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Home My WebLink AboutPermit D09-030 - CAGLE RESIDENCE - RESIDENCE DEMOLITIONCAGLE DEMOLITION 3421 S 144 ST EXPIRED 09 -19 -09 D09 -030 Parcel No.: 0040000088 Address: 3421 S 144 ST TUKW Suite No: Tenant: Name: CAGLE DEMOLITION Address: 3421 S 144 ST , TUKWILA WA Owner: Name: CAGLE RUTH Z Address: PO BOX 69502 , SEATTLE WA 98168 Phone: Contact Person: Name: RUTH CAGLE Address: 14802 109 AVE S , PUYALLUP WA 98374 Phone: 253 445 -8971 doc: IBC -10/06 Cntyll If 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 Contractor: Name: AFFORDABLE ENVIRONMENTAL INC Address: PO BOX 40 , MOU1 TLAKE TERRACE WA 98043 Phone: 206 - 793 -1321 Contractor License No: AFFOREI942DT DEVELOPMENT PERMIT Permit Number: D09 - 030 Issue Date: 03/20/2009 Permit Expires On: 09/16/2009 Expiration Date: 03/30/2010 DESCRIPTION OF WORK: DEMOLITION OF 3300 SF SFR INCLUDING REMOVAL OF AN UG OIL FURNACE STORAGE TANK AND DECOMISSIONED SEPTIC TANK. PROJECT ON VALLEY VIEW SEWER AND WD #125 WATER. Value of Construction: $9,200.00 Fees Collected: $442.74 Type of Fire Protection: International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0022 * *continued on next page ** D09 -030 Printed: 03 -20 -2009 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N City anukwila 0 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 Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Public: Storm Drainage: Street Use: Profit: N Non - Profit: N Water Main Extension: Private: Public: Water Meter: N Permit Center Authorized Signature: Signature: Print Name: Z . C doc: IBC -10/06 ta Permit Number: D09 - 030 Issue Date: 03/20/2009 Permit Expires On: 09/16/2009 Date: ` I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the erformance of work. I am authorized to sign and obtain this development permit. Date:cv iv( ail _2 c)Of 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. D09 -030 Printed: 03 -20 -2009 Parcel No.: 0040000088 Address: Suite No: Tenant: 3421 S 144 ST TUKW CAGLE DEMOLITION 1: ** *BUILDING DEPARTMENT CONDPITONS * ** 9: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** • 0 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 14: Any material spilled onto any street shall be cleaned up immediately. doc: Cond -10/06 Permit Number: Status: Applied Date: Issue Date: D09 -030 ISSUED 03/06/2009 03/20/2009 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: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 5: 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. 6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 8: 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. 10: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 11: 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. 12: 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. 13: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. D09 -030 Printed: 03 -20 -2009 15: For SANITARY SEWER CAPPING refer to Valley View Side Sewer permit #6658. doc: Cond -10/06 • 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 * *continued on next page ** • D09 -030 Printed: 03 -20 -2009 Signature: Print Name: - W U r H z- C doc: Cond -10/06 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 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. 0:4_, L Date: 6 / 444 D09 -030 Printed: 03 -20 -2009 Mailing Address: Name: Mailing Address: E -Mail Address: CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.lukw ila. wa. us tA /4/5 •42 / 0q 4-tk. A/0 x &-'"- tC Sol Ut L - - l. Fax Number: Building Permit No. 1■Zeclianc Pu rice use only)' 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 ** SITE LOCATION King Co Assessor's Tax No.:( .t/q p -07 Site Address: - . �/ a2 ( so, / 4 LI 41 . Suite Number: �r e) Floor: 6914-A.(?) / K Tenant Name: C 7L:, i �; New Tenant: ❑ Yes .No Property Owners Name: ( L tA- t� Z , CA(' f CONTACT PERSON - wtio do „ we contact when your permit isready toi he, itA A l l u p OA” ( 183 7 City s State Zip Day Telephone (95' GENERAL CONTRACTOR INFO R1 IATLO (Contractor Information for Mechanic 1 (pg 4) for Plumbing and Gas Piping (pg 5 t!/ Company Name: SD K 400 0 (L11 l E — E A tT IA o"' r'3 Mailing Address: • 0'L3 ( City rate Zip Contact Person: l 0 i ( C 14.56 (p� 1 0 C L4 Day Telephone: (' (.R E -Mail Address: 7C ig a}c N no t T (Lv(taAwrict) Fax Number: (t:1 -* '7 3$ 7 `i % W 3 Contractor Registration Number. /-f ccO kE 1 q q a 4/ 1 Expiration Date: C'S - 3 0- 0 9 ARCHITECT OF RECORD All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State State t Ce,% 44q- 03.5c> Zip ENGINEER OF = "All. plans rou t be wet stamped by Engim eir Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\ApplicationsWorms- Applications On Line\2009 Applications \1-2009 - Permit Application.doc Revised. 1 -2009 bh Zip Page 1 of 6 1\ BUILDING PERMIT INFORMATION Valuation of Project (contractor's bid price): $ /0 Existing Building Valuation: $ `` �` �.. Q S� 0 Ll b v1. C I - f M I iI 7p1t.- 1 • 6 L1 • 1 Sco e of Work (please •rovide detaile Will there be new rack storage? ❑ Yes 206 -431 -3670 fif) -r'f information): %No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below 1S Floor 2 " Floor 3 Floor ;2 1 111X) S6 cf. W.sr?-; Addition to Existing Structure Va) c7 t�V Floors thru Basement Accessory Structure* Attac}red'Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck Interior Remodel it/ J O Type `o f Construction per Devo 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 of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ ...,...Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? Type of Occupancy per IBC .; /f/eA If `yes', attach list of materials and storage locations on a separate 8 - 1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM On -site Septic System – For on -site se tic system, provide 2 copie \of a current septic design approved by King County Health Department. C7')/10 00141p1616— H:'\Applications \Forms - Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh ❑ Yes ❑ No Page 2 of 6 PERMIT APPLICATION NOTES — Applicable to all permits in t is applicat Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed Nil is subject to possible revision by the Permit Center to comply with current fee schedules. 4 Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expre 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. ,¶fhe extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). 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). 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 0 N R OR AUTHORIZED AGENT: Signature: u �j ea_ Print Name: a 41! t Z, L ( art rn e. v C I Mailing Address: /7g a =L 1 07 1~1. 4. C, Date: a) rc b .r,. I,t ae ,�c ),60 Day Telephone: ;S 3- 114'5 - 7 T Lk A l 1 t- t . 0 CL `1 � 3 7 Citt State Zip Date Application Expires: l oaf 01 Date Application Accepted: H:\Applications \Forms - Applications On Line \2009 Applications \1.2009 - Permit Application.doc Revised. 1 -2009 bh Staff Initials: Page 6 of 6 Fixture Type: Qty Fixture Type: Q F' re Type: ; Fixture Type: Qty Bathtub or combination bath/shower Bidet othes washer, domestic _ .Qty Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) ante grinder, co ial Floor Drain Shower, single head trap Lavatory Wash tain Receptor, indirect waste Sinks Urinals Water Cl. Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /. ent Industrial wa - atment interceptor, inc ' trap and vent, except ' chen type grease interce Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or eration of water p' g and/or water treat .. t equipment Repair or alteration o . ' , ` drainage or vent piping `, Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 flow protective vice other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow '.rotection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 9 1 ;a PLUMBING AND GAS PIPING PERMIT INFORMATION -206-431-3670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Mailing Addres Contact Person: E -Mail Address: Contractor Registratio mber: Valuation of Project (contract bid price): $ Scope of Work (please provide • , ed information): Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlet H:WpplicationsWorms- Applications On- Line\2009 Applications \1 -2009 Permit Applicaticn.doc Revised: 1 -2009 bh City Day Telephone: Fax Number: Expiration Date: g instal " , and the quantity below: State Page 5 of 6 AFFORDABLE ENVISION MENTAL INC. Demolition of Home ZO /Z0 39Gd "A SERVICE DISABLED VETERAN OWNED BUSINESS" Duns No: 790808609 Cage: 4VXE8 P.O. Box 40 Mountlake Terrace VVa 98043 Phone: 425 - 357 -9868 Fax: 425 -357 -9888 Make all checks payable to Affordable Environmental Inc. If you have any questions concerning this invoice, contact Jolean Spelman, 425- 357 - 9868 jt @affenv.not Total due in 30 days. Pastdue accounts subject to a service charge of 1% per month THANK YOU FOR YOUR BUSINESS! I3C FOR: BILL TO: Job Address; 3421 S 144th St Tukwille Wa 98168 SUBTOTAL TAX RATE SALES TAX Less Amount Paid TOTAL DATE: February 16,2009 INVOICE # 197 --•- 1 PERMIT CEM Demoltion Of House Ruth Cagle 14802 109th Ave E Puyallup Wa 98374 CI - 1IAR - 0 - 6 -o� 8986LBESZt'I SI :ZI 690Z/9I/Z0 Parcel No.: 0040000088 Address: 3421 S 144 ST TUKW Suite No: Applicant: CAGLE DEMOLITION Receipt No.: R09 - 00372 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 Initials: JEM Payment Date: 03/06/2009 03:51 PM User ID: 1165 Balance: $0.00 Payee: RUTH CAGLE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - 442.74 ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE Account Code Current Pmts 000/322.100 000/345.830 640.237.114 RECEIPT Total: $442.74 0906501 -1 1 '07 03/06/2009 001 101 DCD Perri Plus - General Fund $438.24 Permit Number: D09 -030 Status: PENDING Applied Date: 03/06/2009 Issue Date: Payment Amount: $442.74 265.60 172.64 4.50 doc: Receiot -06 Printed: 03 -06 -2009 Project A C fL O e A d Ty P i e I („) f I - . "'l U Ad eA Z t So 141 -5. r Date Called: Special Instructions: Date Wanted: .• 3- v q �.mr / p.m. Requester: Phone No: ' 1.0(9 — 'MS -13 2 I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION `- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Ooq -0 PERMIT NO. u&- El Corrections required prior to approval. Z, COMMENTS: Inspector: Date, 0? ❑ $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: FILE COPY Parmit Nrr_ VlleyV w OUTSIDE INSIDE REPAIRS SIDE SEWER PER IT DEPOSIT $ 10 PHONE: 206 - 242 -3236 VALLEY VIEW SEWER DISTRICT 3460 South 148th Street, Suite 100 • Seattle, Washington PERMIT 6658 EASEMENT No. RECEIPT No. DATE 31 l /, � • CONTRACTOR: F) ir or% rrt'. -vt1 �I OWNER i V ■ HOUSE ADDRESS 3 2-1 -D 1 L A I BASEMENT: YES NO NAME SUB - DIVISION LOT No. BLK. No. Permit has been granted - 009 � b istrict representative. by a Permits not valid unless signed y presentative. Expiration Date , /2* Inspector's Report Test Report WATER ❑ Roof, Downspouts, Building Footing Drains, any Ground Water Drains, etc., are not allowed to be hooked into the sewer under this permit. ALL PLUMBING OUTLETS WILL BE CONNECTED TO TIME SEWER. This permit is granted subject to the conditions set forth on the District's Application For Permit and is subject to all stipulations of the District's Side Sewer Resolution as amended and which are by this reference incorporated herein as though set forth in full. ▪ DEWATER DITCH BEFORE INSPECTION • DISTRICT INSPECTION BEFORE BACKFILL • TEST SIDE SEWER BEFORE AND DURING INSPECTION "C CITY RECEIVED MAR 18 2009 tRMMIT CENTER PO°too 99 NO BUILDING O ,' Inspector SEWER EASEMENTS TENTS CALL FOR INSPECTION AT 242 -32336 INCOMPLETE LTR# SEPTIC TANK The King County Health Department Uniform Plumbing Code requires septic tanks to be completely pumped and filled with earth, sand, gravel, concrete or other approved material. SAFETY The Contractor shall comply with the Washington Industrial Safety and Health Act (RAW 49.17) and Safety and Health Standards such as Safety Standards for Construction Work (Chapter 296 -155 WAC), General Safety and Health Standards (Chapter 296 -24 WAC), General Occupational Health Standards (Chapter 296 -22 WAC) and any other appropriate safety and health codes. pscleanair.org PugetSoune Agency DIAn r claw snno.n a l cnthia t fn Armm arid v rnkeinne Single- Family Notification Case #: 200900310 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for Inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $75.00 Credit Card Transaction # VS1F3AFC0F48 Transaction Date 02/20/09 Owner's Name Ruth Cagle Site Address 3421 S 144th St Site City Tukwila Contact Person Anthony Chase Mailing Address This project includes asbestos removal. Project Size 100 linear feet / square feet Project Start Date 03/11/09 Completion Date 03/13/09 Asbestos will be removed by a licensed asbestos abatement contractor This project includes a demolition. Demolition Start Date 03/11/09 Completion Date 03/13/09 Demolition will be completed by a demolition contractor I certify that: (1) This is a single - family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create_AnotherNotification View History FILE COPY Permit No. If you have questions, contact us at asbestos @pscieanair.org or 206.689.4058. REVIEWED FOR CODE COMPLIANCE APPROVED MAR 2 0 2009 City of Tukwila BUILDING DIVISION E Phone (253) 445-8974 Zip 98168 Phone (206) 793-1321 ECEIV D CITY R OF TU LA MAR 18 2009 PERMIT CENTER Log_Out RECEIVED MAR 19 2009 TUKWILA PUBLIC WORKS INCOMPLETE LTR# 2,r) https: / /secure.pscleanair.org /Asbestos /Approved.aspx 2/20/2009 AFFORDABLE ENVIRONMENTAL INC. 2 -18 -2009 R TI WED FOR CODE COMPLIANCE APPROVED MAR 2 0 2009 As- City of ( 1 BUIL f ( T n�� 1 To: Ruth Cagle 14802 109 ave East Puyallup WA 98374 FILE COPY Permit No. plan review aoorovel is suhlArt to wive era , ,►,.,,>,,... SUBJECT: ASBESTOS SURVEY OF 342! SOUTH 144 ST TUKWII.LA WA 98168 SITE DISCRIPTION: The house is located facing 144 st in Tukwila wa,and has four bedroom and two baths, It has a attached garage that Is incorporated into the home. AGE OF BUILDING: The house vas built sometime in the 1940s, with no additions . Samples: A total of eight samples were taken in the home, the window caulking as well as the sheet goods in the upstairs Bathroom tested positive. Samples C -t WINDOW PUTTY C-2 WALL MUD & SHEETROCK C -3 KITCHEN FLOORING SHEETGOODS C.4 ACCUSTICAL TILE C-5 UP'ST'AIRS BATH SHE.ETOOODS C THREE TAB ROOFING C" SHEETGOODS DOWNSTAIRS BATH C-8 MASTIC DOTS CEILING 3% ACM NEGATIVE ACM NEGATIVE ACM NEGATIVE ACM SC% ACM NEGATIVE ACM NEGATIVE ACM NEGATIVE ACM I3V 8986LSESZt'T ES :Z P ' TUKWI e6 �f"�R'� TU lA MAR 0 6 2009 PERMIT CENTER 631/ 6G 39ttd SURVcY PAGE 2 Asbestos is located in the window {ratty as well as the upstairs bath Per WAC all asbestos must be removed from the house prior to renovation/demolition. NARATIVE: The home is built of wood with a concrete fouadarion, the insulation is fiberglass and the walls are sheetock. Anthony M Chase President AE1 AKEftA Building Inspector # Jan 23 2010 206 793 -1321 I3ti 999549EBZ:T ES:Zi Eda:ISA /Sa Lab ID Ciiartt Sample ID layer Description I o� Aslaestc - Fibe Nara- Ftbror s Components O 1tOIt- 3Sbest08 Fibers 1 C.1 Gray brittle material 1 J ruilh paint 3 •• ryeatile ?slot Filler, 3irlder 2 w lase 2 G2 White powder/ 1 rnaterialwith paper and paint •r ye tatted Sinderlfiller, Paint Gypsumlbincler 33 Cellulose 3 C-3 1 Beige We one etected Vinyl/binder, Illitneral 2 Cellulose grains 2 Clear mastic Non Mastic/binder lose 4 T material • rre etooted F Filter. Fide panicles, Cellulose Paint 5 C-5 1 tae sheet vinyl eBd9Cted VlnyUninder None detected 2 W fibrous material hie Mastic/binder rCetlulase L 6 Gb 1 I with sand , e t ec t e d iAaPhaltibinder, Sand Glass fibers Cellulose 2 asphaltto brolts arterial • e eteatedfder, 7 47 out fibrous material 1 mastic one Mastic/binder Cellulose 2 an wood block one Wood Aggregates detected rellufase 8 C-8 I 7 T arti fibrous material 2 Brown mastic - . Filer, Perdue BS Celkdase • et'.eCted Mar jcibinder 3 'Cellulose Analyzed by Weilong Tai 90/00 39dd SEATTLE ASBESTOS TEST, LLC Lynnwood Labaiu &y: 19711 Scriber Lake kd. Suite D. Lynnwood, WA 911036 : 'real .673.9850, FurA25.673.4Sto Mimic I.vbarr Wy t2727 Nonni p Way. Suitt 24, Bottom. WA 9atk.r.1'et: 425.$61.1 t L i. Fax: 42516 t. I I I S Webite: higt://www • •(.Dirt Attn.:Mr. Tony Chase Client :Affordable Environmerdal, Inc. Address: PC Box 40 Mountlake Terrace, WA 98043 Project Cagle ANALYTICAL LABORATORY REPORT PLM by Method EPA/WO/R-93/116 Page 1 of 1 NVLAP A:,aed;tataon Lab Codes 200761.0 Client Job t NiA Laboratoly Baton t 200958047 Date Received 2/12t2009 Samples Received: 8 Date Analyzed: 2/14/2009 Samples Analyzed: 8 Report reviewed by: Steve (Fanyao) Zhang, President I3d E986L6ESZtI ES :ZI 600Z/95/E0 SE r h CLIENT S . • LE # SAMPLE DESCRIPTION ID 1 — f � AB ft. . .. f-r-✓ 2 � � 3 - . . ' .� 4 .. :.. , . - 5 ' Ca vi,..- 4 +� P .. �c�hte 1 8 — • id ..... • r.,. _ 1 A(,f%a " 1 1 l 11 12 13 14 i5 16 17 - t8 - 19 I tM G911 + /odi � ��w�'® Rea _ t . ' -- _c r /a/��/�j . �!1;tom -��. 80 /S0 39 d SEATTLE ASBESTOS TEST, Lt.0 19711 Smilax Leib; Road, Sail: D. 1.y+W..40. WA 9Be36 Tol: 025)6734850 Fax: (42 wmw.etemeasbecoorercem Accredited, Experienced, Insure!, and Wen Managed' COMM OF CUSTODY 200? 70Y 7 tavtAPAtvutnad, UMW 50W Yet& 819,K AMESTO=TE3s .. . PAIR COUNT pp8L. PUNT COUNT (i aL...,. POINT COUNT raavimetdcl._._, Ono Client Phone 10 a&• .�.vr 1 1 A "r Address p Ah �b1� - Cky ST tP '°1 ° k. Phone: )..C>G -7� „ `�'- i 32 IFax: Email: Project Location: 6 .er 5 ,, /C. 12•14'' prey, Manager: Around Time Number of Samples irClient 1eb d Sample Condition: Good Damaged Severe Damage(Spillage) ...o...,,, rnvna , raX , HntaiI Nldc -elp report / Sonic Asbestos Test Warning lilt test results 10 be of a ptopsion normal for the type and methodology employed,for cub saapte submitted and disc:tabus my other warrants, a esrod cr implied, including moony of flaws for particular purpose mad warr of cbaruabdaty. v• v• Asbestos Test comps no legal temoasiblity for the purpose for which the catent � Y signing ore this form the dicta � to retiove Seattle Asbestos Test of any liability dun: may arise from the test � i eautts s. invoices paid sae may be charged of inrerect. cad Invoices go to collection men be charged 17`si, to 25% of collection fee. Chects with NSF will be charged S50. I3C 89B5LSESlbt ES :LZ 600Z/92/E0 Building Name: house Room: throughout City: tukwila Zip + 4: 98168 County: King Facility Type: house Age: 1945 Size; 2000 sf Type of activity: Demolition Quantity of Asbestos to Be Removed Outdoors Indoors Quantity: square feet Quantity: 100 linear feet Other: Window clauking Control Measures Wet methods HEPA vacuum Critical barriers Manual methods Respiratory Protection 1/2 mask APR Comments: hftn: / /www.lni.wa. safety / tomes/ato7 /ashcan,ar m.,_,.._. 80/L0 39Vd I37 f tag aaviL e966LS£SZt ES :LT 600Z/90/E0 r a,c t 1.11 .: Dept. of Labor & Industries, Division of Occupational Safety & Health Asbestos Project Notification Form Form ID: 26783##1427AfYor872307 Notice Date; 2120/2009 Start Date: 3/11/2009 Completion Date: 3/13/2009 Status: Initial Site Work Hours: 8:00 - 4:30 Site Work Days: Wednesday Thursday Friday Contractor: Affordable Environmental. Inc Job Site C.A.S.: Mike Quinn Your e-mail address: jt®a fenv.net Contractor Phone Number: 425 -357 -9868 Property Owner Name: Ruth Cagle Owner's Agent: Anthony Chase Company: nia Address: 3421 S 144th Street City: Tukwila State: Wa Zip+4: 98168 Phone: 253 -445 -8974 Job Site Address: 3421 S 144th Street http://www.lni Wt3. 8 0 Vo i SafttYlt0Pit tiAlt07 /RMIrlitri t∎'nrmflulnTl: «1. ...... rr. 8e,�96Vd I3b 3985L985Lb'L ES :L: 0827,/90/£6 pscleanair,0rg Pu 5otmd Agency Single - Family Notification Case #: 200900310 'his page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.030)(6)). Fee Amount Paid $75.00 Credit Card Transaction # VS3P3APCOF48 Transaction. Date 02 /20/09 Owner's Name Ruth Cagle Phone Site Address 3421 S 144th 5t ( 445 -8974 Site City Tukwila Zip Contact Person Anthony Chase Phone (2 (2x68 06) 793 -1321 Melling Address !This project includes asbestos removal. Project Size 100 linear feet / square feet Project Start Oate 03/11/09 Completion Date 03/13/09 Asbestos win be removed by a licensed asbestos abatement contractor !This project Includes a demolition. ( Demolition Start Oate 03/11/09 Completion Date 03/13/09 Demolition will be completed by a demolition contractor I certify that: (1) This Is a single-family residence project. The structure Is used by one family who owns the property as their domicile. (2) The Information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Anothet.NotifiCutJ0n Viewltistory L00. Qut If you have questions, contact us at asbestos@pscleanalr.org or 206.689.4058. https://secore. p scle anair.org/Asbestos/Appr o v e d. aspx 80/80 39Vd I3ti rage 1 or 1 8986L9E9Zbt ES :Z 6003/90/E0 RUTH CAGLE 14802 109 AVE S PUYALLUP WA 98374 RE: Permit No. D09 -030 3421 S 144 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 09/19/2009. Based on the above, you are hereby advised to: The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 09/19/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, -or- fer Marshall t Technician File: Permit File No. D09 -030 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. 6300 Southcenter Boulevard_ Suite limn • T,,kuiih uhchinntnn natDD . nt,,..... onA A)1 et 7n - ..•. .... March 11, 2009 Ruth Cagle 14802 109 Ave E Puyallup, WA 98374 RE: Letter of Incomplete Application # 1 Development Permit Application D09 -030 Cagle Demolition — 3421 S 144 St Dear Ms. Cagle, This letter is to inform you that your permit application received at the City of Tukwila Permit Center on March 6, 2009 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department need to be addressed: Public Works Department: Joanna Spencer at 206 431 -2440 if you have any questions concerning the following comments. Please address the comment above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 431 -3670. Sincerely, En os res File: D09 -030 Ma all t Technician • CityofTu vfa Department of Community "evelopment Jack Pace, Director P:\Permit Center\Incomplete Letters \2009 \D09 -029 Incomplete Ltr #1.DOC jem Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 f DATE: March 09, 2009 PROJECT: Cagle Demolition PERMIT NO: D09 -030 PLAN REVIEWER: Contact Joanna Spencer (206) 431 -2440 if you have any questions regarding the following comments. 1) Please submit a copy of sanitary sewer capping permit from Valley View Sewer District at (206)433- 1864 and a copy of asbestos removal permit from Puget Sound Air Pollution Control Agency (PSAPCA) at (206)689 -4058, or at www.pscleanair.orj. joanna Comments 1 D09 -030 • PUBLIC WORKS DEPARTMENT COMMENTS ACTIVITY NUMBER: D09 - 030 DATE: 03 - - PROJECT NAME: CAGLE DEMOLITION SITE ADDRESS: 3421 S 144 ST Original Plan Submittal X Response to Incomplete Letter # 1 Response to Correction Letter # Revision,# After Permit Issued DEPARTMENTS: B uilding Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete U Comments: TUES /THURS ROUTING: Please Route U REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 • PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Incomplete Planning Division U Permit Coordinator DUE DATE: 03-19-09 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required n No further Review Required DATE: DUE DATE: 04-16-09 Approved n Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: 1 Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: ACTIVITY NUMBER: D09 - 030 DATE: 03 - - PROJECT NAME: CAGLE DEMOLITION SITE ADDRESS: 3421 S 144 ST X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision'# After Permit Issued DEPARTMENTS: ivislo i 03. u61ic Works Comments: DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Incomplete Permit Center Use Only INCOMPLETE LETTER MAILED: t l LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ TUES/THURS ROUTING: Please Route n Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28 -02 PERMIT COORD COPY d PLAN REVIEW /ROUTING SLIP 511 PIA- 05.0i Fire Prevention Structural Fire ❑ Ping ❑ PW Staff Initials: d Planning Division ❑ Permit Coordinator ❑ DUE DATE: 03 -10-09 DATE: Not Applicable No further Review Required n DUE DATE: 04-07 -09 Approved Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: III u Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: City of Tukwila Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 0191 11 l c)'1 Response to Incomplete Letter # 1 ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: 7 t (1Z Summary of Revision: Sheet Number(s): CA161,6 DG-rw® "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: A Entered in Permits Plus on V9Ifittfi %applications\fonns- applications on lineltevision submittal Created: 8 -13 -2004 • • 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 Plan Check/Permit Number: 1121 7 jLLi C iPio Phone Number: .2 6C - -132 l ( (P1,1 7 /Pr DO OA Akri`YC/A'i1 p 1 4 !'vti VAC J ,iG - Ptc - b VG Steven M Mullet, Mayor Steve Lancaster, Director cRy" e MAR 18 1009 PERM11T cz;ER Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 DEVELOPERS SURETY a INDEM CO 741099C 03/23/2006 Until Cancelled $12,000.00 03/30/2006 Name Role Effective Date Expiration Date CHASE, ANTHONY M PRESIDENT 03/30/2006 Amount Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 4 EVEREST INDEMNITY INS CO 4000005753081 03/23/2008 03/23/2009 $1,000,000.00 03/21/2008 3 EVEREST INDEMNITY 4000005753071 03/23/2008 03/23/2009 $1,000,000.0003 /20/2008 Untitled Page General /Specialty Contractor A business registered as a construction contractor with LEtI 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 AFFORDABLE ENVIRONMENTAL INC 2067931321 PO BOX 40 MOUNTLAKE TERRAC WA 98043 SNOHOMISH 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 602577245 ACTIVE AFFOREI942DT CONSTRUCTION CONTRACTOR 3/30/2006 3/30/2010 GENERAL UNUSED Business Owner Information Bond Information Insurance Information • Page 1 of 2 https: // fortress .wa.gov /lni/bbip/Detail. aspx ?License= AFFOREI942DT 03/20/2009 FILE COPY Permit No Vy)q 030 Plan review approval is subject to errors and omIssi Approval of construction documents does not autho the violation of any adopted code or ordinance. R of approved Field Copy and conditions is aCknowled Date: d ° Gf�C C� oo7 City Of Tukwila BUILDING DIVISION REVISIONS N o changes shall be made to the scope of work without prior approval of Tukwila Building Division. r` : ; , V."31(710 tviil ro quire a new plan submittal PLANNING APPROVED No changes can be made.4o the plans without approval from the Planning Division of DCD Approved By: S ? Date: , Smct -o 9 `c3 re +ma \e REVIEWED FOR CODE COMPLIANCE APPROVED MAR 2 0 2009 AT City of Tukwila BUILDING DIVISION E RECEIVED MAR 19 2009 TUKWILA PUBLIC WORKS CITY OF TUKM1A MAR 0 6 2009 PERMIT CENTER