HomeMy WebLinkAboutPermit D06-268 - Wig Properties - DemolitionWIG PROPERTIES DEMO
17200 SOUTHCENTER PY
D06 -268
•
•
City 6Y' Tukwila
Parcel No.: 2623049081
Address: 17200 SOUTHCENTER PY TUKW
Suite No:
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 DEMOLITION
Address' 17200 SOUTHCENTER BL, TUKWILA WA
DEVELOPMENT PERMIT
Owner:
Name: J C PENNEY CO INC #9509.1
Address: PROP TAX OFFICE, PO BOX 10001, DALLAS TX 75301
Phone:
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: $100,000.00
Type of Fire Protection:
Type of Construction:
doc: IBC - PERMIT
"continued on next page **
Permit Number D06 -268
Issue Date: 08/11/2006
Permit Expires On: 02/07/2007
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 20,300 SF COMMERCIAL BUILDING.
EXISTING UTILITIES SERVING BUILDINGS WILL BE DISCONNECTED AND CAPPED. ASBESTOS REMOVAL HAS BEEN
PERFORMED IN ACCORDANCE WITH THE PUGEST SOUND CLEAN AIR AGENCY. SEPA DNS ISSUE IS PENDING (E04-
019).
Fees Collected: $2,037.27
International Building Code Edition: 2003
Occupancy per IBC: 0008
D06 -268 Printed: 08 -11 -2006
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone: N
Hauling: N Start Time: End Time:
Land Altering: N Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation: N
Moving Oversize Load: N Start Time: End Time:
Sanitary Side Sewer: N
Sewer Main Extension: N Private: Public:
Storm Drainage: N
Street Use: N Profit: N Non - Profit: N
Water Main Extension: N Private: Public:
Water Meter: N
Permit Center Authorized Signature:
I hereby certify that I have read and -
ordinances governing this work will be • •
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 Qt the pgorpiance of work. I am authorized to sign and obtain this development permit.
Signature:
Print Name: 2011 M t nA 1 7 /6
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: ci.tukwila.wa.us
Steven M. Mullet, Mayor
Steve Lancaster, Director
Permit Number: DO6 -268
Issue Date: 08/11/2006
Permit Expires On: 02/07/2007
Date:
permit and know the same to be true and correct. All provisions of law and
ith, whether specified herein or not.
Date:
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.
D06 -268 Printed: 08-11-2006
6: ***FIRE DEPARTMENT CONDITIONS***
doc: Conditions
City or' Tukwila
Parcel No.: 2623049081
Address: 17200 SOUTHCENTER PY TUKW
Suite No:
Tenant: WIG PROPERTIES DEMOLITION
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 -268
Status: ISSUED
Applied Date: 07/12/2006
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.
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)
006 -268 Printed: 08 -11 -2006
16: "'PUBLIC WORKS DEPARTMENT CONDITIONS***
doc: Conditions
City tri 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
"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.
D06 -268 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.
doc: Conditions
City bi 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
Steven M. Mullet, Mayor
Steve Lancaster, Director
Date: g _`,, 0 6
006 -268 Printed: 08-11-2006
CITY OF TUKWIIJd
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htte://www.cttukwila.wa.us
w
TUKWILA
W
Building Permit No. p -nZ& W
Mechanical Permit No.
Plumbing/Gas Permit No.
Public Works Permit No.
Project No. 1 030
(For office use only)
Applications and plans must be complete in order to be accepted far plan review.
Applications will not be accepted through the mail or by fax.
"Please Print"
Site Address: la'ZOD Coti'M CENTEL. BLVD .
King Co Assessor's Tart No.: 2623 - 003
Tenant Name: New Tenant: ❑.....Yes ❑..No
Property Owners Name: (.SI6 PROPEIrtIES, WC. l-I.C-
Mailing Address: 4811 — 134+ PLACE SE
Name: LE W.HA Or Ca
Mailing Address: 4t11 - 74 PLACE SE
E-Mail Address: IESNYAW(C t.JI&PRDPERTIES . Coat
Suite Number. , -)Pt
BEtccvu E
City
W A
State
Floor. NA
Day Telephone: 42S 4S9 - 447 1 1
/to 06
Zip
CONTACT PERSQN
QEU4vQE la f too a.
City State Zip
Fax Number. `I - 8'6S - 4648
GENERAL CONTRACTOR INFORMATION -
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg S) )
Company Name: i''lcDor>ALD t 4.
Mailing Address: 408 — 242 S E 'Pot3ol( Or ENuncLAl.J WA tt'ot2
City State Zap
Contact Person: SRApDoalre(E HcboNAct) Day Telephone: ?o(o- 7 /S
E-Mail Address: Fax Number.
Contactor Registration Number. N C D ti CC/ gi 2 3 8 2 Expiration Date: 5/3/0
ARCI L I ECT OF RECORD -All plans must be wet stamped by Architect ottccord
Company Name:
Mailing Address:
City
Contact Person: Day Telephone:
Fax Number.
E-Mail Address:
ENGINEER OF RECORD —All plans must be wet stamped by Engineer of R ecord
Company Name: 6u511 goED F N ITCI1taGS , IN C
Mailing Address: 2004 MINod: Ave E .
Contact Person: J AY 3) ELK /2- R.o 1At.D Got-f
E-Mail Address: .1AVD a OM' 0C. col
O:\ lic.ticSpome-Awlicatims On line - Pant &celestion.doc
State
Zip
S Rine W A 98io;.
City State Zip
Day Telephone: 206 - ?tie i fri V
Fax Number. 2494- 323 - 135
i TLWNG PERMIT INFORM ON' 206431 -3670 �
Valuation of Project (contractor's bid price): S /0 000 Existing Building Valuation: S 3, 442, 290
Scope of Work (please provide detailed information): l oLc W b CL,VDE penou TWO of sTQven+at AND rosin FOR.
o►tE 20.3.0 sf eo1ateLCIM_ t)altAlatG. ISTI0C• uTOA TES SERJter6 Evil.) 10 65 will
at Pi coop ec-rEb As GAPPED. ASMESfas REnoVAI. HlFs6EEO WOW" ED W AcgoltDA► 1.41141 THE PQGET
SovoD rcEAe) Ma. AGfr (SEE nrACHE&) . SEPA PPS 10.4 IS PE &A It* (REr.M £04 -olt- SEPA)
Will there be new rack storage? ❑ .. Yes ..No (If yes, a separate permit and plan submittal will be required)
Provide All Building Areas in Square Footage Below
PLANNING DIVISION;
Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact Handicap:
Will there be a change in use? ❑....Yes
FIRE PROTECTION/HAZARDOUS MATERIALS:
0.. Sprinklers ❑..Automatic Fire Alarm 0.. None ❑ _Other (specify)
Win there be storage or use of flammable, combustible or hazardous materials in the building? 0.. Yes ❑.. No
If "yes", attach list of materials and storage locations on a separate 8 -1/2 x II 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.
0:1AasialianWma.Awaatlan On Line13-2006 - Putt Am+aeaedoe
❑ .. No If "yes ", explain:
PEST APPLICATION NOTt — Applicable to all permits in this a$pication
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.
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$ �� AU�H A6 /�1 A
Print Name: Lc.S�t L
a`
Mailing Address: " / 3 4 VI 7 1- St
Signature:
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 1014.3 Uniform Plumbing code (current edition).
Date Application Accepted: J ' I to&
o:UmaatiaetFonns- Awaatiaa On Iisset3-2006 - Panit A6diadlaLdoc
Date: l //(1ot6
Day Telephone: y c /� S tf" 9 tk-.
City State Zip
Date Application Expires: 6 1111 [ 01'
Staff Inisaivi
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: D06 -268
Address: 17200 SOUTHCENTER PY TUKW Status: ISSUED
Suite No: Applied Date: 07/12/2006
Applicant: WIG PROPERTIES Issue Date: 08/11/2006
Receipt No.: R06 -01538 Payment Amount: 47.00
Initials: LAW Payment Date: 10/02/2006 08:41 AM
User ID: 1632 Balance: $0.00
Payee: DEMOLITION MAN INC
TRANSACTION LIST:
Type Method Description
Amount
RECEIPT
Payment Check 51639 47.00
ACCOUNT ITEM LIST:
Description
Current Pmts
PW ADDL INSPECTION FEE
Account Code
000/342.400 47.00
Total: 47.00
0292 10/02 9716 TOTAL 47.00
doc: Receipt Printed: 10 -02 -2006
ACCOUNT ITEM LIST:
Description
Current Pmts
City of Tukwila
6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670
Parcel No.: 2623049081 Permit Number: D06 -268
Address: 17200 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 07/12/2006
Applicant: WIG PROPERTIES DEMOLITION Issue Date:
Receipt No.: R06 -01236 Payment Amount: 2,037.27
Initials: JEM Payment Date: 08/11/2006 08:32 AM
User ID: 1165 Balance: 50.00
Payee: WIG PROPERTIES, LLC -SS
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 1353 2,037.27
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
RECEIPT
Account Code
000/322.100
000/345.830
000/386.904
1,231.98
800.79
4.50
Total: 2,037.27
8515 08 /11 9710 TOTAL 2037.27
doc: Receipt - Printed: 08 -11 -2006
Project: / l / v /
W ...7�C�
Type of Inspec iron
/ , „ /` i 1'//./.e
Address
/ Ll
i,
Date Called:
�7/
Special fnsiructions:
Date Wanted
t 0 2
�'*
p.m.
Requester: /
Phone No:
2-
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes.
COMMENTS:
Inspect
Date: _ , _.Y
Corrections required prior to approval.
ri $58.00 REINSPE ION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
:.,
Project: C
tita
Type of Inspection: t
Address: rev SC /�'1 /�i
/`�"!
/
Date Called: `O � ! / 4 /�
/
Special Instructions:
f
V � • O r y5
41 di
Date Wanted:
id L /oG
a.m.
P.m.
Requester:
,
/,
j
_
Phone No:
COMMENTS:
/ %/6( /At
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Inspector:
! 11 1
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` /� /, , �
Date: I ! / mi l
ovi
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
PERMIT NO.
Corrections required prior to approval.
rl $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:
Project:
57)pt14-vnitie-,-....c p.,ove
Type of Inspection: I
fl /
Address: 6 ,
/7,206 sew% cr,vier it
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No
4 a 6 3 I
INSPECTION NO.
ONSPECTION RECORD •
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
orrections required prior to approval.
COMMENTS:
/44/t. 410,--415 (%-al
4-1
Approved per applicable codes.
ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
1--1 paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
Type of Inspection: FA ,c
ac
A �ss �� PAW
Date Called: 9 /�-°) /a cn
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
Approved per applicable codes.
6SC
INSPECTION RECORD
Retain a copy with permit
bob as
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
El Corrections required prior to approval.
COMMENTS:
9 /2n/06 (414/...43i fQ
M
(v k- P -jck- aow s)( iTi'
n MiJ
Vn1Fln(I t7 (4,0 uia C1 (kln,,c ir
Ili 144
fri 0(A4fi (44,
Inspector:
'Date:
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cal ito sechedule reinspection.
'Receipt No.:
'Date:
1
COMMENTS:
9/r/& , ZlrYM // Sn<In,c
Tk,OS (5i)*Artoiu i d tt r) .
Iiiimis t in It i3tytvS run - ht"
ffdtin rd et i!lemph near .
Date Called:
. ,,rf -// s" /Tfr ;o f,/v c-,L
P Sau g 5,4 ' /e `�s r
, /1 essc .
3'Or. .
Date Wanted:
, WW-F 1 I omit: ie; btAit
77 7rt. � fiAkfit ,C can
Requester:
Project:
Type of Inspection:
Address: Sr
`
�,�!/
Date Called:
Spefial Instructions:
1
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
PI
Ifs
INSPECTION NO.
Approved per applicable codes.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Corrections required prior to approval.
Inspector:
gis
(Date:
7p/
$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:
Project:
Wi
/
Type spection:
f -
Add ess:
Date Called:
Sp a I Instructions.
Date Wanted_ `�
(
Requester:
Phone No:
Approved per applicable codes. Corrections
required prior to approval.
CO ENTS:
Inspector
Date: E d
/ r
inspection, fee must be
to sechedule reinspection.
$58.00 REINSPECTION FE - REQUIRED. Prior to
paid at 6300 Southcenter Blvd., Suite 100. Call
(Receipt No.: 'Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISI ON
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PE }
(2 ) 6)431 -3670
COMMENTS: AMOctu « P P h -( 00 !Le b t,A,ue 0
,,, ,, • (4 .tort / COASALut 01-AA wa
ddItJac. — xAp. w AT— e-1 irldtc ii.A.cAn• t
f h f (kyr. d (k., w. R _ Z ( 2 1 4 - 4 1 " . . -
i
tp ■✓Sct»
1
VI/1/40 1. riNtinai 1 -e1
- S.o..r esk Cral P (a Patty . .
eilt1
sD role.,,,-. e s 0.a...:.,ic0 S
Date Wanted:
a g k €L P M( N nt - -o1 F A. Art kan cti4 ti
t
,it t ^'` p -,r 14
`
i
I NIPz o Co-n -i * -1
Project: '
WI0 Addrs:
Type of Ins ection:
P u�
RP
e
►72.w Sc (rwy
Date Called:
eilt1
Specia Instructions: /
JG -e wv.�
Date Wanted:
t % •f
a.m.
P.m.
Reque er:
Ad(
0
w, Ct,tr
Phone No:
7 7(-\
3 \ (4
Pp
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
El Approved per applicable codes.
Inspector:
INSPCCTION RECORD
Retain a copy with permit
Do(0-
PERMIT NO.
El Corrections required prior to approval.
Date:
Ski lf)a‘
(206)431 -3670
ri $58.00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
(Receipt No.:
'Date:
Project: c ce - , re y ,
S u ,o t �
Ty a of Inspection: v
1_DEiwo yCnt ret-t-
Address: 117 o U
Suite #:
S . C .
(21
Contact Person:
(btu \ft./EFLEN
Special Instructions:
Phone No.:
(50c) t(S3 i&31
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA FIRE DEPARTMENT
Approved per applicable codes.
- bolo -zc8
PERMIT NUMBERS
444 Andover Park East, Tukwila, Wa. 98188 206- 575 -4407
n Corrections required prior to approval.
COMMENTS:
M-i N 14 1, Ott .
Inspector: [ l 1' l 7
Date: t o J t a t o (o
Hrs.: i
$80 00 REINSPECTION FEE REQUIRED. You will receive an invoice from
e City of Tukwila Finance Department. Call to schedule a reinspection.
Word /Inspection Record Form.Doc 1/13/06
T.F.D. Form F.P. 113
Wig Properties; LLC
4811 134 Place SE
Bellevue, WA 98006
To. Whom It May Concern:
06/05/06
Our Company has removed all Asbestos,referred: to by the Dames & Moolia Survey,
dated August 7 from the site at 17200 Soutticenter Parkway in Tukwila, WA. This has
been done in accordance with all current Labor &.Industry and PSCAA Rules. Should you find
any suspect material during the demolition phase of your project, please call us and we will
come out ASAP to remove it,
to y
90/60 39Vd
PARTNERS CONSTRIUCTION, INC
LICENSE :8 PAPTN010tiitiU • " ASBESTOS LICENSE 01172
1313 SOUTH CENTRAL Awe SUITEA .
KENT, WASHINGTON H032-7402
goat 575.7429 OW (2531" 852 -7936
EMAIL' aftllef5Calattnat
ASBESTOS ABATEMENT • ASBESTOS MANAGEMENT GENEPa CONTRACTOR
Call me with any questions you may have and thank you for allowing us to be of service
1N3WdOl3f a Ot71G3S 81298S989ZD..,
RECEIVED
CR OFTI)KWILA
JUG 1 1 ?Gni
PERMIFCENTER
210
TD :Li 900Z/0T/L0
Mailing Address: 4811 134r Place SR
Notification Period'
Ci ty: Bellevue
State WA
Zip: 98006
C. Asbestos "SAM: Allan WAN. 7 • lilig Maly RAO RIOVIGY MAW". Mail.
Contractor PARTNERS CONSTRUCTION, INC
Owner/CEO: DANIEL. R MURRAY
Mailing Address: 1313 CENTRAL AVE SOUTH. SUITE A
Pbone:206- 575.7429
Contactor
lob No.:
6108
City: KENT
State:
WA.
Zip: 98032-1C9
Fax:253 -852 -1936
D. Site
Address: 17202 Southceoter Pkwv
S100 5100
Citv:Tukwila
Zi : 98188
Site
Manager: Lefty' Wig
$200 5100
Local Phone:425- 957 -4774
C. Asbestos Survey or
D Presumed
No. of
Structures:2
6. [] Emergency Asbestos. Project or Li Emergency Demolition Project
Si nelacerni ly Residences ore exempt from emergency Re; howeveq property owners must provide a
Date of Asbestos
Survey:08/07/2000
Was
Was
Friable Asbestos Identified?
Nonfrisblc Asbestos identified?
a copy afthe pony unless friable
Yss L]No
Q ] Mat'l
pig Yes ❑No
asbestos
i I.
AHERA Building
Inspector: Dean Vasser
aearrrie It eamplac.
06/01/06
Dote
Certification 0:993135
Exp. Deac:10/27/1999
Attach
is identified
H. Asbestos/Demolition Project Categories:
1. Single -Family Residence:
A, [ � Asbestos Removal Project Only
B (] Demolition Project (with or whhotr: asbestos removal project)
' Asbestos removal can be . • , notification; demolition must watt 10 days)
Notification Period'
Project Demolition
at Sorcberre
A. Prior Notice
B. 10 Days'
A. S25
B. S50
•
.Vote: If the single family residence is owned by one family who has been or will be suing the residence as their domicile, the above bore,
1.4 or It ma be checked A sin le omit; residence doe not imdade rental probate. amtltt- family units, or on mired -use build!
2. CI AU Other Demolitions (with no Asbestos removal or Nor:til lable Asbestos
ont or less than I OLF and/or 48 SF friable Asbestos)
t 0 Days
SIOC
Friable Asbestos Pro len other than Single Family Residence):
Asbestos Demo
3.
■ a 10 - 259 linear feet or 2 48 - 159 ayuere feet of asbestos
Prior Notice t 0 Dave
S100 5100
4.
■ 260 - 999 linear feet or 160 - 4,999 square feet of asbestos
10 Days
$200 5100
5. al > 1,000 and/or x5.000 square feet of asbestos
10 Days
$600 5100
6. [] Emergency Asbestos. Project or Li Emergency Demolition Project
Si nelacerni ly Residences ore exempt from emergency Re; howeveq property owners must provide a
Prior Notice
wince emergency request)
S50 Emergency Fee
i I.
:wetly Nn {e�p�tmatlen contained lo Otis nainealon It supplanting] data Is. to the trot of my knowledge.
aearrrie It eamplac.
06/01/06
Dote
e • y
. ..
`' ...---te----.
pARTNRRS CONS7RUC OO ThiC
Sienatnm • Re➢rasenepet
P t:Y ` T 265
g_o ct6C7a•a 65
Agency Use Only
optioni
PUGET SOUND CLEAN AIR AGENCY
110 Delon guest Suite 500
Statile, WA 98101.2038
www.pscleanair.org
NOTICE OF INTENT
PS/
A. Project Type: 1. ❑ Friable Asbestos Removal 2. ® Friable Asbestos Removal & Demolition
B.
Pro perty Owner: Wiq P rove
An
AHERA Steno as required before all dewofiffon projects
F. Demolition Sian
Information: Date:7/01/2006
Demolition Insert denolmron contractor's sailing address on back
Contractor, Wre Aoperei t
C. Friable Asbestos
Project Information:
09/Z0 3DVd
Stan Date:
Total Qty. to be Removed: 2 Linear Ft.
❑ Boilalf•4macs fmutxtion Duct Insulator' ❑ Pipe Wellston ❑ Fieeprooting
❑ Cement Board ❑ torten Plpe 0 Friable Flooring ❑ Friable Roane Menial
.LN3•tti01313Q DN1V3S
Phone: 425
O ?Minn
O Odra
Date Received
IR JUN 12006
Agency Use Only
3. ❑ Demolition Only
957 - 477d
No.
6/02/06
of ■ Training Fire (List Fire Dept.)
Stetuteres:2 ■ Ordered Demolition (attach cony of Order
Will nonfriable asbestos be left in place during demo? U Yes ❑ Nc
if yes, list type and qty.
work Days: M T W Th F Sa Su
Horns: 8-3
Will all friable asbestos E. Yes
u aterial. • removed? No
O Plada ❑ Tenure Coetiess
8098998920 It: :LT OMIT.. /It //M
06/01/2006 08:49 253 -8r 7936
Cit :. , �sQ
•.I41.lng a t{let I3t -,TN t'L se. ca See
Store: 3 ta-
i
r.?^: ivuad Ckaa An Aarnr, t 'nun No a(' I Su (Raised 9 TS
170 /170 3DVd »43 Jl3 DVJV3S
PARTNERS C1-1 1NC
zio: 9 Sto•
Pho ee - s e r e
rsxet CZ
The Puget Sound Clean Air Agency requires advance notification before any person commences a frieble asbestos preice
involving materials equal to or greater in size than 10 linear feet or 48 square feet and for ell demolition project;
l regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Reeulattcr
III. .a rticle 4). All asbestos removal and demolition notifications must be submitted to the Agency on current .Agent_
forms. .Asbestos removal and demolition groieces involvine materials and structures below the no;iftcation threshold era
gull subiect to all other renuiremen;s of Regulation UT. Article 4.
.After receiving a complete notification with the appropriate project fee, the Agency will review the form and return
:' v' to the asbestos and demolition contractor by mail. The returned copy will be your validated notification.
1 Uemalimlaf. ` l' a nen tw ain. rxn arc, et 70411 aaivakN.auru sae.
Contractor: 4iita PttoAE Awn c -s Owner/CEO: Le Big a Js
Cane ct.r .
I hi n
1 �tt��
tti t, eau
Fax: c1 'LC e. See c - %GiK $ I
GUIDELINES sOR SUBMITTING AN ASSESTOSIDEMOLITION NOTIFICATION
S;ap I. Check the appropriate project type in Box A. friable asbestos includes popcorn ceiling material. 1Y-et vtnVl flooring. semen.
asbestos board tiding. and due: insulation, Von/dale asbestos is normally found in vinyl floor tiles, window puny and most roofing
Trill':fa!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 sittgle•fanuly residence.
project, m Box C Pnnt clearly thus is your return mailing label.
Step 4. Enter the she address for all notifications in Box 0. For multi- seucttae projects, attach supplemental sheet vo.th a s;tc r.:e
t include an address for each sttei 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 Emcrger e.
Response Act (AelERA) asbestos survey be conducted by a certified AHERA building Inspector. .Attnch a con' of the s un ry o
elm ft can un,gf a der..olinon ormoct waen only iontiiable a3 getps o_ r tie asbestos js identified on the survey
Step a Enter the project inrotmuticn In Box F. and cheek the training the or ordered demolition box et appropriate to tops ui
official ordr must be attached). All asbestos must be removed prior to conducting a tanning fire. Additional training t:t
requirements are contained in Regulation 1. Secdoo 8.OS. if any nonfriable asbestos materials will be left in place during du-neater
:NIA Yes and list the type and quantity of material.
ap 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed: surfacing matenei such as
popcorn ceilings or piaster. sheet vinyl flooring, duct and pipe insulation, cement asbestos board siding or pipe. etc.
Step 8. For Single - Family Residential projects; cheek BOX Hl A for renovation projects, BOX HIS for demolition projects w'th
"thou' asbestos removal. Asbestos removal may be conducted after a complete notification is received, but demolition acnvittes : - -.
.,n! ' begin on the Ire day after the notification is received. Note If the tingle family residence is awned by one fancily who ra=
Arras or hill be using the residence as their domicile, boxes IA or ld may be checked. A single family residence does nor in clul,
rental property, multi family units, or any saved-use building.
-
Pot Commercial asbestos projects or projects that do not qualify as Single Family Residential): check the project caisson 're:
5 that marches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropnatc sure;
,additional (eel to your payment. To the for an emergency asbestos or demolition project, check the appropnatc box I - an
applicable emergency box in H6. Aj3 ptrrgrnev rnntirsa muse be aecortoanied by a letter from the nroec1v owner demonsnattn0 .z
1+d to 1 4 jt the protest i cnmediagly in accordance with the requirements in Regulation Ill. Serrion 4 .0; fcj.
.Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box I,
Mancaiory amendments to the notification are required for changes that increase the project category, change the Types of asbest:
materiels to be removed and changes to start date, completion date and work schedule for asbestos projects. No fee is required (-
sore schedule changes ti the contractor is participating in the Agency work schedule fax program. A S25..00 processing fee Is require:
for ail arsendinnents.
Pegct Sound Clean Air Agency asbestos regulations and forms can downloaded from the Agency web page at wwu'.psclaaaatr or
rot technical assistance contact (206) 689 -4058 and for administrative 'equities contact (106) 6894090.
80989989LP TV:Li 980L/0t/L8
ACTIVITY NUMBER: D06 -268 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:
c 1 (P
Buil�ng Division L,K
P liW orks,G 4Ao
Complete
Comments:
TUES/THURS ROUTING:
Please Route
REVIEWER'S INITIALS:
APPROVALS OR CORRECTIONS:
Approved ❑
Notation:
REVIEWER'S INITIALS:
Documents/routing slip.doc
2-x8-02
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
51( 1140G 1-144*
Fire Prevention (�
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Incomplete ❑
Structural Review Required
Approved with Conditions
" Planh(ng Division
❑ Permit Coordinator ❑
DUE DATE: 07 -13-06
Not Applicable ❑
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required
DATE:
DATE:
C
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 1
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, Electr - "in or Plumber License Detail Page 1 of 3
Washington State Department of Labor and Industries
GeneraUSpecialty Contractor
A business registered as a construction contractor with L&I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Savings Information
I I I I I I I I
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= DEMOLMI178N2 08/11/2006
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