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Permit D08-402 - ENGSTROM - BUILDING DEMOLITION
ENGST OM DEMOLITION 6238 S 143 PL Parcel No.: 3365901700 Address: 6238 S 143 PL TUKW Suite No: Tenant: Name: ENGSTROM DEMOLITION Address: 6238 S 143 PL , TUKWILA WA Owner: Name: ENGSTROM DONALD GLENN Address: 6400 S 143RD PL , TUKWILA WA 98168 Phone: Contact Person: Name: BEN SESSIONS Address: PO BOX 78448 , SEATTLE WA 98178 Phone: 425 - 255 -5747 Contractor: Name: GREEN RIVER CONST COMPANY INC Address: 6402 S 144 ST; SUITE 1 , TUKVVILA, WA 98168 Phone: 206 - 246 -9456 Contractor License No: GREENRC 148MM DESCRIPTION OF WORK: DEMOLITION AND HAUL AWAY DEBRIS FROM 2,552 SQ FT BUILDING FOR FUTURE 4,000 SQ FT WAREHOUSE. PUBLIC WORKS ACTIVITIES INCLUDE: TESC, LAND ALTERING, AND CAPPING OF WATER & SANITARY SEWER. Value of Construction: Type of Fire Protection: Type of Construction: doc: IBC - 10/06 $7,800.00 V -B Cit3llf Tukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D08 -402 Issue Date: 02/04/2009 Permit Expires On: 08/03/2009 Expiration Date: 07/14/2010 Fees Collected: $740.23 International Building Code Edition: 2006 Occupancy per IBC: 0022 D08 -402 Printed: 02 -04 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: N Hauling: N Start Time: End Time: Land Altering: Y Volumes: Cut SO c.y. Fill 50 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 Profit: N Non - Profit: N Water Main Extension: N Private: Public: Water Meter: N Permit Center Authorized Signature: Signature: Print Name: doc: IBC -10/06 City oinukwila S Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us u.) Permit Number: DO8 - 402 Issue Date: 02/04/2009 Permit Expires On: 08/03/2009 Date: Date: a 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 o permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio or the erformance of work. I am authorized to sign and obtain this development permit. -y 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. D08 -402 Printed: 02 -04 -2009 Parcel No.: 3365901700 Address: Suite No: Tenant: 6238 S 143 PL TUKW ENGSTROM DEMOLITION 1: ** *BUILDING DEPARTMENT CONDITIONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D08 -402 ISSUED 08/14/2008 02/04/2009 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: 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. 4: 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. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 7: 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. 8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 9: Contractor shall notify Public Works Development Engineer / Project Inspector Mr. Greg Villanueva at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 10: Schedule and attend a Preconstruction Meeting with the Public Works Department, prior to start of work under this permit. 11: Work affecting traffic flows shall be closely coordinated with the Public Works Project Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 12: Any material spilled onto any street shall be cleaned up immediately. 13: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 14: The Land Altering Permit Fee is based upon an estimated 50 cubic yards of cut and 50 cubic yards of fill. If the final quantity exceeds this amount, the developer shall be required to recalculate the final quantity and pay the difference in permit fee prior to the Final Inspection. doc: Cond -10/06 D08 -402 Printed: 02 -04 -2009 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 15: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1 V or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 16: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 17: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used again in the near future for a new building, they shall be capped at the property line and at the water meter respectively. doc: Cond -10/06 * *continued on next page ** D08 -402 Printed: 02 -04 -2009 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and 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 construction or the performance of work. Signature: Print Name: e r kN Date: (9 —4 / ordinances governing or local laws regulating doc: Cond -10/06 D08 -402 Printed: 02 -04 -2009 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Rwi.wdF o.10(16 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 ** rr , �, � /1612) p �,1 q / King Co Assessor's Tax No.: 3 I to C )0 r9-0 1 Site Address: 5 S f L 7VZ I Ltt - 7 1k Suite Number: Tenant Name: \I +''C,D.M t� New Tenant: Property Owners Name: P t I 6 N (IS l - K- u vi Mailing Address: &IuO $ 1 1, T L' 1 V 1 V4' YvfT City State we Contact hen Name: S 10 N S r �' /rte Day Telephone: �'1 l 5 J 7-149- Mailing Address: ft f t n ' `T `T Zy c;o wA- E -Mail Address: 1 990 (' 6141 L /JfiV Sycrati5 ' F Number:A i2 �j Zip 1 7 ' y - Company Name: C tlli 1 30 I Lb i N t'7 crbl c l W C, f _ / f Mailing Address: TO 4 `i rt ►� V 4- q e 1 / City State � Zip r- Contact Person: N "t S ' i L l / Day Telephone: L L kJ 1 J j C E -Mail Address: Q S /to iced C ��7 e G4 � 1-1 f i� �) ` C n* Fax Number: 1 ' j v7- �� �/ U 2 Contractor Registration Number: C 1- (113(/1 C 2 2 t- V, I- - 0 Expiration Date: ° 9' /IL/ I IMO Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Floor: ❑ .... Yes ❑ ..i`10 Zip State State Zip Zip Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Page 1 of 6 BUILDING PERMIT INFORM ION 206 -431 -3670 Valuation of Project (contractor's bid price): $ Ls' - C/ I) Existing Building Valuation: $ Scope of Work (please provide detailed information): 1)0A,V 41- tAN J t,'VriAm Will there be new rack storage? ❑.... Yes No If yes, a separate permit and plan submittal will be required. PLA! NING 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 m Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Numler of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIR. 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 i f 'yes', attach list of materials and storage locations on a separate 8-1/2" x I1 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Wpplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised; 9 -2006 bh Page 2 of 6 �pp6cable to .all perm its ii this a } r :�y.; ;�',t, %`,'Lr!w.G3.�'y'�= s,.i�� «�, .!i;,; � � � "w•� "ir � � + �' ly J . '' � • .. - .� ..ice .: 1"•: ;:. .. i.'. r.,�"D:',W.•F .3'd: 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. Building and Mechanical Permit 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). HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER ALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OW Signature: Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition). UT O ED AGENT: Prin Name: L (S V 0 (-(' 14- I N a Mai g Address: pits ! n G x yg Date (Application Accepted: _ ,3_0 0 Q:WppI}cetions\Fonns- Applications On Line\3 -2006 - Permit Application.doe Revised; 9 -2006 bh Date Application Expires: Date: eh O Day Telephone: 2 / 57 SOA-r11 wit 9 /? City State Zip 15 14-09 Staff Initials( I I / e Page 6 of 6 Fzziure°TY.pe u: S 1 : ' Qty : Fixture Type• . *,' .. t :i. -- M fix#ure;Type 8 Aigttire Ty.PeV, s `!r, , j .�, s , Bathtub or combination bath/shower Drinking fountai' "sr water cooler (per he :; Wash fountain Gas piping outlets Bidet Food -waste ri commerci• t, e ceptor, indirect .ore • Clothes washer, domestic Floor d . ' • Sin Dental unit, cuspidor Showe ''single head trap Urin { Dishwasher, domestic, with independent drain Lay. ; ifry ,,' Water C set Building sewer or trailer park sewer • :s water system — per ; • ' n (inside building) Water heat \ . • d/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors ' Repair or alteration of water piping and/or water treating equipment Repair or alte • of drainage or ye a., piping e ry . Medical gas piping system serving one to five inlets/outlets for specific gas • PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: Expiration Date: Q.'JApplications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 Valuation of Plumbing work ontractor's bid price): $ Valuation of Gas Piping work ntractor's bid price): $ Scope of Work (please provide d +: ed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: C r 4 Indicate type of plumbing fixtures and/or gas piping o t ets Sewer: City Site Zip Day Telephone: Fax Number: installed and the quantity below: Page 5 of 6 Parcel No.: 3365901700 Address: 6238 S 143 PL TUKW Suite No: Applicant: ENGSTROM DEMOLITION 0 City of Tukwila Payee: GREEN RIVER CONSTRUCTION ACCOUNT ITEM LIST: Description BUILDING - NONRES PW BASE APPLICATION FEE PW LAND ALT PERMIT FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW STATE BUILDING SURCHARGE Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwila.wa.us Receipt No.: R09 -00194 Payment Amount: $612.50 Initials: WER Payment Date: 02/04/2009 01:31 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7023 612.50 Account Code Current Pmts 000/322.100 000/322.100 000/342.400 000/342.400 000/345.830 640.237.114 RECEIPT Permit Number: D08 -402 Status: APPROVED Applied Date: 08/14/2008 Issue Date: 196.50 250.00 23.50 69.00 69.00 4.50 Total: $612.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 02 -04 -2009 Parcel No.: 3365901700 Permit Number: D08 -402 Address: 6238 S 143 PL TUKW Status: PENDING Suite No: Applied Date: 08/14/2008 Applicant: ENGSTROM DEMOLITION Issue Date: Receipt No.: R08 -02949 Initials: WER Payment Date: 08/14/2008 02:24 PM User ID: 1655 Balance: $201.00 Payee: CHG BUILDING TRANSACTION LIST: Type Method Descriptio Amount ACCOUNT ITEM LIST: Description PLAN CHECK - NONRES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Payment Check 112911 127.73 RECEIPT Account Code Current Pmts 000/345.830 127.73 Total: $127.73 Payment Amount: $127.73 6115 08/14 9710 TOTAL 127.73 doc: Receiot -06 Printed: 08 -14 -2008 Project: Type of Inspection: Date Ca led: _—_, Addret ( d 6 PL Special Instructions: Date Wanted: y / 2 , I (sun- p.m. Requester: Phone No: 0oX -4 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: r M, uJ 1)4A( ' ❑ $60.00 REINSPECTION FEE RE MIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: !Date: Project: Type of Inspection' ' .0 Address: f2 ?L. Date Called: Special Instructions: Date Wanted:! •- 2 6 -0ci p.m. Requester: Phone No: f Dog - INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 44. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 Approved per applicable codes. Corrections required prior to approval. LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: � p !)L - ,.) { , a -i f c1 .1 I „LA AiL)I n s pect(: Date: Z- Z 6 _0/ COMMENTS: -- Fit/IA.IQd Iflet..K, CaReek rL ,5v41E 41 0 i C r proper 11h'e . 'F'ir^t..tecl - Ca. e 1" of- �. -e r e. -ec fist .e0 r.. .Cp , 4 ra c.-I-r? r I 4I el DI o <J n ,s+ra kj j` 4-IA,„ fttte r;�k1- 64 - otuf 4- (o' o _ S t I ✓It . r r ok-I-e of ProjeSt: reirr a Type of Inspection: H&J .5 ss , („gym Iflet..K, Address ,3 e 6 / J ' Date Called: Q i i I I/ Special Instructions: , ? �, Date Wanted: a. O / / %y c _..... Requester: kiudset) •ii/ Phone No: X6 lgo 'tea W ❑Approved per applicable codes. � s5 tam INSPECTION NO. INSPECTION RECORD Retain a copy with permit D9i _ yob PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 I1 Corrections required prior to approval. Inspector: PS Date: 3' /a / ❑ $60.00 REINSPECflON FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project: E nl 5 4-ro m ` D,nlo Type of Inspection: P W- P� r Address:( C ' � (02- 5 3 P L__ Date Called: 2.1 , oq Special Instructions: (0 to ran Date Wanted: '2- 12110 1 p.m. Requester: 5 &( i y Phone No: Ci 1 43i — %S • • (r-) fJ Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PERMIT NO. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 El Corrections required prior to approval. COMMENTS: orn� (brark 0cpec oI -b 54-et r-(- M1-ex+ We, . Inspector: D5 Receipt No.: Date: toe( ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Asbestos Survey 6238 S 143rd PI Tukwila WA 98168 Inspected on June 5, 2008 for CHG Building Sys., Inc. 1120 SW 16th, #A-4 Renton WA 98055 (425) 255 -5747, fax: (425) 255 -4882 Affordable Abatement, Inc. 1919 Everett Ave Everett WA 98201 Dog, - 90 ktz, c P r to locate and identify r suspected asbestos containing building materials • ECE iVEP MG 14 2008 PERMIT CENTEI To Property : Demo SFR 6238 S 143rd PI Tukwila WA 98168 Lab :NVL Laboratories, Inc. 4708 Aurora Ave N Seattle WA 98103 (206) 547 -0100, fax: (206) 634 -1936 S urvey to locate and identify Asbestos Containing Building Materials (ACBM's) 2 Requester :CHG Building Sys., Inc. / Charles Grouws 1120 SW 16th, #A-4 Renton WA 98055 (425) 255 -5747, fax: (425) 255 -4882 Owner : Donald Engstrom Inspected:June 5, 2008 EJCZ ECX73 EJC/3 to.) 03 EJ03 &J03 Et) CS E-)03 EJC.3 ECX53 EcX73 E:J03 E003 WC/ FrJ03 EOC,S E X.93 E.X. 3 E..) Purpose The above address was inspected to locate asbestos in accordance with federal and state laws. The sampling methods specified in 40 CFR 763.86, a sub - section of the Asbestos Hazards Emergency Response Act (AHERA), were employed with the following specific purpose in mind : ❑ Safety - Intended operations present the potential for disturbance of an ACBM. This report was prepared to facilitate employees safe performance of normal activities. ❑ Removal. Specifically this survey anticipates : ❑ Renovation. This may not include use of destructive search methods (i.e., - breaking into walls, etc.) unless expressly directed by client in writing. Demolition. Destructive search techniques are highly recommended and may be implied by statutes which require identification of all suspected ACBM's prior to demolition. [as in 40 CFR 763.85 (a)(4)(i)] ❑ Management. Information herein will be used by the property owner to develop an appropriate Operations & Management (O &M) policy to reduce the likelihood of exposure to building occupants for ACBM's which will be left in place. ❑ Property Sale - Public buildings, including commercial and industrial facilities are required to use an accredited inspector [see the Asbestos School Hazard Abatement Reauthorization Act (ASHARA)]. Private buildings may be inspected to compliment an appraisal. Methods Currently only persons having the AHERA Building Inspector training are considered acceptab accredited by all governmental agencies. Mandated AHERA procedures are : • training (for the inspector) • examining (materials which the inspector suspects) • identify (by sampling or by assuming material is an ACBM) • assessing (friability, condition and potential for damage) • documenting (the above with locations) Procedures for sample collection often seem complicated to the layperson. What appears to be the same material located in different areas, may, or may not, require additional samples, depending on the usage of each area. Sprayed and troweled on materials require at least three tests to confirm they are not ACBM. Differing quantities of suspect homogeneous materials also affect the number of samples needed. Analysis of samples must be done by an accredited laboratory. Assessing friability is done per the EPA definition that the material can be crumbled to a powder y using-hand-- ensure-.- Theaet --ert be anticipate_ by this inspector. An accredited Asbestos Management Planner should be consulted for assessments of condition oi* potential for disturbance. These assessments are usually only required for inspections of schools. Estimated quantities are given as a courtesy and should not be relied on for bidding purposes. An accredited Asbestos Proiect Designer is required for quantifying ACBM's. The inspector who prepared this report hereby certifies by signature below, that : • has received training pursuant to 40 CFR Part 763, Sub -part E, Appendix C • has had at least fifteen (15) years professional experience in the asbestos abatement industry - p5 Bill Schroeder Occupied Unlimited access Limited scope Destructive sampling 1029271 May 7, 2009 Certification # Expiration Date Limitations This inspection was prepared in a manner intended to comply with current statutes governing the specific purpose stated herein for the locality in which it was performed. This report can be expecte1 to become outdated as regulations, site conditions or usage of this information change over time. Reasonable diligence was excercised to discover ACBM's during the inspection. Standard industry practices recognize that every square inch of a building cannot reasonably be exposed or sampled during the survey process, especially in occupied structures. Wall or chimney interiors, underground pipes, liners of septic tanks, woodstove flues or water heaters, 'Bakelite' toilet bowls and junction boxes, every area under carpets or bum debri, are all examples of this. Items not attached tq structures are not normally addressed by this type of report. Consequently, some materials may remain concealed, or untested, which are not identified in this report. Materials not addressed i;n this report should be assumed to contain asbestos until determined otherwise by an accredited professional. The results of such analysis must be incorporated by addenda into this report prior disturbance of these materials. A copy of this report must remain onsite during such activities. Samples are believed to be representative of similar materials found throughout the areas inspected, however, the required random sampling protocol could miss some ACBM's. Inspector is not responsible for conclusions based upon third party laboratory inaccuracies. Full depth sampling is required when roofing will be disturbed. Attempts by inspector to fill holes aft r such sampling by use of tar, caulking, etc. are beyond the scope of this report and if performed shou�d be considered temporary leak prevention, not warranted to be a professional roofing repair. Drawings are not to scale. Site maps are included on multi - structure projects only. Advice for the handling of asbestos is beyond the scope of this report and nothing herein should be construed as such. Multiple agencies regulations may differ in these regards. This inspection was performed for compensation, and as such it is not warranted complete and it cannot be used for any purpose if the preparer voids it's use due to lack of payment for this service. This document is protected under USC 17 (aka Copyright Act of 1979). This inspection is also limited by site conditions and those specified by the client. This site was : ❑ Yes / ®No ® Yes / ❑No ❑ Yes / Z No • Yes / ❑ No / ❑ Discreet Structures A survey of 1 structure(s) occurred on the date listed in the head of this report. This is a : 3 • house (2,000 sf rambler, no garage) No other structures were examined for the purpose of this inspection. Historical Historical records ® were / ❑ were not (check one) examined for use in this survey. The coun assessor's web site lists this home as built in 1962. The den (East half of home) was likely added c later. General Notes Following is a description of the construction systems noted at the site. y n Roofing - The West half of the home has a pitched roof with asphaltic 3 -tab shingles over tar paper. The East half has a nearly flat roof with elastomeric sealant painted over a Torched Down Membrane (TDM) system. The TDM system consists of a rubberized membrane, to and felt. Walls (interior) & ceilings Wall and most ceiling substrates are a smooth sheetrock with tape joints system. The den has exposed tongue and groove (T &G) 'ca deck' ceilings. Wall surfaces, exterior - Siding is both T -111 type wood panels and lapped wood product . Beneath siding tar paper felt is installed. Floors - Floors are a mix of hardwood, carpet, sheet vinyls and vinyl tiles. Insulation, structural - Ceiling insulation is blown in cellulose. Wall insulation is fiberglas batts. No floor insulation was found. Heat sources - A gas furnace heats West sections of the home. No suspe materials were noted on this appliance. The den is heated using electric baseboard heaters. The fireplace is most likely used fcr recreational purposes. Insulation, thermal system - No TSI's were found. Ducts are bare metal. Water pipes are n t insulated. Glazing compounds - Windows are aluminum framed types which do not have glazin compounds attached. Wiring - Wiring has plastic sheathing. Doors - Doors are wood or glass. Adhesives - Adhesives were found under vinyl floor tiles. Cove base is wood. Functional Spaces Functional spaces are identified in order to determine a sampling plan which will be representative of the materials found in areas of similar usage. The functional spaces identified at this location have been nominally deemed : O Indoor areas Outdoor areas Suspect Materials Materials commonly suspected to be ACBM's which were sampled during this inspection are : ❑ Doors ® Floor coverings ❑ Insulation, structural 4 ID Description Location >1% ACBM Fri Qty HA FS Type 3.0b Adhesive, yellow Under vinyl tiles N N N/A 1 I Misc 6.0 Roof shingle, grey asphaltic 3 -tab Pitched roof areas N N N/A 2 0 Misc 5.0 Roofing system, TDM Flat roof, lower layers N N N/A 3 0 Misc 5.0 Sealant, grey Flat roof, top layer N N N/A 4 0 Misc 1.0 Sheet vinyl, brown Kitchen, halls, E bath, Den W side, SE B/R floor N Y N/A 5 1 Misc 2.0 Sheet vinyl, white W bath floor N Y N/A 6 I Misc 3.Oa Vinyl tile, gold 12" Laundry floor (on slab) Y N 72 sf 7 I Misc 4.0 Wallboard system (GWB & mud) Walls & most ceilings N Y N/A 8 I Misc 1 Adhesive, yellow r 2 Roof shingle, grey asphaltic 3 -tab 3 Roofing system, TDM 4 Sealant, grey 5 Sheet vinyl, brown 6 Sheet vinyl, white 7 Vinyl tile, gold 12" 8 Wallboard system (GWB & mud) • . • ❑ Putty (or caulking) ❑ Siding material ❑ Wiring insulation Homogeneous Areas The following chart lists suspect materials . identified in order to determine the homogeneity of products discovered. These are materials which are similar in color and texture ( *Note — material known to differ in age should also be considered separate homogenous materials). The following materials appeared homogeneous to this inspector : Legend Ab rev TSI Surf Misc 0 Findings Materials containing greater than 1% asbestos ® were / ❑ were not identified. The following table summarizes suspect materials identified during this inspection. If a sample do s not appear to be tested, compare it to the representative samples listed below as identical materias are often found in multiple locations. 1 Characterization of each material as surfacing, TSI or miscellaneous is made for the express purpoe of developing a sampling strategy and may not accurately reflect the product's designation for abatement project design purposes. Definition Thermal System Insulation Surfacing (troweled or sprayed on) Miscellaneous Assumed Z Roofing ❑ Vapor barrier membrane Abbrev ACBM FS HA Fri 5 ❑- Marfar or- ® Sealants, coatings or paint ® Wall & ceiling finishes definition Asbestos Containing Building Material Functional Space Homogenous area Friable ❑ Abesto Air ' ^ D PCM (NIOSH 7400) ErrEse (NIOSH 7402) ❑ TEM (AHERA) CI TEM (EPA Level II) D Other . Abeeto$ Bulk 0 Mold/Fungus , 19 PLM (EPA/600/R.934116) ❑ PLM (EPA Point Count) 0 PLM (EPA Gravlmetty) CI TEM Bulk ❑ Mold Air ❑ Mold bulk 0 Rotometer Calibration METALS ❑ Total Metals ❑ TCLP , InstdDgt Limit 1 Matti* O FAA (ppm) ❑ Air rater ❑ ICP (ppn►) ❑ Drinking ❑ GFM (ppb) ❑ DuctAvipe O Soil ❑ Paint 0 Paint Chips in cm water ❑ Waste Water (Area) 9 Other . Chips in % RCRA Metals ❑ All 8 D Arsenic (As) ❑ Mercury (Hg) ❑ Barium (Ba) ❑ Selenium (Se) 0 Cadmium (Cd) ❑ Silver (Ag) O Chromium (Cr) D Lead (Pb) ❑ Other Metals • All 3 • Copper (Cu) ❑ Nickel (Ni) ❑ Zinc (2n) ❑ Other Types of Analysis 0 Fiberglass 0 Nulsanoe 0 Silica Q Red Dust ❑ Other (Specify) • lrabte Dust Condition of Package: ❑ Good ❑ Damagterl (no spillage) ❑ Severe damage (spillage) AIR Seq. tt Lab ID Client Sample Number Comments (e.g Sample area, Sample Volume. etc) 1 l' • • a grsd 0_, V`5q " 5 e..-re rr(oa C 2 r______, • _ . Z , 5 ' t0 14..-t-� JSFr -W Q,�,•rt.ftu•'. r 3 , 0 ISo It i 2" Vc.r 4. 6.413 t C. •* Lawn ley 4o C 4 1 .1 0 W r.1l 6e trct. 'r'' r Sri the, W W 0,01 5 s 7 , <O 6,0 4 enc. 't'b --• ' Ik-- Cm r0— S 1 .(v6CS¢4 &18 j 3'Ta, st.0w1 — SW e y 1' eer _ - 8 9 11 12 19 14 15 Print Below Signeelow Company Date Time - Sampled by Bill Schroeder X:i29 5 Affordable Abatement, Inc. . 6. S'o g LC" 30 Relinquished by Bill Schroeder A Ste°'" Affordable Abatement, Inc. I% /3= (t) Racehre • Ana d • .-__.4... 1:1 -; 1.1■/L.._ 6- S-a$' .t lbe ,r0 - -�- L-- 6.5 -08' 3:2.0 - Results Called by 4, . ReStdts Faxed by Specie structlens: Unless requested rr `Fes / 0 • Wallboard samples- ❑ Yes / o • Texture samples • stop When textures EXCEPT writing, 811 samples will be disposed of two (2) weeks after analysis. composite if any layer is positive P• of L analyzing group after the first positive (Le. -- only 1 positive is needed to prove ACM, multiple negatives needed to prove non.ACM) POPCORN are positive. point count the entire group (i.e. — 1.0.1.1, 1.2, etc) NVL Laboratories, Inc. 4708 Aurora Ave N, Seattle WA 98103 Tet 208.547.0100 Emorg. Pager. 206.344.1878 FAX: 206.634.1938 Client Affordable Abatement, Inc. . Street 1919 Everett Ave Everett WA 98201 Project Manager Bib Schroeder CHAIN of CUSTODY SAMPLE LOG BATCH ID 2806987.00 NVL Batch Number Client Job Number it 6 6D Total Samples t5 Turn Around Time ❑ 1-Hr ® 24•Hre d 4•Days ❑ 2 -Hrs © 2 -Days ❑ 5 -Days Project Location 6 z3 8 S (Y3 ell PI i TJ bv,t - W 4 9 4 -Hrs 9 3 AT O Days less than 24 His Email Address b5,et* 09 Fax: (425) 259 -4278 6 NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 98103 Tel: 208.547.0100, Fax 208.834.1938 www.nvllabs.com Attention: Mr. Bill Schroeder Project Location: 6238 S. 143rd Pl., Tukwila, WA Lab ID: 28041153 Client Sample #: 1.0 Location: 6238 S. 143rd P1, Tukwila, WA Layer 1 of 2 Description: Beige with tan streaks sheet vinyl Non- Fibrous Materials: Synthetic foam, VinyUBinder Layer 2 of 2 Description: Gray fibrous backing with mastic Non-Fibrous Materials: Mastic/Binder Lab ID: 28041154 Client Sample #: 2.0 Location: 6238 S. 143rd PL. Tukwila, WA Layer 1 of 2 Layer 2 of 2 Client Affordable Abatement, Inc. Address: 3616 Colby Avenue # 701 Everett , WA 98201 Description: Beige patterned sheet vinyl Non- Fibrous Materials: Synthetic foam, Vinyl/Binder Description: Tan fibrous backing Non- Fibrous Materials: Binder /Filler Lab ID: 28041155 Client Sample #: 3.0 Location: 6238 S. 143rd Pi.. Tukwila. WA Layer 1 of 2 Description: Beige with yellow streaks floor file Non-Fibrous Materials: Mineral grains, Vinyl/Binder For the scope of accreditation waver NVIAP Lab Code 102083-0 Bulk Asbestos Fibers Analysis ) By Polailzed Light Microscopy 7 Other Fibrous Materials:% None Detected NO Other Fibrous Materials:% Cellulose 25% Glass fibers 10% Synthetic fibers 3% Other Fibrous Materials:% None Detected ND Other Fibrous Materials:% Cellulose 5% Glass fibers 5% Synthetic fibers 5% Other Fibrous Materials:% Batch #: 2806987.00 Client Project #: 80605A Date Received: 06/052008 Samples Received: 6 Samples Analyzed: 6 Method: EPA/600R- 93/116 Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: a r i o None Detected ND Chrysotfie 7% Sampled by: Client Analyzed by: Sandra Baker Date: 06/05/2008 D RAFT J Note: If samples are not homogeneous, then subsamplas of the components ware analyzed separately. All bulk samples are analysed ustng EPA 600/R 43/118 method with the knowing measurement uncertainties for the reported % Asbestos (114=0-3%. 5% =1.9%. 10%=5 - 15%.20 %i10•30 %, 90%=40 .60%). This report relates only to the items tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and acuity of the sample collector. This report shall not be reproduced except in fun, without widen approval of NVL Laboratories, Inc. It shall not be used to claim produa endorsement by NVLAP or any other agency Of the US Government NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle, WA 981D3 For the scope of atereditabon under NVLAP Lab Code 102063.0 Tel: 206206.547. www.nv 208.634,1636 www.nWla bs .com Bulk Asbestos Fibers Analysis Client: Affordable Abatement, Inc. Address: 3616 Colby Avenue # 701 Everett , WA 98201 Attention: Mr. 88I Schroeder Project Location: 6238 S. 143rd Pl., Tukwila, WA Layer 2 of 2 Description; Yellow soft mastic Non - Fibrous Materials: Other Fibrous Materials.% Mastic/Binder Cellulose 2% Lab ID: 28041156 Client Sample #: 4.0 Location: 6238 S. 143rd Pl., Tukwila, WA Layer 1 of 1 Description: White chalky material Non-Fibrous Materials: Fine patties, Gypsum/Binder Sampled by: Chant Analyzed by: Sandra Raker By Polarized Light Microscopy 8 Other Fibrous Materials:% Cellulose 8% Glass fibers 2% Lab ID: 28041157 Client Sample #: 5.0 Location: 6238 S. 143rd PI., Tukwila, WA Comments: Unable to analyze silver paint as a separate layer Layer 1 of 1 Description: Black asphaltic fibrous built -up material with silver paint Non- Fibrous Materials: Other Ftibrous Materials:% Asphalt/Binder, Paint Glass fibers 25% Lab ID: 28041158 Client Sample #: 6.0 Location: 6238 S. 143rd PI., Tukwila, WA Layer 1 of 1 Description: Black asphaltic material with multi - colored mineral grains Non - Fibrous Materials: Other Fibrous Materials:% Asphalt//Binder, Granules Glass fibers 25% Batch #: 2806987.00 Client Project #: 80605A Date Received: 06/05/2008 Samples Received: 6 Samples Analyzed: 6 Method: EPA/600R- 93/116 Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND Date: 06/05/2008 DRAFT Note: If samples are not homogeneous. then subsamples of the components Were analyzed separately. All bulk samples are analyzed using EPA 600fR .931118 Method wlth the following measurement uncertainties for the reported % Asbestos (1% 04%, 5%= 1.94+6, 10%- 5.16 °4 20% =1030%, 50%=40 -60%). This report relates only to the acme tested. If sample was not collected by NVL personnel, then the accuracy of the results is limited by the methodology and easily of the sample collector. This report shall not be reproduced etkoept in M, wahout written approval of NVI. Laboratories, Inc. It shall not be used to clam product endorsement by NVLAP or any other agency of the 115 Government 01 -02 -2009 BEN SESSIONS PO BOX 78448 SEATTLE WA 98178 RE: Permit Application No. D08 -402 6238 S 143 PL TUKW Dear Permit Applicant: In reviewing our current permit application files, it appears that your permit application applied for on 08/14/2008 , has not been issued by the City of Tukwila Permit Center. Per the International Building Code and/or the International Mechanical Code, every permit application not issued within 180 days from the date of application shall expire by limitation and become null and void. Your permit application expires on 02/10/2009 . If you choose to pursue your project, a written request for extension of your application addressed to the Building Official, demonstrating justifiable cause, will need to be received at the Permit Center prior to your expiration date of 02/10/2009. If it is determined that an extension is granted, your application will be extended for an additional 90 days from the expiration date. In the event we do not receive your written request for extension, your permit application will become null and void and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, xc: er Marshall t Technician Permit File No. D08 -402 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 —1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for 1 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for 1 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. • 41 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME GIG 9T .on& (1:0-04 a) PERMIT # J ea - 402 ( � 4,2,S S. 11 v QL,.) ((a► S d t ) CuTftN Cta .ctJ4 5 /t✓4 If you do not Provide contractor bids or an engineer/ estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization Erosion prevention Water /Sewer /Surface Water Road/Parking /Access A. Total Improvements 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) 5. Enter total excavation volume 50 Enter total fill volume Use the ereater of the excavation and fill volumes. GRADING Plan Review and Permit Fees Approved 09.25.02 Last Revised Jan. 2008 5o 1 X 50/ MO /0 / 000 oCs 2? %0 i 4 % 1s cubic yards cubic yards Use the following table to estimate the grading plan review and permit fee. TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ 31€ ' 15 The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application/plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. $250 (1) (5) (4) QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51 -100 $37.00 101 -1,000 $37.00 for l 100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 - 10,000 $194.50 for ls 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 - 100,000 $325.00 for the 1 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Approx. Remaining Years Pavement Overlay and Repair Rate (per SF of lane width) 20 -15 (100 %) $10.00 15 -10 (75 %) $7.50 10 -7 (50 %) $5.00 7 -5 (33 %) $3.30 5 -2 (25 %) $2.50 2 -1 (10 %) $1.00 0 -1 $0.00 J 6. Permit Issuance/Inspection Fee (B +C +D) 8. GRADING Permit Review Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. Approved 09.25.02 Last Revised Jan. 2008 2 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 7. Pavement Mitigation Fee The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate the p (6) ( $ 235% (8) WATER METER FEE Permanent and Water Only Meters Size (inches) Installation Cascade Water Alliance RCFC 01.01.2008 — 12.31.2008 Total Fee 0.75 $600 $5674 $6274 1 $1100 $14,185 $15,285 1.5 $2400 $28,370 $30,770 2 $2800 $45,392 $48,192 3 $4400 $90,784 $95,184 4 $7800 $141,850 $149,650 6 $12500 $283,700 $296,200 a• BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 9. TOTAL OTHER PERMITS A. Water Meter — Deduct ($25) B. Flood Control Zone ($50) C. Water Meter — Permanent* D. Water Meter — Water only* E. Water Meter — Temporary* * Refer to the Water Meter Fees in Bulletin A 1 Approved 09.25.02 Last Revised Jan. 2008 Total A through E $ (9) 10. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) $ B. Allentown Sewer (Ordinance 1777) $ C. Ryan Hill Water (Ordinance 1777) $ D. Special Connection (TMC Title 14) $ E. Duwamish $ F. Transportation Mitigation $ G. Other Fees $ Total A through G $ (10) ZS DUE WHEN PERMIT IS ISSUED (6 +7 +8 +9 +10) $ 9 Z — ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $47.00 per inspection. 0.75" 2.5" $300 $1 ,000 Temporary Meter 3 ACTIVITY NUMBER: D08 -402 DATE: 08 -14 -08 PROJECT NAME: ENGSTROM DEMOLITION SITE ADDRESS: 6238 S 146 PL X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENT Building Division Public N s . a Ot5 DETERMINATION O COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: Documents/routing stip.doc 2 -28-02 • PERMIT COORD COPY" PLAN REVIEW/ROUTING SLIP 1 � A OT �Va Fire Prevention Structural ❑ Incomplete Structural Review Required APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DATE: DATE: 6AA N of -[1 bP Planning Division ►�� Permit Coordinator DUE DATE: 08 -19-08 Not Applicable ❑ No further Review Required Permit Center Use Only • INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DUE DATE: 09 -16-08 Not Approved (attach comments) ❑ Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 OLD REPUBLIC SURETY CO YLI240695 07/19/2005 Until Cancelled $12,000.0006/03 /2005 6 OLD REPUBLIC INS CO YLI240695 07/14/2002 07/19/2005 $12,000.0004/15 /2002 5 OLD REPUBLIC INSURANCE LI 2 40695 07/19/200007/14 /2002 $6,000.00 4 INS CO OF THE WEST 1159488 07/14/1990 Until Cancelled 11/01/2000 $6,000.00 3 PLANET INS CO 591963 07/14/198707/14 /1990 $6,000.00 2 HARTFORD ACCIDENT It INDEM CO 5065399 07/14/198607/14 /1987 Name Role Effective Date Expiration Date KNUDSON, GERRY C 01/01/1980 PARSHALL, NOEL 01/01/1980 Untitled Page • 0 General /Specialty Contractor A business registered as a construction contractor with Led 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County GREEN RIVER CONST COMPANY INC 2062469456 6402 5 144TH ST STE 1 SEATTLE WA 98168 KING Business Type Corporation Parent Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 600582949 ACTIVE GREENRC148MM CONSTRUCTION CONTRACTOR 7/14/1986 7/14/2010 GREENRC158NA GENERAL UNUSED Business Owner Information Bond Information Page 1 of 2 https: / /fortress.wa. gov /lni/bbip/Detail.aspx ?License= GREENRC 148MM 02/04/2009 These plans have been reviewed by the Public Works Department for conformance with cu City standards. Acceptance is subject to erro omissions which do not authorize violations of adopted standards or ordinances. The responsibility fc r the adequacy of the design rests totally with the d signer. Additions, deletions or revisions to these drawings after this date will void this acceptance a will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by t ie Public Works utilities inspector. Date: By NOTE: GAS 8. ELECTRICAL HAVE BEEN DISCONNECTED. POINT OF ACCESS FOR DEMO YVL I � SITE PLAN SCALE I• •2O•-0 • 1 43RD ST 120' - - I r- EXISTING OFFICE 450 SF 1 7 -Rev itAED R CODE COMPLIAKE APIPROV s 1' - 4 2008 �f Tu�i110N I Zt4G I STRUCTURE TO BE DEMOLISHED 2.552 SF Ci BUI Qo Permit No. ew approval Is subject to emus and on�on Approval of corner documents �. Receipt violation any code of :... ::. I, Copy and ooh is aciotosrtedge Dab :. REVISION de to the Soope t all be mad s o chang Wrk thou proor approve • bR ;, .a� o� T, i1a gudd'e9 anew pinw tees JEGT STATISTICS: s will requi rean --Im° /� /fin 1 {�lao � + .S o �a Y FRO.ECT ay ad hn� ir�ude AR 1700 and m SITE ADDRESS 6 356 DEMO 5 41 5120 PL .LRI SDIGTI0N CITY OF TLKYBLA, wA / / 1 J City of Tukwila BUILDING DIVISION I VICINITY MAP TOTAL LAND AREA 7500 SF BUILDING COVERAGE 2.552 SF % COVERAGE - 34% ZONING C/LI OCCUPANCY GROUP TYPE OF GONSTR. 5-2 I I-B LEGAL DESCRIPTION: BUG 0 LOT 5-R HILLMANS SEATTLE GARDEN TIPS SKY 1/2 OF G. . PLY 20 FT OF SKY 1/2 OF OB- MO2 FILE COPY RECEIVED AUG,14 2O8 PERMIT CENTER BID S THESE DRA WI ARE SUBJECT TO REVISIONS PENDING LOCAL JURISDICTIONAL REVIEW AND ARE NOT FINAL UNTIL APPROVED B DRAW: RF AN N4 08007 D.TL 022708 AO