HomeMy WebLinkAboutPermit D09-223 - CITY OF TUKWILA - LOG CABIN DEMOLITIONCITY OF TUKWILA
LOG CABIN DEMO
5829 S 140 ST
D09 -223
Parcel No.: 3365901016
Address: 5829 S 140 ST TUKW
Suite No:
City!if Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.
Tenant:
Name: CITY OF TUKWILA - LOG CABIN DEMO
Address: 5829 S 140 ST , TUKWILA WA
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Phone:
Contact Person:
Name: MIKE CUSICK
Address: 6300 SOUTHCENTER BL, STE 100 , TUKWILA WA 98188
Phone: 206 431 -2441
Contractor:
Name: PACIFIC NW EARTHWORKS LLC
Address: PO BOX 351 , FALL CITY WA 98024
Phone: (425)222 -0874
Contractor License No: PACIFNE943LE
DESCRIPTION OF WORK:
DEMOLITION OF EXISTING 1161 SF SFR/LOG CABIN
PUBLIC WORKS ACTIVITIES INCLUDE: CAPPING OF UTILITIES, WATER METER TO REMAIN FOR FUTURE USE, AND
EROSION CONTROL.
Value of Construction:
Type of Fire Protection:
Type of Construction:
doc: IBC -10/06
$25,000.00
DEVELOPMENT PERMIT
Fees Collected: $893.19
International Building Code Edition: 2006
Occupancy per IBC:
* * continued on next page **
•
Permit Number: D09 -223
Issue Date: 11/19/2009
Permit Expires On: 05/18/2010
Expiration Date: 07/05/2010
D09 -223 Printed: 11 -19 -2009
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant:
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversize Load:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
Signature:
doc: IBC -10/06
City ofI'ukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
N
N
N
N
N
N
N
N
N
N
N
N
The granting of this permit does not pres
construction or the performance of work.
- nivve/144
Number: 0
Start Time:
Volumes: Cut 0 c.y.
Private:
Profit: N
Private:
Permit Number:
Issue Date:
Permit Expires On:
Size (Inches): 0
End Time:
Fill 0 c.y.
Start Time: End Time:
Public:
Non - Profit: N
Public:
Date: I I h t
Date: i t i ll 101
DO9 -223
11/19/2009
05/18/2010
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this development permit.
Print Name: In viva- mti v f°
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 -223 Printed: 11 -19 -2009
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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
Parcel No.: 3365901016
Address: 5829 S 140 ST TUKW
Suite No:
Tenant: CITY OF TUKWILA - LOG CABIN DEMO
PERMIT CONDITIONS
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 Thkwila
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 Project Inspector Mr. Dave Stuckle at (206)433 -0179 of commencement and completion
of work at least 24 hours in advance.
10: Work affecting traffic flows shall be closely coordinated with the Public Works Project Inspector.
11: Any material spilled onto any street shall be cleaned up immediately.
12: UTILITIES TO BE CAPPED AND EXISTING WATER METER TO REMAIN FOR FUTURE USE.
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 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.
* *continued on next page **
Permit Number: D09 -223
Status: ISSUED
Applied Date: 10/15/2009
Issue Date: 11/19/2009
D09 -223 Printed: 11 -19 -2009
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:
a/ll A
Print Name: Ill km4 TO V' YA-D
• •
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
doc: Cond -10/06 D09 -223
Date: NISI 101
ordinances governing
or local laws regulating
Printed: 11 -19 -2009
SITE LOCATION
Site Address: d 4- 1 /'/
Tenant Name:
Property Owners Name'
Mailing Address:
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
Name: m k I �, St
Contact Person:
/; 1` A-sie
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 **
1
( f fl r✓1e A1-
—414 3L �riv
Mailing Address: C 3 CAW 5 fl G rr -- 3L. ' '/
E -Mail Address:Mev >i c t e et 1 4 u it t✓✓A - v
Contact Person:
E -Mail Address:
Contractor Registration Number:
Contact Person:
E -Mail Address:
E -Mail Address:
H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.doc
Revised: 1-2009
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?l,4 .d t 4
City
Building Permit No. 120 1 1
Mechanical Permit No.
Plumbing /Gas Permit No,
Public Works Permit No.
Project No.
Suite Number:
New Tenant:
(For office use only)
King Co Assessor's Tax No,1.3 6 / 0 ` �
Floor:
❑ Yes ❑..No
State
cpQlte
Zip
CONTACT PERSON who do we contact when your permit is ready to be issued
Day Telephon l '13 /- 2 4 " 1 /
"711.4e
City State Zip
Fax Number: e — 3 ( 3 G
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
Company Name:
Mailing Address:
City
Day Telephone:
Fax Number:
Expiration Date:
State
ARCHITECT OF RECORD - All plans.mustbe wet stamped by Architect of Record
Company Name: - -
Mailing Address:
City
Day Telephone:
Fax Number:
State
Zip
Zip
ENGINEER OF RECORD - All p1a
must be .wet stamped by Engineer of Record
Company Name: C t 7 i F elf t LA
Mailing Address:
L
City State Zip
Day Telephone: Gt' A/ — 'Pt t'
Fax Number:
Page 1 of 6
Mak
BUILDING PERMIT INFORM 1 PION — 206- 431 -3670
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
L7 fi E)c / 5 i i
Will there be new rack storage? ❑ Yes
ieco
Existing Building Valuation: / 4 / 7 / C
5KNo If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
H:Wpplications\Forms- Applications On Line \2009 Applications \1.2009 - Permit Application. doe
Revised: 1 -2009
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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? ❑ Yes ❑ No
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 septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1 Floor
r Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
Mak
BUILDING PERMIT INFORM 1 PION — 206- 431 -3670
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
L7 fi E)c / 5 i i
Will there be new rack storage? ❑ Yes
ieco
Existing Building Valuation: / 4 / 7 / C
5KNo If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
H:Wpplications\Forms- Applications On Line \2009 Applications \1.2009 - Permit Application. doe
Revised: 1 -2009
bh
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? ❑ Yes ❑ No
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 septic system, provide 2 copies of a current septic design approved by King County Health
Department.
Page 2 of 6
BUILDING
Signature:
PERMIT APPLICATION NOTES — Applicable to all permits in this application
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
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).
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.
Print Name: / p c C ii , 414 I
RIZED AGENT:
Pe
re
Mailing Address: J ez' y 04 C .,„ IC - ,.
Date Application Accepted:
toksl01
H:\ApplicationsWorms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
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Date: (� 54
Day Telephone: 20C / 1 7 1 `1
I34 ., '107 � �- I C-A 1,74 r/2<-
City
State Zip
Date Application Expires:
b�1 1IS Igo
Staff Initials:
Page 6 of 6
Fixture Type:
Qty
Fixture Type:
•
Fixture Type:
Qty
Fixture Type:
Qty
Bathtub or combination
bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic,
with independent drain
Drinking fountain or
water cooler (per hea•
Food -waste grinder,
commercial
Floor Drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Building sewer and each
trailer park sewer
Rain water system — per
drain (inside building)
Water heat and /or vent
In. strial waste treatment
interr-ptor, including trap
and ve , except for kitchen
type gre. -e interceptors
Each grease trap
(connected to not more
than 4 fixtures - <750
gallon capacity)
Grease interceptor for
commercial kitchen ( >750
gallon capacity)
Re : air or alteration of
ter piping and /or water
eatment equipment
Repair or a eration of
drainage or < t piping
Medical gas piping
system serving 1 -5
inlets /outlets for a
specific gas
Each additional medical
gas inlets /outlets greater
than 5
Backflow protective
device other than
atmospheric -type vacuum
breakers 2 inch (51 mm)
diameter or smaller
Backflow protective device
other than atmospher -type
vacuum breakers over 2
inch (51 mm) diameter
Each lawn sprinkler
system on any one meter
including backflow
protection devices
Atmospheric -type vac •
breakers not include. n
lawn sprinkler bac ' ow
protections (1 -5)
Atmospheric -type
vacuum breakers not
included in Lawn
sprinkler backflow
protections over 5
Gas piping outlets
Valuation of Project (c.ntractor's bid price): $
Scope of Work (please pr vide detailed information):
Building Use (per Int'l Building Code
Occupancy (per Int'l Building Code):
Utility Purveyor: Water:
PLUMBING AND GAS PIPING PERMIT INFORMATION - 206- 431 - 3670
PLUMBING AND GAS PIPING CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City State Zip
Day Telephone:
Fax Number:
Contact Person:
E -Mail Address:
Contractor Registration Number: Expiration Date:
Indicate type of plumbing fixtures and /or gas piping outlets being ' stalled and the quantity below:
H:\Applications\Forms- Applications On- Line\2009 Applications \1-2009 Permit Application.doc
Revised. 1 -2009
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Sewer:
Page 5 of 6
Parcel No.: 3365901016
Address: 5829 S 140 ST TURIN
Suite No:
Applicant: LOG CABIN DEMO
Receipt No.: R09 -01609
Initials:
User ID:
Payee:
JEM
1165
i �►
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
PW ACCOUNT NUMBER 00.13.525.600.41.00
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Other
Authorization No.
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
893.19
Total: $893.19
Permit Number: D09 -223
Status: PENDING
Applied Date: 10/15/2009
Issue Date:
Payment Amount: $893.19
Payment Date: 10/15/2009 10:38 AM
Balance: $0.00
538.60
350.09
4.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 10 -15 -2009
Project:
Type of Ins
ction:
Address:
Date Called:
Special Instructions:
Dateiante :�
/ S ,�. J
� p
Requester:
Phone No:
Inspect
INSPECTION NO.
COMMENTS:
(Receipt No.:
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION ! —
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
R Approved per applicable codes. Corrections required prior to approval.
414 1A•
r•4 '7
'Date:
D6-z23
PERMIT NO.
Date:
/2- // �
6 ' 1 0 REINSPECTION FEE REQUIRED rior to inspection, fee l�n ust be
Id at 6300 Southcenter Blvd., Suite 00. Call to schedule reinspection.
PLANNING APPROVE
No changes can be made t ese
pI ns without approval fro Ewa
I Planning Division of DC 'v
,u
FF
SLL LL B}
LL W
pct
.`t lifi hill 1'
proved By:
N U
8:' to :
t
No c
/obsici
anges shall
f work withou
Tukwila Buuil
leviSion ., will re
Q
EVIEWED FOR
C DE COMPLIANCE
APPROVED
NOV 1 8 2009
City of Tukwila
BUILDING fIVISInnl
nbs ; al.
r' er.'' G.` the Public Works uti
c Date: ,
o made to the scope
prior approval of
ing Division
:lire a nrVw 0:71 FIfbrn'f'.-
lo na' r'; ..-.. 1 ,
These plansive I en' reviewed by the Public
SC *Irk Dep rtnifir"n conformance with curt
City standards. Acceptance is subject to errors
omissions which do not authorize violations of
adopted standards or ordinances. The responsibili
S t-for the adequacy of the design rests totally with
designer. Additions, deletions or revisions to these
drawings after this date will void this acceptance
and will require a resubmittal of revised drawings
,5 9 -s /s'o
FILE COPY
Pe►mR No.. t j O ° r
Plan review approval is subject . •
Approval of construction code o
the violation of any adopted
o approved Field Copy and comfit'
By
n
� Final acceptance is s bject to field inspection by
ities inspector.
By:
10
l
7))
st
rs and
does n
ordin
isa
' City Of 1Ukwila
BUILDING DIVISION
ns.
orize
Receipt
edged:
CITY
OCT 15 2009
PERMIT
nt
and
the
D01 - 223
•
CityGIS
133 ft
Copyright 02006 All Rights Reserved. The information contained herein is the proprietary prop
contributor supplied under license and may not be approved except as licensed by Digital Map P
- REVIEWED FOR
CODE COMPLIANCE
rt oft ,f� ?, PPR®N ED
oducts.
NOV 18 2009
City of Tukwila
BUILDING DIVISION
SECTION D.3 ESC MEASURES
D.3.3 PERIMETER PROTECTION
Perimeter protection to filter sediment from sheetwash shall be located downslope of all disturbed areas
and shall be installed prior to upslope grading. Perimeter protection includes the use of vegetated strips as
well as, constructed measures, such as silt fences, fiber rolls, sand/gravel barriers, brush or rock filters,
triangular silt dikes and other methods. During the wet season, 50 linear feet of silt fence (and the
necessary stakes) per acre of disturbed area must be stockpiled on site.
Purpose: The purpose of perimeter protection is to reduce the amount of sediment transported beyond the
disturbed areas of the construction site. Perimeter protection is primarily a backup means of sediment
control. Most, if not all, sediment -laden water is to be treated in a sediment trap or pond. The only
circumstances in which perimeter control is to be used as a primary means of sediment removal is when
the catchment is very small (see below).
When to Install: Perimeter protection is to be installed prior to any upslope clearing and grading.
Measures to Use: The above measures may be used interchangeably and are not the only perimeter
protection measures available. If surface water is collected by an interceptor dike or swale and routed to a
sediment pond or trap, there may be no need for the perimeter protection measures specified in this
section.
Criteria for Use as Primary Treatment: At the boundary of a site, perimeter protection may be used as
the sole form of treatment when the flowpath meets the criteria listed below. If these criteria are not met,
perimeter protection shall only be used as a backup to a sediment trap or pond.
REVIEWED FOR Average Slope Slope Percent Foowpath Length
CODE COMPLIANCE 1.5H:1 V or less 67% or less 100 feet
APPt f VED 2H:1V or less 50% or less 115 feet
NOV 1 8 2009 4H:1V or less 25% or less 150 feet
6H:1 V or less 16.7% or less 200 feet
City of Tukwila 10H: 1 V or less 10% or less 250 feet
BUILDING DIVISION
D.3.3.1 SILT FENCE
Code: SF Symbol: X X X X X
Purpose
Use of a silt fence reduces the transport of coarse sediment from a construction site by providing a
temporary physical barrier to sediment and reducing the runoff velocities of overland flow.
Design and Installation Specifications
1. See Figure D.3.3.A and Figure D.3.3.B for details.
•
RECEIVED
OCT 2 t i!uij
TUKWILA
PUBLIC WORKS
C ILA
OCT 15
PERMIT CENTER
Conditions of Use
1. Silt fence may be used downslope of all disturbed areas.
2. Silt fence is not intended to treat concentrated flows, nor is it intended to treat substantial amounts of
overland flow. Any concentrated flows must be conveyed through the drainage system to a sediment
trap or pond. The only circumstance in which overland flow may be treated solely by a silt fence,
rather than by a sediment trap or pond, is when the area draining to the fence is small (see "Criteria
for Use as Primary Treatment" on page D -30).
PO1 2V,
1 /24/2005 2005 Surface Water Design Manual - Appendix D
D -30
•
AOS (ASTM D4751)
30 -100 sieve size (0.60 -0.15 mm) for slit film
50 -100 sieve size (0.30 -0.15 mm) for other fabrics
Water Permittivity (ASTM D4491)
0.02 sec minimum
Grab Tensile Strength (ASTM D4632)
180 lbs. min. for extra strength fabric
100 lbs. min. for standard strength fabric
Grab Tensile Elongation (ASTM D4632)
30% max.
Ultraviolet Resistance (ASTM D4355)
70% min.
2. The geotextile used must meet the standards listed below. A copy of the manufacturer's fabric
specifications must be available on site.
3. Standard strength fabric requires wire backing to increase the strength of the fence. Wire backing or
closer post spacing may be required for extra strength fabric if field performance warrants a stronger
fence.
4. Where the fence is installed, the slope shall be no steeper than 2H:1 V.
5. If a typical silt fence (per Figure D.3.3.A) is used, the standard 4 x 4 trench may not be reduced as
long as the bottom 8 inches of the silt fence is well buried and secured in a trench that stabilizes the
fence and does not allow water to bypass or undermine the silt fence.
Maintenance Standards
1. Any damage shall be repaired immediately.
2. If concentrated flows are evident uphill of the fence, they must be intercepted and conveyed to a
sediment trap or pond.
3. It is important to check the uphill side of the fence for signs of the fence clogging and acting as a
barrier to flow and then causing channelization of flows parallel to the fence. If this occurs, replace
the fence or remove the trapped sediment.
4. Sediment must be removed when the sediment is 6 inches high.
5. If the filter fabric (geotextile) has deteriorated due to ultraviolet breakdown, it shall be replaced.
JOINTS IN FILTER FABRIC SHALL BE SPLICED
AT POSTS. USE STAPLES, WIRE RINGS, OR
EQUIVALENT TO ATTACH FABRIC TO POSTS.
I 1
1
1 1
l l �r
I i
J
6' MAX.
POST SPACING MAY BE INCREASED
TO B' IF WIRE BACKING IS USED
2005 Surface Water Design Manual — Appendix D
FIGURE D.3.3.A SILT FENCE
NOTE: FILTER FABRIC FENCES SHALL BE
INSTALLED ALONG CONTOUR WHENEVER POSSIBLE
D - 31
2"x2 BY 14 Ga. WIRE OR
EQUIVALENT, IF STANDARD
STRENGTH FABRIC USED
FILTER FABRIC
MINIMUM 4 "x4" TRENCH
BACKF1LL TRENCH WITH
NATIVE SOIL OR 3/4 " -1.5"
WASHED GRAVEL
2"x4" WOOD POSTS, STEEL FENCE
POSTS, REBAR. OR EQUIVALENT
D.3.3 PERIMETER PROTECTION
gWED FOR
MPLIANCI
ROVED
NOV 18 21.109
SECTION D.3 ESC MEASURES
SILT FENCE �\
FLOW
•
NOTES
FIGURE D3.3.B SILT FENCE INSTALLATION BY SLICING
100' o COMPACTION
EACH SIDE
1. POST SPACING: 7' MAX. ON OPEN
RUNS 4' MAX. ON POOLING AREAS.
2. POST DEPTH: AS MUCH BELOW
GROUND AS FABRIC ABOVE GROUND.
PONDING HEIGHT MAX. 24" ATTACH
FABRIC TO UPSTREAM SIDE OF POST.
4. DRIVE OVER EACH SIDE OF SILT
FENCE 2 TO 4 TIMES WITH DEVICE
EXERTING 60 P.S.I. OR GREATER.
5. NO MORE THAN 24" OF A 36" FABRIC
IS ALLOWED ABOVE GROUND.
6. VIBRATORY PLOW IS NOT ACCEPTABLE
BECAUSE OF HORIZONTAL COMPACTION.
TOP OF FABRIC
BELT
TOP 8"
DIAGONAL ATTACHMENT
DOUBLES STRENGTH
ATTACHMENT DETAILS:
1. GATHER FABRIC AT POSTS. IF NEEDED.
2. UTILIZE THREE TIES PER POST, ALL WITHIN
TOP E" OF FABRIC.
3. POSITION EACH TIE DIAGONALLY, PUNCTURING
HOLES VERTICALLY A MINIMUM OF 1" APART.
4. HANG EACH TIE ON A POST NIPPLE AND
TIGHTEN SECURELY. USE CABLE TIES
(50 LBS) OF SOFT WIRE.
SILT FENCE INSTALLATION BY SLICING METHOD
ROLL OF SILT FENCE
r PLOW
FABRIC ABOVE
GROUND
411111 A WED FOR
wpm , ►� COMPLIANCE
200 -300mm
NOV 1 8 2Q09
City of Tukwila
BUILDING DIVICInkl
SECTION D.3 ESC MEASURES
D.3.3 PERIMETER PROTECTION
Perimeter protection to filter sediment from sheetwash shall be located downslope of all disturbed areas
and shall be installed prior to upslope grading. Perimeter protection includes the use of vegetated strips as
well as, constructed measures, such as silt fences, fiber rolls, sand /gravel barriers, brush or rock filters,
triangular silt dikes and other methods. During the wet season, 50 linear feet of silt fence (and the
necessary stakes) per acre of disturbed area must be stockpiled on site.
Purpose: The purpose of perimeter protection is to reduce the amount of sediment transported beyond the
disturbed areas of the construction site. Perimeter protection is primarily a backup means of sediment
control. Most, if not all, sediment -laden water is to be treated in a sediment trap or pond. The only
circumstances in which perimeter control is to be used as a primary means of sediment removal is when
the catchment is very small (see below).
When to Install: Perimeter protection is to be installed prior to any upslope clearing and grading.
Measures to Use: The above measures may be used interchangeably and are not the only perimeter
protection measures available. If surface water is collected by an interceptor dike or swale and routed to a
sediment pond or trap, there may be no need for the perimeter protection measures specified in this
section.
Criteria for Use as Primary Treatment: At the boundary of a site, perimeter protection may be used as
the sole form of treatment when the flowpath meets the criteria listed below. If these criteria are not met,
perimeter protection shall only be used as a backup to a sediment trap or pond.
D.3.3.1 SILT FENCE
Code: SF
Purpose
Use of a silt fence reduces the transport of coarse sediment from a construction site by providing a
temporary physical barrier to sediment and reducing the runoff velocities of overland flow.
Conditions of Use
1. Silt fence may be used downslope of all disturbed areas.
2. Silt fence is not intended to treat concentrated flows, nor is it intended to treat substantial amounts of
overland flow. Any concentrated flows must be conveyed through the drainage system to a sediment
trap or pond. The only circumstance in which overland flow may be treated solely by a silt fence,
rather than by a sediment trap or pond, is when the area draining to the fence is small (see "Criteria
for Use as Primary Treatment" on page D -30).
Design and Installation Specifications
1.
Average Slope
1.5H:1 V or less
2H:1 V or less
4H:1 V or less
6H:1V or less
10H:1 V or less
Slope Percent
67% or less
50% or less
25% or less
16.7% or less
10% or less
Symbol: X X X X X
See Figure D.3.3.A and Figure D.3.3.B for details.
FILE COPY
P®rmtt No.
Flowpath Length
100 feet
115 feet
150 feet
200 feet
250 feet
RECEIVED
OCT 2 U ZUIJ 1
TUKWILA
PUBLIC WORKS
CI7Y�
OCT 15 2009
PERMITCENTER
1/24/2005 2005 Surface Water Design Manual — Appendix D
D -30
•
AOS (ASTM D4751)
30 -100 sieve size (0.60 -0.15 mm) for slit film
50 -100 sieve size (0.30 -0.15 mm) for other fabrics
Water Permittivity (ASTM D4491)
0.02 sec minimum
Grab Tensile Strength (ASTM D4632)
180 lbs. min. for extra strength fabric.
100 lbs. min. for standard strength fabric
Grab Tensile Elongation (ASTM 04632)
30% max.
Ultraviolet Resistance (ASTM D4355)
70% min.
2. The geotextile used must meet the standards listed below. A copy of the manufacturer's fabric
specifications must be available on site.
3. Standard strength fabric requires wire backing to increase the strength of the fence. Wire backing or
closer post spacing may be required for extra strength fabric if field performance warrants a stronger
fence.
4. Where the fence is installed, the slope shall be no steeper than 2H:1 V.
5. If a typical silt fence (per Figure D.3.3.A) is used, the standard 4 x 4 trench may not be reduced as
long as the bottom 8 inches of the silt fence is well buried and secured in a trench that stabilizes the
fence and does not allow water to bypass or undermine the silt fence.
Maintenance Standards
1. Any damage shall be repaired immediately.
2. If concentrated flows are evident uphill of the fence, they must be intercepted and conveyed to a
sediment trap or pond.
3. It is important to check the uphill side of the fence for signs of the fence clogging and acting as a
barrier to flow and then causing channelization of flows parallel to the fence. If this occurs, replace
the fence or remove the trapped sediment.
4. Sediment must be removed when the sediment is 6 inches high.
5. If the filter fabric (geotextile) has deteriorated due to ultraviolet breakdown, it shall be replaced.
JOINTS IN FILTER FABRIC SHALL BE SPLICED
AT POSTS. USE STAPLES, WIRE RINGS, OR
EQUIVALENT TO ATTACH FABRIC TO POSTS.
.1 11 111 =7 1: = 11 11.�'ll:= `Ilai 11,= 112 "' 1
� - Ph
J 6' MAX.
POST SPACING MAY BE INCREASED
TO 8' IF WIRE BACKING IS USED
2005 Surface Water Design Manual — Appendix D
FIGURE D.3.3.A SILT FENCE
NOTE: FILTER FABRIC FENCES SHALL BE
INSTALLED ALONG CONTOUR WHENEVER POSSIBLE
D - 31
2 "x2" BY 14 Ga. WIRE OR
EQUIVALENT, IF STANDARD
STRENGTH FABRIC USED
FILTER FABRIC
MINIMUM 4 "x4" TRENCH
BACKFILL TRENCH WITH
NATIVE SOIL OR 3/4 " - 1.5"
WASHED GRAVEL
2 "x4" WOOD POSTS, STEEL FENCE
POSTS, REBAR, OR EQUIVALENT
D.3.3 PERIMETER PROTECTION
1/24/2005
• SECTION D.3
ESC MEASURES
FIGURE D.3.3.B SILT FENCE INSTALLATION BY SLICING
100% COMPACTION
EACH SIDE
NOTES:
1. POST SPACING: 7' MAX. ON OPEN
RUNS 4' MAX. ON POOLING AREAS.
2. POST DEPTH: AS MUCH BELOW
GROUND AS FABRIC ABOVE GROUND.
3. PONDING HEIGHT MAX. 24" ATTACH
FABRIC TO UPSTREAM SIDE OF POST.
4. DRIVE OVER EACH SIDE OF SILT
FENCE 2 TO 4 TIMES WITH DEVICE
EXERTING 60 P.S.I. OR GREATER.
5. NO MORE THAN 24" OF A 36" FABRIC
IS ALLOWED ABOVE GROUND.
6. VIBRATORY PLOW IS NOT ACCEPTABLE
BECAUSE OF HORIZONTAL COMPACTION.
�----
OPERATION
HORIZONTAL CHISEL POINT
(76mm WIDTH)
TOP OF FABRIC T .
BELT
TOP 8"
v
i
DIAGONAL ATTACHMENT
DOUBLES STRENGTH
ATTACHMENT DETAILS:
1. GATHER FABRIC AT POSTS. IF NEEDED.
2. UTILIZE THFEE TIES PEP POST, ALL WITHIN
TOP OF FABRIC.
3. POSITION EACH TIE DIAGONALLY, PUNCTURING
HOLES VERTICALLY A MINIMUM OF 1" APART.
4. HANG EACH TIE ON A POST NIPPLE AND
TIGHTEN SECURELY. USE CABLE TIES
(50 LBS) OF SOFT WIRE.
SILT FENCE INSTALLATION BY SLICING METHOD
r - ROLL OF SILT FENCE
r PLOW
FABRIC ABOVE
GROUND
2005 Surface Water Design Manual — Appendix D
PBS
October 13, 2009
Mr. Michael Cusick
City of Tukwila Public Works Department
6300 Southcenter Boulevard
Tukwila, WA 98188
RE: 5829 South 140 Street, Tukwila, Washington
Asbestos and Lead Paint Building Materials Survey
PBS Project No. 40407.015
Dear Mr. Cusick:
PORtLAND
SEAr1 EE
VANC0t1VER
EUGENE
BEND
1. 11 1 - CI'iES
BANCON
BC
PBS Engineering + Environmental (PBS) performed a hazardous materials investigation of the
site structure located at 5829 South 140` Street, Tukwila, Washington to determine the
presence of asbestos - containing materials (ACMs) and lead- containing paint (LCP) that will be
impacted by the proposed demolition of the structure. The intent of this letter is to ensure that
the City of Tukwila Public Works Department is in compliance with the Washington Department
of Labor and Industries and Puget Sound Clean Air Authority requirement that a "good faith"
inspection for ACMs be performed prior to renovation.
The subject property consists of a residence that was constructed as a premanufactured log
cabin. The date of construction is reportedly from the 1960s. The structure consists of a main
floor with a partial second floor loft that contains a bedroom and half -bath.
Survey Process
Suspect materials were sampled by AHERA- accredited Asbestos Building Inspector, Harry
Goren (Certification #10304001 expires 02/18/2010). Samples were assigned unique
identification numbers and delivered to Seattle Asbestos Test under chain -of- custody protocols.
Samples were analyzed according to EPA Method 600/R- 93/116 using Polarized Light
Microscopy (PLM), which has a reliable limit of quantification of 1% asbestos by volume.
Representative painted coatings from the buildings were sampled and analyzed for lead.
Samples were transmitted for analysis to Seattle Asbestos Test under chain -of- custody
protocols. Paint samples were analyzed using Flame Atomic Absorption Lead Analysis.
While PBS has endeavored to identify all ACM, unidentified ACM may exist in concealed or
inaccessible locations. Inaccessible areas are defined as those requiring selective demolition,
fall protection or confined -space entry protocols to gain access. PBS recommends that
concealed components and materials be sampled for asbestos prior to impact.
Engineering + Environmental
2517 Eastlake Avenue Eau.
Suite 100
Seattle. WA 98102
206.233.9639 Phone
206.762.4780 Fax
800.628.9639
www.pbs•nv.com
5829 South 140 Street
Tukwila, Washington
Page 2
Asbestos - Containing Materials
The attached bulk sample chain -of- custody forms identify all suspect materials that were
sampled by PBS and analyzed for asbestos.
• No materials sampled were found to contain asbestos
The following materials in which laboratory analysis detected no asbestos include the following:
• 12 -inch floor tiles and mastic in the first floor bathroom
• Material layer found under the floor tiles in the bathroom
• Gypsum wallboard /joint compound in the bathroom
• 12 -inch floor tiles and mastic in the kitchen
• 12 -inch floor tiles and mastic in the second -floor half bath
Lead - Containing Paint (LCP)
PBS collected two (2) samples of representative stain coatings from the exterior surfaces of the
residence and a detached garage. The brown - stained cedar siding on the garage tested at
0.00583% lead, and the stained cedar siding on the residence tested at 0.1280% lead. The
interior of the structure has exposed cedar log walls. See the attached Paint Chip Sample
Inventory and laboratory report for additional information.
Recommendations
Painted coatings with detectable concentrations of lead are considered lead- containing. The
presence of LCP requires construction activities to be performed according to Washington
Labor and Industries regulations for Lead in Construction (WAC 296 -62 -155). Workers
impacting LCP should be provided the proper personal protective equipment and use proper
work methods to limit occupational and environmental exposure to lead until an initial exposure
assessment has been conducted. Based on lead concentrations detected to date, it is not
anticipated that demolition debris will require disposal as "dangerous" per WAC 173 -303,
Dangerous Waste Regulations. Waste characterization should be performed to confirm disposal
requirements.
Please contact me if you have any questions or require additional information.
S incerely,
Harry Goren
Environmental Services Manager
Attachments: Asbestos Sample Inventory
Lead Paint Chip Sample Inventory
PLM Chain -of- Custody
PLM Laboratory Report
Lead Paint Chain -of- Custody
Lead Paint Laboratory Report
PBS Inspector Certification
L:\SEATTLE140000 \40407.015 Tukwila 5829 S 140th GFI\5829 South 140th Street GFI.doc
5829 South 140th Street
Tukwila, Washington
PLM ASBESTOS SAMPLE INVENTORY
PBS Sample # Material Type Sample Location Laboratory Description Lab Result Lab
40407.015 -01 12 -inch Floor Tile/Mastic Bathroom - 1st Floor Layer 1: White tile NAD SAT
Layer 2: Clear mastic
Layer 3: Green fibrous material with mastic
40407.015 -02 Bottom Layer Below Tile Bathroom - 1st Floor Layer 1: Gray brittle material NAD SAT
40407.015 -03 12 -inch Floor Tile/Mastic Bathroom - 1st Floor Layer 1: White tile NAD SAT
Layer 2: Clear/light brown mastic
Layer 3: Green fibrous material with white powdery
material
40407.015 -04 Gypsum Wallboard/Joint Compound Bathroom - 1st Floor Layer 1: White powdery material with paint NAD SAT
Layer 2: White chalky material with paper
40407.015 -05 12 -inch Floor Tile/Mastic Kitchen Layer 1: White/blue tile NAD SAT
Layer 2: Clear mastic
40407.015 -06 12 -inch Floor Tile/Mastic Kitchen Layer 1: White/blue tile NAD SAT
Layer 2: Clear mastic
40407.015 -07 12 -inch Floor Tile/Mastic 1/2 Bath - 2nd Floor Layerl: White/blue tile NAD SAT
Layer 2: Clear mastic
PBS Engineering +Environmental
Project #40407.015
Page 1 of 1
5829 South 140th Street PBS Engineering +Environmental
Tukwila, Washington Project #40407.015
AA LEAD PAINT CHIP SAMPLE INVENTORY
PBS Sample # Paint Color / Component or Substrate Sample Location
40407.015 LD -1 Dark brown /siding /exterior Garage - Exterior
40407.015 LD -2 Dark brown /siding /exterior Residence - Exterior
Results (mq /kq) Results ( %) Lab
58.3
1280.0
0.00583 Amtest
0.1280 Amtest
Page 1 of 1
SEQ#
LIENT SAMPLE #
SAMPLE DESCRIPTION
LAB ID
A/R
1
-- p `
6�o -try / ,i,Q3L, — rea
r,., - (,p iii ,
2
- OZ.
�� q,t�,
Art, .4 & P
e.. • /.t rl
3
-- 0 3
! 7. ( vi. ida-t. -
, /..4.t .
4
-- 0 4
Gw (3!')``
-- • t 1
5
'- 0 5
(z ` &&t..i4 /e' �.(e.e-A44/1
6
— O tat
Lt /
v■
7 71 [3axG,
tt
- - i,«t,,A_ - '� -
7
.- p - l
12." j >'
8
9
10
11
12
13
14
15
16
17
18
19
20
Print Name
Signature
Company Name
Date
Time
Sampled H - r--/
(o 17 I
Relinquished
Delivered
\ -
Received 1 7 J
C 71"--) I -7-
10/ .
ICr 4:
( ;i
.. -:
Anal .. , . _l • /. 1 i �/ ? ... r. " -lt/ r.. b , . --_r
%'
Report ed .1 --+(., i-(. `/ 4.. • •.-..r -
`17 ; ..7 /4 ; A"
SEATTLE ASBESTOS TEST, L.LC
19711 Scriber Lake Road, Suite D, Lynnwood. WA 98036
Tel: (425) 673 -9850 Fax: (425) 673 -9810
www. seattlessbestostest.com
Accredited. Experienced. Insured. and Well Managed!
CHAIN OF CUSTODY
c 0 0 9 9 C - 7 -
Proj. Manager:
NVLAP Accredited, 200768-0
ANALYSIS: BULK ASBESTOS TES POINT COUNT (400) , POINT COUNT (1000)_, POINT COUNT (Gravlmetric) Other
Client Name f 65
Address Z 5 - 7 r (',v -. ..-City5,,...406 ST ZIP
Phone: 2.O(a . -2.5"0 (v(/1 Fax: Email: @. P4d.e•iti`r', CA-tt
Project Location: 5 2.C\ 5 VI
�t,,.,�,. Turn Around Timo4 Number of Samples 7 Client Job # 4.04{,7. 010
—[ o '7- c't .- Sample Condition: Good ✓ Damaged Severe Damage(Spillagc)
Result reporting method: Phone Fax , Email V Pick -up report
Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample
submitted and disclaims any other warrants, expressed or implied, including warranty of fitness for a particular purpose and warranty
of merchantability. Seattle Asbestos Test accepts no legal responsibility for the purpose for which the client uses the test results.
By signing on this form the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results.
Invoices paid hue may be charged of interest, and invoices go to collection may be charged 17% to 25% of collection fee.
Checks with NSF will be charged S50.
Lab ID
Client Sample
ID
Layer
Description
oxt
Asbestos
Fibers
Non- Fibrous
Components
% Non
- asbestos
Fibers
1
40407.015 -01
1
White tile
None
detected
Vinyl /binder, Mineral
grains
2
Cellulose
2
Clear mastic
None
detected
Mastic/binder
4
Cellulose
3
Green fibrous
material with mastic
None
detected
Binder /filler,
Mastic/binder
70
Cellulose
2
40407.015-02
1
Gray brittle material
None detected
Filler, Binder
2
Cellulose
3
40407.015-03
1
White tile
None
detected
VinyUbinder, Mineral
grains
3
Cellulose
2
Clear/light brown
mastic
None
detected
Mastic/binder
4
Cellulose
3
Green fibrous
material with white
powdery material
None
detected
Binder /filler,
Mastic/binder
70
Cellulose
4
40407.015 -04
1
White powdery
material with paint
None
detected
Binder /filler, Paint
5
Cellulose
2
White chalky
material with paper
None
detected
Binder /filler
Gypsum /binder
25
Cellulose
5
40407.015-05
1
White /blue the
None
detected
VinyUbinder, Mineral
grains
2
Cellulose
2
Clear mastic
None
detected
Mastic/binder
4
Cellulose
6
40407.015 -06
1
White /blue the
None
detected
Vinyl/binder, Mineral
grains
2
Cellulose
2
Clear mastic
None
detected
Mastic/binder
4
Cellulose
SEATTLE ASBESTOS TEST, LLC
Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810
Bellevue Laboratory 12727 Northup Way, Suite 24, Bellow, WA 98005; Tel: 425.86 1.111 I, Fax: 425.861.1118
Website: http : / /www.seattleasbestostcst.com, E- mail: admin @seattleasbestostest.com
Attn.:Mr. Henry Goren
Client:PBS Engineering and Environmental
Address:2517 Eastlake Ave. E., Suite 100
Seattle, WA 98102
Project: 5829 S. 140th
Analyzed by: Shabnam Carman/Weilong Tai
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600 /R- 93/116
Page 1 of 2
NVLAP Accreditation
Lab Code: 200768 -0
Client Job #: 40407.015
Laboratory Batch #: 200969077
Date Received: 10/7/2009
Samples Received: 7
Date Analyzed: 10/8/2009
Samples Analyzed: 7
Report reviewed by: Steve (Fanyao) Zhang, President
Lab ID
Client Sample
ID
Layer
Description
%
Asbestos
Fibers
Non - Fibrous
Components
%
Non - asbestos
Fibers
7
40407.015 -07
1
White /blue tile
None
detected
Vinyl /binder, Mineral
grains
4
Cellulose
2
Clear mastic
None
detected
Mastic/binder
3
Cellulose
Page 2 of 2
SEATTLE ASBESTOS TEST, LLC NVLAP Accreditation
Lynnwood Laboratory: 19711 Scriber Lake Rd, Suite D, Lynnwood, WA 98036; Tel: 425.673.9850, Fax:425.673.9810 Lab Code: 200768-0
Bellevue Laboratory: 12727 Northup Way, Suite 24, Bellevue, WA 98005; Tel: 425.861.1111, Fax: 425.861.1118
Websitc: httpJ /www.seattleasbestostest.com, E -mail: admin@seattleasbestostest.com
Attn.: Mr. Henry Goren
Client: PBS Engineering and Environmental
Address:2517 Eastlake Ave. E., Suite 100
Seattle, WA 98102
Project: 5829 S. 140th
ANALYTICAL LABORATORY REPORT
PLM by Method EPA/600 /R- 93/116
Client Job #: 40407.015
Laboratory Batch #: 200969077
Date Received: 10/7/2009
Samples Received: 7
Date Analyzed: 10/8/2009
Samples Analyzed: 7
Analyzed by: Shabnam CarmanlWeilong Tai Repott.revfewed by: Ste'am' Fanyao) Zhang, President
SEATTLE ASBESTOS TEST, LLC
19711 Scriber Lake Road, Suite D, Lynnwood, WA 98036
Tel: (425) 673 -9850 Fax: (425) 673 -9810
www.seattleasbestostestcom
Accredited. Experienced. Insured. and Well Managed!
NVLAP Accredited, 200768.0
CHAIN OF CUSTODY
ANALYSIS: BULK ASBESTOS TEST_.__, POINT COUNT ( , POINT COUNT (1000) . POINT COUNT (Oravlmettic) , Other fA 1
Client Name 'Q62,s
Address 7- 1 City ST ZIP
Phone: ' ' 2 • AGI- --'j Fax: Email: ` In et-r f bS Y
Project Location:
g Z,� , � Proj. Manager. / -'
Turn Around TimeAtb Number of Samples • Client Job # Clay � . (3 1 �
Sample Condition: Good ` - Damaged Severe Damage(Spillage)
SEQ#
1
2
3
5
6
7
8
10
12
13
14
15
16
17
18
19
20
CLIENT SAMPLE #
SAMPLE DESCRIPTION
P-47.� .tcrun.t.: is w/ter
G. w
LAB ID
A/R
Print Name
Signature
Sampled
Rellnquished
.:Delivered -
Receked U : . U • rc
Analyzed
Reported
. Company Mama ., •
Date
Time
Result reporting method: Phone , Fax , Email ✓, Pick - up report
Seattle Asbestos Test warrants the test results to be of a precision normal for the type and methodology employed for each sample
submitted and disclaims any other warrants, expressed or implied, including warranty of fitness for a particular purpose and warranty
of merchantability. Seattle Asbestos Tcst accepts no legal responsibility for the purpose for which the client uses the test results.
By signing on this forin the clients agree to relieve Seattle Asbestos Test of any liability that may arise from the test results.
Invoices paid late may be charged of interest, and invoices go to collection may be charged 17% to 25% of collection fee.
Checks with NSF will be charged S50.
TA
RESULT
v'+ a F, J X
ar
D L ,
MET30b t
ANALYST
: DATE'"
Acid Digestion for Soils
Y
Y
SW -846 3050B
HL
10/09/09
Lead
58.3
ug /g
ug /g
0.01
SW -846 6010B
HL
10/09/09
,at ArM A - �
�.1+...
RESULT
v'+ a F, J X
WITS; *, '
1a .�q�j:•
Q'
D:L.'� 2
METHOD .:
ANAL - ST;
:.uNbFSrrTRV`1'3b
T�J 5•'� •� tt?
Acid Digestion for Soils
Y
SW -846 3050B
HL
10/09/09
Lead
1280
ug /g
0.01
SW -846 60108
HL
10/09/09
Am Test Inc.
13600 NE 126TH PL
Suite C
Kirkland, WA 98034
(425) 885 -1664
www.amtestlab.com
Seattle Asbestos Test
19711 Scriber Lake Rd
Lynnwood, WA 98036
Attention: Steve
Project #: 40407.015
All results reported on an as received basis.
L A B O L A B O R 1 E
AMTEST Identification Number 09- A016562
Client Identification LD -1
Sampling Date 10/07/09, 17:00
Total Metals
AMTEST Identification Number 09- A016563
Client Identification LD -2
Sampling Date 10/07/09, 17:00
Total Metals
ANALYSIS REPORT
Kathy Fu iel
President
Professional
Analytical
Services
Date Received: 10/08/09
Date Reported: 10/ 9/09
•
Instructor.
Provider Cert., Number; 1085
Certificate Number: 10304.001
ZEbt5 is; to certifi/ that
Harry M. Goren
ija 52;attofattoritp.c0iftii4tett -
4:-1jouro OUteire5ber tratnuia an
Asbestos Building Inspector
Jo comply Wit') the training requirentelito:of
ifF•QC( Effie 33J / 40 ejfil 763 (ft NZt)
Feb 18, 2009 _
Date(s) of Training
w es Ammaniamen
, TRAINING;CONSULTING I
xam Score: NA
•-.- Expiration Date: Feb 18,2010
A rgtis Pacific, Inc. • 1900 W. Nickerson, Sube 315 • Seattle, Washington • 98119 • (206) 285 - 3 .: ,73 • fax (206) 285.3927
• - • ..t
ACTIVITY NUMBER: D09 -223 DATE: 10 -15 -09
PROJECT NAME: CITY OF TUKWILA - LOG CABIN DEMO
SITE ADDRESS: 5829 S 140 ST
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # After Permit Issued
DEPARTMENTS:
ui ding Division 1 1
.)M v c lD -10i
ublic orks
Complete X1
Comments:
PLAN REVIEW /ROUTING SLIP
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28 -02
r PERMIT COORD COPY
AID I4
Fire Preven i n
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
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 Structural Review Required ❑
REVIEWER'S INITIALS:
lk. iii' 3M At
Planning Division
❑ Permit Coordinator
DUE DATE: 10-20 -09
No further Review Required ❑
DATE:
DUE DATE: 11-17-09
Not Approved (attach comments) ❑
DATE:
Not Applicable
11 - 17 -07
❑
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
2
AMERICAN
STATES
INS CO
6578555
06/02/2008
Until
Cancelled
06/05/2006
06/05/2006
$12,000.0006/03/2008
/19/2009
1
AMERICAN
STATES
INS CO
6428649
06/16/2006
Until
Cancelled
08/05/2008
$6,000.00
07/05/2006
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
5
GOTHAM
INS CO
GL0015330908/20/200908/20/2010
PACIFIC NORTHWEST EARTHWORKS L
PARTNER /MEMBER
06/05/2006
06/05/2006
$1,000,000.0008
/19/2009
Name
Role
Effective Date
Expiration Date
TRAVERSO, PAUL
PARTNER /MEMBER
07/05/2006
TRAVERSO, MARK
PARTNER /MEMBER
07/05/2006
PACIFIC NORTHWEST EARTHWORKS L
PARTNER /MEMBER
06/05/2006
06/05/2006
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with Lai 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
Business Type
Parent
Company
PACIFIC NW EARTHWORKS
LLC
4252220874
P.O. BOX 351
FALL CITY
WA
98024
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602616523
ACTIVE
PACIFNE943LE
CONSTRUCTION
CONTRACTOR
7/5/2006
7/5/2010
GENERAL
UNUSED
Business Owner Information
Bond Information
Insurance Information
•
Page 1 of 2
https://fortress.wa.gov/lni/bbip/Detail.aspx
11/19/2009