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Home My WebLink AboutPermit D06-344 - Airport Valley Vinyl - Demolition (Fire Damage)AIRPORT VALLEY VINYL 14612 MILITARY RD S EXPIRED 06 -26 -07 D06 -344 Parcel No.: 0040000835 Address: 14612 MILITARY RD S TUKW Suite No: Contact Person: Name: ANTON (TONY) CEBE Address: 25843 33 AV S KENT WA 98032 Phone: 208 793 -1880 City of Tukwila Tenant: Name: AIRPORT VALLEY VINYL Address: 14612 MILITARY RD S , TU%WILA WA Owner: Name: CEBE ANTON P +KIMBERLY A Address: 34709 THOMAS ROAD E , EATONVILLE WA 98328 Phone: Contractor: Name: OWNER AFFIDAVIT - ANTON P CEBE Address: , Phone: Contractor License No: 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 DESCRIPTION OF WORK: DEMOLITION OF 8800 SF OF RETAIL BUILDINGS (FIRE DAMAGED) DEVELOPMENT PERMIT * *continued on next page ** Permit Number: D06 -344 Issue Date: 12/27/2006 Permit Expires On: 06/25/2007 Expiration Date: Steven M. Mullet, Mayor Steve Lancaster, Director • • Value of Construction: $4,550.00 Fees Collected: $231.84 Type of Fire Protection: NONE International Building Code Edition: 2003 Type of Construction: VB Occupancy per IBC: 0008 • • doe: IBC-10 /06 D06-344 Printed: 12 -27 -2006 • Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Number: 0 Flood Control Zone: N Hauling: N Start Time: Land Altering: N Volumes: Cut 0 c.y. Landscape Irrigation: N Moving Oversize Load: N Start Time: Sanitary Side Sewer: N Sewer Main Extension: N Private: Public: Storm Drainage: 14 Street Use: N Profit: N Non - Profit: 14 Water Main Extension: N Private: Public: Water Meter: 14 Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile x d th, PIA 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 Permit Number: D06444 Issue Date: 12/27/2006 Permit Expires On: 06/25/2007 Size (Inches): 0 End Time: Fill 0 c.y. End Time: Date: t �! (10 Steven M. Mullet, Mayor Steve Lancaster, Director • permit and know the same to be true and correct. All provisions of law and ordinances ther specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t % he�pe er rf000 fin e of work. I am authorized to sign and obtain this development permit. Signature: 1 Date: 0 Print Name: A h,4 ' CP, (10'__ • 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. • doe: IBC-10 /O6 D06.344 Printed: 12 -27 -2006 Parcel No.: 0040000835 Address: Suite No: Tenant: 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 Cityof Tukwila Permit Center. 8: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (208/248 - 8830). T: 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. doc: Cond -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 14612 MILITARY RD 5 TUKW AIRPORT VALLEY VINYL PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: D06 -344 ISSUED 09/19/2006 12/27/2006 • 006 -344 Printed: 12 -27 -2006 Signature: Print Name: A l'AD VL 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 to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Ccbc Date: R/ Z7/ (KO • • • doc: Cond -10/06 D06-344 Printed: 12 -27 -2006 Company Name: Contact Person: E-Mail Address: CITY OF TUKWILA Community Developmer}tia.epartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us CONTACT' PERSON Mailing Address: 252) 43 33r- l • 50 Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Q :Upplicationn\F'otme- Applicnioa On Line 3- 2006 - Permit AppllwUoadoe Revimd: 4 -2006 m Building Pecs,./No. Mechanical Pernnt N Plumbing/Gas Permit No. Public Works Permit No. - Project No ase 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** 5. SITE ir,OC,ei on, ^ King Co Assessor's Tax No.: b 64 boo -O 35-03 Site Address: L0 (2 t / e �/� ( t r t' 1 i ! Suite Number: Floor: Tenant Name: i c Qo e\ U U 4).‘t 1 ' V 'i`Ai \ CALL. New Tenant: ❑ - - -- Yes gf..No - Property Owners Name: A L r% P • K um62C 1/ Mailing Address: ligi. op-S Ciry Stele Zip Name t c1 t�r1 CT A pay Telephone:\ 7 9 3 _' S. O K eMX 1/J Pr ei t 03 a Ci ty Slu Zip E-Mail Address: Fax Number.C� fl 3) 0 1 — (N V( GENERAL CONTRACTOR INFORMATION (Contractor Information for Mechanical (pg 4) for Plumbing and Ga Piping (pg 5)) Mailing Address: Zip City Day Telephone: Fax Number: Expiration Date: State ARCHITECT OF RECORD — An plans must be wet stamped by Architect of Record ' s Company Name: Mailing Address: Zip City Day Telephone: Fax Number: Sure 1 ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: Zip City Day Telephone: Fax Number: State Page 1 of 6 Valuation of Project (contractor's bid price): $ 1 4 1 550.06 Scope of Work (please provide detailed information): P050 in be_ Oen I p , Existing B ' ding Valuation: S S 4 6) 0.94 -4•1 6 Ws Will there be new rack storage? ❑ ..Yes ❑ .. No (If yes, a separate permit and plan submittal will be required) P rovidg,All Buildipg Area& iR Square Footage Be ow? 1" Floor tae Floor r Floor Floors Hasement Accessory Structure+ Attached oarage Detached Garage Attached Caryort Detached Carport Covered Deck Uncovered Deck Existing GADO Interior Remodel Addition to - misting 6htiettire 0 Coushvction perint :0f 1 pancy Per PLANNING DIVISION: Single - family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) "For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ ....Yes ❑ ..No If "yes ", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: 0.. Sprinklers ..Automatic Fire Alann ❑..None ❑. Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑..Yes Q..No If "yes". attach list of materials and storage locations on a separate 8 -1/2 x 11 paper indicating quantities and Material Safety Data Sheets. . SEPTIC SYSTEM: El On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. Q:Npplicat onffo,ms- Applicuions On Line 3 -2006 - Permit Application.doc Revised: 4-2006 bh Page 2 of 6 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas Additional medical gas inlets/outlets — six or more TT. LNG AND GAS PIPING.,,ERMIT INFORMATION - 206-431).070 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Expiration Date: Contact Person: E -Mail Address: Contractor Registration Number: p Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Q: Appliatiom\Fmm.-Appliwion On LineU -3006 - Permit Appliation.doc Revised: 42006 M Page 5 of 6 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). 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER gUTIORIZED AGENT: Signature: l �� Print Name: Ah4-0\ P C he Mailing Address: Date Application Expires: (/Jr 6'a Z,. I Date Application Accepted: Vt -1 Q UpplicetionsWorms- Applications On LineV4006- Permit Application doc Revised: 4 -2006 bit Day Telephone: City Date:. i J i 4) (,0 State Staff Initials Zip Page 6 of 6 City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 0040000835 Permit Number: D06 -344 Address: 14612 MILITARY RD S TUKW Status: PENDING Suite No: Applied Date: 09/19/2006 Applicant: AIRPORT VALLEY VINYL Issue Date: Receipt No.: R06 -01462 Payment Amount: 231.84 Initials: JEM Payment Date: 09/19/2006 11:34 AM User ID: 1165 Balance: $0.00 Payee: AIRPORT VALLEY VINYL TOPS TRANSACTION LIST: Type Method Description Amount Payment Check 15146 231.84 ACCOUNT ITEM LIST: Description Current Pmts BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE Account Code 000/322.100 000/345.830 000/386.904 137.78 89.56 4.50 Total: 231.84 9884 09/19 9716 TOTAL 231.84 doc: Receipt Printed: 09 -19 -2006 Proje t: , f a �� I' Tyype of Inspection: T �� Address: Date alle Special In t [ions: 7 Date Wanted: // �� ,....4.7„,6 a P.m. Requester: Phone No: -2 — 3 — / 5 -D INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 • )431.3670 VI Approved per applicable codes. Corrections required prior to approval. COMMENTS: n -101-7 i lJ , a . - -- A e, /� p .? �O'os—AiSh ,(/C' VjZ f, /4";0" rimy 01_ L G. l/ A- ❑ $58.00 REINSPECTION FE'S REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: File: D06- 33y 35mm Drawing #1 05 -07 -2007 ANTON (TONY) CEBE 25843 33 AV S KENT WA 98032 RE: Permit No. D06 -344 14612 MILITARY RD S TUKW Dear Permit Holder: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code and/or the International Mechanical Code, every permit issued by the Building Division under the provisions of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the Building Code does allow the Building Official to approve one or more extensions of time for additional periods not exceeding 90 days each. Extension requests must be in writhe and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 06/26/2007 , your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Jagplfer Marshall, Permit Technician xc: Permit File No. D06 -344 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 September 21, 2006 Anton Cebe 25843 33 Av S Kent WA 98032 RE: Letter of Incomplete Application # 1 Development Permit Application D06 -344 Airport Valley Vinyl — 14612 Military Rd S Dear Mr. Cebe: This letter is to inform you that your permit application received at the City of Tukwila Permit Center on September 19, 2006 is determined to be incomplete. Before your application can continue the plan review process the following items from the following department needs to be addressed: Planninv Department: Brandon Miles, at 206 431 -3684, if you have any questions concerning the attached continents. Please address the comment above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that four (4) sets of revised plans, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a `Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accented through the mail or by a messenger service. If you have any questions, please contact me at the Permit Center at (206) 433 - 7165. Sincerely, Enclosures File: D06 -344 City of Tukwila Department of Community Development Steve Lancaster, Director 1. A SEPA Environmental Review is required. arshall hnician P:VenniferlIncomplete Letters\20061BuiidineD06 -344 Incomplete Ltr #1.DOC jem Steven M. Mullet, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206-431-3665 Airport Valley Vinyl Tops & Upholstery Inc Anon P & Kimberly Cebe 14612 Military Rd S Tukwila WA 98168 206 - 793 -1560 Fax 253- 839 -4486 September 19, 2006 City of Tukwila Re; Demolition Permit To Whom It May Concern: The following information is provided as an estimate of the fee for demolishing the burned out remains of the building we own at the above address. The purpose of this estimate is to comply with required information for the permit process. 11 Dumpster loads - $350 each 2 Day Rental PC120 Kamatsu Excavator - $350 Daily Owner Labor If you need further information please contact me immediately. Sincerely, Anton P (Tony) Cebe ORIGINAL $3,850.00 700.00 0.00 $4,550.00 RECEIVED CITY OF TUKWII.A SEP 1 9 2GSS PERMIT CENTER er-30.14 ACTIVITY NUMBER: D06 -344 DATE: 12 -08 -06 PROJECT NAME: AIRPORT VALLEY VINYL SITE ADDRESS: 14612 MILITARY RD S Original Plan Submittal X Response to Incomplete Letter #' Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Building Division Public Works DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Incomplete Comments: TUES/THURS ROUTING: Please Route REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2-28-02 ..� PERMIT COORD COPra' PLAN REVIEW /ROUTING SLIP Fire Prevention Structural Structural Review Required Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: DATE: f 2 ,47 IZ'P't Planning Division Permit Coordinator 11 DUE DATE: 12-12-06 Not Applicable ❑ No further Review Required DUE DATE: ASAP 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: • ACTIVITY NUMBER: D06 -344 DATE: 09 -19 -06 PROJECT NAME: AIRPORT VALLEY VINYL SITE ADDRESS: 14612 MILITARY RD S X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPART ENTS: Bull ng Division Public Works 9 14A A.9 - W - oto DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Incomplete Comments: Permit Center Use Only ' f INCOMPLETE LETTER MAILED: Q .Z( ' Departments determined incomplete: Bldg ❑ Fire ❑ Ping PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route ❑ Structural Review Required REVIEWER'S INITIALS: APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 PERMIT COORD COPY �,.. PLAN REVIEW /ROUTING SLIP Fire Prevention Zl � Structural LETTER OF COMPLETENESS MAILED: 1514A. 1004 R " Planning Division Permit Coordinator ❑ DUE DATE: 09-21-06 Not Applicable ❑ /V L No further Review Required DATE: DATE: DUE DATE: 10 -19-06 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431 -3670 Fax: 206 -431 -3665 Web site: httn: //www.ci.tukwilawa.us Revision submittals must be submitted In person at the Permit Center. Revisions will not be accepted through the mall, fax, eta Date: al VV rile Response to Incomplete Letter # 1 Response to Correction Letter # ❑ Revision # after Permit is Issued Plan Check/Permit Number: ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: Project Address: Contact Person: Summary of Revision: Created: 8-13 -2004 Revised: Steven M. Mullet, Mayor Steve Lancaster, Director RECEIVED CITY OP TUKWILA DEC 082006 PERMIT CENTER I�h (t M ii VA 1pto•( ( J Phone Number: '7�t 4'$ fl if 0 Sv Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by 7' Entered in Permits Plus on 1461* kappliutlonsUbmn- applications on Iine1revision submittal F. Demolition + Start •----T r I No. of / Information: 1 Date: / Structures: F�- � Phoae: t � 3 - / �, a. P r o p e r t y Owner / ' ^ ' N 4 1 Mailing Address: / 4.- ,L,' /. /4l . I City7I ir., I Slate ' ii - /) rqs:` 1/(1 S ., Co ' r ietion Date: o -/1-c C. Asbestos �> e,rr:. - .rte ✓r:n?w ,.. z r. .ran �a r r• . R Contractor: a� ->etrG -, Owner/CEO: !l'lt - .1 fts•�-r�'SJi Pitons: . _a - -.: G ' p Contractor Job No.: G3S- .. Mailin• Address: _ ,. A ct - ...5- CIty: .".A.4 A- A- State: & A-- ZiP: Fmc:l. s 3)aN`s c/ 0 7iot8fution Period D. Site Address: f' �o214 / - h2if 2 .S I City: lit / ct ,e4.:: Al .l6 TIP: 5'S :� 3 She ('r / i Maaager724tn5-7. k tto%:4#'rv, :'c• - Eich - Local, a % SS /' 7 S t i e / 5 c ' '''"411Y-9 . _. E. ��,.t %sbestos Survey or U Man presumed I No. of Structures: j Date of Asbestos Survey: C - 6 "C & Was Friable Asbestos Identified? __UN o Was Nonfriable Asbestos Identified? DYelari No �h a copy of the survey when friable aabesta, hat nor beenideatified ARERA Buildtag --� / / Inspector. imitzt/ 3,-.F-li.,'f7R'e.= Certification M: 3.:a ` �es-C fi e/k n ew •e 4- /. -TZi F. Demolition + Start •----T r I No. of / Information: 1 Date: / Structures: 1 1. U Training Fite (List Fire Dept) 2 Ordered Demolition (attach copy Order) Demolition /afofde tact Will nonf table asbestos be left in place during demo? U Yes . No If yes, list Opt and qty. Note disposal requirements in Step 6 (on back). - cats icesmaIugadmrva. . Contractor. l Y 3 � Start Date: J ' - f e —41 ., Co ' r ietion Date: o -/1-c Work Days_ M T W Th Sa Su Hours: '70' - ' ' Will all Stable ` ' Yes tat- be - aLJ ■ N • is .. _. 'i a r a • BoileAF'riacaInsulation ■ Duct Insulation ■ P1. ,`!' fi •. .. ■ Paints ■ Plaster TextuedCoatin ■ Cement Board • Content • ;. - • . Pliable Flooring ' , t , ■,�y;! • • . + • : yam- ". Other: 11. Asbestos/Demolidon Project Categories_ i 00 1. Single-Family Residence (mynas -oce ptcd) A. O Asbestos Removal Project Only . . 8.0 Demolition Project (with or without asbestos removal project) • Asbestos removal can v .'n .., notificati . • demolition must wait 1 e . , • 7iot8fution Period Project Demolition f Sambas ge fn A. 525 B. S50 A. - or N ce 90P 10 Day • Note: (lthe sing /dam* residence Is owned by onefaarif who hm been arfrill be saw the reetdence err their domicile, the above boars 14 or IB may be checked !frith is not an owner -ocatplcd ra:dente, one ofIke cavorts listed below must be used instead A single arm residence • yes nor include rental • o A_.) . mufti- and units. or • ' brised-sae Whim . 2. • All Other Demolitions (with no Asbestos removal or Moldable Asbestos ant or less .,. 10 (near feet and/or 48 . care fist of friable Asbestos 10 Days $ 100 F -. ble Asbestos Pro sets otb - than Sin . Vomit Residence : Asbestos Demo - 3. ■ 21e -25• ' _- eet and/. 48 - 159s. :, - fat ofasbeseos �� or `o.• n a_: SIOt S7 t,e Illa° 260 - 'linear feet and/or /60- 4 999. feet of asbestos I0 Da s =�r +au'$ �.IOO 5100 5. • >1 000 linear feet and/or >5 000 s.true feet of asbestos 10 s . s 6. • Emergency Asbestos Project or • Emergency Demolition Project S...: e-Fati Residences are -... • Born „ -:•.., tic boomer y.:„ • .. ma de t.. vi S50 Emergency Fee 1. i cad that the information cocontained iin /_ this n l wpple rnaS dm kw knowledge, emirate & 4 complete. Revs. !D' Doe ` �gency Case No. ZQ0602727 Amery Me Only An AXER1 Survey trragidredbefore ea demolition papas Puget Sound Clean Alt Agency Fa ra No: 66 (Revised 2/05) TS PUOET SOUND CLEAN AIR ‘ AGENCY 110 Union Street. Suite 500 Seattle, WA 96101 -2038 wWW.psclearaW.otg NOTICE OF INTENT RECEIVED CITY OF TUKWt1A SEP 1 9 2000 Date Received Pun JUL 26 2006 Aeon for only A. groleetTvnt: 1. 0 Friable Asbestos Removal 2. *friable Asbestos Removal & Demolition 3, 0 Demolition Oahe An.. + •• ..n ..+ .+. J. Demolition rceue PAMrcrxIscr. ]1W Vru DS 7LUY AWRY Nairn, EASEL Contractor: Owner /CEO: Meiling Address: Phone: Contractor's lob #: City State: Zip: Fax: The Puget Sound Clean Air Agency requires advance notification before any person commences a friable asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects (regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation III, Article 4). All asbestos removal and demolition notifications must be submitted to the Agency on current Agency. forms. Asbestos removal and demolitionprgiects involving materials and structures below the notification threshold are still subject to all other requirements pf Regulation lII. Article 4. After receiving a complete notification with the appropriate project fee, the Agency will review the form and return a copy to the asbestos and demolition contractor by mail. The returned copy will be your validated notification. GUIDELINES FOR SUBMITTING AN ASBESTOSIDEMOLITION NOTIFICATION Step 1. Check the appropriate project type in Box A. Friable asbestos includes popcom ceiling material, sheet vinyl flooring, cement asbestos board siding; and duct insulation. $pnfriable asbestos is normally found in vinyl floor tiles, window putty and most roofing materials. Step 2. Enter property owner information in Box B. Step 3. Enter the asbestos contractor or property owner information, if the property owner is conducting a single - family residential project, in Box C. Print clearly this is your return mailing label. Step 4. Enter the site address for all notifications in Box D. For multi- structure projects, attach supplemental sheet with a site map (include an address for each site) and a list of the type and amount of friable asbestos to be removed from each structure. Step 5. Check either asbestos survey or materi presumed in Box E. All demolitions require that an Asbestos Hazard Emergency Response Act (AMEBA) asbestos survey be conducted by a certified AHERA building Inspector. Attach a copv of the survey to the notification of 8 demolition project when only nonfriable asbestos or no asbestosis identified on the survey. Step 6. Enter the project information in Box F. and check the training fire or ordered demolition box if appropriate (a copy of the official order must be attached). All asbestos must be removed prior to conducting a training fire. Additional training fire requirements are contained in Regulation 1, Section 8.08. If any nonfriable asbestos materials will be left in place during demolition, check yes and list the type and quantity of material. Note: Demolition debris containing nonfriable asbestos materials must be labeled as "nonfriable asbestos - containing waste" and be deposited at an authorized waste disposal facility. Step 7. Enter asbestos project information in Box G. List types of friable asbestos material to be removed: surfacing material such as popcorn ceilings or plaster, sheet vinyl flooring, duct and pipe insulation, cement asbestos board siding or pipe, etc. Step 8. For owner - occupied Single Family Residential projects, check BOX H1A for renovation projects or BOX MB for demolition projects (with or without asbestos removal). Asbestos removal may be conducted after a complete notification is received, but demolition activities can only begin on the 10 day after the notification is received. Note: If the single family residence is owned by one family who has been or will be using the residence as their domicile, boxes lA or 13 may be checked A single family residence does not include rental property, multi family units, or any mixed -use building. For Commercial asbestos projects (or projects that do not qualify as Single Family Residential); check the project category H2 - 5 that matches the amount of friable asbestos that will be removed. If a demolition is involved, include the appropriate surcharge (additional fee) in your payment. To file for an emergency asbestos or demolition project, check the appropriate box 1 — 5 and the applicable emergency box in H6. All a terpencyrequests must be accompanied by a letter from the owner demonstratingthe need t• an. te. timune• 'at e 't._ .:n wi uire n ;e: lotion HI a '• c. Step 9. Please certify the accuracy and completeness of the information provided by signing the notification in Box I. Mandatory amendments to the notification are required for changes that increase the project category, change the types of asbestos materials to be removed and changes to start date, completion date and work schedule for asbestos projects. No fee is required for work schedule changes if the contractor is participating in the Agency work schedule fax program. A $25.00 processing fee is required for all amendments. Puget Sound Clean Air Agency asbestos regulations and forms can be downloaded from the Agency web page at www.pscleanair.org. For technical assistance call (206 6� 89 -0058 and for administrative inquiries call (206) 6894090. Puget Sound Clean Air Agency Form No.: 66-160 (Revised 8/06) TS CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 w Permit Center /Building Division: 206 -431 -3670 Public Works Department: 206-433-0179 Planning Division: 206 -431 -3670 STATE OF WASHINGTON) ) ss. COUNTY OF KING ) AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION /14401'1 P Cab states as follows: [please print] 1. 1 have made application for a building permit from the City of Tukwila, Washington. 2. 1 understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit I have read or am familiar with RCW 18.27.090. 3. 1 understand that prior to issuance of a building permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration red irement of RCW 18.27.090, I consider the work authorized under this building permit to be exempt under No. 1`� , and will therefore not be performed by a registered contractor. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. G E A D- - ' ' it s S1.NC'h 6 �°, N OT Mkt can • c PUBL�G r 0 ti l t 9�: ••. B_ 1 g ,00 :' '' � 4E` °f W A 9 '.�_ lapplications18 -2004 affidavit in lieu of contractor registration Q3c LI Signed and swom to before me this /9A day of September 20 06. a. t NOTARY PUBLIC In and fo State of Washington, Residing at Ki n c{ ^ n A 1�� Name as commissioned: Alice A. Deac 6 -16-08' My commission expires: PERMIT NO.: )0(/ , County. 18.27.090 Exemptions. This chapter shall not apply to: 1. 2. An authorized representative of the United States Government, the State of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district or other municipal or political corporation or subdivision of this state; 3. Officers of the court when they are acting within the scope of their office; 4. Public .utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 5. Any construction, repair or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 6. The sale or installation of any finished products, materials, or articles of merchandise which are not actually fabricated into and do not become a permanent fixed part of the structure; 7. Any construction, alteration, improvement or repair of personal property, except this chapter shall apply to all mobile, manufactured housing. A mobile/manufactured home may be installed, set up, or repaired by the registered or legal owner, by a contractor licensed under this chapter, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW; 8. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under - the legal jurisdiction of the federal government; 9. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 10. My work or operation on one undertaking or project by one or more contractors, the aggregate contract price of which for labor and materials and all other items is less than $500.00, such work, or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in all instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into \applications\8 -2004 affidavit in lieu of contractor registration contracts of amounts Tess than $500.00 for the purpose of the evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he is a contractor, or that he is qualified to engage in the business of contractor, 11. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except then any of the above work is performed by a registered contractor; 12. An owner who contracts for a project with a registered owner; 13. Any person working on his own property, whether occupied by him or not, and any person working on his residence, whether owned by him or not but his . exemption shall not .apply to any person otherwise covered by this chapter who Constructs an improvement on his own property with the intention and for the purpose of selling the improved property; Owners of commercial properties who use their own employees to do maintenance, repair, and alteration work in or upon their own properties; 15. A licensed architect or civil or professional engineer acting solely in his professional capacity, an electrician licensed under the laws of the state of Washington, or a plumber licensed under the laws of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the licensee is operating within the scope of his license; 16. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his sole compensation; 17. Contractors on highway projects who have been prequalified as required by chapter 13 of the Laws of 1961, RCW 4728.070 with the department of transportation to perform: highway construction, - reconstruction, or maintenance work.