HomeMy WebLinkAboutPermit D03-070 - SARA DEVELOPMENT - HOUSE DEMOLITIONSARA DEVELOPMENT
13419 MACADAM
ROAD SOUTH
D03 -070
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2613200150
Address: 13419 MACADAM RD S TUKW
Suite No:
Tenant:
Name: SARA DEVELOPMENT
Address: 13419 MACADAM RD S, TUKWILA, WA
Owner:
Name: SARA DEVELOPMENT INC Phone:
Address: 24719 43RD AVE S, KENT WA
Contact Person:
Name: BEHZAD CHAUDRY Phone: 253 850 -1391
Address: P.O. BOX 5544, KENT, WA
Contractor:
Name: TRI -M CONSTRUCTION & DEV CORP Phone:
Address: 2203 SW 356TH ST, FEDERAL WAY WA
Contractor License No: TRIMCDC121 RA Expiration Date: 03/03/2005
DESCRIPTION OF WORK:
DEMOLITION OF AN APPROXIMATELY 1200 SQ. FT. HOUSE.
VAL -VUE SEWER DISTRICT & WATER DISTRICT 125.
Value of Construction: $4,500.00 Fees Collected: $51.50
Type of Fire Protection: NA Uniform Building Code Edition: 1997
Type of Construction: Occupancy per UBC: 0007
doc: Devperm
Public Works Activities:
DEVELOPMENT PERMIT
Curb Cut/Access /Sidewalk /CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N
Moving Oversize Load: N Start Time: End Time:
Sanitary Side Sewer: N
Sewer Main Extension: N Private: Public:
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: Public:
Water Meter:
Channelization / Striping:
** Continued Next Page **
D03 -070
Permit Number: D03 -070
Issue Date: 03/17/2003
Permit Expires On: 09/13/2003
Printed: 03 -17 -2003
Permit Center Authorized Signature: .�.c?�'��- ��'�- Date:
gi
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. of work. I am authorized to sign and obtain this development permit.
/ /-� Date: `R — l -2
Signature:
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Print Name: ff 7,q �-� -i /fa-ie-
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
D03 -070
Printed: 03 -17 -2003
Parcel No.: 2613200150
Address: 13419 MACADAM RD S TUKW
Suite No:
Tenant: SARA DEVELOPMENT
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.
6: ** *FIRE DEPARTMENT CONDITIONS * **
7: The attached set of plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following
concerns:
8: Contact Tukwila Fire Department Training at 575 -4404 for possible use of house in training exercise.
9: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
10: These plans were reviewed by Inspector 510. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature: Date: 3 1 ? O
Print Name:
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 981881(206) 431 -3670
PERMIT CONDITIONS
D03 -070
Permit Number: D03 -070
Status: ISSUED
Applied Date: 03/03/2003
Issue Date: 03/17/2003
Printed: 03 -17 -2003
.li.,v:.1.. .a.
7 i+iS1. �
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
Site Address: 4_44m
Tenant Name: � t�
Property Owners Name: .. /4 4'
Mailing Address: /!-- o (,-0 k_
CONTACT PERSON
�= Z A - (( [
Mailing Address:
g - _
Name:
City State Zip
E -Mail Address: Fax Number: ,4,c - S� - ? ?/
GENERAL, O� ,I TRAC TOKINFC)RMA TIO
Company Name: / t f �' S72(�G�l0 -A (iv-d..
—.� 0+ Lam c l Poc-
City State Zip
Day Telephone:
Mailing Address: c"1--?0 .S. rz,'
Contact Person: &/L r,t=1L % » ) C le * J
E -Mail Address:
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: l',' /i �+ Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
E NGINEER .OF RECORD All plans must be.wet stamped by of Record
Company Name: (it?, E- 6- r '
Mailing Address:
Contact Person: S ' A - L tL'F! /Y1
E -Mail Address:
Upplicationslpennit application (1.2003)
I/2003
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**
Page 1
King Co Assessor's Tax No.:
City
Suite Number:
New Tenant:
Floor:
[] ...Yes
tJ 069
State Zip
Day Telephone: r?C 3 — co -- (3 n /
(r i c.1'
Fax Number: , S . _ (,_ / / /3' Z_
State
..No
Zip
City
Day Telephone:
Fax Number:
City State Zip
Day Telephone: , Z — ? "(..- 1 3 5/
Fax Number: ? — ?) 2
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Existing Building Valuation: $
Scope of Work (please provide detailed information): e 2) /=/)91) L./ % zOrJ &•, ,/ (7) yv /7 `Ve
/cX2 T,z
Valuation of Project (contractor's bid price): $
Will there be new rack storage? ❑...Yes
■applications\permit application (1.2003)
No If "yes ", sec 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 PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑...Automatic Fire Alarm ❑...None ❑.. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑...No
If "yes", attach list of materials and storage locations on a separate 8 -1 /2 x 11 paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District Water District 1'1125 ❑... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District M. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
Page 2
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Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
Is' Floor
2 ' 0 Floor
3t Floor
Floors thru .
I\J / A
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached, Carport
Detached Carport
Covered Deck
Uncovered Deck
Existing Building Valuation: $
Scope of Work (please provide detailed information): e 2) /=/)91) L./ % zOrJ &•, ,/ (7) yv /7 `Ve
/cX2 T,z
Valuation of Project (contractor's bid price): $
Will there be new rack storage? ❑...Yes
■applications\permit application (1.2003)
No If "yes ", sec 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 PROTECTION/HAZARDOUS MATERIALS:
❑ .. Sprinklers ❑...Automatic Fire Alarm ❑...None ❑.. Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ .. Yes ❑...No
If "yes", attach list of materials and storage locations on a separate 8 -1 /2 x 11 paper indicating quantities and Material Safety Data Sheets.
UTILITY DISTRICTS:
Note: If the utility district is not City of Tukwila, you must provide written verification and approval from that utility district at the time of permit
application.
Water
❑ .. City of Tukwila Water District Water District 1'1125 ❑... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District M. Val Vue Sewer District ❑...City of Renton Sewer District ❑...City of Seattle Sewer District
❑ .. Septic System (If property is served by a septic system, 2 copies of approved septic design from King County Health Department must be
submitted at the time of permit application)
Page 2
' ': { ''. 'r'!: ! b f7301q'rxefil
Scope of Work (please provide detailed information):
Street Use:
❑ .. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Storm Drainage:
❑ .. Storm Drainage 0... Flood Control Zone
Water ... p
Water Meter Refund/Billing:
Name:
Mailing Address:
lapplicationalpermit application (1 -2003)
1/2003
❑...Channelization /Striping
.fu-4 �--' / c r /12u-
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
❑...Curb cut/Access /Sidewalk
cubic yards 0... Fill cubic yards .. Hauling
Sewer Information:
❑ .. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District 0 .. City of Seattle Sewer District
❑.. Sanitary Side Sewer ❑.. Sewer Main Extension ❑ ..Private 0.. Public
Water Information:
❑ .. City of Tukwila Water District ❑ .. Water District #I25 0... Highline Water District 0... City of Renton Water District
❑ .. Water Main Extension 0.. Private ❑...Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct 0... Water Only
❑ .. Water Meter Permanent #: Size(s):
❑ .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
❑ .. Fire Loop/Hydrant (main to vault) #: Size(s): ❑ .. Landscaping Irrigation
❑ .. Miscellaneous:
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
cit
Sewer ... ❑ Sewage Treatment ❑
Page 3
City
State
Fire Line ....
Zip
Day Telephone:
State Zip
.: �a•+,.. �.:. i.;;. r, zu•+ a.. �r: y;.. ��c�rv:....: y.:.: .....w,.+uanwwer�.. ».M. »....... ,y
• eai; a'. it' du:¢ d!'iF&
Unit Type:
Qty
Unit Type:
Qty
Unit Type:
Qty
Boiler /Compressor:
Qty
Furnace <100K BTU
Air Handling Unit
>= 10,000 CFM
Other Mechanical
Equipment
0 -3 HP /100,000 BTU
Furnace> 100K 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
MECHANICAL;PERMIT1NFI,.4MATION = 206- 431=3670
MECHANICAL CONTRACTOR INFORMATION
Company Name: ' VA
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 ....J Replacement ....D
Commercial: New .... ❑ Replacement ....
Fuel Type: Electric 0 Gas ....D Other:
Indicate type of mechanical work being installed and the quantity below:
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 extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as
defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIIZD AGENT:
Signature:
Print Name: /.2,-E-7,-/ ' 11 — al cf4i R. y
Mailing Address: - Q - , > , 13
\applications \permit application (1 -2003)
1/2003
Page 4
Day Telephone:
7 e t.i
City
Date: p _' S - o3
L9
State
9E V6
Zip
Date Application Accepted:
c c - e>
Date Application Expires:
Staff Initials:
i
Tl;si::. Cllr" �`•t? Fiiayt5. �. �:+ ,r.0 {;c�.:e��'.3«i`1.' "veiir' "��
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
ACCOUNT ITEM LIST:
Description
doc: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
2613200150
13419 MACADAM RD S TUKW
SARA DEVELOPMENT
R03 -00263
SKS
1165
Payee: SURPRISE LAKE DAIRY QUEEN
TRANSACTION LIST:
Type Method Description
Payment Check 5356
BUILDING - NONRES
STATE BUILDING SURCHARGE
RECEIPT
Account Code
000/322.100
000/386.904
Permit Number:
Status:
Applied Date:
Issue Date:
Payment Amount: 51.50
Payment Date: 03/03/2003 04:13 PM
Balance: $0.00
Amount
51.50
Current Pmts
47.00
4.50
Total: 51.50
D03 -070
PENDING
03/03/2003
TOTAL
..v
Printed: 03 -03 -2003
Pr ect:
Sa K e v-e iopow.A 1--
Type of Inspection
1- -, rira
Address: ,
I �1i e l i , - ACr000/ .1 '( S
Called:
3/ J t 3
Special Instructions:
Date Wanted:
I -.)--
1 Di- 1t)
r m.
:m.
Requester:
r I e.
...)
Phone No:
c — 2)
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•
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2
PERMI� •. //
6)431 -3670
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-423- 07 I
r n .� ...
P
CD oQt0 —
(3
or Date:
` . r'.. J co /2- / 03
REINSPECTION FEk REQUIRED. Prior To inspection, fee must be
t 6300 Southcenter Blvd., Suite 100. Cal schedule reinspection.
Date:
Rece t No.:
Pro' ct:
- " o De lie
flit P,„
Ty e of Insp
A �-
Address : �((t /� A
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Special Instructions:
Date Wanted:
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p.m.
RequesteFp
67 ."
Phon No: 25 3) F2 7 -92/?
•
INSPEIN NO. PERMIT NO. INSPECTION RECORD
Retain a copy with permit -
INSPE ION N0. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3670
COMMENTS:
Approved per applicable codes. Corrections required prior to approval.
O $47.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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Type of Inspection: 0 1
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Addressi
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Date Called:
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Special In tructions:
_
Date Wanted:
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a.m.
p.m.
Requester —
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Phone No: 2.5A
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INSPECTION RECORD
Retain a copy with permit
•
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981 88 (206)431-3670
El Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
/H(0) l ui-edv•
Date: 1)
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
6k)
Receipt No.:
Date:
•■••17,7717.0..
ORTHEr -fsi
e.
March 23, 2001
Mr. Paul Sidhu
3870 82 Avenue SE
Mercer Island, Washington
Dear Mr. Sidhu
Inspection Findings
?d N1LT :80 000 9T 'f‹ .t1
/
INDUSTRIAL HYGIENE, INC.
F1LE CQPY
G1TY OF WO O%
APPROVED
MAR 13 211O3
Asbestos Inspection Results NU i cU
131. 9 MacAdam Road _.._ ..... -
Tukwilla, Washington AS N Ui
Northern roject Number 999 -058 ai
100 N. 27th Street, Suite 550
B111ings, Montana 59101
Phone: 406'245 -7766
FAX: 406/254 -1428
e- snail: N1H1NCEV AOL,eom
C17y OF ruKWICA
MAR 0 3 20 03
PERMIT CENTER
This letter report provides the summarized results of our asbestos inspection performed by
Asbestos Certified Building Inspector Chris Carter on March 20, 2001. The purpose of the
inspection was to identify asbestos containing building materials which will be impacted during
the scheduled demolition of the structure.
The inspection included two buildings; a house and a detached garage. The house is a one story
wood structure on a concrete foundation. Typical interior finishes include vinyl sheet, concrete,
carpet or wood finished floors, plaster, gypsum wallboard or wood finished walls and ceilings.
The exterior of the house is finished with wood. The roof is finished with asphalt shingles.
The garage is a single story wood structure, Interior finishes.include a dirt floor, and wood
finished walls and ceilings. The exterior is finished With wood and the roof is finished with
asphalt shingles.
A total of eleven building materials, suspected to contain asbestos, were identified in the two
buildings surveyed. A summary of the identified suspect materials is presented in Table 1: A
summary of materials confirmed to contain, asbestos is presented in Table 2. Table 3 presents a
summary of the laboratory results.
Northern Industrial Hygiene. inc.
Mr. Paul Sidhu
Asbestos Inspection
13149 MaoAdam Road, Tukwilla, WA
03/23/'2001
Page 2.
Confirmed Asbestos- C9ntaining Buildiilla Materials
fi Green and White Asphaltic Roofing; (garage)
Recommendations •
As per Labor. and Industries standards, a contractor/supervisor must be present during the demolition
of the structure and the operator of the demolition equipment must have received 8 hours of asbestos
training specific to.roofing removal.
To comply with Puget Sound Clean Air Agency regulations notification of the demolition activity
must be to the Agency 10 days prior to the scheduled start of the demolition. They can be reached at
.800.52.3565.
We trust this summary report provides sufficient information. for planning purposes. We
appreciate the opportunity to work with you. If you have any questions or require additional
information, please contact. us.
Attachments: Tables I through 3
Laboratory Analysis Results
Northern Industrial Hygiene, Inc.
zd 1.4 :80 0100? 9I. •A'='hd
Very truly yours,
NORTHERN INDUSTRIAL HYGIENE, INC.
Kevin Oliver, P.E.
. 'OH r :j
�'`. ,
Material Number Material Description
Fl.l
Brown and white with multicolor stars vinyl sheet flooring
F1.2
.Brown, green and tan vinyl sheet flooring
Fl.3
Tan, white, pink, and blue vinyl sheet tiooriag
F1,4
White with gold speckles vinyl sheet flooring
F1.5
Pink and gray vinyl sheet flooring*,
M1.1
GreCn and black asphaltic roofing
M1.2
Green and white asphaltic roofing
. M3.1
Gypsum wall board
M6.1
2' x 4' Ceilin,>i tiles
M7.1
White gray plaster
M16.1
Black and tan asphaltic felt paler under 15' x 15' car- et
TABLE 1
SUMMARY OF MATERIALS SUSPECTED TO CONTAIN ASBESTOS
13149 Mac ADAM ROAD SOUTH
TUKWILLA WA 98168
Summary of Su pccte'ti maierials
t'am`e 1 of I
Table 1
Material
Number
Description
NESHAP
Category
Recommended
Response Action
M 1.2
Green and white asphaltic rnuiin ,
•
i
Competent Person to supervise roofing removal.
S hour trained worker to operate a gnipntent.
•ommatp of Confirmed Materials
TABLE 2
SUMMARY OF CONFIRMED ASBESTOS - CONTAINING MATERIALS
13149 Mac ADAM ROAD SOUTH
TUKWILLA, WA 98168
t.'ategc'ry t hionfriable ACM such as pickings. ra4kets. resilient floor
evvcring, and asphalt roofing products.
Cate e.ly 11 All tuonfnable ACM, excluding Cate;,ory l materials.
• RAChl Friable ACM. Category I material that has become friable:
(.:itegury I material that will he subjected to sanding,
gitndin ;. gaming,. or abrading: of Category II, material
that has a high probubtlity of becoming friable.
Page. 1 of 1
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Lumber
Material
Oe.. cription
Lab
Results
1.1
A
Brown and white with multicolor stars vinyl sheet flooring
vinyl ND. Paper Material ND
1.2
A
Brown, green and tan vinyl sheer t1oorine
ND
1.3
A
Tan, white, pink, and blue vinyl sheet flooring
ND
1.4
1.5
A
White with • old speckles vinyl sheet flooring
Nt)
A
Pink and gray vinyl sheet flooring
ND
List
11
415.1
A
1
Green and black asphaltic: roofing
Green granules ND, White- granules ND
Green and white asphaltic roCotin,
Black material 25'o Chrys, Grt.un granules ND
2' x 4' Ceiling tiles
ND
.47 1
A
White gray plaster
ND
.17 1
B
r
White gray plaster
ND
vi7.1
116.1
White gray plaster.
N.D
_C
, A
1
Black and tali asphaltic felt paper under 15' x 15' carpet
ND
4d
.hrys = Cbsysotile asbostos
intosite = Ainosite asbestos
l?► = Sample Not Analyzed
Bulk Asbestos Sample AnalyS S Results
N J6l :SC OOEIZ 9 T 'Aon
TABLE 3
BULK ASBESTOS SAMPLE ANALYSIS RESULTS
13149 Mac ADAM ROAD SOUTH
TU WILLA, WA 98168
Page. 1 of I
Ltl' 1 : ;!.k..d
NS = Material Nit Sampled
ND as No Asbest:.s Detected
Table 3
: 1,10 ad
.'. ,.,..
410A SW 153rd Street Burien, WA 98166
(OFFICE: (206) 988 -1746 FAX: (206) 988 -1978
EMAIL: nihinclab@anh.com
AL. 4i'nhlisttNr 0 Kaae-. NVLAPft 200511 - 0
Northern Industrial Hygiene, lrrc.
10o North 27th Street, Ste 550
Billings, MT 59101 -
Project Lc■c:btiun: 13419 MacArlarrt Rd. Suuth
Client Sample Number: M1.1
Sample Description: rooting
Sample Location: 104
Sample Comments:
Bulk Asbestos Analysis Report
Green mineral granules on black asphaltic fibrous material
Asbestos Fibrous Components: Non - Asbestos Fibrous Components:
No Asbestos Detected
Layer 2 White mineral granules on black asphaltic fibrous material
Asbestos Fibrous Components: Non-Asbestos Fibrous Components.
No Asbestos Detected
Client Sample Number: M1.2
Sample Description: roofing
Sample Location: 109
Sample Comments:
30% Cellulose
30% Cellulose
Layer 1 Black smooth asphaltic material
Asbestos Fibrous Corn
- t.: .,, i4 , _ , i 99% Asphalt Filler and Binder i tt
vents: Non - Asbestos F;trous Components: Non - Fibrous Components;
Layer 2 Green mineral granules on black asphaltic fibrous material
Asbestos Fibrous Components: Non-Asbestos Fibrous Components.
No Asbestos Detected 45% Cellulose
Client Sample Number: M16.1
Sample Description: Felt Paper
Sample Location: 103
Sample Comments:
Sampled by: Chris Carter 3/20/01
Received by: Christina Carlson 3121;01
Reviewed by: Crystal Wright 3126101
Lid W. _.: e i CCItt, 91. - i t
NIH Batch Number: 01-00110
N/A
3.5 Day
13
Cunt Job Number:
Turn Around Time.
Samples Analyzed:
Lab Sample Number 01-00110.0001
Non - Fibrous Components:
15% Mineral Granules
55% Asphalt Filler and Binder
NoA- Fibrous Components:
15% Mineral Granules
55% Asphalt Filler and Binder
Lab Sample Number:
01. 00110,0002
Non- Fibrous Components;
1 3% Mineral Granules
45% Asphalt Flllor and Binder
Lab Sample Number 01-00110.0003
srrrr• wr•••∎=MMIMrrIIIMMOwrrIMMw. un ■ �� 1
(Sample ge•ui:s continued oit next uacc 1 _ _
( , , .... „,k... _ .; Ctystaai19ht, Laborator r. Supejy
t W r
Page 1
,
No Asbestos Detected
Asbestos Fibrous Components:
No Asbestos Detected
Client Sample Number: F1.4
Sample Description. Vinyl
Sample Location: 104
Sample Comments:
No Asbestos Detected
.: Si r t l„ahle to separate mater/ Is
Client Sample Number: F1.5
Sample Description: Vinyl
Sample Location: 104
Sample Comments:
ANIONV
No Asbestos Detected
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
:_;d 4JHi•Z:St_t 000 9T
Bulk Asbestos Analysis Report
Northern Industrial Hygiene, Inc.
100 North 27th street, Ste 550
Billings, MT 59101 -
Project Location: 13419 MacAdarn Rd. South
Gray coating en black asphaltic fibrous material
Asbestos Fibrous Components: Non- Asbestos Fibrous Components.
45% Cellulose
410A SW 153rd StMcc BtariOrt, WA 98166
OFFICE: (206) 988 - 1746 (206) 988 - 1978
EMAIL: n ihinclab@aol.com i
NVLAP# 200511-0 '
NM Batch Number.
ClIen.t Job Number:
Turn Around Time:
Samples Analyzed.
01-00110
N/A
3-5 Day
13
Non- Fibrous Componnts:
15% Filler and BindF?r
40% Asphalt Filler a tr•,d Binder
Client Sample Number: 1V16.1
Sample Description: 2'X4' Ceiling Panel
Samp!e Location: 103
Sample Comments:
Lab Sample Number:
01. 00110.0004
White paint on beige fibrous compressed material
Non - Asbestos Fibrous Components:
35% Cellulose
42% Mineral Wool
White vinyl with black asphaltic fibrous backing
Asbestos Fibrous Components: Non - Asbestos Fibrous Components:
30% Cellulose
Layer 1 Peach colored pliable flooring
Asbestos Fibrous Components: Non- Asbestos Fibrous Components:
2% Cellulose
Non - Fibrous Components,
10% Periite
10% Filler and Binds: r
3% Paint
Lab Sample Number: 01-00110.0005
Non-Fibrous Componertts:
30% Asphalt Filler and Binder
40% Vinyl Filler and Binder
Lab Sample Number: 01 00110.0006
Non-Fiorous Components:
96% Vinyl Filler and Binder
„_.:..�. ,:. �`;:, ' +:
(Sample results continued on next pace)
l< LA—±
3/20/01
3121/01
3/26/01 Crys i Wrrght� , L�aboratork Supe
s
Page 2
I • '
•
tt�
1
Bulk Asbestos Analysis Report
Northern Industrial Hygiene, Inc.
100 North 27th Street, Ste 550
Billings, MT 59101 -
Project Location: 13419 Mac.Adarn Rd. South
Client Sample Number: P12
Sample Description: Vinyl
Sample Location: 103
`ample Comments:
Dark beige vinyl with black asphaltic fibrous material
Asbestos Fibrous Components: Non- Asbestos Fibrous Components.
No Asbestos Detected
Comments: Unable to se • arate materials
Client Sample Number: F1.3
Sample Description: Vinyl
Sample Location; 103
Sample Comments:
White /tan vinyl with black fibrous material
Asbestos Fibrous Components: Non- Asbestos Fibrous Components:
No Asbestos Detected
•
Comments: Unable to separate mat
Layer 2
Asbestos Fibrous Components:
No Asbestos Detected
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
6d l.lkJ T c• :ELI t: nF 91 ='hl
Ai:. rtllFOteJ1ir; INC.
30% Cellulose
30% Cellulose
Layer 1 Tan and white vinyl with black asphaltic fibrous material
Asbestos Fibrous Components: Non - Asbestos Fibrous Components:
No Asbestos Detected 35% Cellulose
Black fibrous papery material
Non - Asbestos Fibrous Components;
55% Cellulose
(Sample results continued on next liana.)
3/20/01
3/21/01
3/26101
410A SVV 153rd Strwet Bu rien, WA 98166
OFFICE: (206) 988-1746 FAX: (206) 988.1978
EMAIL: nihinclab @aol.com
NVLAP# 20061 -0
NiH Batch Number;
Client Job Number:
Turn Around Time;
Samples Analyzed:
01-00110
N/A
3 -5 Day
13
Lab Sample Number:
.Non Fibrous Components;
20% Vinyl Filler and Binder
50% Asphalt Filler and Binder
Lab Sample Number
Non - Fibrous Components;
55% Asphalt Filler and Binder
15% Vinyl Filler and Binder
Client Sample Number: F1.1 Lab Sample Number; 01 00110.0009
Sample Description: Vinyl
Sample Location: 101
Sample Comments:
Non- Fibrous Components:
35% Asphalt Filler and Binder
30% Vinyl Filler and Binder
Non- Fibrous Components:
45% Asphalt Filler and Binder
t
l
Crystal Laboratory Superylsor
01-00110.0007
01-00110.0008
Page 3
l.1Li ?LJ
Sample Description:
Sample Location:
Sample Comments:
Northern Industrial Hygiene. Inc.
100 North 27th Street, Ste 550
Billings, MT 59101 -
Project Location; 13419 M ,cAdarn Rd. South
Client Sample Number: M3.1
Sample Description:
Sample Location:
Sample Comments:
Wall Surfacing
104
White paint on tan papery material with white powder
Asbestos Fibrous Components:
No Asbestos Detected
Client Sample Number: M7.1 A
Sample Description: Plaster
Sample Location: 101
Sample Comments:
sannasTiottiks:HArotuttiale,, riitt :
- ry Bulk Asbestos Analysis Report
Paint on white coarse powder
Asbestos Fibrous Components:
No Asbestos Detected
White paint on white coarse powder
Asbestos Fibrous Components:
No Asbestos Detected
■•■•••■•••••
Client Sample Number: M7.1 C
Piaster
101
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
FPX NI). :
�• 410A SW 153rd Street Burien, WA 98166
OFFICE: (206) 980 -1746 FAX: (206) 988-1978
EMAIL; nihinclab@aoi.com
NVLAP# 200511 -0
Non.Asbestps Fibrous Components;
30% Cellulose
15% Glass Fiber
Non - Asbestos Fibrous Components:
Client Sample Number: M7.113
Sample Description: Plaster
Sample Location: 101
Sample Comm ante:
Non- Asbestos Fibrous Components:
3r2oto 1
•. 31
3/26/01
NiH Batch Number:
Client Job Number:
Turn Around Time;
Samples Analyzed:
Lab Sample Number:
Lab Sample Number:
(sample results continued on n €xt pane '1
Lab Sample Number:
•Crysta Laboratory Superyisor
Noy. 16 '?I =11?El 11R 52HM P1
01.00110
N/A
3 -5 Day
13
Non-Fibrous Components:
10% Paint
45% Filler and Binder
Non - Fibrous Components:
3% Paint
97% Mineral Filler and Binder
0 1- 001
01. 00110.0011
Lab Sample Number: 01- 00110.0012
Non - Fibrous Components:
3% Paint
97% Mineral Filler and Binder
01- 00110.0013
Page 4
410A SW 153rd beet Burien, WA 98166
/
4'..0.1.itef •
. ,
OFFICE: (206) 988-1746 FAX (206) 988-1978
Bulk Asbestos Analysis Report
Northern Industrial Hygiene, Inc.
100 North 27th Street, Ste SSO
Billings, MT 59101-
Project Location: 13419 MacAdam Rd. South
Paint on white coarse powder
Asbestos Fibrous Components:
No Asbestos Detected
••■••••1111111• •■■■••■•■■••••••••■■••••••••■■•■•••■
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
Ed vii 110Pt7. 91 '
0
Non-Asbestos Fibrous Components:
NIH Batch Number.
Client Job Number.
Turn At ound Time.
Samples Analyzed
'ON
EMAIL: nihinclabQaoLcom
NVLAP# 200511-0
01-00110
NIA
3-5 Day
13
Non-F Comoonents:
10% Paint
90.. et al Filter and Binder
3/20/01
3/21/01 t. „r—
3/26/01 CrystalWright, Laboratow Supentisor
Page 5
WiatiJ
DEPARTMENTS:
Buil p Division Q
Documents /routing sfp.doc
2-28-02
PERMIT COORD COP
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D03 -070
DATE: 03 -03 -03
PROJECT NAME: SARA DEVELOPMENT -- HOUSE DEMO
SITE ADDRESS: 13419 MACADAM ROAD SOUTH
X Original Plan Submittal _ Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Is Issued
Ms( tfltL 3 -&-O''a
Fire Prevention
Publi Works 111.1 Structural 1. 1'!911 �O
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 03 -06 -03
Complete [E" Incomplete ❑
Comments:
REVIEWER'S INITIALS:
PERMIT COORD COPY
tt,A_
Planning Division 0
Permit Coordinator X
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
TUES /THURS RO9TING:
Please Route , E3J , ' Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 04 -03 -03
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions [ Not Approved (attach comments) ❑
Notation:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
.. � .;ux�a'.,•; LG1'.C1.vk.:tiEEi6>�asi
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0000977 AT
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DE"`RTMENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST•CONT GENERAL
A E
CC01- TRIMCDCI /0.3/.2.005
EFFECTIVE DATE 12/01/1988
TRI -M CONSTRUCTION & DEV CORP
2203 SW 356TH STREET
FEDERAL WAY WA 98023
REGISTRATIONS AND LICENSE
ORGANIZATION TYPE
DOMESTIC PROFIT CORPORATION
TRI -M CONSTRUCTION & DEVELOPMENT CO.
2203 356TH ST SW
FEDERAL WAY WA 98023
DOMESTIC PROFIT CORPORATION
RENEWED BY AUTHORITY OF SECRETARY OF STATE
REGISTERED TRADE NAMES:
TRI-M CONSTRUCTION & DEVELOPMENT CORP.
The above entity has been issued the business registrations or licenses listed •
DEPARTMENT OF LICENSING, BUSINESS & PROFESSIONS QMSIQN,.; '' �'; `a'r.
P, BOX 9034 O YMP9k WA9650T 9034 `MO 60 2 `
UNIFIED BUSINESS ID #: 601 130 080
BUSINESS ID #: 001
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LOT
ELEVATIONS
1
104'
2
99'
3
90
4
72'
5
83
6
72'
7
83.4
8
79'
it
w
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SCALE IN FEET
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s Aic. �e» S
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STASeIED P=P C ING, GR & TICS PLAN
OIE ati PLANS ti v•T~ 'Cr VA :A_
CON RA R SriAL. '!ER" ►-.,T ALL DTC -'ES AN". _ .SAES AS S -4O*'v B" THE
GRADING ; Aa 'NSTAL E: TO D+PE :T AL_ S'vP A : E WATER - c THE DETENTION
VA,:_• AS . "LEA ''.S, AND CR '.'Nu ES5_ r' ^ '', S F +
p' �. v �' �RO'uR .S. .,-e vC„ TROL�..t.,' .7JR AyC TER ��"`
S -'L_ BE A`_CWED - 0 LEA - THE SITE AT A "Y T`MI4 S THE GRADING OPERA' NS.
a- IA+:R. * N R/W SHALL BE V''ED r0 a :CPS ..'• DAYS_ CONTRACTOR S►•tA__
cc, NA "E 4 -; C Tv OF '_KN LA PEGAR iu ' C:.
5 - GRA:, '.G & B:., ,DIN;, CONS'R.iCTION MA" B_3IN FO- PHASE CONTRACTOR SHALL WATER
CONS - RUC' J N ACTI,,.T 2 a N,., DaY R ERIC _S.
5. CONSTRUCT LIT' ES & PERMANENT STORM CON \i ' CE F.0 L PER PLANS.
COMPLY W T-- r HE GPA3•b.:; • DRAINAGE & EROSION 1 •':TRC NOTES IN 'CIE CON T INUGS
OPERATIO', AND MA *,TENANCE THESE FAC LiTtES.
9. PAVE ; CLEAN EN 5 SYS T EY, SWEEP
OF 'i. KW,L:- \SPEC':,R.
?. PEMCVE EP DS', ,. & SEDIMEN ATON CONTROL MEAS ES FOR 7 INAL SITE
STABIL14' :N •3c APPROVA FROM CITY CF= DIAL
'0. ENSURE Ti-4E SITE IS i-4YCROSEED /STABIL.ZE: UNTIL .:RE
CONSTRUCTION.
APPROXIMATE F1: /CUT TYPF.
SPECi='E0 FOR STR F:LL (IF REGL•RED)
FI MATEr='ALS TO BE :,,EAN, WELL GRADED COMP
(CLASS B MINIMUM) WITHCu T WASTE AS DEFINED
SPECIFICA7ON FOR GR„a9 ^.G
A_ ARE •,,S TO BE GRADED SHALL BE ,_EARED CF
BRL`_:H. AND ANY Oa l!CUS EXISTING DE9R!S, AND
TOPSOIL AND UNDER! v'NG SOILS THAT ARE SOFT,
CONT.A N SICNiFICANT AMOUNTS OF ROOT AND OTHE
MATTER. A DEPTH OF STRIPPING IS EXPECTED.
HOWE"ER, ST IPP NG SHALL_ - AKE PLACE TO WHATE
NECESSARY TO REMOVE CROANiC MATTER AND SO
MATERIALS FROM BENEATH AREAS TO BE FILLED AN
STRIPPING SHOULD EXPOSE MEDIUM DENSE, STIFF,
COMPETENT, NON -ORGAN C EXISTING SOILS.
UTILITY CONFLICT NOTE:
CAUTION:
THE CONTRACTOR SHALL BE RESPONSIBLE FO
DIMENSION, AND DEPTH OF ALL EXISTING UTILITIES
OP NOT BY POTHOLING HE UTILITIES AND SURV
LOCATION PRIOR TO CONSTRUCTION.
THIS SHALL INCLUDE CALLING UTILITY LOCATE
POTHOLING ALL OF THE EXISTING UTILITIES AT LO
PHYSICALLY VERFY WHETHER OR NOT CONFLICTS
AS SHOWN ON THESE PLANS ARE NOT GUARANTE-
ESTIMATED EARTHWORK
FILL= 1,200 CY
EXCAVATION= 1,900 CY
FOR USE OF ONSITE MATERIAL, REFER TO GEOTEC
BY KRACEN & ASSOCIATES, INC. DATED FEB. 20,
CON TACT:
CHRIS BEHRENS
SENIOR ENGINEERING GEOLOGIST
425 - 5519.
EETS AS DIRECTED BY THE CITY
- IBLE MATERIAL
■YAC 173-304-100
EGETAT;ON
TRIPPED OF A.N'r'
OSE AND /OR
ORGANIC
CRE OR LESS
EP DEPTH IS
/UNSTABLE
/OR PAVED.
R MORE
VER'F"'!NG THE LOCATION,
WHETHER SHOWN ON THESE PLANS
ING THE HORIZONTAL AND VERTICAL
' -800 -424 -5555 AND THEN
TION OF NEW UTILITY CROSSING TO
IS - . LOCATION OF SAID UTILITIES
D AND ARE SUBJECT TO VARIATION.
QUANTITIES:
NICAL REPORT
001.
A V FJ
::fie ,��
SITE AS NECESSARY
TO REDUCE DUST
0
EMISSIONS AS A RESULT OF
0 k 80
4D9 AC T
�.• -�`� DRIv
PR� W DE
2
St o
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♦
FINISHED GARAGE ELEVATIONS
▪ •
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4
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DRIVAv D
%/PR ARC„N
TRUC
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fir.•,,+ r Yt EO
MAR nr 3
•
1 '
- REVISIONS
FLOW LINES
,.+, �rr:. SHA LL BE MADE TO
OF WOR WITHOUT PROR
• :::.0 OF T »(W LA BUILDING DIMS,. .
TiL, AE 3 :DNS WILL REOUIPP A NEW PLAN SUBMITTAL
AA MAY iNC,LUDE ADDtnONtL FU IN REVIEW FEES.
POOPOSED CONTOUR
EXIST,NG CONTOUR
CLEARING LIMITS
understand that the PI3n Check approvals are
sLbect to errors and omissions and approval o`
plans does not authorize the v;ciation of any
adopted code or crr: ance. Receipt of con-
tractor's copy of approved plans acLnowledged.
By
Gate -
Perm;' No.
CITRnF
TJKLVIi - p
MAR a 3 2003
PERMIT -ENTER
82
IMP LEGEND
SF SILT FENCE
I
SE SEEDIN
C J E
H SOD
IGH NCE V SIBILITY
FE F
OP PROTirdTION
"I SEDIMENT TRAP
(jo TOPSO�
DUST CONTROL
STABILIZED
CONST. ENTRANCE
PLASTIC COVERING
CATCH BASIN /INLET
PROTECTION
MULCH
CHECK DAM
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LP
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3