HomeMy WebLinkAboutPermit D06-265 - Wig Properties - DemolitionWIG PROPERTIES DEMO
17200 SOUTHCENTER PY
D06 -265
City & Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Tenant:
Name: WIG PROPERTIES DEMO
Address: 17200 SOUTHCENTER BL, TUKW ILA WA
Contact Person:
Name: LEYSHA WIG
Address: 4811 134 PL SE, BELLEVUE WA, 98006
Phone: 425 957 -4774
Contractor:
Name: DEMOLITION MAN, INC.
Address: 8129 OCCIDENTAL AVE S, SEATTLE 98108
Phone: 206 763 -3366
Contractor License No: DEMOLMI178N2
Value of Construction: $350,000.00
Type of Fire Protection:
Type of Construction:
doc: IBC - PERMIT
DEVELOPMENT PERMIT
Owner:
Name: J C PENNEY CO INC #9509.1
Address' PROP TAX OFFICE, PO BOX 10001, DALLAS TX 75301
Phone:
**continued on next page"
Parcel No.: 2623049081 Permit Number: D06 -265
Address' 17200 SOUTHCENTER PY TUKW Issue Date: 08/11/2006
Suite No: Permit Expires On: 02/0712007
Expiration Date:04 /01/2007
Steven M. Mullet, Mayor
Steve Lancaster, Director
DESCRIPTION OF WORK:
WORK TO INCLUDE DEMOLITION OF STRUCTURE AND FOUNDATION FOR ONE 198,000 SF WAREHOUSE. EXISTING
UTILITIES SERVING BUILDINGS WILL BE DISCONNECTED AND CAPPED. ASBESTOS REMOVAL HAS BEEN PERFORMED IP
ACCORDANCE WITH THE PUGEST SOUND CLEAN AIR AGENCY. SEPA DNS ISSUE IS PENDING (E04 -019).
Fees Collected: $4,900.02
International Building Code Edition: 2003
Occupancy per IBC:
006 -265 Printed: 08-11-2006
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: Private:
Storm Drainage:
Street Use: Profit: N
Water Main Extension: Private:
Water Meter: N
Permit Center Authorized Signature: 4 1 I A.1 !..... / Date: ( *It, ka
I
I hereby certify that I have read and
II. i ed is permit and know the same to be true and correct. All provisions of law and
ordinances governing this work will b •lie 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 cons uction o j., eperf ce of work. I am authorized to sign and obtain this development permit.
Signature: Date:
Print Name:
doc: IBC - PERMIT
City or Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ct.tuhwila.wa.us
N
N
[1!M tireN
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -265
Issue Date: 08/11/2006
Permit Expires On: 02/07/2007
Number 0 Size (Inches): 0
Start Time: End Time:
Volumes: Cut 0 c.y. Fill 0 c.y.
Start Time: End Time:
Public:
Non- Profit: N
Public:
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.
DO6.265 Printed: 08 -11 -2006
City er' Tukwila
Parcel No.: 2623049081
Address: 17200 SOUTHCENTER PY TUKW
Suite No:
Tenant: WIG PROPERTIES DEMO
1: ***BUILDING DEPARTMENT CONDITIONS***
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
PERMIT CONDITIONS
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: D06 -265
Status: ISSUED
Applied Date: 07/11/2006
Issue Date: 08/11/2006
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: 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.
6: ***FIRE DEPARTMENT CONDITIONS***
7: The attached set of building plans have been reviewed by the Fire Prevention Bureau and are acceptable with the
following concerns:
8: Fire Department access and existing hydrants shall be constantly maintained during demolition and construction.
9: Maintain coverage and operability of portable fire extinguishers, sprinkler systems and fire alarm systems during
demolition and construction.
10: All interior demo debris must be removed prior to demo of the automatic sprinkler system. Contact the Tukwila Fire
Prevention Bureau at 206/575 -4407 for an inspection of the building prior to shut down of the automatic sprinkler
system.(Sprinkler system to remain in- service and monitored until such time as the roof structure is removed.)
11: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and
approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler
systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk
Insurers Kemper or any other representative designated and /or recognized by the City of Tukwila, prior to submittal to
the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #2050)
12: Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and
properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed.
13: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2050 and
#2051)
doc: Conditions
006 -265 Printed: 08-11-2006
16: ***PUBLIC WORKS DEPARTMENT CONDITIONS***
doc: Conditions
City & Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: cttukwila.wa.us
* *continued on next page**
Steven M Mullet, Mayor
Steve Lancaster, Director
14: Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of
such condition or violation.
15: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at
(206)575 -4407.
17: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least
24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance.
006 -265 Printed: 08 -11 -2006
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws
regulating construction or the performance of work.
Signature:
c\
City of Tukwila
Print Nam IM m y' w21t
doc: Conditions
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 -431 -3665
Web site: ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
Date: O 6-6
D06-265 D06 -265 Printed: 08 -11 -2006
CITY OF TUKWIL
Community Development Department
Public Works Department
Permit Center
6300 SouthcenterBlvd, Suite 100
Tukwila, WA 98188
http://www.cltukwila.wa.us
Name: LEYSNA 010.
Mailing Address 4111 ( PcAC6 SE
Company Name: 1'leDoN ALD t [o,
Mailing Address: 408 3 3 — 21 Q s E
Contact Person: 3RA0DoA /yretE MCX)o,JALT,
E-Mail Address:
Contractor Registration Number. MCDtiCCI9$3 gL
Contact Person:
E -Mail Address:
Company Name: 60$N, Qoep St 141-row6s 10c.
Mailing Address: 2001 MI Noe. AVE F
Contact Person: 3 A 1) ECKE2 /Roon..D Gott
E-Mail Address: JA'?1 QRNIIJC
Q: AnoliatiaaWann- Anolieotiau On Iine\3 -2006 - Permit AooGwtianAoe
Building Permit N o. -
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
1 Project No. � 04/ ()
REUEVU E
city
City
or
CC use On
Applications and plans must be complete in order to be accepted fbrplan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: 262 3o41 10 - 0o3
site Address: 1? s'o✓mcet rE� $LVD. Suite Number. aA Floor NA
Tenant Name: New Tenant: ❑ Yes ❑..No
Property Owners Name: G3 v (PRovezn E S , ipc • LLC S 5
Mailing Address: 4SII - 134 } PLACE SE.
WA
State
Day Telephone: 425 4S9 - 43
¶eo o4
Zip
CONTACT PERSON
9E .(CVOE w A f too 6.
City State Zip
E-Mail Address: tESNyALACEQ oupPRrPER,Ties.Cort Fax Number. 425 tl6S- 4.
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg S) )
Yo Go$Z 69V ENUMCLAW W A `(roz2-
City State Zip
Day Telephone: 206 - 730 - 1 C9s
Fax Number
Expiration Date:
5/3/0
ARCHlt ECT OF RECORD - All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address:
State
City
Day Telephone:
Fax Number.
Zip
ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record
St snit it A S8/0J.
State Zip
Day Telephone: 206 - 323 - t) /q
Fax Number- 206 - 32? - 13s
I
Existing
Interior
Remodel
Addition to
Existing
Structure
New
Type of
Construction
per IBC
Type of
Occupancy per
IBC
I Floor
0
I ° I ' S i �
2 Floor
3 Floor
Floors thru
Basement
Accessory Structure"
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
flUILDING PERMIT INFORNI,,ION — 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 350, 000 Existing Building Valuation: S 3, 442, zoo
Scope of Work (please provide detailed information): uoltC 7o IN G.UP E pcnou n& of sTEvt It &E AND Fow 0AT o . Fog.
ewe Maio SF t»N¢EYauSE • Ex STUN. utlLene$ SE4vlaas 6ull.) ;065 w1 it
1fE ThScoop 0LTEO AO, cAPPED . AS6ESIas ItEnovAL Hhs %) l6¢t344 or A cent AaCE IA17H THE Pt) GE
SovdD caEAJ AI2 AGE001 (ee MtAGHG)) . SEPA PPS ISSUE 1S PEOD It* (RE1.41 £gS q - CE PA)
Will them be new rack storage? ❑.. Yes Q],..No (If yes, a separate permit and plan submittal will be required)
otaooaeaaaatrotma- aaoaamaa On linet1r006 - Paait Amama.me
Provide MI Building Areas In Square Footage Below
RLANNING DIVISION:
Single-family building footprint (area of the foundation of all stnictures, plus any decks over 18 inches and overhangs greater than 18 inches)
For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact Handicap:
Will there be a change in use? ❑....Yes ❑..No If "yes ", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑.. Sprinklers ❑..Automatic Fire Alarm 0.. None ❑ ..Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑.. Yes ❑ .. No
U "yes" attach list of materials and storage locations on a separate 8 -1/2 s 11 paper indicating 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.
ktRIVI1T APPLICATION NO7 — Applicable to all permits in this a$lication
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 105.32 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 OWNER O A ORIZED AGE
Signature: II l... `
Print Name: CS11 . N a, �
Mailing Address: (1J _/ 3 4 tit aG se
Date: _I /1179 -4
Day Telephone: K2c /43 S — 4 n-i'
City State Zip
Date Application Expires: 61111 t
I Date Application Accepted:
11th
O:WnoaaeaaWPomuAwliwth s On Line \3.2006- Remit Awlieaaoa.doe
Staff Inis30.4
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: D06 -265
Address: 17200 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 07/11/2006
Applicant: WIG PROPERTIES DEMO Issue Date:
Receipt No.: R06 -01235 Payment Amount: 2,520.38
Initials: JEM Payment Date: 08/11/2006 08:31 AM
User ID: 1165 Balance: 50.00
Payee: WIG PROPERTIES, LLC -SS
TRANSACTION LIST:
Type Method Description
Amount
doc: Receipt
RECEIPT
Payment Check 1352 2,520.38
ACCOUNT ITEM LIST:
Description
Current Pmts
BUILDING - NONRES
STATE BUILDING SURCHARGE
Account Code
000/322.100 2,515.88
000/386.904 4.50
Total: 2,520.38
8516 08/11 9710 TOTAL 2520.38
Printed: 08 -11 -2006
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: D06 -265
Address: 17200 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 07/11/2006
Applicant: WIG PROPERTIES DEMO Issue Date:
Receipt No.: R06 -01010 Payment Amount: 2,379.64
Initials: JEM Payment Date: 07/11/2006 02:34 PM
User ID: 1165 Balance: 53,665.48
Payee: WIG PROPERTIES, LLC -SS
TRANSACTION LIST:
Type Method Description
Amount
RECEIPT
Payment Check 1333 2,379.64
ACCOUNT ITEM LIST:
Description
Current Pmts
PLAN CHECK - NONRES
Account Code
000/345.830 2,379.64
Total: 2,379.64
7284 07/12 9710 TOTAL 2379.64
doc: Receipt Printed: 07 -11 -2006
Project:
wr
Type of Inspection: `J
/727 /C7)-2.6..e
Address:
���CJJ�777
Date C lled:
Spetal Instructions:
/
/
Date Wanted:
`/ �J
J
�� �y
nt
p.m.
Requester:
Phone No:
2
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pt pproved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with permit
PERMIT NO. S
431 -3670
Inspector: /
I Datev - - ( 9
Corrections required prior to approval.
LI $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
(Date:
J
Proje
�
Type of Inspection: J rt,
Addy O 5c_ ,
/
Date Called: `v � / *1 j U
Special Instructions:
II
ft /7 `
Date Wanted:
a.m.
Requ ester:
•/
Phone No:
SO
„S
0
PBX
�w
INSPECTION RECORD �� I
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.
Inspector:
Corrections required prior to approval.
COMMENTS:
/4/29(16 9-umA4
11124 / Pt D y
0/z s/06 ` prfe.A4
CA] (Date: 7C6 n $58.00 REINSPECTION FEE REQUIRED. Prior to inspecti�� fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Protect:
Type of Inspection;
Address:
/7- SCPI&• ,*i'Dv
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
J0 9 - 753 - -2 63 /
INSPECTION RECORD
Retain a copy with permit
b0 6-
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
PERMIT NO.
El Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
AS /17
� ettA -t
•
0
•
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
'Date:
COMMENTS:
Typo n Ilion: U
At Iii
Date Called:
I� (V
Pi l }PC aj v EKt % e� e d 1
Date Wanted: '+
(v ( A()
f)A p LOCAN Sbj-i std
`i
- p a t A a , c o, J- rn-u,) o ;J ¶ v,....;15- c l a
)
fro-. M a4 ( P
@ l w
!
k� A T-P.t, .
14 t/,6 rep osc S 'S‹ (t.- -e
191(S10(0 C' asi 6 •- c pt A.
Project:
A res(:
Typo n Ilion: U
Ail
,p
S C L � w
r7
Date Called:
I� (V
Instructions:
5 ecial Instru I
Date Wanted: '+
(v ( A()
a.m.
P .m.
Reque�
Phone No
0 Approved per applicable codes.
Inspector:
I
Retain a copy with Dab ?10G1
INSPECTION RECORD
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.
01(4 jgo
ri $58.00 REINSPECTION FEE REQUIRED. Pnor to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100, Call to sechedule reinspection.
1}/,
'Date:
Receipt No.:
(Date:
1
Project: / /)�
J/ /r/ ///,,,///�/1���
� !
spection:
Type o� , �
Address /"
� y DateCalled:
� fsaie
Special instructions:
Wanted v I
(H/ � P J II S � /
a.m
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECtION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -367
1pE roved per applicable codes. DCorrettions required prior to approval.
COMMENTS:
rl $513:O�REINSPECTION FEE IE Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
COMMENTS:, r
PSQL\cfi o QJc-Co.! 5, Ao I
vJ t a Csktuail UU (IAA t r-a j
- cot uartcto4 / rvie @ i A-6- atj'
SA.—
Date Wanted: a.m.
It t, p.m.
— I'vW. Ye-r 4 to-Jr— (IDAN a le
vthA 1, 1 t f — 54?....t GA, kts„e :
i
- co Cb Qp & c g) ti Gnk, 1C S
— (A '24 L,u r✓) Ltk t) r eero{ 1:--`1
utA tea-d O &le tA, ti ki‘CA-
;t..1_
Project: •
UJ I (..t
Type of Insp ction:
4/ -- Doke —0
Address'
11200 Sc. ,may
Date Called:
ad 11Aga
Sp Instructions:
{—
t""" {+rte IN 1
Date Wanted: a.m.
It t, p.m.
Requester:
net C / � ?.w o � tlnn
Phone No:
2.-v6 762 1 .,\LL
INSPECTION NO.
El Approved peranr codes.
INSPECTION RECORD
Retain a copy with permit
Inspector: Date:
DGL
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Corrections required prior to approval.
ri S58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
(Date:
Project: Sounkcb. writ Sc,QuAa-e
Type of Inspection:
` >ta\ fNA,_
Address: 19 7 oo
Suite #:
S . C .
Pj
Contact Person:
f 4 N 14t We' r I 6714
Special Instructions:
Occupancy Type:
Phone No.:
(509) 15 -2 %
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
t
INSPECTION NUMBER
CITY OF TUKWILA FIRE DEPARTMENT
444 Andover Park East, Tukwila, Wa. 98188 206 - 575 -4407
FT -Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
COMMENTS:
�r7h G NA'i _ - oK.
I
Inspector:
417
Date: to fig' o b
Hrs.:
$80 00 REINSPECTION FEE REQUIRED. You will receive an invoice from
City of Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form. Doc 1/13/06
mo Z65
PERMIT NUMBERS
n Corrections required prior to approval.
T.F.D. Form F.P. 113
T
• .
PARTNERS C NSTRIPCTION; INC.
IJCENSE, S PAATh91060 1 u • •' AS0ESNS WEAVE 11tn ..
136/05/06
ASEESWCSAMIEMEVT • •ASBESiva GEMENT •,: :GCNERA.6.60ArthACIOR: .
• : Wip Properties;. LLG •
4811: 134 Place: SE. '.
Bellevue; :WA 98006.
• tfl9. souw/1 cENiRALavg WAWA
• KENT, wASHINGTQN 9403244911 -
• (206J76.742 Ax(ts91'3S2;r0,TS
EMAIL• . nat .
To Whom It May : Concern:
:Our any has removed all Asbestos:referted: to by the Dames &: Moo Suryey;
dated August 7"',2000. from the site at 17200 Southcenter Parkway in Tukwila, WA: Thls has -
been. done !accordance with all current Labor &.lrtdustry and PSCAA Rules. Snould you •
any suspect material during the demolition phase of your project; 'please call vs and we will
Call. me with an questions yam may have and thank you for. allowing us to be. of service* :
40/E0 30Vd
1N3Vd0131131 OVLV35 8498S989L4
RECEIVED
CITY QFTl1KWIIA
ill( ' : 1.1' ?I e
•PERMIT
TOUT 900L/8T /L0
Nisilina Address: 4311 134 Place SE
Notification Period'
City: Bellevue
State WA
Zio: 98006
C. Asbestos sm ut lamest CLMsv,• WS WRL M RMMRMnILY4*MUIn4 Man.
Contractor: PARTNERS CONSTRUCTION,, INC
Owner /CEO: DANIEL R MURRAY
Maitine Address: 1 CENTRAL AVE SOUTH. SUITE A
Phone:206- 575.7429
Contractor
lob No.:
6108
City: KENT
hate:
WA.
Zip: 98032 -7429
1 '
Fax:253 -852 -7936
D. Site
Address: 17202 Southceoter Pkwv
4, U 260.999 linear kat or 160 - 4,999 square feet of asbestos
Citv:Tukwila
Zip: 98188
f' 5ito
Manager: Leshya Wie
10 Days
Local Phone;425- 957 -4774
i E. Ei Asbestos Survey or
Nlat'1 Presumed
No. of
5tructurrs:2
S50 Emergency Fee
Date of Asbestos
Survey:08/07/2000
Was Friable Asbestos Ideniied?
Was Nonfriablc Asbestos identified?
Attach a copy of the surrey on/en friable
is Identified
®Yes
®Yes
asbestos
■No
No
AI{ERA Building
Inspector: Dean Vasser
Signature • Reprnenn
Certification 8:993135
Exp. Deac:10/27/1999
FT. Asbestoe/Demotitlon Project Categories:
1. Single-Family Residence:
A, [ j Asbestos Removal Project Only
B [] Demolition Project (with or whltoe: asbestos removal project) .
• Asbestos removal can be • .. notification; demolition must watt 10 days)
Notification Period'
Project Demolition
Surcbatvv
A. Prior Notice
B. 10 Days•
.Ds
A. S25
B. 550
,bole: If the single family residence b owned by ose f t"* wigs hay been er will be using
IA or Id ma be dredged 4 sin it emits residence doe sat prelude rental property.
the residence as their
narhl family units, or ure„y
I 0 Days
domicile, the above boss
mired - use bulidi
Sl OC
2. 0 AU Other Demolitions (with no Asbest mo
os r ov or Nonfrlable Asbestos
on or less than I OLP and err 48 SF friable Asbestos)
Friable Asbestos Pro eats other than Single Family Residence):
Asbestos Demo
3. • 2 to - 259 linear fact or 2 48 - 159 square feet of asbestos
Prior Notice ICI farm
5100 5100
4, U 260.999 linear kat or 160 - 4,999 square feet of asbestos
10 Days
$200 3100
5. L > L.000 and/or >5.000 square feet of asbestos
10 Days
5600 5 100
6. al Emergency Asbestos Project or Lj Emergency Demolition Project
ISinele.Family Reaideneet are exempt Item emergency Se, however, propoty Owens mutt provide •
Prior Notice
written unreel Rquest)
S50 Emergency Fee
t. I :estity the mistion amaaincd in Mir nxination K suppInneN data is, tore bat army 41owkdge.
aacvrac a compraa
O6_21/06
Doh
Agesi C • e y
J'ARTNER9 COfiS7lelit.`PION,INC
Signature • Reprnenn
. — .
A. Project Type: 1. ❑ Friable Asbestos Removal
B .
'2 6 5
g_. 0 06 o .?t6
Agency Use Only
weer:
An ARRA Slinky is required before all demolition projects
F. Demolition Start
Tnfonnatloo: Date:7/01/2006
Demolition lawn demoltion contractor's mailing address on bock.
Contractor )PTL Propene
C. Friable Asbestos
Project Information:
Total Qty. to be Removed:
❑ 9oilcAFumace Wulation
I ❑ Cement Doted
V0 /Z8 39Vd
r
Sum Date:
1N341c10'731130 DV1V3S
PUGET SOUND CLEAN AIR AGENCY
110 Union Stntd, Suite 500
Swale. WA 98101-2038
www.pseleanainorg PS
NOTICE OF INTENT
2. ® Friable Asbestos Removal & Demolition
2 Linear Ft.
S Duct!mulaton ❑ Pipe lnvlation ❑ FireptoaCn(
❑ Cement Pipe 17 Friable Flooring ❑ Pdabte Roofing Menial
❑ other
hone: 425
Date Received
IR JUN 12006
Agency Lin Only
3. I] Demalitloo Only
957 - 4174
Training Fire (List Fue Dept.)
Ordered Demolition (attach copy of Order
Will nonfriabie asbestos be left in place during detno7 l7 Yes U Nc
If yes, list type and qty.
Work Days: M T W Th F Sa Su
Hotta: 8-3
Will all friable asbestos Yes
teat -sal be removed? No
❑ Planta ❑ Texture Cowin,
e/%
809899B00 To :LT gnti7. /Rt //
e5 /e1/2006 08:49 253 -8! 7936
j.
PARTNERS C3A•' IN',
east- ere
The Puget Sound Clean Air Agency requires advance notification before any person commences a friable; asbestos projce
involving materials equal to or greater in size than 10 linen feet or 48 square feet and for all demolition project:
iregardless or asbestos content) involving structures with a projected roof area greater than 120 square feet (Rcgulaticr
111. Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agent:
forms. Asbestos removal and drmpj ition erroiec • s invalvine m aterials and struct below the notification thresh a e
still subiect to all other req_uiremeri s of Reputation ITT. Article 4.
After receiving a complete notification with the appropriate project fee, the Agency will review the form and ret_rr, c
:opv to the asbestos and demolition contractor by mail, The returned copy will be your validated notification.
Demolition nual •ApgtLiaALI rpq /rLL IC Foul AtwiN NAIL". ULL.
Contractor: r 2ePiv.ruc$ Owner/CEO: Le Srrva Pis fir
•.lilting gderess 4 Es 1 1 I - ge. Tt4 f L AG& Se
Coy trIELa.%it16, a0.
OB /t+0 3JGd
$rata: L,) Pis
r.7c: i'Nnd Ctsn ?or Arno ?n. So 6( .160 (Revised 9'01111
Phone: Mzs - %11 - Len `h4
zip: 9 8t"' Fu: 4 zc Sao c - S ant
GUIDELINES FOR SUBMITTING AN ASBESTOSIDEMOLITION NOTIFICATION
S:rtp 1. Check the appropriate project type in Box A. Friable asbesya includes popcorn ceiling material. she} :t vinyl floorng. eerier.
4Seeitos board siding. and dhtct insutanon. Non/viable asbestot is normally found in vinyl (loot tiles, window putty and noel rooftr
miter's's.
Step 2. Enter property owner information in Box B.
Step 3. Enter the asbestos contractor or property owner information. if the property owner is conducting a single.famtiy residenca
project, m Box C Pnnt entity this is your return mailing label.
Step 4, Enter the site address for all notifications in Box D. For multi se'uetwe projects. attach supplemental sheet veldt a sac: tr.c:
[include an address for each suet and a list of the type and amount of friable asbestos to be removed from each structure.
Step S. Check either asbestos survey or material presumed in Box E. All demolitions require that an Asbestos Hazard Emerger.:-.
Response Act (A)iERA) asbestos survey be conducted by a certified A.HERA building inspector. Attach a copy of the survey to tt
notification of a demolition oroiect_w .left anly con inble as os or o a bee os is identified on the survey
Step 6 Enter the project infomtaticn In Box F. and cheek the training fire or ordered demolition box if appropriate to :Opp ut
eiticul order must be attached). All asbestos must be removed prior to conducting a muting fire. Additional naming f:..
requirements are contained in Regulation I. Section 8.08. Tf any nonfriable asbestos materials will be left in place durtng damoltro,
:heck yes and list the type and quantity of meteriai.
step 1. Enter asbestos project information in Box G. List types of friable asbeste>r material to be removed: surfacing maenal such as
nupcorn ccilin;s Or plaster. sheer vinyl flooring, duct and pipe Insulatitnt cement asbestos board siding or pipe, etc.
Step 8. For Single-Family Residenvla) projects: cheek BOX HI for renovation projects, BOX BIB for demolition projects '•nith :-
without asbestos remotest. Asbestos removal may be conducted after a complete notification is received, but demolition activities : - -.
'inty a :ym .gin the le day after the notification is received. Note: ((she single family nsidenee Is owrea' by one family who no
been or will be using rite residence as their domicile, boxes 14 or J81 may be checked. A single family residence does nor inciu.
rental propeny, muh( family knits, rim any mttted building.
For Commercial asbestos projects ;or projects that do sot qualify as Single Family Residential); cheek the project categm-
j that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropnate $stet:.:,':
additional ice! in your syttum. Ta file for an emergency asbestos or demolition project, check the appropriate box I - kn r
applicable emergency box in HG. &Ltmereenev reottests must be actorneanied by a letter from thegrtrornv owner demonsrnttny
wed to ;Induct the eto,eet i nmediegly in accordance with the requirements in Retulerien Ili. Section 4.0 !c)
Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box 1,
:4ancalory amendments to the notification are required for changes that ipereue the project category, change the types of asbest :
materiels to be removed and changes to start date, completion dare end work schedule for asbestos projects. No The s required •';;•
work schedule changes if the contractor is participating in the Agency work schedule fax program. A S23.00 processing fee is requt:d:
for all anendrnents.
Puget Sound Clean A Agency asbestos regulations and fonts can downloaded from the Agency web page ei www.pset anatr or
For technical assistance contact (206) 689 -4038 and for administrative inquiries contact (206) 689.4090.
1N3Q013f130 Db ±tr3S 8P98S98SZP TO:Li 9003/BT/LB
ACTIVITY NUMBER: D06 -265 DATE: 07 -11 -06
PROJECT NAME: WIG PROPERTIES DEMOLITION
SITE ADDRESS: 17200 SOUTHCENTER BL
X Original Plan Submittal Response to Incomplete Letter #
Response to Correction Letter # Revision # After Permit Issued
DEPARTMENTS:
Burg Divi' i n
Public Wo ks
lcw� 4 114
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
,PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
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 IY1 Structural Review Required
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2 -28-02
Approved with Conditions
56 t Auk I a No , o OD*
Planning ivision
Fire Prevention
Structural ❑
DATE:
DATE:
Permit Coordinator
DUE DATE: 07-13-06
Not Applicable C
No further Review Required
DUE DATE: 08-10-06
Not Approved (attach comments) ❑
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
License Information
License
DEMOLMI178N2
Licensee Name
DEMOLITION MAN INC
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600499168
Ind. Ins. Account Id
#1
Business Type
CORPORATION
Address 1
8129 OCCIDENTAL AVE S
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981084210
Phone
2067633366
Status
ACTIVE
Specialty I
DEMOLITION
Specialty 2
UNUSED
Effective Date
8/22/1983
Expiration Date
4/1/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#1
CBIC
614275
08/19/1983
10/01/1987
Business Owner Information
Name
Role
Effective Date
Expiration Date
MCFARLAND, JOHN
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must mamtain a surety bond or assignment of
account and carry general liability insurance.
Savings Information
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= DEMOLMI178N2 08/11/2006
x