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Home My WebLink AboutPermit D06-033 - Mullenniex Residence - Fire Damage RepairMULLENNIEX RESIDENCE 4939 S 114 ST D06 -033 Parcel No.: 3348400950 Address: 4939 S 114 ST TUKW Suite No: Tenant: Name: MULLINNIEX RESIDENCE Address: 4939 S 114 ST, TUKWILA WA Owner: Name: MERRIAM JOHN +WALKER BRENDA Address: 11527 4TH AVE NE, SEATTLE WA Contact Person: Name: KEVIN MULLENNIEX Address: PO BOX 81245, SEATTLE WA Contractor: Name: D MAX TRUCKING & EXVTNG LLC Address: 36126 SE 310TH ST, RAVENSDALE WA Contractor License No: DMAXTEL981DM DESCRIPTION OF WORK: AS FIRST ORDER OF BUSINESS, INSTALL A STRAW BALE BARRIER DOWN -SLOPE OF THE WORK AREA. DEMOLISH BURNT STRUCTURE, HAUL OUT ALL DEBRIS AND CONCRETE, AND CAP WATER AND SEWER. INSTALL 6" OF STRAW OVER ALL EXPOSED SOIL. Value of Construction: $9,500.00 Fees Collected: $725.06 Type of Fire Protection: International Building Code Edition: 2003 Type of Construction: V -B Occupancy per IBC: 0022 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us DEVELOPMENT PERMIT Permit Number: D06-033 Issue Date: 02/21/2006 Permit Expires On: 08/20/2006 Phone: Phone: 206 218 -2917 Phone: Expiration Date:03 /14/2006 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: Y Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: End Time: Sanitary Side Sewer: Y Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Profit: N Non - Profit: N Water Main Extension: N Private: Public: doe: IBC - Permit ` Steven Al. Mullet, Mayor Steve Lancaster, Director D06 -033 Printed: 02 -21 -2006 Water Meter: doe: IBC-Permit City &'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 - 431 -3665 Web site: cttukwila.wa.us Y * *continued on next page ** Steven M. Mullet, Mayor Steve Lancaster, Director D06 -033 Printed: 02 -21 -2006 Signature: doe: IBC - Permit City Or'Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: ci.tukwila.wa.us Permit Center Authorized Signature: iy1VI Ai c7 IA/t9 Steven M. Mullet, Mayor Steve Lancaster, Director Permit Number: D06 -033 Issue Date: 02/21/2006 Permit Expires On: 08/20/2006 Date: D2-I 2-1 1(10 I hereby certify that I have read and x mhted 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: ?776 Print Name: ; Mt j /P.A.by 7L 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. 006 -033 Printed: 02 -21 -2006 tukwila City of Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3348400950 Address: 4939 S 114 ST TUKW Suite No: Tenant: MULLINNIEX RESIDENCE 1: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 5: ** *BUILDING DEPARTMENT CONDITIONS * ** doc: Conditions PERMIT CONDITIONS * *continued on next page ** Permit Number: D06-033 Status: ISSUED Applied Date: 02/02/2006 Issue Date: 02/21/2006 2: THE PERMITTEE SHALL HAVE TEMPORARY SEDIMENT CONTROL IN -PLACE AND INSPECTED BEFORE BEGINNING ANY OTHER WORK ON SITE. PERMITTEE SHALL INSTALL STRAW BALES AS TEMPORARY SEDIMENT CONTROL ALONG THE DOWN -SLOPE PERIMETER OF THE EXPOSED SOILS BEFORE ANY OTHER WORK IS PERFORMED. 3: The permittee shall place 6" of straw over all exposed soil before requesting a public works Final Inspection. 4: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least 24 hours in advance. All Inspection requests for utility work must also be made 24 hours in advance. 6: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 7: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 8: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final Inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 9: All plumbing and gas piping work shall be Inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296 - 4932). 10: All electrical work shall be Inspected and approved under a separate permit Issued by the Washington State Department of Labor and Industries (206/248- 6630). 11: VALIDITY OF PERMIT: The Issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. D06 -033 Printed: 02 -21 -2006 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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: ld(_r�a9i/ �!!wA4> Print Name: /--fit// nJ doc: Conditions Date: V�s�4 D06 -033 Printed: 02 -21 -2006 Case Number: 55 "3, 3(,) City of Tukwila Fire Department NOTICE OF RELEASE OF PREMISES CITY OF TUKWILA Premises located at: 4 3 c S. 114 S �� FEB 0 2 2006 PERMIT CENTEh Date: \ N k to bS Time: 1 S AM Notice is hereby given at the above date and time that the City of Tukwila Fire Marshal's Office is removing all personnel from the premises indicated above. Possessioh and control of such premises is returned to the owner, occupant, or other such designated person responsible for such premises. This notice is given so that the responsible person for the premises may take such action as necessary or desirable for the protection of the premises and/or contents therein. SPECIAL INSTRUCTIONS: 1. Maintain a fire watch once the fire department leaves the scene. Immediately call 9 -1 -1 if smoke or flame appears. 2. Do not enter the structure for any reason. Unsafe conditions exist throughout the interior and the exterior. 3. If you have any questions or additional information concerning this incident, please contact our office at (206) 575 -4407 4. Contact your insurance company as soon as possible and report the loss. If evidence is tagged, advise your insurance company. The Office of the Fire Marshal suggests that you do not tamper, alter, manipulate, remove, damage, test or destroy this object, so the integrity of the evidence may be maintained, in the event another party wishes to investigate the circumstances surrounding the fire. I certify that control of the premises and/or contents therein, has been returned to me and that I am responsible for protection of such premises and/or contents and evidence if present. Signed: L � . _ , , / c� IC ev t ;-, YY1 t env1 \ tzx (Print Name) Tukwila Fire Department 444 Andover Park East Tukwila, WA 98188 (Signature) Address: tkei 39 S y i�t� ,Tbicv4t W?4 cireos Phone: (201.) — 7 ( — 4 ,1 n WDL #: NVw\\4e goo A,p _ DOB: \\ t ll (SO Property released to the above by: plc t o Tukwila Fire Department 444 Andover Park East Tukwila, WA 98188 (206) 5754407 Wo —033 Investigator: Fire Marsha as Office: (206) 5754407 FAX: 12061575 -1! 39 CITY OF TUKWILA Community Development _Partment 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** ,/i & /✓1C ,1 J e, y� King Co Assessor's Tax No.: 3#14 J 9 Site Address: 49 39 , ,./e /.[ 4 91178 Suite Number: Floor: Tenant Name: New Tenant: ❑ .... Yes ❑..No Property Owners Name: in) .� Ala / / /EI.JiJ ;eJL � Mailing Address: to e0X. 9 /GYM Set &, Name: Mailing Address: Po 604 43/7.4 -S E -Mail Address: 4.4.b■J te Cowes GENERAL CONTRACTOR INFORMATION - (Mechanical Contractor information on back page) Company Name: 2) Mo 'rrtct.L'.0 * j &XCc✓�+ L -_ -� Mailing Address: /9trt h+/ ,D. t4 J E I L4 W / A 980S.S Contact Person: Dr.✓Yn) E -Mail Address: IYIYjPVl a a ao�, Cowl_ Contractor Registration Number: blvJ AArne*W Z)h4 Expiration Date: **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance "' ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record Company Name: Mailing Address: Contact Person: E -Mail Address: Building Peru Mechanical Permit Public Works Perini Project No (Forieffieelate g nty) City LOA 9,3 /08 State Zip Day Telephone: 217 (D ZiB •2-9/ 7 e‘.r-.f , t Ji- 9e9 /oP City State Zip Fax Number: 2.0 6 7 3 .4 27' 3 City State Zip Day Telephone: 2-63 •24,/ 37 360 Fax Number: 2-.5 '6 3 $ . / 77¢ State Zip City Day Telephone: Fax Number. ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number q:Wpennbn phu kc dungntpennit .ppkalion ( Revived' 64-05 bb Page I State zip I Will there be new rack storage? ❑ ..Yes 06'-431 =36 Valuation of Project (contractor's bid price): s) 9 -COD Existing Building Valuation: S. Scope of Work (please provide detailed information): Ga Statue- 4 , ?Wvmo 6u rwuf S re a[v7 pl S / d.4ra -f-CDNr , I!' o If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. 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. gl\permi" plwUcc clung&pamit application (1.2004) Revised 6.8-05 Page 2 Existing Interior Remodel Addition to Existing Structure New Type of Construction per )BC Type of Occupancy per IBC l Floor - -. 7 Q I 2 Floor . �7T� 3 Floor Floors thru Basement n 2 S // Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport - - Covered Deck Uncovered Deck I Will there be new rack storage? ❑ ..Yes 06'-431 =36 Valuation of Project (contractor's bid price): s) 9 -COD Existing Building Valuation: S. Scope of Work (please provide detailed information): Ga Statue- 4 , ?Wvmo 6u rwuf S re a[v7 pl S / d.4ra -f-CDNr , I!' o If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. 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. gl\permi" plwUcc clung&pamit application (1.2004) Revised 6.8-05 Page 2 PUBLIC WORKS PE1tMIT INIi ARMATION - _206433 -0179 Scope of Work (please provide detailed information): Water District ❑ ...Tukwila 0... Water District #125 ❑...Water Availability Provided Sewer District ❑...Tukwila ❑...ValVue ❑ ❑...Seattle ❑...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑...Septic System - For onsite septic system, provide 2 copies of a current septic design approval by King County Health Department, ubmitted with Application (mark boxes which apply): ...Civil Plans (Maximum Paper Size —22" x 34 ") ❑...Technical Information Report (Storm Drainage) ❑...Bond ❑..Insurance ❑.- Easement(s) Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut ❑...Total Fill Please refer to Public Works Bulletin #1 for fees and estimate sheet. cubic yards cubic yards ❑...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑...Permanent Water Meter Size... WO# ❑...Temporary Water Meter Size .. " WO# ❑...Water Only Meter Size " WO# ❑ ...Sewer Main Extension Public Private _ 0... Water Main Extension Public _ Private FINANCE INFORMATIQ Fire Line Size at Pa epa ty Line Number of Public Fire Hydrant(s) ❑ ...Water ❑...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: - Day Telephone: Mailing Address: City State Water Meter Refund/Billing: Name: - Day Telephone: Mailing Address: city State zi 4 Upeuiu plu■cc dengeApeeR application (7-2004) Revised: 4$03 bh Call before you Dig: 1- 800 - 424 -5555 Page 3 ❑ .. Highline ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Renton ❑ -. Geotechnical Report ❑...Tmfc Impact Analysis o -. Maintenance Agreement(s) ❑...Hold Harmless ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Grease Interceptor ❑,. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding 0. Deduct Water Meter Size Unit Type: Qty Uhit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30-50 HP /1,750,000 BTU Appliance Vent Hood and Duct Water Heater 501- HP/1,750,000 BTV Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment MECHANICAL PERMIT.INF ` IATJONY — 20b 431 -3670 . MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City Shin Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: **An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance" Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement ❑ Commercial: New .... ❑ Replacement ❑ Fuel Tyne: Electric ❑ Gas ....0 Other: Indicate type of mechanical work being installed and the quantity below: PERMIT, APPLICATION. NOTES - Applicable;to aft permits, in this application. ; Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. [ O OR A ORIZED AGENTt: Signature: / /`' " .1�kllD.,r.�t.1,t✓ Print Name: KOA //� �GG��eN / .t /1Ic Mailing Address: ( ✓0 �,L 8ty¢s Day Telephone: Zo(o 2/$ •79/7 City State - Zip I Date Application Accepted: 0 \tperrnt Nana dwipintpem,e application (7 -2001) Revised 64-05 bh 02. Date Application Expires: Page 4 Date: // Staff Initials: City .of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3348400950 Permit Number: D06-033 Address: 4939 S 114 ST TUKW Status: APPROVED Suite No: Applied Date: 02/02/2006 Applicant: MULLINNIEX RESIDENCE Issue Date: Receipt No.: R06 -00233 Payment Amount: 350.00 Initials: 3EM Payment Date: 02/21/2006 10 :26 AM User ID: 1165 Balance: $0.00 Payee: KEVIN P. MULLENNIEX TRANSACTION LIST: Type Method Description Payment Check 2103 350.00 ACCOUNT ITEM LIST: Description PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW Account Code Current Pmts 000/322.100 000/342.400 000/345.830 RECEIPT Amount 250.00 50.00 50.00 Total: 350.00 2699 02/22 9710 TOTAL 350.00 doc: Receipt Printed: 02 -21 -2006 ACCOUNT ITEM LIST: Description City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 3348400950 Permit Number: D06 -033 Address: 4939 S 114 ST TUKW Status: PENDING Suite No: Applied Date: 02/02/2006 Applicant: MULLINNIEX RESIDENCE Issue Date: Receipt No.: R06 -00156 Payment Amount: 375.06 Initials: 3EM Payment Date: 02/02/2006 11:54 AM User ID: 1165 Balance: $0.00 Payee: KEVIN P. MULLENNIEX TRANSACTION LIST: Type Method Description Payment Check 2092 375.06 BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000/345.830 000/386.904 RECEIPT Amount 224.58 145.98 4.50 Total: 375.06 1966 02/02 9716 TOTAL 375.06 doc: Receipt -- Printed: 02 -02 -2006 Project: Rollin il /ex Type of inspection: F)- e /7a7 Address: 1 1 4 137 So /Pi f, Date Called: Special Instructions: Date Wanted: 2. Z a p.m. Requester: -KGt4 toy Phone No: 2 15- 2G tl l7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Oevt4r) Kr) kA Inspector: AA IDate:tiz B/0 I ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: COMMENTS: Type of Inspection: PW Address: y9 39 5 /(y 1 Z* ci _/( `I/ L fJl-Ce pun/ : « 4I u 2vV ii V Date Wanted: Z /a 31 0 4 i( f SssOs4 sap s r i ftfita 4 04-4-‘4 2� 46 (-Ad t ec l nd a vhat 011t 5 d r /ki 9') nap) 4 till"s4 24-0 164-4 , 6,e " 1- 43 /v6 J 4 ,1n,1.. P /i/� �' Type of Inspection: PW Address: y9 39 5 /(y Date Called: 2/22/06 Special Instructions: Date Wanted: Z /a 31 0 4 a.m. p.m. Requester: Phone No: %5 — 0 3 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -36 70 Approved per applicable codes. Inspector: INSPECTION RECORD Retain a copy with permit ❑ Corrections required prior to approval. 44 (Date: 212-3/66 $58.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. 'Receipt No.: 'Date: COMMENTS: Type of Inspection: - r, as - tuu 1 bloat, S%o1 — reD� t X — 'F — g ied sv Iv 6 /cA *I Ad d 4 e . 4`,-v co{, / Am — //V 5r,9// ¶tarn 9WZ1 i /' fit 9-D/Kf 2 OU, �p - RC reN,VLct n- r,cfic1c 5 ror I Cite 4fetile.e.- : / - 2 /Jocund STK t wr Or `Ptal hoY nuJ&Q4 SNIDE. -t j /btu /06c-* J t e-e SF_ w,E,L th I5 5 7 / f I/ ,f SFwa uI srt,Erf I G+ F-r cm-7 ,S Q f"yhe , Al (Jih v Na7T Project: , � p � • mU�I � Cwt /¢—)C Type of Inspection: - r, as - tuu 1 bloat, Address: '1t3/ s ay*" IV Date Called: a)a)Iote, Date Wanted: ;I �3 a.m. Special Instructions: OU, �p Requester: VAn 'Mu \e *Ai e.k Phon No: (a0c, 1(03-q(070 25 z-10/ - 373 INSPECTION RECORD INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Retain a copy with permit POG - 633 PERMIT NO. Corrections required prior to approval. Inspector: bk) Date: 7_7/ $47.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: nl Project: fey* LS i1JNilCIN Type of nspection Vrc - �.crNi+ • Adclre,$s: 35 s I' y crE Date Called: Special Instructions: D M ` V ., C Date Wanted: �— L OC a.m. p.m. Requester: Phone No: 1- COMMENTS: I Re eipt No.: ctk.i<<.t A )P INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .51 Approved per applicable codes. El Corrections required prior to approval. Date — .00 REINSPECTIO FEE REQUIRED. Pri. to inspection, fee must be Id at 6300 Southcenter Blvd., Suite 100. all to sechedule reinspection. Date: bO(o -o3 3 — ESRI ArcExplorer 2.0 Map Title streetsl (FEATURE2) /N/ 10ftcont /N/ contour2 • orthoidx index parcl2 03 City Limits -- )D6 eb 3 Thursday, Feb 16 2006 — a cce2-,Qc "." , -4`."”r• +310: 4Ir Straw Bale Sediment Barrier A temporary sediment barrier consisting of a row of entrenched and anchored straw bales interspersed with aggregate at low points. Straw bale sediment barriers trap small amounts of sediment by decreasing sheet -flow and low- moderate channel flow velocities. PL AN FRONT VIEW VARIABLE BACKSLOPE SECTION SUBSPACE SECTION Silt Fend Between Discharge And A Streom. Wefond Or Lan Exit SLOPE APPL r ^AT IONS DITCH APPLICATIONS Sediment Containment nit Slope SECTION C-C STEEP BACKSL OPE SECTION FLAT BOTTOM WTCH SECTION Figure 13 Typical straw bale barrier installations on slopes for sediment retention and in ditches as check dams. Chapter 1 Erosion Control Page 40 F. Demolition 1 onmatlon: Start Dat : 3 to Na. of 1. LI TrsMing Fns (List Fits Dept.) Strueimrs: / 2.0 Ordered Demolition attach ..ti of Ord Demolition heal Contactor: /Mac aeprs/lrba -- . - , It iwilb r , , - is ..., 9/$Q'6 r I :moldable asbestos be kit In place during demo? • Yes r No If yes, EA type and qty. Nate disposal tequiremwts in Step 6 (on back). -7 � , j , 1 t J awIa4r ' 7 G. Friable Asbestos Pro ectInformation- Start Date: Co •IetionDate. Work Hours: Days: M T W Th P Sa Su friable asbestos Cl Yes al - - . .? 0 No *Ai Phone: Will all • $oOeAFmnaa insulation • Duct Insulation • Pipe In !•. ; , r7• ;p . 1 • • seeing • Paints • Fluter • Tenured Coatings • Cement Board • Cetnant Pipe • FAable Ptaorks • a - - de Other. y f Aabestos/Demo>ition Project Categories: j • 1. Single - Family Residence(owner•occopled): • * Q -' A. 0 Asbestos Removal Project Only '� ' a Dominion Project (with or without asbestos removal project) .e • Asbestos . Duel eon be:il • • .n noditation• demention must wait • • : oft If the single family residence is owned by one!owlly who has been or wit • : . ins IA or 13 may be checked. IUMle is not an owner-oanp ed residence, one °fake earegories!twat ami residence doer not btclt de rental • • • . twill- °rat units or • mired -use Notlfleation Perled • A. Prior Noliee 10 Days" o f she residence as their domicile, below miry be bulletin .. Prefect Demolition s rcha ,7 A. .v+ t *'' the above boxes owed instead. Astngie 2. • Al! Odic Demolitions (with no Asbestos removal of Nonfriable Asbestos • 1 or less • : 10 linear feet and/or 48 u • wane feet • friable bestos 10 Days $100 Friable bestos Pro eats other than - • • lc FRS! Residence . A 1 - 1 s Demo 1. • ato -259 linter feet • ork48 159 smote feet ofasbestos Prior Notice 10 Days 6100 5100 4. G1 •0 - 999 linear feet and/or 160 - 4 999 "• • - of asbestos 10 Days 5200 5100 5. • >1 • • • linear -- and/cr>5 000: • : . - feat of asbestos 10 Davi 5600 5100 6. • Emergency Asbestos Pug= of •` Ec,ugcncy Demolition Project (5inalt- Family ac,tdmaea ate exempt Morn emergency 2a however. tormazny owners met mot? n Prior Notice S50 Emergency Fee written axtaencY mama) E. ,ls( Asbestos Suivey or 0 „ i.11.1LY. 1. Iortify that the I eonoiael lh shit notification eapplem entat • ( Cat•w " des is. 10 the hart goy kowkdO, ocelot de com&m, Di a i J � R SMIllg ; � `a .tr:t'! Sigrwnns / frogg y d e ■. /. / Pro • arty Owner: I� ! - 41 _ Phone: 7-44 2 28 .74 1 7 an, Address: e 1 s 9/$Q'6 . . , it;itt- �i Stater M . IPS C. Asbestos easni ra/M'tat•asr.nat mac Yana £EtahawL nata• Contractor: Owner/C$6 Mailing Address: Phone: Contractor Job No.: City State: I Zio: Fax. D. Site Address: i _ "' �yyaa. ,C 4---t C( 1- • 1 4- 1 4 .. ' 7 • -/ Site Manager: „..:... itu 1 i N _ - Load Phone: Za 4 7-/ 6 '. E. ,ls( Asbestos Suivey or 0 „ i.11.1LY. No. of - .. „.t. -• ; f Date of Asbestos Wu Friable Asbestos Identified? UYcs • Was Non$iable Asbestos Identified? ales atito Attach a copy of the survey wham friable asbestos has not been identr ed. ANEW :Wilding T Inspector: / �d� -4er tkit itk attan *: : p 6 - !%A 02/01/2006 14 : 3US 200 088 <uo- v' .3Laa i't.2 4 8 Agereflke AnAN!RA Ieragrd rebdbn ell dtaedJtien Puget Sound Clean Air Agway Perm No: 66160 (noted 2/05) TS RECEIVED PS CLEAN AIR CITY OF TUKWILA PI 1 11NGS FEB 0 2 2006 PUGET SOUND CLEAN AIR AGENCY 110 Union Street, Sutra 560 5nU1c WA 981012038 www.pichtair tag NOTICE OP INIENT PERMIT CENTEn P ¢1001/001 PAGE 02/09 Date Roccived AIR JAN 3 12006 Arc, McOaly • Jr- 1 . .... -.. .n : xo••• _ haw • I .' _,I. J VV. 1 IA x January 30, 2006 Kevin Mulleniex P.O. Box 81245 Seattle, WA 98108 PACIFIC RIM ENVIRONMENTAL, INC. SEATTLE www.pacrimenv.com ANCHORAGE RE: Limited Asbestos Sampling Single - Family Residence 4939 South 114 Street Tukwila, WA PRE Job # 13354 On January 24, 2006, Todd P. Carter of Pacific Rim Environmental, Inc. (PRE) performed limited sampling of suspect asbestos- containing materials of the residential structure (gutted by fire) located at 4939 South 114`" Street in Tukwila, Washington. Mr. Carter is an AHERA accredited building inspector, and the PRE asbestos analytical laboratory is accredited by the National Voluntary Laboratory Accreditation Program. (See Attachments) The subject is a two -story wood frame home with a basement that has been completely gutted by fire. The structure has been condemned by the local fire department and was not entered. However, samples were obtained from all remaining visible suspect materials. This survey is not intended for, nor should be used as a design specification. The Asbestos in Schools Hazard Amendment and Reauthorization Act (ASHARA), effective November 20, 1990, expanded accreditation requirements to apply to persons who work with asbestos in public and commercial buildings as well as schools. Specifically, ASHARA expanded the Toxic Substances Control Act (TSCA) Section 206 (a) (1) and (3) to require accreditation for any person who designs or conducts a response action with respect to friable ACM in a building. TSCA Section 207 provides for civil penalties of $5,000 for each day of a violation for not employing accredited individuals to design and conduct response actions. Sampling of suspect asbestos- containing materials was conducted as prescribed in 40 CFR 763.86. Suspect asbestos - containing materials within the structure were identified and classified as a surfacing material, thermal system insulation, or miscellaneous materials. Surfacing materials are those, which are either spray applied or troweled -on for acoustical, decorative, or fireproofing purposes. Thermal system insulation (TS!) is insulation used to inhibit heat transfer or to prevent condensation on pipes, boilers, tanks, ducts and various other components. Miscellaneous materials include all other materials not included in the above categories such as floor tile, ceiling tile, roofing felt, cementitious materials, wallboard systems and products such as caulkings, mastics and putties. PRE 11 13354 Page 1 Corporate Office 6510 Southcenter Blvd., Ste. #-k Seattle, WA 98188 Phone: (206) 244 -8965 Fax: (206) 244 -9096 Anchorage Office Phone (907) 569 -8081 w w.pacrimenv.com Project : iD Sample #: Sample Location AHERA Category Sample Description Asbes "TypelPnun 13354 01 Kitchen Floor Miscellaneous Sheet vinyl flooring and mastic None Detected (all layers) 13354 02 Exterior Walls Miscellaneous Tar paper under siding None Detected 13354 03 Roof Miscellaneous Asphalt shingles and tar paper None Detected 13354 04 Exterior Walls Miscellaneous Wall Insulation None Detected 13354 05 Kitchen Floor Miscellaneous Slip Sheet under sub floor None Detected 13354 06 Kitchen Wall Surfacing Drywall behind dishwasher None Detected 13354 07 Entryway Wall Surfacing Wall plaster None Detected A total of seven (7) samples were collected and submitted for PLM laboratory analysis. None (0) of these samples were found to contain greater than 1% asbestos. Bulk samples collected were submitted for sample analysis in accordance with method EPA -600/R- 93/116: "Method for the Determination of Asbestos in Bulk building Materials ". Analyses were performed in Pacific Rim Environmental Inc.'s NVLAP Accredited Laboratory (Lab Code 101631 -0). Materials are positive for asbestos if they are found to contain greater than 1% or 1% asbestos. The follow ng are the tabulated analytical results. PRE 11 13354 Page 2 Thermal Systems Insulation (TSI) No asbestos - containing thermal system insulation was identified on the subject structure. If during the course of wall, ceiling, or floor demolition any piping, ductwork, insulation material, or other suspect TSI materials not identified in this report are discovered, sampling must be performed prior to disturbing these materials. Surfacing Materials No asbestos- containing surfacing materials were identified on the subject structure. If during the course of wall, ceiling or floor demolition, any surfacing materials not identified in this report are discovered, sampling must be performed prior to disturbing these materials. Miscellaneous Materials No asbestos- containing miscellaneous materials were identified on the subject structure. If during the course of wall, ceiling or floor demolition, any miscellaneous materials that are not listed in this report are discovered, sampling must be performed prior to disturbing these materials. If you have an �` �e '. , : regarding this inspection, please do not hesitate to contact our office at (206) 244 -8965. espe Todd arter Operations Manager Pacific Rim Environmental, Inc. PRE M 13354 Page 3 CLIENT: Project: Turnaround: Kevin Mulleniex P.O. Box 81245 Seattle, WA 98108 Limited ACM Testing 4939 5. 114`" Street Tukwila, WA 3 -5 business days Attached are the results of analysis of seven bulk samples submitted for asbestos identification: tab ID #2006 -01 -201 through 2006.01 -207. Samples were analyzed in accordance with method EPA - 600 /R- 93/116: "Method for the Determination of Asbestos in Bulk Building Materials ". Unless otherwise noted, samples were inhomogeneous; subsamples of components were analyzed to achieve representative analysis. Separate layers of layered samples are analyzed and reported separately. Unless otherwise stated, asbestos content was quantified by calibrated visual estimation (CVES). CVES concentrations are reported in 2 to 3 percent ranges for fiber concentrations ranging from 1 -10 %, and 5 percent ranges for concentrations greater than 10 %. Samples in which asbestos was not observed are reported as "none detected ". Limitations and Uncertainty: Factors such as sample quality, sample size, interfering matrix material, fiber size, and fiber concentration contribute to the uncertainty of asbestos concentration measurements in bulk materials. Relative errors exceeding 100% may occur in samples containing <1.10% asbestos. Relative errors are typically below 30% in samples with greater than 10% asbestos, and approach zero as the asbestos concentration approaches 100 %. Asbestos fibers with diameters below approximately 0.25 micrometers are not detectable by PLM These extremely fine fibers may occur in such products as floor tile, adhesives, and cement products. This limitation can be overcome, however, by the use of alternate analytical methods, such as Transmission Electron Microscopy (TEM). This report cannot be represented by the client to claim product endorsement by NVLAP or any agency of the U.S. Government. Test results pertain only to the samples submitted for analysis. This report shall not be reproduced except in full without written permission of the laboratory. NVLAP Accredited LAB # 101631-0 Samples submitted by: P.R.E. Corporate Office 6510 Southcenter Blvd., Ste. #i Seattle, WA 98188 Phone: (206) 244 -8965 Fax: (206) 244 -9096 PACIFIC RIM ENVIRONMENTAL, INC. SEATTLE www.pacrimenv.com BULK SAMPLE ANALYSIS REPORT Reports reviewed by: a • Approved Signatory ANCHORAGE PRE #: Report #: Report Date: Report By: Date Received: Date Analyzed: Analyst: Page: 13354 2006 -01 -201 01/27/2006 Tierney Feist 01/24/2006 01/27/2006 Fred Golloway 1 of 3 Anchorage Office Phone (907) 569 -8081 www.pacrimenv.com Client /Lab Number Sample Location if Description Asbestos Type / % Other Material Date Analyzed 01 Kitchen floor (sheet vinyl Layer 1 (Vinyl): Layer 1: Vinyl. 01/27/06 2006 -01 -201 flooring and mastic over None Detected plywood). Light brown, green and white Layer 2 (Backing): None Detected Layer 2: Cellulose (50.55 %), Fiberglass (1.3 %). sheet vinyl (Layer 1) with light gray, fibrous backing Layer 3 (Mastic): None Detected Layer 3: Cellulose (<1 %), Adhesive. (Layer 2) and light brown mastic (Layer 3) on light gray, fibrous sheet vinyl backing (Layer 4). Layer 4 (Backing): None Detected Layer 4: Cellulose (50 - 55 %), Fiberglass (1.3 %), Binder. 02 Exterior walls (tar paper None Detected Cellulose (50 -55 %), Tar. 01/27/06 2006 vapor barrier under wood siding). Black, brittle tar paper material. 03 Roof (asphalt shingles). Layer 1 (Roofing): Layer 1: Cellulose (<1 %), 01/27/06 2006-01-203 None Detected Fiberglass (10-15%), Tar, Mineral Charred, tar roofing with material Aggregate. gray gravel (Layer 1) with light brown and gray felt (Layer 2). No Detected None Layer 2 Detected F 2: Cellulose 5 -3%) (<1 %), Fiberglass (25 -30%), Binder, Mineral Aggregate. 04 Wall exteriors (wall None Detected Cellulose ( <1 %), Fibrous Glass 01/27/06 2006-01-204 insulation). (90 -95 %), Binder, Soot, Ash. Light gray, fibrous insulation material. 05 Kitchen floor (slip sheet None Detected Cellulose (50 -55 %), Tar, Binder. 01/27/06 2006-01-205 under plywood subfloor). Black tar paper material with gray, paint -like residue. • CLIENT: Project: Turnaround: Kevin Multeniex P.O. Box 81245 Seattle, WA 98108 Limited ACM Testing 4939 S. 114`" Street Tukwila, WA 3 -5 business days 44CIFIC RIM ENVIRONMENTAL, INC`+% BULK SAMPLE ANALYSIS REPORT PRE #: Report #: Report Date: Report By: Date Received: Date Analyzed: Analyst: Page: 13354 2006 -01 -201 01/27/2006 Tierney Feist 01/24/2006 01/27/2006 Fred GoNoway 2 of 3 Client/Lab Number Sample Location & Description Asbestos Type / % Other Material Date Analyzed 06 Kitchen wall (drywall None Detected Cellulose (10 -15 %), Gypsum, 01/27/06 2006.01.206 remnant behind dishwasher). Binder, Ash, Soot, Paint. Light brown, chalky drywall with black paper and brown charred paint. 07 Entrywall wall. None Detected Fiberglass (3 -5 %), Binder, Ash, 01/27/06 2006-01 -207 Soot. Light gray and black, charred, "plaster" material. Note: Appears to be partially melted and charred drywall -like material. CLIENT: Project: Turnaround: Kevin Mulleniex P.O. Box 81245 Seattle, WA 98108 Limited ACM Testing 4939 S. 114`" Street Tukwila, WA 3 -5 business days AnCIFIC RIM ENVIRONMENTAL, INC. \./ BULK SAMPLE ANALYSIS REPORT PRE #: Report #: Report Date: Report By: Date Received: Date Analyzed: Analyst: Page: 13354 2006 -01 -201 01/27/2006 Tierney Feist 01/24/2006 01/27/2006 Fred GolLowey 3 of 3 ACTIVITY NUMBER: D06 -033 PROJECT NAME: MULLENNIEX RESIDENCE SITE ADDRESS: 4939 S 114 ST X Original Plan Submittal Response to Correction Letter # DATE: 02 -02 -06 Response to Incomplete Letter # Revision # After Permit Issued DEPARTMENTS: 1,1 Billtiing Division Public WoSks L Structural 1 to ow 0, 2- U0--OQ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: Approved ❑ Notation: APPROVALS OR CORRECTIONS: REVIEWER'S INITIALS: Documenisrrouling slip.doc 2-28-02 PERMI I Uuvnu vur r' PLAN REVIEW /ROUTING SLIP Incomplete ❑ Structural Review Required Approved with Conditions bit i/A, Fire Prevention DATE: DATE: Planning Division Permit Coordinator DUE DATE: 02-07-06 Not Applicable ❑ No further Review Required DUE DATE: 03-07-06 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License DMAXTEL981DM Licensee Name D MAX TRUCKING & EXVTNG LLC Licensee Type CONSTRUCTION CONTRACTOR UBI 602180858 Ind. Ins. Account Id #2 Business Type LIMITED LIABILITY COMPANY Address 1 36126 SE 310TH ST Address 2 City RAVENSDALE County KING State WA Zip 98051 Phone 2532613736 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/14/2002 Expiration Date 3/14/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 COLONIAL AMERICAN CAS & SUR CO LPM4065714 03/4/2004 Until Cancelled $12,000.00 03/5/2004 Business Owner Information Name Role Effective Date Expiration Date BUTRICK, DARREN A PARTNER/MEMBER 03/14/2002 Look Up a Contractor, Electric.; an or Plumber License Detail Page 1 of 2 '" '' Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DMAXTEL981DM 02/21/2006 x