HomeMy WebLinkAboutPermit D03-071 - SARA DEVELOPMENT - GARAGE DEMOLITIONSARA DEVELOPMENT
13419 MACADAM RD
SOUTH
D03 -071
z
;1— W.
6
JU
o0
W=
J H
• LL
W O
LL
co
I
�W
Z=
1— O
ZI-
W
U0
O co
o I--
W W
H H
u. Z.
W
U =.
O I—
Z
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Permit Number: D03 -071
Issue Date: 03/17/2003 r
Permit Expires On: 09/13/2003 6 v
0O
U) 0
-i _
H
CO
W O
2
Phone: Q
D
= W
? it-
Phone: 1-- O
z
W
Contractor:
�0
Name: TRI -M CONSTRUCTION & DEV CORP Phone: 0 co
Address: 2203 SW 356TH ST, FEDERAL WAY WA
Contractor License No: TRIMCDC121 RA Expiration Date: 03/03/2005 z w
W
V-- O
W z
F-=
O~
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
Address: 24719 43RD AVE S, KENT WA
Contact Person:
Name:
Address:
DESCRIPTION OF WORK:
DEMOLITION OF APPROX. 180 SQ FT SINGLE CAR GARAGE
VAL -VUE SEWER DISTRICT & WATER DISTRICT 125
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: Devperm
$4,500.00
Public Works Activities:
Curb Cut/Access /Sidewalk /CSS:
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Channelization / Striping:
DEVELOPMENT PERMIT
D03 -071
Fees Collected: $51.50
Uniform Building Code Edition: 1997
Occupancy per UBC: 0007
Number: 0 Size (Inches): 0
Start Time:
Volumes: Cut 0 c.y.
End Time:
Fill 0 c.y.
Start Time: End Time:
Private: Public:
Private: Public:
** Continued Next Page **
Printed: 03 -17 -2003
�.. r..... J.. S.: a $: ` ,;• i'... " .',�tr�1,� 1: . i� _ t..:.Na e lV . wr { ;;:t f 1 l '$ r r
•
z
Signature:
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
City of Tukwila
Permit Center Authorized Signature: .�"�- Date: 0.-7-7-e 3
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 work. I am authorized to sign and obtain this development permit.
Date: 3 --/ - (j
Print Name: ���.f Cpl -A-cI I-flay
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 -071
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.
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
Print Name: ff lei-j.Y Ceti-11 q,Mti
doc: Conditions
City of Tukwila
Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
PERMIT CONDITIONS
D03 -071
Permit Number: D03 -071
Status: ISSUED
Applied Date: 03/03/2003
Issue Date: 03/17/2003
Date: '— ( —0 3
Printed: 03 -17 -2003
i'� <:,d,+:�.Att:..;i�.4„a�ye. ,sl u�.ci; .a:ii+:,:w:3LiSii .aiY,l: tJt -i1�. , V:c • i :�Y�e . �; ;.,f �k �r }r..aF'..s .1��W.,t'iitis.tjn ai fe r.� �` ...
•
;SITL;LOCATIO
King Co Assessor's Tax No.:
I2' Site Address: / � I �/C c ti /(I lf,4 Suite Number:
Tenant Name: 2)6:2-270
Property Owners Name: <-/i l�(4 » (1
Mailing Address:
Name:
Mailing Address:
E -Mail Address:
NE RAL .CONTRACTOR'INFORMATI
Company Name:
Mailing Address:
City State Zip
Day Telephone: T S ? 3
A - Fax Number: ,)" - 6 (, (' — /S Z_,,
Contractor Registration Number: j el M C-.. C 1 2 - 1 J � - t' Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Contact Person: /-7 A
E -Mail Address:
ARCliITECT.OF = All1p4ans must be wet stamped by Architect of.Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
ENGINEER OF' RECORD ' -Ail plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
kapplications\pennit application (1.2003)
I/2003
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit 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 Print **
(
-4-0 3 SLR . <6 (
1 fc 14
AA-
lei
Page I
City
Floor:
New Tenant: .... Yes J ..No
6M -
State
State
Day Telephone: - S ? — 2. - (2 5( .
-fj- �- '
City S tate Zip
Fax Number: � fl_ 2S �/�
Zip
City
Day Telephone:
Fax Number:
State Zip
7( = %3 7
City
Day Telephone: S R Ch
Fax Number:
Valuation of Project (contractor's bid price): $ ' Z L�
Scope of Work (please provide detailed information):
Will there be new rack storage? p ... Yes ❑ .. No I f "yes ", see Handout No.
Existing Building Valuation: $
iy)0e..1C 7 r & /(l ll;4 .41 Q,
for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (arca 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 0...Automatic Fire Alarm
\applications%permit application (1.2003)
Pa e 2
0...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 #125 0... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District ❑.. 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)
k)Si
��r
Existing
Interior
Remodel
Addition to
Existing
Structure,
New
Type of
Construction
per UBC
Type of
Occupancy per
UBC
Ia` Floor
7122JV
2" Floor
3`a Floor
Floors : thru
Basement
Accessory Structures
Attached. Garage
Detached Garage
X80
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Valuation of Project (contractor's bid price): $ ' Z L�
Scope of Work (please provide detailed information):
Will there be new rack storage? p ... Yes ❑ .. No I f "yes ", see Handout No.
Existing Building Valuation: $
iy)0e..1C 7 r & /(l ll;4 .41 Q,
for requirements.
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (arca 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 0...Automatic Fire Alarm
\applications%permit application (1.2003)
Pa e 2
0...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 #125 0... Highline Water District ❑...City of Renton Water District
Sewer
❑ .. City of Tukwila Sewer District ❑.. 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)
k)Si
��r
Scope of Work (please provide detailed information):
Street Use:
.. Street Use
Land Altering and /or Hauling:
❑ .. Land Altering: ❑...Cut
Water Meter Refund/Billing:
Name:
Mailing Address:
\applicatians\pertnit application (1.2003)
1/2003
❑...Channelization /Striping
Storm Drainage:
❑.. Storm Drainage ❑...Flood Control Zone
❑ .. Fire Loop/Hydrant (main to vault) #:
Call before you Dig: 1- 800 - 424 -5555
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
0... Curb cut/Access /Sidewalk
cubic yards 0... Fill cubic yards Hauling
Sewer Information:
0.. City of Tukwila Sewer District ❑ .. Val Vue Sewer District ❑...City of Renton Sewer District ❑ .. City of Seattle Sewer District
❑ .. Sanitary Side Sewer ❑ .. Sewer Main Extension 0 .. Private ❑ .. Public
Water Information:
❑ . City of Tukwila Water District ❑ . Water District #125 ❑... Highline Water District 0... City of Renton Water District
❑.. Water Main Extension 0.. Private ❑...Public
❑ .. Water Meter/Exempt: Size(s): ❑ .. Deduct ❑...Water Only
❑ .. Water Meter Permanent #: Size(s):
0 .. Water Meter Temporary #: Size(s): ❑ .. Est. Quantity: gallons
Size(s): ❑. Landscaping Irrigation
❑ .. Miscellaneous:
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
City State
Water ... ❑ Sewer ... ❑ Sewage Treatment ❑ Fire Line .... ❑
Page 3
Zip
Day Telephone:
City
State Zip
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
Furnacc>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
CSANICAL ;PERMIT=INEOi01AT.ION.- 206 - 431 -3670
MECHANICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
* *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance **
Valuation of Project (contractor's bid price): S
Scope of Work (please provide detailed information):
Use: Residential: New .... ❑ Replacement .... ❑
Commercial: New .... ❑ Replacement .... ❑
Fuel Type: Electric ❑ Gas ....❑ 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 OWNS A Tf-IORIZED AGENT:
Signature:
Print Name:
Mailing Address:
\applications \permit application (1 .2003)
t/2003
-el 2 k C fLif
Page 4
City
Date: � ` t?
Day Telephone: -- ?j)
/( ) .7 '< t aG �J
State Zip
Date Application Accepted:
Date Application Expires:
l —
Staff Initials:
i
Parcel No.:
Address:
Suite No:
Applicant:
Receipt No.:
Initials:
User ID:
Payee: SURPRISE LAKE DAIRY QUEEN
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
doe: Receipt
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670
2613200150
13419 MACADAM RD S TUKW
SARA DEVELOPMENT
R03-00264
SKS
1165
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 04:16 PM
Balance: $0.00
Amount
51.50
Current Pmts
47.00
4.50
Total: 51.50
D03-071
PENDING
03/03/2003
C.)3/ T.5 7 1 TOTAt. 107.
Printed: 03-03-2003
I 5 1 ;.'• z!`.
Project".
...>it ro
'
Type of Inspection: t .....
r t Vvk 1
Address:
\ \ C i
M °\C AA AWN
Date Called:
- 7-30-03
Date Wanted:
- 7 -
a.m.
(13_,•
Specia Instructions:
Requester:
Phone No:
2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 981 88
06)431-3670
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector':
Date:
T3O
El $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
P ect:
,., D-e. ki do?) T r�2i
Type of Inspection: / 1
. e - /�'�, )
Address: 4:a)
tT / Lc1 /�/�r,� &Jam
to led:
S Cal - �U — c�j
Special nstructio s:
Date Wanted:
. -2/- 43
m
p.ri'f:
Reques 9
Pho r:3N9 (2 i_ I3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO
6300 Southcenter Blvd., #100, Tukwila, WA 98188
I I Approved per applicable codes.
CO MMENTS:
r>d; 071
PERMIT
N'
(206)431 -3670
Corrections required prior to approval.
El $47.00 REINSPECTION E REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Project:
s� �- 1)c .
Type of Inspection: r
1� �t V
� .
Address:
Date Called:
Special Instructions:
Date Wanted:
tk 4 f
a.m.
p.m.
Requester: . lIA . c r`� / 4k-
Phone No:
9L,1 Z1
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
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-CkAa c-A,v,re,„
Inspector:
Date:
ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
March 23, 2001
Mr. Paul Sidhhu
3870 82' Avenue SE
Mercer Island, Washington
. Dear Mr. Sidhu
Inspection Findings
Northern Industrial Hygiene. Inc.
l•ly.T :80 0003. 9I • ^''Id
INDUSTRIAL HYGIENE, INC. •� ai .
4P �a\s e
co a� a
1,pCK aP �'�pOv
P�aC� G � , �,y
d tiro ', c• ; ^''`" ,:,, ,o
S ri. �',• �•• �. •
• .. J
•
Asbestos tis pection Results
13149 Mac „dam Road
Tukwilla, Washington-
Northern Project Number -999 -058
•
MAR 0 3 200
� et ETR
10Q N. 27th Street, Suite 550
3�llirgs, Montana 59 [01
Phone: 406
FAX: 406/254 -1428
nail: NIH[NC) AOL,com
This letter report provides the sununarized 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 a arage. 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, 'i!'he roof is finished with asphalt shingles.
.{
The garage is a single story wood structure. Interior tinishes.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 I. A
summary of materials confirmed to contain asbestos is presented in Table 2. Table 3 presents a
summary of the laboratory results.
CITY Of Tl3KWILA
APPROVED
MAR 1 3 2203
AS NO ED
•O1 vtld : IJiC��
Mr. Paul Sidhu
Asbestos Inspection
13149 MacAdam Road, Tukwi.11a, WA
03/:3/001
Page 2
0
Confirmed Asbestos-
n Green and White Asphaltic Rooting (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 (.i 3T.:8t=t oci0 . 9T ' "`
Materiaiti
Very truly yours,
NORTHERN INDUSTRIAL HYGIENE, INC.
Kevin Oliver, P.E.
Wal
• ,.;. ..
Material Number
Material Description
F1.1
Brown and . ,t'hite with multicolor stars vinyl sheet flooring
F1.2
,6rowri, green and tan vinyl sheet flooring
Fl .3
Tan, white, pink., and blue vinyl sheet flooring
F1.4
•
W hite w ith gold specicl.es vinyl sheet tlooring
F1.5
Pink and gray vinyl sheet flooring
M1,1
Green and black asphaltic roofing
Greet and white asphaltic roofing
M1.2
•
M3.1 •
Gypsum wall board
M6.1
2' x 4' Ceiling tiles
M7. 1
• White gray plaster
M16.1
Black and tan asphaltic felt paper under 13' X Is' carpet
TABLE
SUMMARY OF MATERIALS SUSPECTED TO CONTAIN ASBESTOS
13149 Mac ADAM ROAD SOUTH
TUKWILLA, WA 98168
Summary of SuspCCte••cl Materials
Page 1 o
Table i
Material
Number
Description
NESHAP
Category
Recommended
Response Action
M 1.2.
Green and white aspltaluc rot>h t
1
Competent Person to supervise rooting removal.
8 hour trained worker to operate exlttipmerat.
1
TABLE 2
SUMMARY OF CONFIRMED ASBESTOS - CONTAINING MATERIALS
13149 Mac ADAM ROAD SOUTH
T LLA, WA 98168
r
t'.'ategcory I Nonfrial>le ACM such as packings. gakets. rc::ilient floor
covering, and asphalt roofing pit:duos.
Cate ory 11 All nonfn:4hle ACM, excluding Category l materials.
RACM Friable ACM. Category I material that has become friable;
[augury T material that will be subjected to sanding,
};eroding. or abrading: ar Cate:gory I1 material
that has a high probability of becoming friable.
'Summary of Confirmed Materials
I'age 1 of 1
Table. 2
Z
W
cc 2
C.)
O 0
W I
1—
CO u_ .
w 0
g
w a
= w
H =
Z F
I— 0
Z
w
co
0
O —
• I—
w • W
tL O
W Z.
U =
O ~ .
Z
;ample
number
Material
Description
— Lab
Results
1,1
A
Brown and white with multicolor stars vinyl sheet flowing
Vinyl ND, ?apex Material ND
,
t .2
A
Brown, green and tan vinyl sheet tiooriug
ND
1.3
A
Tan, white, pink, and blue vinyl sheet flooring
ND
1.4
1.5
j t
1:1.1
L ✓.
16.1
47 1
A
White with mid ap eck1es vinyl sheet flooring
ND
A
Pink and gray vinyl sheet flooring
ND
A
[ <F<<<
Green and black asphaltic roofing
Green granules ND, White. granules ND
Greed and white asphaltic roofinj
Black material 25 . Cbrys, Grewn. granules ND
ND
�r ,..�- - --
2' It 4' Ceiling tiles
q
White gray plaster
ND
47 1
B
White gray plaster
ND
47.1
416.1
C
White gray plaster
N.D
A
Black and tan asphaltic felt paper under 15' x 15' carpet
ND
1
..
TABLE 3
BULK ASBESTOS SAMPLE ANALYSIS RESULTS
13149 Mac ADAM ROAD SOUTH
TUK WILLA, WA 98168
.lays = Cl ysotile asbestos
tntosite = Arosite asbestos
4A = Sample Not Analyzed
Bulk Asbestos Sample Analysis Re milts
.__............�.___.__. __...... _._........,........_...._ ._..... • .—. 410A SW 153rd Street k3urien, WA 98166
OFFICE: (206) 988 -1746 FAX: (206) 988 -1978
EMAIL: nihinclab@aol.com
aoi.com
NVLAP# 200511 -0
`
'y '�� , "uti"1rf;k.' v :;;�; it r i �� +�I+•A .!rS,�f 9.:
UST Al %IFIT NI NE. l tar.
Northern Industrial Hygiene, Inc.
100 North 27th Street, ste 550
Billings, MT 59101 -
Projsc.t Location: 13119 AAacAdarrr Rd. Svutii
Client Sample Number: M1
Sample Description: roofing
Sample Location: 104
Sample Comments:
Green mineral granules on black asphaltic fibrous material
Asbestos Fibrous Components: Non - Asbestos Fibrous Components;
No Asbestos Detected
Layer 2
Asbestos Fibrous Components:
No Asbestos Detected
.». Ld 11J► t =1r_.: i 00n7. 91 ch.!
Bulk Asbestos Analysis Report
30% Cellulose
Layer 2 White mineral granules on black asphaltic fibrous material
Asbestos Fibrous Components: Non - Asbestos Fibrous Components.
No Asbestos Detected
30% Cellulose
Client Sample Number: M1.2
Sample Description: roofing
Sample Location: 109
Sample Comments:
Layer 1 Black smooth asphaltic material
Asbestos Fibrous Components: Non - Asbestos Fibrous Components: _
'.'f✓J,v
Green mineral granules on black asphaltic fibrous material
Nora- Asbestos Fibrous Components.
45% Cellulose
Client Sample Number: M16.1
Sample Description: Felt Paper
Sample Location: 103
Sample Comments:
NJH Batch Number: 01 -00110
N/A
3.5 Day
13
Client Job Number:
Turn Around Time.
Samples Analyzed:
'0N
Lab Santp:e Number
01. 00110.0001
Non - Fibrous Components;
15% Mineral Granules
55% Asphalt Filler and Binder
Non- Fibrous Components:
15% Mineral Granules
55% Asphalt Filler and Binder
Lab Sample Number:
Non- Fibrous Components:
1 0% Mineral Granules
r
!Sample results continued on net oacic.l
Sampled by: Chris Carter 3/20!01 � t Is
Received by: Christina Carlson 312101 (. , :., -_•r s
Reviewed by: Crystal Wright
3/26/01 Crystal ' Iiiht, Laboratory Supei
01- 00110,0002
Non - Fibrous Components:
98% Asphalt Filler and Binder
. 45% Asphalt Filler and Binder
Lab Sample Number 01. 00110.0003
Page 1
Northern industrial Hygiene, Ir'tc.
100 North 27th street, Ste 550
Billings, MT 59101 -
Project Location: 13419 MacAdorn Rd. South
Gray coating on black asphaltic fibrous material
Asbestos Fibrous Components: Ncn- Asbestos Fibrous Component
No Asbestos Detected 45% Cellulose
Client Sample Number: M6.1
Sample Description: 2'X4' Ceiling Panel
Sample Location: 103
Sample Comments;
Lab Sample Number:
01-00110.0004
Asbestos Fibrous Components:
No Asbestos Detected
Client Sample.Number: F1.4
Sample Description. Vinyl
Sample Location: 104
Sample Comments:
White paint on beige fibrous compressed material
White vinyl with black asphaltic fibrous backing
Asbestos Fibrous Components: Non- Asbestos Fibrous Components:
No Asbestos Detected
w ssigagmlt: nable Ja ..�. �.
Client Sample Number: F1.5
Sample Description: Vinyl
Sample Location: 104
Sample Comments:
Layer 1 Peach colored pliable flooring
Asbestos Fibrous Components: Non- Asbestos Fibrous Components: Non- Fiar'ous Components:
2% Cellulose 98% Vinyl Filler and Binder
No Asbestos Detected
Bulk Asbestos Analysis Report
Non - Asbestos Fibrous Components:
35% Cellulose
42% Mineral Wool
30% Cellulose
410A SW 153rd Street dtsriert, WA 98166
OFFICE: (206) 988 -1746 FAQ(: (206) 988 -1978
EMAIL: n ihinclab@aol.com i
NVLAP# 200511-0
NIH Batch Number.
Client Job Number:
Turn Around Time:
Samples Analyzed.
(S3mple results ccntinued on next nag)
Sampled by: Chris Carter 312001 1 r
Received by: Christina Carlson 3/21/01 i
Reviewed by: Crystal Wright 3/26/01 Crys at�tVrtyhf, Labara:ory Supe
d 141:1 :800 n0E 9 T •, off!
01.0011 O
N/A
3.5 Day
13
s. Non - Fibrous Componnts;
15% Filler and Bindr�.r
40% Asphalt Filler a z •,d Binder
Non - Fibrous Compone mots,
10% Penile
10% Fillet' and Bind& r
3 % Paint
Lab Sample Number; Q1- 00110,0005
Non-Fibrous Components:
30% Asphalt Filler and Binder
40`/, Vinyl Filler and Binder
Lab Sample Number: O1- 00110.0006
Page 2
a
t.r..�
Bulk Asbestos Analysis Report
Northern Industrial Hygiene, Inc.
1 0o North 27th Street, Ste 550
Billings, MT 59101 -
Project Location: f 341 MecAdsim Rd. South
Client Sample Number: F1,2
Sample Description: Vinyl
Sample Location: 103
Sample Comments:
Dark beige vinyl with black asphaltic fibrous material
Asbestos Fibrous Components: Non - Asbestos Fibrous Companentr :.
No Asbestos Detected
Comments: Unable to se • crate materials
Client Sample Number: F1.3
Sample Description: Vinyl
Sample Location: 103
Sample Comments:
White /tan vinyl with black fibrous material
Asbestos Fibrous Components: Nor`- Asbestos Fibrous Components.
No Asbestos Detected
Client Sample Number: F1.1 Lab Sample Number:
Sample Description: Vinyl
Sample Location: 101
Sample Comments:
Layer 1 Tan and white vinyl with black asphaltic fibrous material
Asbestos Fibrous Components: Non-Asbestos Fibrous Component:
No Asbestos Detected
Comments: Unable to separate materials
No Asbestos Detected
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
6d tlilT : t=i tgot :; . 9T ' f'hl
30% Cellulose
30% Cellulose
35 %, Cellulose
Layer 2 Black fibrous papery material
Asbestos Fibrous Components: Non-Asbestos Fibrous Components;
55% Cellulose
410A SW 153rd Street Bu rien, WA 98166
OFFICE: (206) 988.1746 FAX: (205) 988-1978
EMAIL: nihinclab @aol.com
NVLAPfk 20051'1 -0
NM Batch Number:
Client Job Number:
Turn Around Time;
Samples Analyzed:
(Sample resl!ils CC•,ltirued o' nextpaC1C.?
. '12 .vN.d
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 01. 00110.0008
Non-Fibrous Components;
55% Asphalt Filler and Binder
15% Vinyl Filler and Binder
01 00110.0009
Non- Fibrous Components;
335% Asphalt Filler and Binder
30% 'Vinyl Filler and Binder
Nun- Fibrous Components:
46% Asphalt Filler and Binder
01-00110.0007
�•_ t /)� •. •tr
3/20/01
3/21/01
3126101 . Crystar blight, Laboratory Supentisor
Page 3
Northern Industrial Hygiene, Inc.
100 North 27th Street, Ste 550
Billings, MT 59101 -
Project Location; 13419 MacAdam Rd. South
Client Sample Number:
Sample Description:
Sample Location:
Sample Comments:
M3.1
Wall Surfacing
104
No Asbestos Detected
Client Sample Number: M7.1 A
Sample Description: Plaster
Sample Location: 101
Sample Comments:
Asbestos Fibrous Components:
No Asbestos Detected
Wallow
Client Sample Number: M7.1 B
Sample Description: Plaster
Sample Location: 101
Sample Comments:
Asbestos Fibrous Components:
No Asbestos Detected
Client Sample Number: M7.1 C
Sample Description: Plaster
Sample Location: 101
Sample Comments:
Sampled by Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
410A SW 153rd Street Burien, WA 98166
OFFICE: (206) 988.4746 FAX: (206) 9884978 :
EMAIL; nihinclabtaol.com
NVLAP# 200511 -0
Asbestos Analysis Report
Paint on white coarse powder
FAX NO. .
looctusT,>r 4 ►4Arot'eleli4 Riot :
Bulk
White paint on tan papery material with white powder
Asbestos Fibrous Components: Non - Asbestos Fibrous Components;
30% Cellulose
15% Glass Fiber
Whito paint on white coarse powder
Non - Asbestos Fibrous Components:
Non - Asbestos Fibrous Components:
{Sample results continued on net D2tl4 1
NiH Batch Number:
Client Job Number:
Turn Around Time;
Samples Analyzed;
Lab Sample Number:
Non - Fibrous Components:
10% Paint
45% Filler and Binder
Lab Sample Number:
Non-Fibrous Components:
3% Paint
97% FAineral Filler and Binder
Lab Sample Number:
00E1 tOR:52F1M P1
01.00110
N/A
3.5 Day
13
Non- Fibrous Components:
3% Paint
97% Mineral Filler and Binder
Lab Sample Number:
7
3/20/01
3121101
3/26/01 Crystal Laboratory Superisor
01- 00110.0010
01-00110.0011
01- 00110.0012
01- 00110.0013
Page 4
• • • • • • • • • 1 •
E'd LAAJZG OCtr:V. SIT •.
•
0
410A SW 153rd Strert Burien, WA 98166
OFFICE: (206) 988-1746 FAX: (206) 988-1978
EMAIL: nihinciab@aol.corn
NVLAP# 200511-0
Bulk Asbestos Analysis Report
Northern Industrial Hygiene, Inc.
100 North 27th Street, Ste sso
Billings, MT 59101
Project Location; 13419 MacAdarn Rd. South
Paint on white coarse powder
Asbestos Fibrous Components: Non-Asbestos Fibrous Components:
No Asbestos Detected
Sampled by: Chris Carter
Received by: Christina Carlson
Reviewed by: Crystal Wright
M/II=MONMI.0
NM Batch Number.
Client Job Number.
Turn /mound Time,
Samples Analyzed:
3/20/01 A,_ 4.
3/21/01
3/26101 Crystal/Wight, Laboratory SupeIsor
0 I.! 4 :
01-00110
NIA
3 Day
13
Non-Finrous Components:
10% Pant
90':.. /Nal Filler and Binder
Page 5
: 1,10el.d
DEPARTMENTS:
wt Atai
Buil g Division
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: D03 -071 DATE: 03 -03 -03
PROJECT NAME: SARA DEVELOPMENT - GARAGE DEMO
SITE ADDRESS: 13419 MACADAM ROAD SOUTH
X Original Plan Submittal _Response to Incomplete Letter #_
_ Response to Correction Letter # _ Revision # After Permit Is Issued
145I Ak '' 0
Fire Prevention
rvvi
Public p Aorjis a Structural ❑
C�L 't& 3-(0'c
Planning Division
Permit Coordinator Xr
DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 03 -06 -03
Complete Ea/ Incomplete ❑
Comments:
Not Applicable 0
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 11' Structural Review Required ❑ No further Review Required ❑
REVIEWER'S INITIALS: DATE:
DUE DATE: 04 -03 -03
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions E Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials:
Documents /routing slip,doc
2.28.02
PERIVIIT COORD COPY
,�+.•,: .c;G,�".'.ik� ,' 0.1p .1V:4 '1 `,,i,.;.. "�1;t
z
� w
w
-J
00
U)
U) W
-1 I—
°
2
u.
N
z �
zI-
• w
U�
O -
D H
w w
LL- O
.. Z
W
0
z
F625-052-000 ( 8/971
o0008T7 AT
DEPA''`�MENT OF LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONS T. CONT GENERAL
a „
CCO1 TRIMCD.C121RA_,03 /03 /2005
EFFECTIVE DATE 12/01/1
TRI —M CONSTRUCTION & DEV CORP
2203 SW 356TH STREET
FEDERAL WAY WA 98023
dR'='9�'1!�`r'i`''� �'�'!^L �l 7.r1
� >'n'�'?.= *� .n `� � .'t M1 �.. 41 �' `� ,t•' . ,'.y . ' "+fl-•..:: s � .�SX
S $ viz • S ~
t •fir C ,
STE CE1!;�V'L T `•���14^4.`MI F,.l 4 ef Y f�Y /4.
-4V �! " :".1 �t.tyr }x.•c.'�x+. ?
REGISTR AND LICENS
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 DMSIQN..
• `.P.O. BOX 9034 .'. 07.804 i + �; : r
. . .. � OLYMPIA WA 985 3
.. .. ... ' 1 �!; ��t I, +:
UNIFIED BUSINESS ID #: 601 130 060
BUSINESS ID #: 001
, ,
LOT
ELEVATIONS
1
104'
2
99'
3
90'
4
72'
5
83'
6
72'
7
83.4
8
79'
a
E,3«l0 GRADING & T ECS PLAN
c "'IFS AS SHOWN BY THE
- A - E. WATER -C T HE D .-W.3,
- .CONTROL-.ED S'„RFAV,E WATER
- ,RING
THE GRAS' NO O °ER DNS.
C _ VE DAYS. CONTRACTOR SHA__
G
PHASE :. CONTRACTOR SHALL *ATER THE SITE AS NECESSARY
ICE FAE: PER PLANS
ONTROL NOTES IN "HE CONTINUOS
__TS AS DIRECTED BY THE CITY
FS FOR FINAL SITE
UTuRE
- !BLE MATERIAL
wAC 173 - 304 -'00
Ec:ETATiON,
TR!RPEO; OF ANY
LOSE AND/ CR
ORGANiC
ORE OR LESS
ER DEPTH IS
/UNSTABLE
/OR PAVED.
R MORE
VERIFYING THE LOCATION,
WHETHER SHOWN ON THESE PLANS
INS THE HORIZONTAL AND VERTICAL
—800 424 - 5555 AND THEN
TON OF NEW UTILITY CROSSING TO
ST. LOCATION OF SAID UTILITIES
D ANG ARE SUBJECT TO VARIATION.
QUANTITIES:
NICAL REPORT
001.
90
-.�� . _
s 't:)„ .. if a - T RA
� i '• .
e A o fE __ .
J
l A
� W VE
q.3��
40"
TO REDUCE JUST EMISSIONS AS A RESULT OF
i
•
f
,
a' 'S
p
ED DRIVEWAY
Z
P 0, W IDE
I'
•
•
•
Y
T a
. r j
N
l
l
sr
! 4
L OT 8
,DC �—
/
, C
•
•
•
I t,
1 i" . .a a �"t ) ,•••j• 1` 1 '' ;✓+r .
?r a a a 3 e t a Y r - c
� a a a , '' : 3 ^ fe ,, •-�yv ; �_s-t' ( � }' ..
4 .,..(t ':;--.17- 'CCEI?r , - " ,) . -ili';'- • G . - ''''-
i
. / • 4 , . ' ./ - ./-..-')---( � , . I `.t _. Ji.. ,.,.�'.
Y -� - _/ 3 4� _� t � _ J { � . r { .� }
, k ,- !_'
'.-t:": • .,, '---1, ? i ; L"" ).■'" ': ).-"--e'sk...)',1_,,'-1-_/';'-'
ice { _j - (� -' t.! >_. ( i -.,'' ' i -
r i
‘,6 „T
° A0:50.
! ° ° °° ° °0 ,0 °o 0 °o c
,�CJ �- ° ° o c o 0 o
/ TMF'ORAR J ( l \� `
♦ / CONSTRU TO 6 D
♦ • t_ ^ *N ANC
r`, 1. �� • ! 4 4
a
O
A
•
DC
0
i
i
•
�C)
.
•
r sP- • , -.-
r �
tom
• l :! f • ' •
Y: J • ,l -i
• •
♦ f iti�`� /i { _ - 1`'}f''� .�L { I � tirS }r_i�i.� i 1
• �rpiY ✓ 1 Js l .rl _ i -11 j l '7? � { } /` ` ( !. r :w 3 �! I .
%` a a
a ;, A.
a
a
• 7 ,
•
•
s.
•
\ •
C
4
•
♦
w
6'
•
I .
D
•
•
a : a
a .
a a
.
. r
T
` v
1 .j
•
FINISHED GARAGE ELEVATIONS
s a T a • a • 'd
a v y
a , 4, ,,t.. .
—s—
— sr
•
•
•
/ '�
7
a a
•
r te )- -r
• / • ) 2-1)
- r t . fi
•
` _ ,.i -' 1. ,7( t_. HJ .J -
•i••
•
DC)
a
7 7
/ `
a
3
sr sr
�r TUWIU
MAR 1
-
- }a
,ROVAL OF TS,l
‘N : rEWSICF S*A +1M,,Ang
/ i
�
P OPOSED AROUND i
¶RUCK 'TURN
_ REVISIONS - . w_
NO CHANGES SHA BE MADE TO
"rHS SCOPE OF $10F1 WITHOUT PRIOR
SF) SILT FE
'1 It
c
SE SEEDING
l SOD
HIGH V SIBILITY
• FEN
OP P ROTECTION
SEDIMENT TRAP
(r()) TOPS01111.
FLOW LINES
PiOPCSED CONTOUR
EXISTING CONTOUR
CLEARING LIMITS
BMP LEGEND
NCE (DC
�� il_F COPT
understar:d that the Plan Check approvals are
sut,_ect to errors and omissions and approval of
plans does •Tot authorize the violation of any
trractor's copy of aeproveded plans acknowledged.
Date_ 1 -
Permit Nc,
RE ;EIVED
A NOW i1M BLiWYr3AL
0a,* NIEVWEW FfiEs. MAR 0 3 ?003
PC
DUST CONTROL
CHECK DAM
PERMIT CENTER
i'!'"'i'r1rM'I'
CE STABILIZED
CONST. ENTRANCE
PLASTIC COVERING
CATCH BASIN /INLET
PROTECTION
MULCH
Do 3 -o�i
r
U
0
ti
.,h
UI
;1J
z
'I•awn by
c�7l
" �3U'
%'eckPO by
dote
07 n I 1 ,'
J
04/01
ONSTRUCDON e,C,° 'NG(
C :3t 5TRtiC' vEETIRG iA T-•: "4E CITY
cLE =. ANC ,P. •D NO _ t'TS ESTA6- SNED PER C
OBTAN PLANS U , Cr 'UK%
1 , CONTRACTOR DR. SHA" L THAT A;..... ; TCHE5 AND
GRAG:`.G PLANS ARE - '•S TO D'RECT AL_ S
VA'.;_T AS .._EAP' '.v A ",C G•RADNG RR:. 3REcS `cC
c A. - E DWED ' LEA THE 97E AT ANY ' M
B_ _../ Eu ., T
a- WO'R•c t iT- '1 R / W SHA__ 45 'CONS
CO OR: NAT_ N T'-1 CITY OF ',iKh ,_A R•;APDVG
5 - GRA: ' G & a' 'DING CONS ON MAY BEEN FO
CONS ACTI'J'TY R N: C i'Y cER IOCS.
5. CO'S RUC' LTLITIES &PER`S- '.E "IT STCR "/ CONVEY
COMP,_* wiTH THE GRADING, DRAB *:AGE & EROSION
OPE ATION ANC MA N E NANCE LF THESE FAC:LiT,ES.
PAT= SITE. CLEAN ENTIRE STORM SYSTEM, SWEEP S
OF 'U L;... INSPEC
7 4. REMOVE EROS :CN & SEDIMEN'.ATiON CONTROL MEAS
S ;LIZA "' JN do APPROVAL cPCM Car/ DFr C'AL.
O. ENSURE 7- iE SITE IS HYDROSEED /STAB:L•ZED UNTIL
CONSTRUCTION.
APPROXIMATE FILL /CUT TYPE
SPECIF'ED FOR STRUCTURAL FILL (IF RED., RED)
FI, L MATER A_S TO BE CLEAN, WELL GRADED COMP
(CLASS B MINIMUM) WITHOUT WASTE AS DEFINED 1.
S: EC!FiC::T ON FOR ORUBB,N3
A' AREAS TO BE GRADED SHALL BE CLEARED OF
BRUSH A ^:C ANY OBVIOUS EX'STING DE=R' -AND
TOPSOIL ANC UNDERL "■NG SOILS THAT ARE SOFT,
CONTAIN SIGV AMOUNTS OF ROOT AND OTHE
MATTER. A 6" ii E'TH OF STRIPPING IS EXPECTED,
HOWEVER, STRI PPING SHALL TAKE PLACE - 0 WHATE
NECESSARY TO REMOVE ORGANIC MATTER AND SO
MATER,ALS FF BENEA-H AREAS TO BE FILLED AN
STRIPPING SHOULD EXPOSE MEDIUM DENSE, STIFF,
COMPETENT, NON-ORGANIC EXiSTING SOILS.
UTILITY CO■- :FL_ICT NOTE
CAUTION:
THE CONTRACTOR SHALL BE RESPONS.BLE FO.
DIMENSION, AND DEPTH OF ALL EXISTING UTILITIES
OR NOT BY POTHOLING THE UTILITIES AND SURV
LOCATION PR OR TO CONSTRUCTION.
THIS SHALL INCLUDE CALLING UTILITY LOCATE
POTHOLNG ALL OF THE EXISTING UTiLTIES AT LO
PHYSICALLY VERIFY WHETHER OR NOT CONFLICTS
AS SHOWN ON THESE PLANS ARE NCT GUARANTE
ESTIMATED EARTHWORK
FILL= 1,200 CY
EXCAVATION= 1,900 CY
FOR USE OF ONSITE MATERiAL, REFER TO GEOTEC
BY KRAZEN & ASSOCIATES, INC. DATED FEB. 20,
CONTACT:
CHRIS BEHRENS
SENIOR ENGINEERING GEOLOGIST
425-5519.
ElFilt
130 i5
3G
SCALE IN FEET
60