Ll Friable Roofing Material Other: H. Asbestos/Demolition Project Categories: Notification Period Project Demolition 1. Single - Family Residence (owner - occupied): Fee Surcharg A. ❑.Asbestos Removal Project Only A. Prior Notice A. $25 . B. Demolition Project (with or without asbestos removal project) B. 10 Days* E02 0 *(Asbestos removal can begin upon notification, demolition must wait 10 day s /Vote: 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 I B may be checked. If this is not an owner - occupied residence, one of the categories listed below must be used. A single family residence does not include rental ro errv, multi-family units, or anv mixed -use buildin . 2. Ll 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. LJ >_ 10 - 259 linear feet and/or ? 48 - 159 square feet of asbestos Prior Notice 10 Days $100 $100 4. Ll 260 - 999 linear feet and/or 160 - 4,999 square feet of asbestos 10 Days $200 $100 5. LJ > 1,000 l inear feet and/or >5,000 s uare feet of asbestos 10 Days $750 $250 6. Ll Emergency Asbestos Project or LJ Emergency Demolition Project Prior Notice Twice Project Fee (Single-Family Residences are exempt from emergency tee: however, property owners must provide a written emergency request) I. I certify that the information I this n 'fication & supplemental data is, to the best of my knowledge, accurate & complete. Agen l s5 unL,y i? ztv i ^ " nalure Representin, Date Revie,rtrd By Puget Sound CleadAir Agency Form No.: 66 -160 (Revised 1/04) TS ArA0T' `� o O Ll RAPT. "lfl. 4us'�.. aerie: �.. iaa:-. u• an+ �v... r..+.. ni. nsrgm.+ �imwr� i. e+ vw. ....r.. �rw. . - , rte. ... .- „-.�.- .n- rre.,.+.....:s".. m,..w- ..w..r+.vun...ow >N.. nwa � .n�..e..._......n.T_e ..,uveer.+moav+..e .. � ...... -. Z ~ W JU UO N C0 LU W = H N U. WO LL N� = �W Z H W �5 U� ON OH WW �U �- O W Z U= O F- Z W, �, r Mar 26 04 12:21p Kenyon Disend 425 - 392 -7071 0,%io9/04 TUR 14:26 FAX 201'�.5 2645 SC RR BAILIFF NORTH Mar 09 04 10:5Ia rit:jon Di.0end 425 r 71371 I , (i , I ' Ronorablc Gcorgt; 'i•'. Mattsun ( ICIN iCOUNTY "?4'._..:v i C:tc I " 5 mA P c ing rm 7 I1 i1 12 i� t1 ta'1 14 H �I ij i' I; 19 20 'i 11 21 �i 22 7 1' 24 25 ! SUPERjOR COUI•t CLER NANCY 1.., SLYE OEPUTY SUi' UOR COUR'i' OP WASHINGTON FOR l0gG COUNTY CY "Y OF T'UKNVII ; A, a municipal ' NO. 03- 2- 11421.9KNT cotpurtltion, 5TIPUL.AAII0N AND t71tUI1t Plaintiff, VS. MLLIAtil r, B ?,SMNOER and JADE DOTE ETSiM1NGER, husband and wife, and their marha! con7munit' composed thereof; p.2 iM002 P . Z ryOP ll,4 ( I CITY � APp EO Di_ii;ntirtnts. y N AR � 2 2 to A S AV6 ' fLt� STIPULATION gU / Nd IT IS RERER Y stipulated 'aelween the plaintiff, City of Tukwila ("City'), by and I through its attorneys of record, Stephen R. King and Kenyon! Visaed, PLLC, x1d the defendants, William F. Eisimini?er and .Tame Doe Eisiminger ( "Eislniingci"), ;- ppcaring pro se, to the fol!owing lenns of settlement- 1. Within ten days of entry of th..is 5tiputntion atxt Ordar, the City shali provide Riiirringer with the following dl mment regarding the progeny localcd at 31 South 11 311, Strrat, Tukwila, Klab County, Washington C'Fropot'ty' ): ti, Ati aerial photograph of the Frop;6ay showing the House located on the STIPULATION ANL L) 0KDE- R- I it s»>APl'�',r..1 "1,b�Ulprlcad.ng '1.txNq�a • Eliwirigo slip IuJ my 0.. down UU20404 KENVON D I SEN 1 1). PLLC I 1 FRONT STREET Spin 14 lisaqu��h VJ;.stw:uzon 95L'2'! -)e2Q (> ?S1794.70 FRXe42S) 442 77N 1)3/09/04 TLS 31:32 (T.T /RX NO 60051 r,�eRe Z JU 00. W= J H N LL u.t 0 u . d �w Z H Z O U� D F- =U LL W U CO: H T- 0 Mar 26 04 12:21p Kenyon Disend 425 -392 -7071 ua�UH/u4 tuts 14:26 IeAX W -U5 2645 RC 12,1(: BAILIFF t NORTH Mar 0S 04 iot sia n�nn 1lisenc! 1 � 42S 7 ^r �I I i PVL)Itr:ri.y (" Iz UUSd') pr ior to its destruction by tire; I i b. Photugraplis shuwi;tg thc: Property and House; and I 'i t c. A sketcn of the Property showing the dimensionq Of the properly and the a location of the House on the site. I 5 ! ?. The t :jly has drtemtined that the House has beer, destraye(i b fre :tn%q tfiar located it the rot", Density Rcsiderlfal ; T I.f ?lam) z�itle. Pursucnt sc, :u:cwira ;..u:icipo.I 7 t f':Tde Section 18,70,0.50(2), n new sin4fe Pduni!y dwrllinb 1>,tay bt: ct. *.ed 0;1 ;he 8 ; �i y I Ja It t� J; . I la ; la ; 16 17 is .9 i 20 { 21 Property to replace tfie l 'Ouse, either by lrisiLringcr or subsequent owners, using a twelve Ibt)t front yard set;;aL es would h been permitted at th tijne of the Tlo use ':; urigitlal construction; provided, Lire total width of the new structure extending beyond the applicable ti'cmt yard setback (currently twenty feet) shall not exceed the House's curirnt width of twenty - four feet. 3. Within ten d,;ys of entry of this Stipt:laririn and Order, r�isiminger shaft obtn4 demolition perinit fraIT1 the City fbr the i'ollowittg, wart(oll tile. Property: a. Derruol:tion of the. fire dRmuiged remains of dic dwelling oil the including tiac #onitdation; b. Retnoval of all build ng t+lateiials and debris, including tho i hainlinie Bence, on llic site, and including any such materials and debris created by the d+erfacUjor, of the dwelling; c. Clearing►, of the btarekberr;es and uncultiodMa plants azd *,vecds o4'_r 24 �l 21 74 si i-ches in height ,runt the Proport;•, The City shaft issue; thr dcnto'.itio(t pe..trtit on otre business dray's .ttotic /. Fisiminger's intont ttT obtain the, perMit, i1te ii:e ibr t[.,,s pen .it shaft be Fitly -out: Do[Ia -5 5TEPUI AT'JO\ AND ORDL'R - 2 'BFI .'100210 . kifo Slit: ludnnait 40dSAt102R4104 KeNvON Dtstrnl3, 1°L';.0 I t PRONT SUM SOUTH ISSkQVA{I.WASAINMO ?.)807 :WZQ (4Z�))A2. ?Uup FAYta,ST79� "!? ?} 03/09/04 TUE ly:32 1 txo s uu5; Z 003 P. 2003 R•3 ����a 11AR 2,A zco & rER ;wrr 2 6 ZC,09, AS I f O �� Z i} Z �W ¢¢ 3 U to Q C0 ILI J C0 LL Wo LL Q S2 D _a �W Z F F— O W �5 U� to of-- WW � 111 U= O Z Mar 26 04 t2:22p Kenyon Disend 425 - 392 -7071 OVC2 /04 TUT 14:27 I'at "'' 203 2645 KC RJC BAILIFF NORTH Mnr 09 04 10!52& .Cenzian Disend 425 7071 it 1 it 3 i a II c 6 i 7 ! I 9� I l0 l� i� i Il i to !i L5 t to jj 17 !{ 1a 22 23 24 25 rid Fik Ccats (551,50). 4. Bisiming shall not be required to remote the existing septic sy grn Propc -sty under the demolition permit: provided. Eisiminger she!? socure the sex,tic s� sl�tit tank to prevent collapse of thin tank lid or co vcr. S. 8isietirtger shtt ?? c hit of tlx above d,seribad worts vviti:in sixty dilys of i issuance of the. demolition perr;i'.. f Defend9nt 0-9e G. ltt the evcut that Eisiminger does not complete the above wurlc within sixty days pernt:t issuemcn, the City shall kwvr lbe immediate right, without further order of the Cow!, to anter upon the Property and to complete the work. Any and al 5m act* ons f taken by ttit City pursuant to t;iis paragraph shall be at Eisiminger's sole cost and �� expense, including but not limited to City Staff time and overkeart rensr_nabh t. attc+rney j �� op � V 1 014 fees, and al! other expenses expended by the City in order to complete ihc. work. 6 ZOQ¢ Eisiminger shalt pay all sucil. casts and expenses to the City witbin Lea d ays of I - c":Jpt of Ifte City's bi;:ings. Any unpaid ainouaLs may be conv erted to a judg ment, and recorded /n/ CF as a lieu against :nc Propcay. �l] DATED this day of February, 2004. K NY Dow), PUC S;1PULATiQN AND ORDER - 3 dFslt.,sN'PSK.'fVlTtdtn94JV le:C:ng F LUhJI1C • tWo4opr Sup I.)dtiuvmt dpr.JW +1+2n14A Stcph h R. KL-Ig WSBA'No. 29790 Attorneys fcr Periticacr City of Burien ! KC ,NYOn DISEND, PLiX .. ''rk�:,t4inraraLL.;r,Firur -- I 1 I�xoyr5T.1EEt BvvTu I "AQUAf1, WAIHIW0 I7H 9BU2741820 (415) i�ITi -MM FAX (425)392.101 p.4 Q004 p.4 Ofa f '� 03/08104 TUB 11;32 IAb /RX NO 00051 (j9004 Z W JD UO W� NLL WO 9 -1 U- Q rn _ CY W z� ZO 5 U� O - O H W LL F- LLJ Z UN PM z I Mar 26 04 12:22p Kenyon Disend 425 - 392 -7071 �y inn 1 4-91 IAl 20f' -.205 2045 Mar as t74 10:5pa ►hyon Di-tend 1 {C I2,IC UA21.1F!'' -NORTH I! I� tj 11 City for Ulm following work on the Property: t !t t z 11 : Dcmulition Of (lie fire daittugcd remains of die dwelling oil th property, 3 h1cladixtb the dwclling's inundation; 4 (f b. Rwiio of all building m ateriuls nad debris. irxcluding the chainlink Iivn r%u the s r site, and including iuiy Stich materials and debris created by the dpnio[itioi> of ifte e!v e!!i tg Q } c. Clearing of the blackberries and unewlivt4ted planes ,rtr oleeds Q• r ! ttielies 7 ill in heigl7f from the Prot; 1 1 !tr C'ity shall issue t!t.: L't:nu!itiun pennit oil one btlS; C65 day's notice of I ' to i! ;4isitn}rger's intent ;o obtaitl the tern -it. The lees fur ties pcmiit shalt be bitty -ogle Dollars 1; H 1 2 I3 l � I4 15 ! tG li r f3 t9 1 20 ; I 21 22 21 24 r l5 `; I if m,d Filly gents (351.50). IT IS !: UR7HEIt ORDERED, ADJUDGED AND DECREFL) that EisiminrRer shall not be required to remove tiie existing septic system ctrl tilt Property under the de►nolition permit; Provided. Eisiminger shall secure the septic system tank to Prevent tollapsc: of ;h tanic iid or cover. IT TS FUIRTHFR ORDERED, ADJUDGED : � 1��T7 Dl~C1'�L•D that Eisi:nirt�cr shat! cnmplcle all of the tibovc d cscribcd 11U:'lC Withili s i'my day ofissu of flit permit. IT 1S FURTHER URL.EP L'D, ADJUDUED AND DECREnD that: in the event that Eisini119ct dues not Complete the above work within sixty days of pearnit isgiionce, the City shall have the immediate right, without Further order of the C`nurt, 1•0 enter l. 'z ' hc Property And to cornuiete the work. Any alid al! such actions taken by eke City jU' - 508 t In this paragraph sl a!I be at Fisiminger's sale cost u;,d expcnsc, including but not limited in C'its staff time and ovenccdd, rea sonable attotne jr :des and ail attar }xuers:s STIPULA AND ORDER -5 RFaIky�W rM$ ( VIT +.4,.fIaV'Itad4tUlPt.nU(71D- nttMnar silo J.d �IdgtdudlAl.rU2lid rfiq KFNYON DisrND PL LC TtAr Umcm,41 ' 4 . fi% r- 1 FROW'sTA T S001i lssngvnn, %Vnsr;(nat'Or+ 93027 -AzC (42) 392.7090 PAX 1425)303.1;;7) p.5 �U06 �ooy °gi r Cf APP81�3 /tUI 6 an j , u ��flQ1 rCJ 03/09/04 T11.6 11:32 rTX /RX NO 60051 lAnoe Z Z W aa JU UO CO) C3. W = Cf U. WO LLQ co d = F- W ? Z° UC:j rn 0 H W z F- O W Z U N F= _ O Z Mar 26 04 12:23p Kenyon Disend 425- 392 -7071 aau, 14, kAA ZUJ— It)5 2(345 Mar o9 04 1U. 52 BC RX BA1Lil:F NORTH `I �nyn o Disend • II 4 25 Jc 70'71 ii I� �i 3 It 4 �i 7 I� t k` 1 9 lQ 1 it i; N : I {4 i IS {� < <i in ;j t1 II to �J I I lu no G it 22 23 1 24 } 25 iI i .I i! I exPcnd�d by the City in order to complete the work. Lisinliilger sheul pay all such costs i and expenses to the City within ten days of rec;cipt of• the City's billings. Any unpaid ;tlnoullfs may be canverlcd to ajudgrnent. and recorded as a lien QAsinot the Proper y, IT IS F'UX114LA ORDER D, ADJLJT)CFD AND 1 )EG1ZC,1?.11 that the retain; urisd:ction to hear clmteMpi njetions tn)d issue. appropriate smctivrs ir. Lie �t -ert of 'ri r.!atiens of this Order. D0111E IN -OPEN C oi_t ry- titrs da Presented by: �aE;NYt7N DISEND, PLLC 5teph i R. Kbig `'SBA Nu, 29790 Attorneys for Plaintief City or :;uricr, Copy keeeived; Approved for Entry; And Notice of Presentation Waived: Le v r STIPULATION AND oRDER . G Ur. Nsy¢„ PPSSI :IVI:ulwihlP!rrJinEl'LL'UU:IU �I�nliGi�c� Slip MOWN F4 2044. p.6 Q(, p.7 C fr AP I Ifs MAR s �I� fir ', ••.. �tJ R EOtIV� y cRY OF r�1K►Nj P1AR 2 6 2004 KENYON DISEND, I'LLC rHZ'MJA#!ypri. 1 1 ! FROhl S71terr SOUTH ISMAYVAM, WnN1iRK,tpN YF(1�7.;S�li (425)392.7090 FAX (42$)392-7:171 03109104 Tt.IE 11;32 FTSIRY ya 601p5 t, 121007 Z = Z CY- w �U UO W= J �_ CO) U. WO } J N d'. = W z� F- O z r_ W Uj 2 U 0 t— W U t— W Z U CO) O F " Z CITY OF T `" - YWILA Permit Center 6300 Southcenter Boulevard, Suite 100, Telephone: (206) 431 -3670 STATE OF WASHINGTON ) ) ss. COUNTY OF KING ) Tukwila, WA 98188 4UT 94ac --D ff-- o� , states as follows: w��1ri -M 'ice_ Cis,wtihY �, 1. 1 have made application for a building permit from the City of Tukwila, Washington. APPLICANT 2. 1 understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, 1 consider the work authorized under this building permit to be exempt under No. and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. EXP imi ���• G :z, .'� 141 k� ST g1'EOF AFFCONT 1113100 H -4 Signed and sworn to before me this day of C-G , 20. r NOTARY PUBLIC in and fo the State o Washington, residing at �� County. Name as commissioned: My commission expires: ` o� ` 0 6 Z ~ w �U UO Cl) J = H C0 U _ w 9-1 LL ? � =w Z F. z� W w U� O - 0 H- w �F_ LL z w U= o Z .,. ;� ��'�'6".u::w: R,.�'.!Y�j„h?t�9� :�rro � .�....�,'�g 'ra.:�'::.`.�Y"�'.�..�.s��`�', �''` �91.�Y"�';w�u�MZ�Y',t'N�95Mkzan 18.27.090 Exemptions. This chapter s not apply to: 1. An authorized representative of the United States of the operation is made into contracts of amounts Government, the State of Washington, or any less than $500 for the purpose of evasion of this incorporated city, town, county, township, irrigation chapter or otherwise. The exemption prescribed in district, reclamation district, or other municipal or this subsection does not apply to a person who political corporation or subdivision of this state; advertises or puts out any sign or card or other device which might indicate to the public that he is a 2. Officers of a court when they are acting within the contractor, or that he is qualified to engage in the scope of their office; business of contractor; Z 3. Public utilities operating under the regulations of the 10. Any construction or operation incidental to the '~ w W utilities and transportation commission in construction and repair of irrigation and drainage construction, maintenance, or development work ditches of regularly constituted irrigation districts or v 0 incidental to their own business; reclamation districts; or to farming, dairying, CO o agriculture, viticulture, horticulture, or stock or poultry w = 4. Any construction, repair, or operation incidental to the raising; or to clearing or other work upon land in rural U . discovering or producing of petroleum or gas, or the districts for fire prevention purposes; except when W O drilling, testing, abandoning, or other operation of any any of the above work is performed by a registered petroleum or gas well or any surface or underground contractor; Q mine or mineral deposit when performed by an owner LL M or lessee; 11. An owner who contracts for a project with a = w H registered contractor; Z f- 5. The sale or installation of any finished products, _ 0 materials, or articles of merchandise which are not 12. Any person working on his own property, whether w LU actually fabricated into and do not become a occupied by him or not, and any person working on ? o permanent fixed part of a structure; his residence, whether owned by him or not but this v co exemption shall not apply to any person otherwise 6. Any construction, alteration, improvement, or repair covered by this chapter who constructs an w w of personal property, except this chapter shall apply improvement on his own property with the intentions v to all mobile /manufactured housing. A and for the purpose of selling the improved property; u. 0 mobile /manufactured home may be installed, set up, ui Z or repaired by the registered or legal owner, by a 13. Owners of commercial properties who use their own v CO contractor licensed under this chapter, or by a employees to do maintenance, repair, and alteration 0 �- mobile /manufactured home retail dealer or work in or upon their own properties; Z manufacturer licensed under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than $500, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division AFFCONT 1113100 14. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 16. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 47.28.070 with the department of transportation to perform highway construction, reconstruction, or maintenance work. I