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Permit D10-211 - BRATCHER RESIDENCE - DEMOLITION
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. D10 -211 Bratcher Demolition 1302756 th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals' social security Personal Information — numbers are redacted to protect those Social Security Numbers individuals' privacy pursuant to 5 U.S.C. sec. 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. 552(a), and are also exempt from disclosure 552(a); RCW 552(a); RCW under section 42.56.070(1) of the Washington 42.56.070(1) 42.56.070(1) State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information — expiration dates, or bank or other financial RCW 41 DR2 Financial Information — account numbers, which are exempt from 42.56.230(5) RCW 42.56.230(4 5) disclosure pursuant to RCW 42.56.230(5), except when disclosure is expressly required by or governed by other law. BRATCHER DEMOLITION 13027 56 AV S D10 -211 City 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.tulcwila.wa.us Parcel No.: 2172000040 Address: 13027 56 AV S TUKW Suite No: Project Name: BRATCHER DEMOLITION DEVELOPMENT PERMIT Permit Number: D10-211 Issue Date: 10/13/2010 Permit Expires On: 04/11/2011 Owner: Name: BRATCHER CHARLES E Address: 13003 56TH AVE S , SEATTLE WA 98178 Contact Person: Name: JEFF GREEN Address: 11925 288 ST E , TUKVVILA WA 98338 Contractor: Name: GREEN WORKS LLC Address: 11925 288 ST E , GRAHAM WA 98338 Contractor License No: GREENWL924JD Phone: 253 651 -6518 Phone: 253 - 651 -6518 Expiration Date: 10/13/2012 DESCRIPTION OF WORK: DEMOLISH EXISTING 965 SF SFR - GARAGE TO REMAIN PUBLIC WORKS ACTIVITIES INCLUDE: EROSION CONTROL, AND CAPPING OF UTILITIES. EXISTING SEPTIC SYSTEM TO BE REMOVED. Value of Construction: $4,000.00 Fees Collected: $1,325.43 Type of Fire Protection: SMOKE DETECTORS International Building Code Edition: 2009 Type of Construction: VB Occupancy per IBC: 0022 * *continued on next page ** doc: IBC -10/06 D10 -211 Printed: 10 -13 -2010 City dIP 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.citukwila.wa.us Permit Number: D10-211 Issue Date: 10/13/2010 Permit Expires On: 04/11/2011 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: Water Meter: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie N N Private: Public: The granting of this permit do not pres constructionor - perfo ce of w Signature: Print Date: ned this permit and know the same to be true and correc . All provisions of law and ordinances , whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this development per. 't. Dat r' / �O 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. doc: IBC -10/06 D10 -211 Printed: 10 -13 -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.: 2172000040 Address: Suite No: Tenant: 13027 56 AV S TUKW BRATCHER DEMOLITION • PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: D10 -211 ISSUED 08/13/2010 10/13/2010 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 permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431- 3670). 7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 8: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** 9: Contractor shall notify Public Works Project Inspector Mr. Dave Stuckle at (206)433 -0179 of commencement and completion of work at least 24 hours in advance. 10: Any material spilled onto any street shall be cleaned up immediately. 11: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 12: 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. 13: Any septic tanks in the area shall be pumped empty and removed or filled with sand. A copy of the documentation from the business that performed the pumping shall be provided to the Public Works Project Inspector. 14: Water line shall be plugged at the main if it is to be abandoned. If it will be used again in the near future for a new building, it shall be capped at the water meter. 15: This permit shall be accompanied by the special conditions which are hereby incorporated and binding upon the doc: Cond -10/06 D10 -211 Printed: 10 -13 -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 applicant. Signature hereto shall serve as acknowledgement of the receipt of such special conditions and shall further indicate applicant's agreement to abide to the terms and conditions contained herein. 16: Work affecting traffic flows shall be closely coordinated with the City Project Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 17: Contractor shall notify Public Works Project Inspector at (206)433 -0179 of commencement and completion of work at least 24 hours m advance. 18: ** *PLANNING DEPARTMENT CONDITIONS * ** 19: The owner must provide a bond or other financial guarantee acceptable to the Director m the amount of 150% of the cost of demolition of the garage that will remain on site, and assurance that the garage will be demolished if a residence is not built on the lot within 12 months of final approval of the demolition. 20: The new single - family home will not be subject to Parks and Fire impact fees as long as the new home is constructed within one year of the date of final approval of the demolition. * *continued on next page ** doc: Cond -10/06 D10 -211 Printed: 10 -13 -2010 • n City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http. //www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume construction or the performance of work. Signatur Print Nam ve authority to violate or cancel the provision of arty other work or local laws regulating Date/ ' �. 5 doc: Cond -10/06 D10 -211 Printed: 10 -13 -2010 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ap://www.ci.tukwila.waus SITE LOCATION Building Permit No. Mechanical Permit No. 17\,0 -211. 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 ** Site Address: /3827 Tenant Name:_"6,tJG Property Owners Name 92 E, King Co Assessor's Tax No.:2 /,7eZ c 'Q - ac) Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No Mailing Address: T,y CONTACT PERSON who do we contact when your permit is ready to be issued Name- 07 Mailing Address://,,?J ..22"gr E -Mail Address: // Day Telephone: City State / Zip `Fax Number: // GENERAL CONTRACTOR INFORMATION — (Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5)) Company Name: C �,P c,r -/A .A;r7,<5 Z/ Mailing Address: 7»' Contact Person-j/, E -Mail Address: Contractor Registration Number: A.6.51 7J3F City State Zip Day Telephone: (3J .65/ Fax Number: /-✓/% Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by, Architect of Company Name: Mailing Address: " Contact Person: t city Day Telephone: E -Mail Address: FaxNumber: /i9, State Zip ENGINEER OF RECORD - All plaids' be wet stamped by Enginee record Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: HAApplications\Porms- Applications On Line\2009 Applications \I -2009 - Permit Application.doc Revised. 1 -2009 bh Page 1 of 6 J BUILDING PERMIT INFORI"'VION - 206 -431 -3670 Valuation of Project (contractor's bid price): $ Existing Building Valuation: $ Scope of Work (please provide detailed information): / CD O G Will there be new rack storage? ❑ Yes 0.. 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 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:\ApplicationsWorms- Applications On Line \2009 Applications \I -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 lst Floor 2 "a Floor 3rd Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck / Uncovered Deck /.'67 PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes ", explain: FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If 'yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM © /On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\ApplicationsWorms- Applications On Line \2009 Applications \I -2009 - Permit Application. doc Revised: 1 -2009 bh Page 2 of 6 t :'PUBLIC WORKS PERMIT .IMP RMATION — 206.433 =0179 Scope of Work (please provide detailed information):�,�� G / 1.14-ia.6) Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water riot ukwila ❑... Water District #125 ❑ ...Water Availability Provided Sewer D' trict ukwila ❑...Valley View ...Sewer Use Certificate ❑...Sewer Availability Provided Septic em: n -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) ❑ .. Highline ❑ .. Renton ❑ .. Renton ❑ .. Seattle Proposed Activities (mark boxes that apply): ❑ ...R. -of -way Use - Nonprofit for less than 72 hours ight -of -way Use - No Disturbance ...Construction /Excavation/Fill - Right -of -way ❑ Non Right -of -way ❑ ❑ ...Total Cut ❑ ...Total Fill cubic yards cubic yards ❑ ...Tr tc Impact Analysis old Harmless — (SAO) ❑...Hold Harmless — (ROW) ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑Abandon Septic Tank ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ ...Frontage Improvements ❑ .. Pavement Cut ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... 79 WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑ ...Deduct Water Meter Size ❑ ...Sewer Main Extension Public ❑ Private ❑ ❑ ...Water Main Extension Public ❑ Private ❑ FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip H:\Applications \Forms - Applications On Line\2009 Applications \1 -2009 - Permit Application.doc Revised: 1-2009 bh Page 3 of 6 MECHANICAL PERMIT .INF TION , =.206 -431 -36,70 MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement .... ❑ Commercial: New .... ❑ Replacement .... ❑ Fuel Type: Electric ❑ Gas....❑ Other: Indicate type of mechanical work being installed and the quantity below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment Air Handling Unit <10,000 CFM Incinerator — Comm /Ind Hr\Appli cations \Forms - Applications On Line12009 Applicationthl -2009 - Permit Application.doc Revised: 1 -2009 bh Page 4 of 6 1 ..PLUMBING AND GAS PIPIN` RIVIIT INFORMATION -;:Zb6 431 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Int'l Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty. Fixture'Type: • ': Qty ' :Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 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 vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets H:\ApplicationsTorms- Applications On- ine\2009 Applications \1-2009 Permit Application.doc Revised: 1 -2009 bh Page 5 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 shalt 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. Mailing Address: Date: Day Telephone: % ?<3'%/ -4 j"/ fr/State City State Zip I Date Application Accepted: t _ CI I i° Date Application Expires: 021 t5i f t t Staff Initials: �(''�n. . �I" H: ApplicationsWorms- Applications On Linet2009 Applications1l -2009 - Permit Application.doc Revised: 1.2009 bh Page 6 of 6 BULLETIN A2 -" TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees PROJECT NAME MerfC144K 'Fm p PERMIT # 1=10 - Z 1 I ( I/4 z-) 5141%4 S.) If you do not provide contrach 4 r bids or an engineer s estimate with your permit application, Public Works will review the cost estimates for reasonableness and may adjust estimates. 1. APPLICATION BASE FEE 2. Enter total construction cost for each improvement category: Mobilization — Erosion prevention ` Water /Sewer /Surface Water / Don Road/Parking/Access $250 (1) A. Total Improvements /ObO -0700 3. Calculate improvement -based fees: B. 2.5% of first $100,000 of A. C. 2.0% of amount over $100,000, but less than $200,000 of A. D. 1.5% of amount over $200,000 of A. 4. TOTAL PLAN REVIEW FEE (B +C +D) 5. Enter total excavation volume Enter total fill volume cubic yards cubic yards 25 $ 2S 0.00 (4) Use the following table to estimate the grading plan review and permit fee. Use the greater of the excavation and fill volumes. QUANTITY IN CUBIC YARDS RATE Up to 50 CY Free 51 — 100 $23.50 101 — 1,000 $37.00 1,001 — 10,000 $49.25 10,001 — 100,000 $49.25 for 1ST 10,000, PLUS $24.50 for each additional 10,000 or fraction thereof. 100,001 — 200,000 $269.75 for 1sT 100,000, PLUS $13.25 for each additional 10,000 or fraction thereof. 200,001 or more $402.25 for 1ST 200,000, PLUS $7.25 for each additional 10,000 or fraction thereof. GRADING Plan Review and Permit Fees $ (5) TOTAL PLAN REVIEW AND APPROVAL FEE DUE WITH PERMIT APPLICATION (1 +4 +5) $ 2-2 S - The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the application/plan and 2) a follow -up review associated with a correction letter. Each additional review, which is attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee. Approved 09.25.02 Last Revised Jan. 2009 1 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 6. Permit Issuance/Inspection Fee (B +C +D) $ 2- "(6) 7. Pavement Mitigation Fee $ — (7) The pavement mitigation fee compensates the City for the reduced life span due to removal of roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate the p Approx. Remaining Years Pavement Overlay and Repair Rate (per SF of lane width) 20 -15 (100 %) $10.00 15 -10 (75 %) $7.50 10 -7 (50 %) $5.00 7 -5 (33 %) $3.30 5 -2 (25 %) $2.50 2 -1 (10 %) $1.00 0 -1 $0.00 8. GRADING Permit Review Fee Grading Permit Fees are calculated using the following table. Use the greater of the excavation and fill volumes from Item 5. $ (8) QUANTITY IN CUBIC YARDS RATE 50 or less $23.50 51 –100 $37.00 101 – 1,000 $37.00 for lst 100 CY plus $17.50 for each additional 100 or fraction thereof. 1,001 – 10,000 $194.50 for 1st 1000 CY plus $14.50 for each additional 1,000 or fraction thereof. 10,001 – 100,000 $325.00 for the 1st 10,000 CY plus $66.00 for each additional 10,000 or fraction thereof 100,001 or more $919.00 for 1st 100,000 CY plus $36.50 for each additional 10,000 or fraction thereof. Approved 09.25.02 Last Revised Jan. 2009 2 BULLETIN A2 TYPE C PERMIT FEE ESTIMATE PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION PW may adjust estimated fees 9. TOTAL OTHER PERMITS A. Water Meter — Deduct ($25) B. Flood Control Zone ($50) C. Water Meter — Permanent* D. Water Meter — Water only* E. Water Meter — Temporary* * Refer to the Water Meter Fees in Bulletin Al Total A through E $ 0.00 (9) 10. ADDITIONAL FEES A. Allentown Water (Ordinance 1777) $ B. Allentown Sewer (Ordinance 1777) $ C. Ryan Hill Water (Ordinance 1777) $ D. Allentown/Foster Point 2 Water (Ordinance 2177) $ E. Allentown/Foster Point 2 Sewer (Ordinance 2177) $ F. Special Connection (TMC Title 14) $ G. Duwamish $ H. Transportation Mitigation $ I. Other Fees $ Total A through G $ 0.00 (10) DUE WHEN PERMIT IS ISSUED (6 +7 +8 +9 +10) $ Z C ...e-eIIr ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE This fee includes two inspection visits per required inspection. Additional inspections (visits) attributable to the Permittee's action or inaction shall be charged $60.00 per inspection. WATER METER FEE Permanent and Water Only Meters Size (inches) • tallation Cascade Water Alliance RCFC 01.01.2009 — 12.31.2009 Total Fee 0.75 $600 $6,005 $6,605 1 $1100 $15,012.5e $16,112.50 1.5 $2400 $30 ! 5 $32,425 2 $2800 8,040 $50,840 3 $4400 '.' 6,080 $100,480 4 $7800 $150, 5 $157,925 6 $12500 $300,251 $312,750 Approved 09.25.02 Last Revised Jan. 2009 Temporary Meter .75" $300 2.5" $1,000 3 • • 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 ParcelNo.: 2172000040 Permit Number: D10 -211 Address: 13027 56 AV S TUKW Status: APPROVED Suite No: Applied Date: 08/13/2010 Applicant: BRATCHER DEMOLITION Issue Date: Receipt No.: R10 -01977 Payment Amount: $300.00 Initials: BLH Payment Date: 10/04/2010 04:05 PM User ID: ADMIN Balance: $0.00 Payee: GREEN WORKS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2077 300.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts PW BASE APPLICATION FEE PW PERMIT /INSPECTION FEE PW PLAN REVIEW 000.322.100 000.342.400 000.345.830 Total: $300.00 250.00 25.00 25.00 doc: Receiot -06 Printed: 10 -04 -2010 111/ • 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.: 2172000040 Address: 13027 56 AV S TUKW Suite No: Applicant: BRATCHER DEMOLITION RECEIPT Permit Number: 1)10-211 Status: PENDING Applied Date: 08/13/2010 Issue Date: Receipt No.: R10 -01577 Payment Amount: $275.43 Initials: JEM Payment Date: 08/13/2010 11:59 AM User ID: 1165 Balance: $0.00 Payee: GREEN WORKS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2063 275.43 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000.322.100 000.345.830 640.237.114 Total: $275.43 164.20 106.73 4.50 PAYMENT RECEIVED doc: Receipt -06 Printed: 08 -13 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. .. . CITY OF TUKWILA.BUILDING DIVISION . ..1 6300 Southcenter Blvd., #100, Tukwila. WA 98188 • (206) 91-3670 . Permit Inspection Request Line (206) 431-2451 Project: : Project: ' 0,v.,...41,i-rn44 __IDiptAn Type of Inspection: i aJA ( . Address: t 110 A-1 1.1 12 AO L'C Date Called: Special Instructions: .. Date Wanted: a. . p.m Requester: Phone No: ,2.5 34051 -(4. 51 13 1.1\, Approved per applicable codes. Corrections required prior to approv I. COMMENTS: eflAr\---1/0 • •rv Insptor: Date) • REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. . • , 1 155Sainbacilit---C. Znoscial •• • r • • ::— "Tr.- • vcc. • : isT• EN • S4101. • a • v.) Pc° froxl INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION• 6300 Southcenter BIvd., #100, Tukwila. WA 98188 • (206) 431 -3670, Permit Inspection Request Line (206) 431 =2451 Project: Eat- fe ler o Type of I spection: - Y Fllio�l Address: (r)g? r„ 4tie. S- Date Called: 1 it 111(0 Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required,prior to approval. COMMENTS: — C zp' ed an c lA,.sfvrnar .5td.e. o-r yoeter -et I in box.. SFr .n...4ed fl+e. - - raw I J -ia-a hole. (led cui1 l mar,/ . &nis,c %e 4-- _n -I-ad - FT/vied Inspector: 'Date: {/It1!(k 0 REINSPECTION FEE REQUIRED. Prior.to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. rte, el- ,+r- enaivea,am. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0: CITY OF TUKWILA. BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 P ect: r-Al- required prior to approval. Jt Type of Inspection: ...,.., A dress: li ,, I 302: : ' _ 5 A-U1 -5 Date Called: W r y) -, %7 Special Instructions: 5 f-� i JAS ' 1 uto A.. P C M l. Date Wanted: r(d ,• '"� �ra ry, --f AO p:m. Requester: t Phone No: S-3 ..,, t S - I - _ 6518' ! jApproved -per applicable codes. Corrections required prior to approval. COMMENTS: % _ r .1L f, Ik. \ e ii'' i .r, ', {/ • W r y) -, %7 JAS ' 1 uto A.. P C M l. '` 0 _ .6o of -i.� 4/J. t�_,4..: 4 .) j yr �, i . , .! u ; b l r fi it .1 i C z- .. '" •.) 0 f 1461.0a 1 40.....1-44A,., Insp- or: 1Date1 ► to :m,4)'"( REINSPECTION FEE REQUIRE b. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. '?+4,xr. II Tt s sv.'•:'Z' -- . _..1 r.:i `.:..iY,• :.. 1t71 Vew • N REVISIONS No changes shall be made 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. 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 adequacy 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: By: // / scw c y =6 , o r ".i.A/Z2X7 - ocssra 'o WooR r 5 /50-27 id4p/78' 7ci ESC? (oo} 6 - CUi T L ABC% z. 3 /71/ .20 PLZ ••-•• •• C �� b of 0 hi9 1\D i N 14 21.: § ra riom „,,,,,_ 2 f,. m tomi .0.,...... //,mss, %C C,). ; (25 ) CAS/ —6L5 /cr co Es z ,.. I. 7:Z0— rzo cag FILE COPY K & 13 Excavatigerm t No. 20917 NE 169`" Woodinville, WA 98077 425 -844 -2799 June 15, 2010 Charles Bratcher 206 -242 -0189 Job Location: 13027 56th Ave S Tukwila, WA 98168 Complete Demolition of all structures at the above location, removal of debris, raking of site, leaving site neat and clean. Backfill Septic and back fill void. Lump Sum: $ 4000.00 oseph B • nderson C arles Bratcher REVIEWED FOR - CODE COMPLIANCE APPROVED i Uj 7 2010 City of Tukwila BUILDING DIVISION RECEIVED _ CITY OF TU LA AUG 13 2010 PERMIT CENTER �l0 -21 Bold to: linden Septic Tank Service Prank Wick owns 419 South 140th Street Burien, WA 98188 (206) 243-3130 c3 -C— ?S ao l 6 Ai? Tc/e-t /3*-Q Frank Wick pumped gallon septic tank. 3 yo ,(11)Y 650 r 77? T %fie 42%/�r� Depth c inches Dope of snag. Law % hobs. Condition of bast BEMs 01 or Unsatisfactory Condition 0100W or Unsatisfactory LC. Csstitioat. LC. 70 zed z 2� 3/3 Payment Due Upon Receipt Of This Bill 1 %% per month 18%per year Finance chase will be added to unpaid balance st the next mailiati date. in case of snit or action is road__ to collect this bill J/Me promise to pay such additional sum as the Cat maylud®e remenable Attorney's 1ba in such suitor action. Signed Partners Construction Inc 1313 Central Ave So, Suite A Kent, Wa 98032 -7409 206 -575 -7429 PARTNCI065NU BILL TO Chuck Bratcher 13003 56th Ave South Tukwila, WA 98178 INVOICE DATE INVOICE NO. 3/15/2010 1021 SITE ADDRESS Demo Project 13027 56th Ave South Tukwila, WA 98178 P.O. NO. TERMS Due on receipt ITEM DESCRIPTION RATE AMOUNT Labor Asbestos Abatement Rti."... I fiAil C-Drii,3-.1/41 1,000.00 1,000.00 Thank you for your business. Total $1,000.00 FILE c Permit 140• -�-. -- PY Page 1 of 1 Single - Family Notification Case #: 201000470 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid Credit Card Transaction Transaction Date Owner's Name Project Street Address City Contact Person $75.00 # VREF4F393D6B 03/01/10 Chuck Bratcher 13027 56th Ave South Tukwila Chuck Bratcher Mailing Address 13003 56th Ave South Tukwila, WA 98178 Phone Zip Phone (206) 246-0189 98178 (206) 246-0189 This project includes asbestos removal. Project Size linear feet / 322 square feet Project Start Date 03/11/10 Completion Date 03/11/10 Asbestos will be removed by a licensed asbestos abatement contractor This project Includes a demolition. Demolition Start Date 03/12/10 Completion Date 04 /12/10 Demolition will be completed by the home owner I certify that: (1) This Is a single - family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided Is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History If you have questions, contact us at asbestos @pscleanair.org or 206.689.4058. REVIEWED FOR CODE COMPLIANCE APIORAVED AUG 2 7 2010 City of Tukwila BUILDING DIVISInN https: / /secure.pscleanair.org /Asbestos /Approved.aspx Loa Out RECEIVED CITY QF TUKIMLA AUG 13 2010 PERMIT CENTER to z1I • PARTNERS CONSTRUCTION, INC LICENSE # PARTNC1065NU • ASBESTOS LICENSE # 1172 1313 CENTRAL AVE SOUTH, SUITE A KENT, WASHINGTON 98032 -7409 (206) 575 -7429 FAX (253) 852 -7936 EMAIL: partnersciOgwestoffice.net ASBESTOS ABATEMENT ASBESTOS MANAGEMENT • GENERAL CONTRACTOR 03 -12 -2010 Chuck Bratcher 13003 56th Ave South Tukwila, WA 98178 To Whom It May Concern: Our Company has removed all Asbestos referred by Asbesto -Test, Inc. from the site at 13027 56th Ave South in Tukwila, WA. This has been done in accordance with all current Labor & Industry and PSCAA Regulations. 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 you. Call me with any questions you may have and thank you for allowing us to be of service '1,4/ , Donny R Murrax, Manager 1 FILE COPY ASBESTO -TEST, mcPermit No. ASBESTOS SURVEY 13027 56TH AVE. S, TUKWILA, WA 98178 Page 1 of S #280202 February 11, 2008 Chuck Bratcher 13003 56th Ave. S. Seattle, WA 98178 Ph: 206 - 246 -0189 On February 4, 2008 Asbesto -Test personnel conducted an Asbestos survey (per U.S.E.P.A. /A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the house na 13027 50 Ave S, Tukwila, King County, Washington 98178. This survey purpose is to identify any Asbestos Containing Materials that may be present and will require professional removal prior to demolition or renovation. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The structure is one story wood frame. The siding is wood. The composition roofing and siding vapor barrier materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywall and wood. The drywall/taping materials were sampled. The tile and vinyl flooring with relating backings and mastics were sampled per each located homogenous area The mastic materials were sampled where applicable. The acoustic ceiling tile materials were uniformly sampled. INSULATION: The insulation materials were sampled. REVIEWED FOR CODE COMPLIANCE APPROVED AUG 27 2010 City of Tukwila BUILDING DIVISION CONTINUE TO PAGE 2 1429 Ave. D. PMB #187, Snohomish, WA 98290 ph: 425 - 489 -4040, c 206- 914 -5500 fax: 775 - 665-0420 page: 206 -540 -2401 web : �. e nail : - ECEIVED AUG 17 Tale TUKWILA PUBLIC WORKS RECEIVED CITY OF TUKWILA AUG 13 2010 PERMIT CENTER P1O- 211 Page 2of5 CB280202 February 11, 2008 Asbesto-Test, Inc. 425- 489 -4040 13027 56th Ave. S, Tukwila, King County, Washington 98178 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be of the kind to be ACM. The power may have been "on" at the time of thc survey, thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: There is a free standing gas heater in the house. There was no visible relating suspect ACM located. Note: It was not possible to dismantle the heating unit to locate and/or evaluate any additional suspect ACM which may be concealed, inside the unit, or associated in hidden areas. It is our opinion any further handling of the heating unit should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. Any TSI that may be later located associated with the heating unit including but not limited to all internal insulating materials, gaskets, joint compounds, sealants, and/or insulations, are PACM unless tested otherwise by laboratory analysis. Misc.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: There is a garage behind the house. The composition roofing materials were sampled. # of structures included in survey: one house and garage Requested by: Chuck Bratcher (/` ar y ' stra Inspector, certified A.H.E.R.A. accred. #102667363 (Expires 6/20/08) A -T continue to page 3 Page 3of5 CB280202 February 11, 2008 Asbesto -Test, Inc 425- 489 -4040 13027 50 Ave S, Tukwila, King County, Washington 98178 Any and all materials identified as ACM or PACM in this report (and /or additional materials associated with the structure that may be discovered and later identified as ACM or PACM), must be professionally abated prior to demolition. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND /OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION, AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXIMATION ONLY. ANALYSIS ID ASBESTOS //TYPE/ /QUANTITY OTHER MATERIAL 1.0 SHEET VINYL FLOORING yes // chrysotile // 35-40% non- fibrous materials, FRIABLE ACM cellulose Dining room & kitchen under plywood sub - flooring— color: cream Note: The asbestos is in the gray /white vinyl backing. The mastic is also ACM as it cannot be separated from the friable vinyl backing material. APPROX. 275 SQ. FT. ON WOOD 2.0 FLOOR TILE yes 1/ chrysotile // 2 -5% non- fibrous materials TILE IS NON - FRIABLE ACM Kitchen surface — color: white w /blue diamonds 2.1 mastic NAD cellulose, adhesive APPROX. 110 ON PLYWOOD 3.0 SHEET VINYL FLOORING yes // chrysotile // 35 -40% non - fibrous materials, FRIABLE ACM cellulose Laundry — color: green & brown marble design Note: The asbestos is in the gray /white vinyl backing. The mastic is also ACM as it cannot be separated from the friable vinyl backing material. APPROX. 60 SQ. FT. NOTE: Any additional colors or kinds of vinyl flooring and /or tile with any relating mastics/backings that were not discovered in this survey and may later be located in this structure are also presumed to contain asbestos unless tested otherwise by laboratory analysis THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES 4.0 sheet vinyl flooring NAD non - fibrous materials, dining room surface — color: cream & light pink cellulose, fiberglass 4.1 mastic NAD adhesive continue to page 4 A -T Page 4 of 5 CB280202 ANALYSIS ID February 11, 2008 Asbesto -Test, Inc. 425 -489 -4040 13027 561 Ave S, Tukwila, King County, Washington 98178 5.0 sheet vinyl flooring bathroom — color: brown & tan 5.1 mastic 6.0 acoustic ceiling tile stapled up 7.0 drywall ASBESTOS //TYPE / /QUANTITY NAD NAD 7.1 drywall taping compounds SAMPLED PER AHERA PROTOCOL 7.2 surface paint homogenous throughout 8.0 insulating material on underside of kitchen sink 9.0 laminant mastic kitchen countertop 9.1 splash panel mastic kitchen 10.0 insulation 11.0 siding vapor barrier material beneath wood siding exterior 12.0 composition roofing house 12.1 roofing vapor barrier 13.0 composition roofmg garage 13.1 roofing vapor barrier NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD continue to page 5 OTHER MATERIAL non - fibrous materials, cellulose, fiberglass adhesive cellulose, paint non - fibrous materials paint, gypsum non - fibrous materials, cellulose, fiberglass paint, cellulose non - fibrous materials, cellulose, polymers adhesive, cellulose adhesive, cellulose cellulose, fiberglass cellulose, tar cellulose, tar fiberglass, non - fibrous materials cellulose, tar cellulose, tar fiberglass, non - fibrous materials cellulose, tar A -T Page s of s CB280202 February 11, 2008 Asbesto -Test. Inc 425 - 4894040 13027561— "Ave S, Tukwila, King County, Washington 98178 N G H= HOUSE, G= GARAGE NOT TO SCALE H 56th Ave. S Some sample analyses listed may be a representative analysis of individual and separate samplings and analysts of homogenous materials, as prescribed byA.H.F_.RA. protocol. Samples taken are listed with their corresponding analyses- If asbestos is detected those samples containing asbestos are listed first and noted with the initials ".4CM If, during demolition or renovation, any additional hidden or covered suspect materials similar to those identified in the survey are located [may include but not limited to: sheet vinyl flooring, the flooring, wall or ceiling texturings or paints, concrete siding or skirting. cement pipes. cement wallboard electrical cloth, electrical wiring insulation. thermal paper, wallboard Joint compounds, vinyl wall coverings, spackling compounds, or any other suspect TSI (Thermal System Insulation)J, they should be treated as Asbestos Containing Materials unless determined to be non - asbestos by laboratory analysis. Note: Asbesto-Test, Inc. does not guarantee approximations of quantities of ACM, which may be listed with the analyses. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc.), or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance, renovation, or demolition. Analytical test method: USEPA 600/R93/116'• (PLM); WAC 296 -62 -07753 App. J Kev; ACM signifies "Asbestos Containing Material" PACM signifies "Presumed Asbestos Containing Material" CAB signifies "Concrete Asbestos Board" < signifies `less than" TSI signifies `Thermal System insulation" HVAC signifies "Heating Ventilating Air- Conditioning" NAD signifies "No Asbestos Detected" "One percent is the USEPA regulatory limit for asbestos in bulk samples. PLM has been known to miss asbestos in small percentages of some samples, which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM or TEM, to insure analytical accuracy when reported in small percentages. Asbesp= `Test . claims responsibility for sample content only. ond, P hemisi, B.Sc. —AI _, proficient END OF REPORT A -T ASBESTO -TEST, INC. ASBESTOS SURVEY 13027 56- AVE. S, TUKWILA, WA 98178 Page 1 of S #280202 February 11, 2008 Chuck Bratcher 13003 56th Ave. S. Seattle, WA 98178 Ph: 206-246-0189 On February 4, 2008 Asbesto -Test personnel conducted an Asbestos survey (per U.S.E.P.A. /A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the house (a 13027 50 Ave S, Tukwila, King County, Washington 98178. This survey purpose is to identify any Asbestos Containing Materials that may be present and will require professional removal prior to demolition or renovation. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The structure is one story wood frame. The siding is wood. The composition roofmg and siding vapor barrier materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AND FLOORINGS: The interior is drywali and wood. The drywall/taping materials were sampled. The tile and vinyl flooring with relating backings and mastics were sampled per each located homogenous area The mastic materials were sampled where applicable. The acoustic ceiling tile materials were uniformly sampled. INSULATION: The insulation materials were sampled. CONTINUE TO PAGE 2 1429 Ave. D. PMB #187, Snohomish, WA 98290 ph: 425 - 489 -4040, c 206- 914 -5500 fax: 775 - 665-0420 page: 206 -540 -2401 web: e nail : Page 2 of 5 CB280202 February 11, 2008 Asbesto-Test, Inc 425 -489 -4040 13027 56t Ave S, Tukwila, King County, Washington 98178 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be of the kind to be ACM. The power may have been "on" at the time of the survey, thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: There is a free standing gas heater in the house. There was no visible relating suspect ACM located. Note: It was not possible to dismantle the heating unit to locate and/or evaluate any additional suspect ACM which may be concealed, inside the unit, or associated in hidden areas. It is our opinion any further handling of the heating unit should be coordinated by the project manager and/or abatement contractor. 'fan); additional relating suspect materials are located prior to and/or during any demolition or renovation, any and all additional related suspect materials should be considered to be ACM (Asbestos Containing Material), unless determined to be otherwise by laboratory analysis.. Any TSI that may be later located associated with the heating unit including but not limited to all internal insulating materials, gaskets, joint compounds, sealants, and/or insulations, are PACM unless tested otherwise by laboratory analysis. Misc.: None. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: There is a garage behind the house. The composition roofing materials were sampled. # of structures included in survey: one house and garage Requested by: Chuck Bratcher ar s a Inspector, certified A.H.E.R.A. accred. #102667363 (Expires 6/20/08) A -T continue to page 3 Page 3 of 5 CB280202 February 11, 2008 Asbesto -Test, Inc. 425- 489 -4040 13027 50 Ave S, Tukwila, King County, Washington 98178 Any and all materials identified as ACM or PACM in this report (and /or additional materials associated with the structure that may be discovered and later identified as ACM or PACM), must be professionally abated prior to demolition. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND /OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION, AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXIMATION ONLY. ANALYSIS ID ASBESTOS / /TYPE / /QUANTITY OTHER MATERIAL 1.0 SHEET VINYL FLOORING yes // chrysotile // 35-40% non - fibrous materials, FRIABLE ACM cellulose Dining room & kitchen under plywood sub - flooring— color: cream Note: The asbestos is in the gray /white vinyl backing. The mastic is also ACM as it cannot be separated from the friable vinyl backing material. APPROX. 275 SQ. FT. ON WOOD 2.0 FLOOR TILE yes // chrysotile // 2 -5% non - fibrous materials TILE IS NON - FRIABLE ACM Kitchen surface — color: white w /blue diamonds 2.1 mastic NAD cellulose, adhesive APPROX. 110 ON PLYWOOD 3.0 SHEET VINYL FLOORING yes I/ chrysotile // 35-40% non - fibrous materials, FRIABLE ACM cellulose Laundry — color: green & brown marble design Note: The asbestos is in the gray /white vinyl backing. The mastic is also ACM as it cannot be separated from the friable vinyl backing material. APPROX. 60 SQ. FT. NOTE: Any additional colors or kinds of vinyl flooring and /or tile with any relating mastics/backings that were not discovered in this survey and may later be located in this structure are also presumed to contain asbestos unless tested otherwise by laboratory analysis THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES 4.0 sheet vinyl flooring NAD non - fibrous materials, dining room surface — color: cream & light pink cellulose, fiberglass 4.1 mastic NAD adhesive continue to page 4 A -T Page 4of5 CB280202 ANALYSIS ID February 11, 2008 Asbesto -Test, Inc 425 -489 -4040 13027 561 Ave S, Tukwila, King County, Washington 98178 5.0 sheet vinyl flooring bathroom — color: brown & tan 5.1 mastic 6.0 acoustic ceiling tile stapled up 7.0 drywall ASBESTOS //TYPE / /QUANTITY NAD NAD 7.1 drywall taping compounds SAMPLED PER AHERA PROTOCOL 7.2 surface paint homogenous throughout 8.0 insulating material on underside of kitchen sink 9.0 laminant mastic kitchen countertop 9.1 splash panel mastic kitchen 10.0 insulation 11.0 siding vapor barrier material beneath wood siding exterior 12.0 composition roofmg house 12.1 roofmg vapor barrier 13.0 composition roofmg garage 13.1 roofmg vapor barrier NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD NAD continue to page 5 OTHER MATERIAL non - fibrous materials. cellulose, fiberglass adhesive cellulose, paint non - fibrous materials paint, gypsum non - fibrous materials. cellulose, fiberglass paint, cellulose non - fibrous materials, cellulose, polymers adhesive, cellulose adhesive, cellulose cellulose, fiberglass cellulose, tar cellulose, tar fiberglass, non - fibrous materials cellulose, tar cellulose, tar fiberglass, non - fibrous materials cellulose, tar A -T Page S of S CB280202 February 11, 2008 Asbesto -Test. Inc. 425 -489 -4040 13027 Sri Ave S, Tukwila, King County, Washington 98178 N H= HOUSE, G= GARAGE NOT TO SCALE H 56t Ave. S Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials. as prescribed byA.H.ER.A. protocol. Samples taken are listed with their corresponding analyses. If asbestos is detected those samples containing asbestos are listed first and noted with the initials "ACM". If during demolition or renovation, any additional hidden or covered suspect materials similar to those identified in the survey are located [may include but not limited to: sheet vinyl flooring, tile flooring, wall or ceding texturings or paints. concrete siding or skirting, cement pipes. cement wallboard electrical cloth, electrical wiring insulation, thermal paper. wallboard joint compounds. vinyl wall coverings, spackling compounds, or any other suspect TSI (Thermal System Insulatron)J, they should be treated as Asbestos Containing Materials unless determined to be non - asbestos by laboratory analysis. Note: Asbesto-Test, Inc. does not guarantee approximations of quantities of ACM, whi t may be listed with the analyses. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc.), or by on site assessment Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance, renovation, or demolition. Analytical test method: USEPA 600/R93/116 ** (PLM); WAC 296-62-07753 App. J Key: ACM signifies "Asbestos Containing Material" PACM signifies "Presumed Asbestos Containing Material' CAB signifies "Concrete Asbestos Board" < signifies "less than" TSI signifies "Thermal System Insulation" HVAC signifies "Heating Ventilating Air- Conditioning" NAD signifies "No Asbestos Detected" * *One percent is the USEPA regulatory limit for asbestos in bulk samples. PLM has been known to miss asbestos in small percentages of some samples, which contain asbestos, thus negative PLM results cannot be guaranteed Floor tiles and wipes should be tested with SEM or TEM, to insure analytical accuracy when reported in small percentages. --- - Asbesjo -T / ,/ claims responsibility for sample content only. ond, P c ' + hemist, B.Sc. AI y proficient END OF REPORT A -T ; /?, ADDRESS OF PROPERTY I • SEATTLE-KING COUNTY DEFARTMENT OF PUBLIC HEALTH DIVISION BF SANITATION 904 Public Safety Building AS-BUILT SEWAGE DISPOSAL PLAN (Submit In Triplicate) LEGAL DESCRIPTION: -0 PERMIT NO. Owner../ .6: • Address . Phone ....................... ............ . ..... ............ Address Phone . . Dergnerre."1:,.. ; Address Phone ' . Phone I- .2 ......................... .. Address 1 hereby certity the accompanying drawing Is an acurrte representation of the system Installed at the listed address. 1 further certify all recommen- dations and reshictIons (concernirK plumbing stub elqvat!,)ns, maintenance of grades. fills, surface drains, etc.) listed by me on my approved site plan (or letes` asprovei hsvislon thereon dated '"we been complied with. 1 further certify that thls system meets all reulrements of the Rules and Regulations established under King County Resolution No. 22873 or City cf Seattis Ordlnence No. 90181 whichever is applicable. 6-/Y- "23 Z.IATIVICATS flD. •IONATIJIM Y 00111,0.1% Date Accepted . .7 Sire of Staltarian Rerr.arlts TO BE FILLED IN BY HEALTH DEPARTMENT ONLY Date tact Accepted ■••••••■••■• • • 17.1CT • INSTRUCTIEtte.i: You mix.usesthe..tevarse side of this torn Cie drawing or attach separate sheet Use a scale which will pennit the greatest detail bid stilipxnaln the entire site on one page. • — !ATTENTION HOME OWNER: -■ — Your septic tank has ilinItationsl It was designed antInstilied to care for an averase-sae family. Overloading the septic tank or disturbance of the drutrifield may seriously Impair sAtI,A111cferY operation. Polsts remember: Have your tank checked periodically to se-e-rflibmping is necessary (21/2-3 years). Do not channiti-ground-wateevaurface-wateerfootIng-drains-or-closwsspo..0. Inm the-tank.oc.drairdiakt.__ Do not excavate. fill, place a structure, driveway or patio in, on, or over the dralnfleld. Limit toHet !Muse disposal to sanitary wastes and toilet tissue. Detergents and bleaches used In normal household quantities will not tv.rm the action of Use septic tank and disposal field. t.. SEATTLE -KING COUNTY DEPARTMENT OF PUOLIC HEALTH 1 , ; DIVISION OF ENVIRONMENTAL HEALTH SERVICES, :., L t Poem 904. PuULIC swan Bww:MO SITE APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMAP 2 1973 • (Submit in Triplicate) tt (This accompanies the building permit application and Is crerequislte to the issuance of the Tdd 1o�wa s o,al System Permit.) r rr. F ! ' NOTE If the property Is within the boundaries of an operating sewer district or other sewering authority, it will be necessary to obtain written permisslon from that authority allowing use of an individual sewage disposal system. Location of Property - Street Address r 27(9 % ,(-74 4K.. Addition or Subdivision .---ft 1t (7 _ • r; -e, -1.,/ 7-10 p e Lot Block (Or attach legal description) ':we of Building: New X Single Family Residence (No. Bedrooms .2.. ) Existing Other ❑ (Specify) f .).://,•) //o J' Seattle Office North End Eastside Southeast Southwest 904 Public Safety Building 98104 15272.15th Northeast 98155 15607 N.E Bellevue - Redmond Road, Cellevue 98004 12015 S.E. 128th Street. Renton 98055 10821.8th S.W. 98146 JUniper 3-2065 EMerson 3.4765 TUcker 5-1278 (SH 7.1760) Alpine 5-3496 CHeny 4-6400 Owner 1 . L- Ill it Builder X Designer r' Gi /0. 1I )1 li 0./1 I Soil Log Tests (Describe soils encountered preferably by FHA's uniform soil classification system). Minimum depth 48 inches. Hole No. 1 • 7Op 0//. / :. — 141/11 ..J' 1 /1.- Gii€,Y I rr" ti u Hole No. 2 (? -zi ek4//'VY!. .- 4Q./L?:- / -/../ :a -5/2-4v, t- /I i?SJG_'I Hc.le No. 3 '.J Hoe No. 4 Street Address L?2 56 4YO . �C1" /�S /ticZ City-Zip Code Phone (:H ] Street Address Street Adddress r/r ) • (r /FhE�'fl%f City-Zip Code ' i-J ^ Phone �( .,`+1 -!(Gµ I Evidence of Water Table, if encountered. (Distance f-om ground surface) Wort/ Source of Domestic Water Supply /r/ //n/I/ /'1 Percolation •rstr (Fall in minufee p`• Inr'h hottom 6 inches of test hole) Depth Average Rate Length of Time Soaked Hole No. 1 Hobe No. 2 (D " Hole No. 3 .'iGG' Hole No. 4 Hole No. 5 Hole No. 6 (For additional remarks or comments application.) / Signature - Designer ,C (/i 2' ttach letter in triplicate or utilize unused spaces arouno drawing on reverse side of • /. /i /i... Date W - 2 S - 73 DO NC- WRITE BELOW HIS LINE (To be alt Department) Accepted tyy �A�_ Not Accepted ❑ (W10) murk'swiru5IFrIcE S.AP.11e Nw. 0.1041 C55 11.I) 3 (District Office Use) NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE ; IT IS DUE TO THE QUALITY OF THE DOCUMENT. 72: .•• ii:.";•...*:':-',;:::-..:,, '-'i. , ..--P.,':',..1!-..:-::: -.. 4. 1 • --i • f‘ '1.-'-1 - • . " ' 0 • .i. 1 -3 • a ..r.l.• .1- '.1 N •••) . . ■• 4 . .- • ■ .3 i S:. -.0.1. ty'-", k -.,„.; • .- `4 • .s., ‘ ,,p1 . • -:,N.I ._ .! „ t-•:-..•-- 2. .. .1 ..., .p.ki,,\•1..., .4- ‹i'l..y.. , -.: 1 • _4 -4 1 70 .. 4.-, .s. 44.. IV • t'') 1 .: 1 . • . . 1 • 4 •Z ? ••••••,••?. -. 3 t, •' ... ''. -,..r. ,..:. •-,-;.•••c:- , 1. , . ' '• ale; A1(- 7i1114") - i4 3 r-3(08 7oo 7 es S 04 Fs cl...423).13CH. =asp, prove Wtt • • 0 ALL OW )-, • _J CITY OF TUKWILA, WA 98188 -2544 ACCOUNTS PAYABLE CHECK NO. $a'' dINV412E':PIOMBER,r, °.� =..+.t 4 ... ... �"''��1' DATE `'�Y`''••`'.'P..O.`NUMBER',�: naj�. -' ;on?'�l'1fiL:sr �'�:.,° _�<DESCRII?TIONI•Fsrrt• �''�ar•. =' . n.� '"`�'' a`_:- `; 4isUritg4 ,\.::. P'',:, AMOUNfiid'C''.'r.., 149w 012411301 01/20/2011 750.00 010 -211 DEMOLITION BOND REFUND 750.00 PLEASE DETACH BEFORE DEPOSITING --CFAACEFOFkTHIsf ,DQCUMENcTaHAS,+A';C'OLSORED EfKCK'GR.O,UND jNO 17A4wiiII TT1E3B}A'CK'6ROIJN`p:11 a:. ;'CH PAY TO THE ORDER OF CITY OF TUKWILA 6200 Southcenter Boulevard Tukwila WA 98188 -2544 Seven Hundred Fifty Dollars and No Cents BRATCHER, CHARLES 13003 56TH AVE S TUKWILA, WA 98178 PAYABLE THROUGH U.S. BANK 151 Andover Park East • Tukwila, WA 98188 - 19 -10 1250 - 't <cvENDOR' ° C .. ' "NUMBER %'..'f'd j(�` DATE " . _. • ^+S._,.:..•s � I � °FHECK NUMBER'•.t �CHECK AINOUN I ~i r'?`'tk<.: U 012869 .01/24/2011 750.00 x uv,..w42 a RWARl )4i/LuvNA(1444=c 1:91D ATaNWN;GlIfolT=04V,IIEW1 aw.y M7...a,, °,;�b7e�titl� 4�iY'X2f1�4�2si.iA� Ear IY�f'�F}�O AtMi nY 4co, ar Ptr,TCi'c? �,�; ©fit �,cayrt4 ttri'f, Tui<u�t.A.i;1N6k"8.1°8� }stn stht� MEMO January 13, 2011 To: Laurie Anderson From: Brenda Holt VIAA Re: D10-211 Please refund $750.00 to Charles E. Bratcher. The demolition of the detached garage for the property located at 13027 — 56th Avenue South is complete and has been inspected and approved by the Building Department. Please make the check out to: Charles E. Bratcher 13003 — 56th Avenue S Tukwila, WA 98178 Please send the check to my attention and I will forward it to them. Thank you. Xc: File No. D10 -211 H:1Documents\Bond Release'D10-211 - refund memo.doc City of Tukwila 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 206 - 431 -3670 DEVELOPER'S PROJECT WARRANTY REQUEST FORM Section 1 — to be completed by Developer Name of Development: �. rum Z Fss�� g- ' Date: /D -1 D Address: /3027 ,Sti T''' /K-47- c.S- Permit No.: V/ Release should be sent to: Name: Address: 43 ne-)t 3 - d rte /. City /State /Zip % 4 (.J, z Ahel. erl%� Phone Number C�?e,) 2 // —i7/ Descriptio f items to be completed (reference plans /documents where items are described): As the owner, or authorized agent of the owner, I hereby submit cash or cash equivalent in the amount of $ c5-e, Oc) (150% of value to complete work above) and attach support documentation for value of work. I will ave this work carried out and call for a final inspection by this date: !O- y I or risk having the City use these funds to carry out the work with their own contractor or in -house manpower. If it to carry out the work, I hereby authorize the City to go onto the property and carry out completion of the -Jove d r iencies. I further agree to complete all work listed above prior to requesting inspection and relea or se,/. Signed: Title: Section 2 - to be completed by City staff THIS FUND IS AUT ,s RIZ ^ T BE ACCEPTED Signed: U Department Head: v� Amount: $ Ir'Jo.V(;l Deposited this Date: 10-1- 1' =1(] [V. Cash/Check ❑ Cash Assignment ❑ Bond /', City Receipt No.: Rio-Ogg/0 Received By: btak Section 3 - to be completed by Developer All work identified in Section 1 of this form has now been completed and returned to department which au • ized warranty. I hereby request inspection and release of my cash /cash equiv .' - r .ond. Developer's Representative: Date: / 2 - 23 — Q To be completed by City staff have reviewed the above work and found it acceptable and therefore authorize the release of the above cash /cash equivalent/bond. Inspector: Date: Authorized By: Section 4 - to be completed by City staff Amount Released: $ 15 (no [✓f Check - Check No. %.511 ❑ Cash Equivalent - Letter attached ❑ Bond - Letter attached Date Released: 14.6 - ( Released by: policy and procedures4cd boolddevdoper's project warranty form Crowed: pebnrary 2005 r ,..en !orks, LLC Contract For: Chuck and Marge Bratcher 13003 56th Ave S Tukwila, WA: 98178 September 2, 2010 Page 1 of 1 Scope of Work: Demolish the garage at the address 13027 56th Ave. S., Tukwila, WA. 98178 General Detail: This a contract for the demolishion of the garage at the address above if required by the city of Tukwila, in the case where a new home is not erected within one year from the sign off by the city of the demolishion of the house currently one site. Total Price $500.00 Terms: All materials from the demolishion become my property and all non- recyclables will be disposed of in a safe manner. Additional expenses: - Any additional fees charged by the city of Tukwila. - Any unforeseen, buried utilities or infrastructure requiring removal or modification/ (Except sales tax). Offered By: Approved By: Approved By: Date: / �7 Date: Date: 9- Z -) t Green Works, LLC (253) 651 -6518, 11925 -288t St. E., Graham, WA. 98338 UB1#602- 727 -332, IN 4600200907 "Catlin ", Bond# 100033218 "American" GREENWL924JD January 4, 2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Charles E. Bratcher 13003 — 56th Avenue S Tukwila, WA 98178 RE: Cash Assignment Release Dear Mr. Bratcher: We received your request for release of the cash assignment posted in the amount of $750.00 for the demolition of the detached garage located at 13027 — 56th Avenue S. On October 4, 2010, the contractor (Green Works LLC) paid the balance of the demolition permit in the amount of $300.00. The check was returned due to non - sufficient funds (NSF). As of the date of this letter, the NSF check has not been resolved. Once the NSF check is taken care of please call our Inspection Request Line at 206 -431 -2451 and schedule a final inspection for the demolition permit. When the demolition permit receives final inspection approval from the City, the cash assignment will then be released. If you have any questions relating to the NSF check process, please contact Laurie Anderson in the city's Finance Department at 206 - 433 -1848. If you have questions relating to the final inspection process, please contact the Permit Center at 206 - 431 -3670. Sincerely, (ikkak Brenda Holt Permit Coordinator xc: Jeff Green, Green Works LLC Laurie Anderson bh 01/0.4/2011 H:\Documents\Bratcher - D10 -211 NSF Check.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax: 206 - 431 -3665 PERMIT C PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D10 -211 DATE: 08/13/10 PROJECT NAME: BRATCHER DEMOLITION SITE ADDRESS: 13027 56 AV S X Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter # Revision # after Permit Issued D PARTME TS: B Pub Ic WorKs Aw\ Fire Preven Ion Structural (0 '}2 k S2 riD Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ‘tyfi Comments: Incomplete DUE DATE: 08/17/10 Not Applicable n Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Building Please Route Structural Review Required REVIEWER'S INITIALS: n No further Review Required DATE: APPROVALS OR CORRECTIONS: DUE DATE: 09/14/10 Approved n 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 LEI 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 GREEN WORKS LLC UBI No. 602727332 Phone 2536516518 Status Active Address 11925 288Th St E License No. GREENWL924JD Suite /Apt. License Type Construction Contractor City Graham Effective Date 4/4/2008 State WA Expiration Date 10/13/2012 Zip 98338 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company GREEN WORKS LLC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status RJCON "08405RJ CONSTRUCTION Construction Contractor Carpentry/Framing Siding 9/10/1992 9/10/1993 Archived Business Owner Information Name Role Effective Date Expiration Date GREEN, JEFFREY WAYNE Partner /Member 04/04/2008 Amount GREEN, DIANE 5 Partner /Member 04/04/2008 10/13/2010 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 AMERICAN CONTRACTORS INDEM CO 100033218 09/20/2007 Until Cancelled $12,000.00 04/04/2008 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 3 WESTERN HERITAGE INS CO SCP0812268 07/19/2010 07/19/2011 10-2-09766-5 PIERCE $1,000,000.0007 /19/2010 2 WESTERN HERITAGE INS CO scp0746256 04/01/2009 04/01/2010 $1,000,000.0003 /27/2009 1 CATLIN INSURANCE COMPANY (UK) 4600201093 04/01/2008 04/01/2009 $1,000,000.00 04/04/2008 Summons /Complaint Information Cause County Complaint Judgment Status Payment Paid By 10 -2- 13376 -9 PROBUILD COMPANY INC InterPlead: No PIERCE Date: 09/30/2010 Amount: $2,193.69 Bond(s): 100033218 Date: Amount: $0.00 Open Date: Amount: 10-2-09766-5 PIERCE Date: 06/04/2010 Date: Open Date: https://fortress.wa.gov/lni/bbip/Print.aspx 10/13/2010