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HomeMy WebLinkAboutPermit D10-107 - KLATTENBERG RESIDENCE - DEMOLITIONKLATTENBERG RESIDENCE 2939 S 135 ST D10 -107 Cit y `of 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: / /www.ci.tukwila.wa. us Parcel No.: 7346600051 Address: 2939 S 135 ST TURIN Suite No: DEVELOPMENT PERMIT Permit Number: D10 -107 Issue Date: 05/17/2010 Permit Expires On: 11/13/2010 Tenant: Name: KLATTENBERG RESIDENCE Address: 2939 S 135 ST , TUKVVILA WA Owner: Name: KLATTENBERG MURRAY D+KYONG Address: 2939 S 135TH ST , SEATTLE WA 98168 Phone: Contact Person: Name: GOTTFRID SNELLMAN Address: 13523 SE 333 PL , AUBURN WA 98092 Phone: 253 - 833 -7534 Contractor: Name: G S BUILDERS & DEVELOPERS INC Address: P.O. BOX 68652 , SEATTLE, WA 98168 Phone: 206 244 -9822 Contractor License No: GSBUII *228BL Expiration Date: 07/24/2011 DESCRIPTION OF WORK: DEMOLISH EXISTING HOUSE AND DETACHED GARAGE, REMOVE ALL DEBRIS TO PREPARE FOR A NEW HOUSE AND ATTACHED GARAGE. PROJECT ON VALLEY VIEW SEWER AND WD #125 WATER. Public Works activity includes EROSION CONTROL. Value of Construction: $5,070.00 Fees Collected: $338.46 Type of Fire Protection: UNKNOWN International Building Code Edition: 2006 Type of Construction: VB Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -107 Printed: 05 -17 -2010 City of 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: / /www.ci.tukwila.wa.us Permit Number: D10 -107 Issue Date: 05/17/2010 Permit Expires On: 11/13/2010 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 compile N N N Number: 0 Size (Inches): 0 Start Time: Volumes: Cut 0 c.y. Start Time: End Time: Fill 0 c.y. End Time: Private: Public: Profit: N Non- Profit: N Private: Public: xarii with, Date: OC d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this p zeta 't • • es • - e • ni: to /ve authority to violate or cancel the provisions of any other state or local laws regulating co .ctiono ` re p c- . /work. I.. thorized to sign and obtain this development pe t. Signature: . / Date: 5j( ci Print Name: (�-4 (�� �� �� _ ` (144' y This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. dcc: IBC -10/06 D10 -107 Printed: 05 -17 -2010 Parcel No.: 7346600051 Address: Suite No: Tenant: • 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 2939 S 135 ST TUKW KLATTENBERG RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D10 -107 ISSUED 04/22/2010 05/17/2010 1: ** *BUILDING DEPARTMENT 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 6: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 9: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 10: Minimum 48 hours in advance the applicant shall call Public Works to schedule a Public Works Pre - Construction meeting with Mr Dave Stuckle, Public Works Project Inspector. The applicant must notify the City Project 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. 11: Any material spilled onto any street shall be cleaned up immediately. 12: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 12: From October 1 through April 30, cover any slopes and stockpiles that are 3H: IV or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. doc: Cond -10/06 D10 -107 Printed: 05 -17 -2010 • 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 14: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All thsturbed areas of the site shall be permanently stabilized prior to final construction approval. 15: 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. 16: Applicant or contractor shall obtain a capping permit from Valley View Sewer District at 206 242 -3236. 17: Applicant or contracor shall obtain a water capping permit from Water District # 125. 18: ** *PLANNING DIVISION COMMENTS * ** 19: The existing shed does not meet setbacks. Prior to final approval of the building permit, the shed shall be removed or re:located to meet setbacks. Note that the rear setback requirement is 10 feet; the side setback requirement is 5 feet. 20: Fire and Parks impact fees will not apply as long as a new single - family dwelling unit is constructed within 12 months of demolition. * *continued on next page ** doc: Cond -10/06 D10 -107 Printed: 05 -17 -2010 • City of Tukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 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 p e of Signature: Print Name: 6-011-1::/t.' -iii%' /t ► STA -t i/ wt BFI Y doc: Cond -10/06 D10 -107 Printed: 05 -17 -2010 Pak CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 intp://Wwwei.tulcwila.wa.us SITE LOCATION Building Permit No. P1 D -101 Mechanical Permit No. Plumbing /Gas Permit No. Public Works Permit No. Project No. (For office use only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** King Co Assessor's Tax No.: V((Co 0 — Site Address: ' 93 % S, I35-TZ4 Sr. ) 7:4 Zcwil c Il r U ?() , Suite Number: Floor: New Tenant: ❑ Yes Tenant Name: /S//lq Property Owners Name: /i?Y/, j/ /t.,9 7TE,Al/5(25 Mailing Address: cR 93 9 S , /3- 77-i 07 , 14-41 (C%/9 9 & / Ge City ❑ ..No State Zip CONTACT PERSON who do we contact when your permit is ready to be issued Name: 07-7-F2 1 i 1N ,%�cL-L- t''AA) Day Telephone: 0.?5-3 g33 — 7.53 `r Mailing Address: L3S,71.3 S 33 go -11- , J, L4) 5 ) 9 �- City State Zip Fax Number: ;Z53 S'3 3 -- 7S /Y E -Mail Address:016 Licy / I QO. C:c�/'Y► GENERAL CONTRACTOR INFORMATION: — (Contractor Information for Mechanical (pg 4) for Plumbing, and Gas Piping (pg 5)) Company Name: 7"S 0344 1 1_.0C:42 -1 -DC (.2-re,'S _r/VC- , Mailing Address: / 3Se2.3 S, L , 333 nL N , /c bitSidleil, a%.0 %k-v % ok_. City / State Zip Day Telephone: ,. -833- 7..s-8y 00, G <r 7 Fax Number: ca?.s3 C' EW V 7/? y /// Contact Person: E -Mail Address: Contractor Regis ation Number: cSt3Gr1' . *' ,,2 t8 73L OTT F/2/ A (.rr4 //V c= Expiration Date: CHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: - Mailing Address: Zip Contact Person: E -Mail Address: City Day Telephone: Fax' Number: State ENGINEER OF RECORD -All plain must be wet stamped by Engineer of ecord Company Name: Mailing Address: City Day Telephone: Fax Number: Page 1 of 6 Contact Person: E -Mail Address: H\Applications\Porms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised: 1 -2009 bh State Zip BUILDING PERMIT INFORM LION:- 206 -431 -3670 Valuation of Project (contractor's bid price): $ S b 7 (-7 Existing Building Valuation: $ Co. 6) U 0 Scope of Work (please provide detailed information): D 70 L I5 J-3 ( X 13T /!U< /- 10Gijc /1 I�ET�c 11 c� b l /)- 12-YJ -� � 2cyrl��/cj AiGe C)c,32/ S 7-e-9 /-1--v 2 i9 /Lc -u.7 , 42e- s 7774G/ /z 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 ANNING 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. H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 15t Floor 5c3 rd Floor 3rd Floor Floors , thru Basement Accessory Structure* Attached Garage Detached Garage ,2gr.--y Attached Carport Detached Carport Covered Deck Uncovered Deck ANNING 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. H:\Applications\Forms- Applications On Line \2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh Page 2 of 6 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. BUILDING OW Signatur .NL %i4 e: lei Print Name: Or '77 ff,O Mailing Address: / d.3 EGLi»,) /v 333 ,1 Date: .'//e,2m27'; c] Day Telephone: 2 S A —c 33 — 7_53 i City State Zip Date Application Accepted: Date Application Expires: Staff Initial . LI - 22 -Ire /L? - 22 -/O HAWpplications\Fonns- Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1 -2009 bh Page 6 of 6 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Nu ber: Expiration Date: State Zip Valuation of Project (contractor's ',,d price): $ Scope of Work (please provide detai P tt Building Use (per Int'l Building Code): Occupancy (per Int'l Building Code): { Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and /or gas piping outlets / ;.ing installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture.Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet rr lothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain • water cooler (per if- ad) Fo -waste grinder, com ercial Floor Drain Shower, single head trap Lavatory i Wash ,untain Receptor, indirect waste Sinks Urinals 7 a' Water Clo.-t v Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water h; : ter and/or vent r Industrial w: ` et treatment interceptor, inc ding trap and vent, except kitchen type grease intercet ors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) r r.air or alteration of ater piping and /or water f treatment equipment Repair or alteration • ,ti drainage or vent pipin_ \, 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 atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacu.. breakers not included lawn sprinkler back ',•. w protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:1ApplicationsWorms- Applications On- Line12009 Applications1l -2009 Permit Application.doc Revised: 1 -2009 bh Page 5 of 6 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 RECEIPT Parcel No.: 7346600051 Permit Number: D10-107 Address: 2939 S 135 ST TUKW Status: APPROVED Suite No: Applied Date: 04/22/2010 Applicant: KLATTENBERG RESIDENCE Issue Date: Receipt No.: R10 -00863 Payment Amount: $206.90 Initials: JEM Payment Date: 05/17/2010 03:26 PM User ID: 1165 Balance: $0.00 Payee: G.S. BUILDERS & DEVELOPERS, INC. T:R.ANSACTION LIST: Type Method Descriptio Amount Payment Check 7931 206.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES STATE BUILDING SURCHARGE 000.322.100 640.237.114 Total: $206.90 202.40 4.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 05 -17 -2010 • 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.: 7346600051 Address: 2939 S 135 ST TUKW Suite No: Applicant: KLATTENBERG RESIDENCE RECEIPT Permit Number: D10 -107 Status: PENDING Applied Date: 04/22/2010 Issue Date: Receipt No.: R10 -00685 Initials: BLH User ID: ADMIN Payment Amount: $131.56 Payment Date: 04/22/2010 12:42 PM Balance: $206.90 Payee: G.S. BUILDERS AND DEVELOPERS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7895 131.56 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PLAN CHECK - NONRES 000.345.830 131.56 Total: $131.56 PAYENT RECEIVED doc: Receiot -06 Printed: 04 -22 -2010 f PA) INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit D)O -107 PERMIT NO. P ct: 1 IVijleJ 4644 Type of Inspect t _ Q A dress q "c ^ ..t Date Called / p /ID ,...--:-. ial Instructions: p 'WI , �' ` ' ., t / ell: Date Want ed. i m. CQ I a.p.m. J. �� Reques 2 . fTIF Phone No: •o(e. —57/ a951 Approved per applicable codes. El Corrections required prior to approval. COMMENTS: T IVijleJ rio,le Inspector: , Date: i 1 1 I $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO.■ INSPECTION RECORD Retain a copy with permit JYO-w77 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Vett-1-r-Type of Inspectio : u . l Q 'fib Address: "t'�1'' . 21131 Si X35 s- Date Called: Special lIInstr ctions: Dab Date Wanted: ( /Q Requester: Phone No 7 (o— S') /— Z IS/ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: . El $60.00 REINSPECTION F ' EQUIR . Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 00. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit Q INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION •-• 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (296)431-3670 P of ct: Type of Ins ection: 7� p2 Address lt. �,,_ 7_135 5. 135 � Date Called I�r e �- A� ,. Special Instructions: 1e �✓ eJ T ` . i`'t , v Date Wan d: J . .Z8. . _/,3 p.m. p Requester: Phone No: 9,v6- -5-'i/ -2-55 / ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: L) ) (WL/— C.-� 'j , AXf o ,-) cf wiA `;i' Niy v J' . ir c — 0 . . . ' 1� (Y--0 % i ( -(l t (O - %; j • ( p U6ti, 1.') u V S a ti, A-1 . J ' L AI) i S f (7f ' .).1s 0,A r .A — R e - eJ •1((3 13 ✓ : I L ,qtr - t.c. r 3r (_ p.., 6 l C r t I� J (l�S , s . ..), r'^1 „ e 1 4 Inspector: Dater 7 ( t ri $60.00 REINSPECTION FEE REQUIIIED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION A-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ,tOrl Project: A&iI ' des• Type of spection: Fr e, Cb 4 j , Address: -at- zA3 l J J. i 35 J` Date Called: Special Instructions: 0 1.61",P2---St 64-cuirr Date Wanted: S -- ( '-,,� p.m. De," prep 4J(._ (-u!Aew gel, Requester: Phone No 7_5_r -g33 -'7534 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: VITA f 44 Inspscto p$6 p ld JReceitJNo.. L) Date: — 2 v- /0 0 REINSPECTION Fly REQUIRED. Prior to inspection, fee must be it 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: REVIS;ONS 1 No changes shat made de to the scope of work without prior approval of Tukwila Building Division. NOTE: Revisions will require a new plan submittal and may include additional plan review fees. „o-,oet 3N11 )0019139 FILE COPY Permit No. Platy review approval is subject to errors and omissions. Approval of construction documents does not authorize f ' violation of a dopted code or ordinance. Receipt r' approved F • l•7,y a; . ons is acknowledged. By Date: City Of Tukwila BUILDING DIVISION These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequac: of the design rests totally with the designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by the Public Works utilities inspector. Date: Li 13a �Zo(o 5EE Pt-M !! Corooi r i ov..)S • z N w U 4 co O ll0� boo N te i• alp ltil Mcto° D10-101 Z 0 0 J 0 REVIEWED FOR CODE COMPLIANCE APPRAVED .1 14 2010 A-sc ity of Tukwila BUILDING nIViSIf1Rl RECEIVED APR 2 2 2010 PERMIT CENTER CAS dui lders 4 Dev I., Inc. Excellence Since 1904 Phone 253- 833 -1534 Fax 253 - 833-0844 gabgottfrideuahoo.com www.G515UILD4U.COM • DATES f /2 //v SCALE DRAWNG No. / o #rf 111 Print From: Assured Quality (assuredqualit}2001@yahoo.com) To: esnelhnan@yahoo.com; Date: Tue, April 20, 2010 1:04:14 PM Cc: gsbgottf'rid@yahoo.com; Subject: PSCAA Permit Puget Sound (lean Air Agency • Page l of l FILE COPY Permit No. Notification Case #: 201001055 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(aX6)). Fee Amount Paid 5325.00 Credit Card Transaction # VPEF5A502C04 Owners Name Project Street Address City Contact Person Mailing Address Murray Klattenberg 2939 S 135th St Tukwila Tony Fawcett This project indudes asbestos removal. Project Size linear feet / 290 square feet Project Start Date 04/30 /10 Completion Date 04/30/10 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Assured Quality Environmental Inc. Contact Anthony Fawcett Mailing Address 2702 A St. Tacoma, WA 98402 This project includes a demolition. Demolition Start Date 05/01/10 Completion Date 05/25/10 Demolition will be completed by a demolition contractor Demo Contractor Gottfrid Snellman Contact Mailing Address (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification it Phone (206) 244-2250 Zip Phone 98168 (253) 572 -7175 �_. REVIEWED FOR CODE COMPLIANCE APPROVED MAY Y 14 2010 Contractor Job # Phone (25 ) 572-6N of Tukwila BUILDING nIVIRIGN Contractor Job # Phone (206) 571-2951 • The type of project has changed. The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single- family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. to ECEIVED APR 2 7 2010 TUKWILA PUBLIC WORKS IO'1O7 http:// us. mg2 .mail.yahoo.com/dc/launch ?.gx =1 &.rand= 7keth2lOskcb 1 RECEIVED APR 2 2 2010 PERMIT CENTER 4/20/2010 • PLAN �Y /ROUTING SLIP ACTIVITY NUMBER: D10 -107 DATE: 04 -22 -10 PROJECT NAME: KLATTENBERG RESIDENCE SITE ADDRESS: 2939 S 135 ST X Original Plan Submittal Response to Correction Letter # _ Response to Incomplete Letter # Revision # After Permit Issued DEPART ENTS: ul ding I isio s Awc, Public Works AA AyA.._ 4-7-t0 Fire Prevention Structural J� �L Planning Division Permit Coordinator S'-‘310 s DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Fr Incomplete ❑ DUE DATE: 04 -27 -10 Not Applicable Comments: 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 ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 05 -25 -10 Approved ❑ Approved with Conditions Not Approved (attach comments) Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2 -28 -02 Contractors or Tradespeople"ter Friendly Page General /Specialty Contractor A business registered as a construction contractor with Lal 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 G S Builders & Developers Inc UBI No. 600265986 Phone 2538337534 Status Active Address 13523 Se 333Rd Place License No. GSBUII *228BL Suite /Apt. License Type Construction Contractor City Auburn Effective Date 1/13/1978 State Wa Expiration Date 7/24/2011 Zip 98092 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date Snellman, Gottfrid E &Nbsp; 01/01/1980 Amount Snellman, Elaine S &Nbsp; 01/01/1980 06CGL0001043 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 6 CBIC SD9078 07/18/2002 Until Cancelled 07/24/2010 $12,000.00 07/17/2002 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 26 NAVIGATORS INS CO 06CGL0001043 01/01/2009 01/01/2011 $1,000,000.0012 /31/2009 25 NAVIGATORS INS CO 06CG0001042 01/01/2008 01/01/2009 $1,000,000.0012 /31/2007 24 N I C INS CO SE06CGL00014001 01/01/2006 01/01/2008 $1,000,000.00 12/29/2006 23 NATIONAL FIRE Et MARINE INS CO 72LP166007A 12/02/2004 01/01/2006 $1,000,000.0011 /23/2005 22 NATIONAL FIRE Et MARINE INS CO 72LP159794 12/02/2003 12/02/2005 $1,000,000.0012 /01/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 05/17/2010