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HomeMy WebLinkAboutPermit MI02-051 - OLIVIER RESIDENCE - GARAGE DEMOLITIONOLIVIER RESIDENCE 3765 S 150T" STREET EXPIRED 10-28-02 M102-051 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 4314670 Parcel No,: 0041000551 Address: Suite No: 3765 S 150 ST TUKW MISCELLANEOUS PERMIT Permit Number: Issue Date: Permit Expires On: M 102.051 04/30/2002 10/27/2002 Tenants Name: OLIVIER RESIDENCE Address: 3765 S 150 ST, TUKWILA WA Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor OLIVIER CHRISTOPHER +EWA 8 3805 S 150 ST, TUKWILA WA ERIC HOLMGREN PO BOX 69736, SEATTLE, WA OLYMPIC DEVELOPMENT NW INC PO BOX 69736, SEATTLE WA License No: OLYMPDN030MQ Phone: Phone: 206486.9911 Phone: 206.246.0055 Expiration Date: 07/01/2002 DESCRIPTION OF WORK: DEMOLISH 1,030 SQ FT GARAGE, Value of Construction: Typo of Fire Protection: Type of Construction: $5,000.00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $51.50 1997 0017 Public Works Activities: Curb Cut/Access/Sidewalk/CSS: Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Channelization / Striping: N N N N N N N N N N N N Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: Private: Private: ** Continued Next Page ** Size (inches): 0 End Time: Fill 0 c.y. End Time: Public: Public: doc: Miscperm MI02.051 Printed: 04.30.2002 } City ofiukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Date: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of is -permt regulating c struction or the Signature. es not presume to give authority to violate or cancel the provisions of any other state or local laws formance of work. I am authorized to sign and obtain this mechanical permit. Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doo: Miscperm M102.051 Printed: 04-30-2002 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0041000551 Address: 3765 S 150 ST TUKW Suite No: Tenant: OLIVIER RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied gate: Issue Date: M102 -051 ISSUED 04/22/2002 04/30/2002 1: * * *BUiLDiNG DEPARTMENT * ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division, 3: All permits, inspection records, and approved plans shall be available at the Job site prior to the start of any construction, These documents are to be maintained and available until final Inspection approval is granted. 4: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition), 5: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations 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 ordinance of the jurisdiction, No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 6: "*PUBLIC WORKS DEPARTMENT*' ** 7: Contractor shall notify Public Works Utiiity Inspector Mr, Greg Villanueva at (206)433.0179 of commencement and completion of work at least 24 hours In advance, 8: Any material spilled onto any street shall be cleaned up immediately. 9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off•site or Into existing drainage facilities. 10: Hauling over 50 cubic yards shall require application for a Mauling Permit prior to any associated activity. 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 regulatl listruetion or the performance of work. Signatu Print Name: Date: 47/4-cdt) doe: Conditions M102.051 Printed: 04-30-2002 CITY OF T 'KWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 NA «d ()L.1' ('(F1')1it /\ )I)Ii( di it) n Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: 0611iI6 -e '74 -1- `1; -#ICY R � '. Value of Construction: Site Address : / © Name: City State/Zip: • - = L Tax Parcel Number: •0 on - r ar� �• Property Owner. �.VP_ c [2 ti_s.,.l Address: Phone: ( Z /r„ -C JD � `fin _ Street Address: __ City State/Zip: Fax #: (�) -00 33 Contractor. ei / Phone: ( u ) -005.- Street Addres Gah • City State/Zip: '.. oat..- Fax #: ( • .) Z,`e0 _ 003.3 i • : . 1 _ . a Architect: Phone: ( ) Street Address: City State/Zip: Fax #: ( ) Engineer: ..,,,L,,, Phone: ( ) Street Address: eti , City State/Zip: Fax #: ( Contact Peron: Phone: (,) 7q, ,claw Street • ress: City State /Zip: Fax #: ( ) (c Description of work to be done (please be specific): Will there be storage of flammable/combustible hazardous material In the building? ❑ yes 1111 no At h /1st of materials and ;tor location on s arate a 1/2 X I r indlcatin uantltles & Material Safet Data Sheets EliAbove Ground Tanks Antennas/Satellite Dishes bulkhead/Docks Commercial Retool Ectl Demolition 0 Fence ❑ Manufactured Housin •Replacement only ❑ Parkin . Lots Retfainin Walls ❑ Tem + • ra Facilities GI Tree Cuttin �.�. 1fi. 15 Channelization/Strlping Curb cut/Access/Sidewalk 'Fire Loop/Hydrant (main to vault)0: , Size(s): ❑ Flood Control Zone ❑ Lind Altering: 0 Cut cubic yards 0 FIII cubic yards 0 sq. ft.grading/clearing ❑ Landscape Irrigation ❑ Sanitary Side Sewer 0: ❑ Sewer Maln Extension Private 0 Public ❑ i Storm Drainage ❑ Street Use ❑ Water Man Extension 0 Private 0 Public ❑ Water Meter /Exempt 0 Size(s): 0 Deduct 0 Water Only ❑ Water Meter /Permanent 0 ❑ Water Meter Temp 0_ Sizes) :Est, quantity: gal ❑ Miscellaneous 07---vin Oversized Load/Hauling Schedule: Name: Address: Phone: City/State/Zip: Valwr 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. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: iti -aa -o9.. wucpwr.doc Date application expires: io- as -o�- Application taken by: (initials) '74 -1- `1; -#ICY R � '. • )g yY/:^'£ ,`CA iE< $ kiS4« - w);i4041S Si•' ' f' q `. "i:W ';"14`r fii. ?j :s i} Name: Phone: Address: City/State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby Name: Address: Phone: City/State/Zip: Valwr 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. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: iti -aa -o9.. wucpwr.doc Date application expires: io- as -o�- Application taken by: (initials) 1M1 > ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN 4t➢ PADINTI AND UTILITY PLANS ARE TO BE COMBINED • A CHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT D STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER > CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) ❑ til I( \1II \I'I'I I( \IIO\ \ \I) 121(1 II2( 1) ( III( hIItiI` IOR I'II2 \III RI \II \\ A s G1 i :T01 iJWSt Trnl 6tsloo rte' dice Ny updn gads : Sub`mit'che kliSt` Into: i M19t` ei ee ltr` g 5,000 gafibri and rat o-,of1KKKighc to ditirrreter or width which`' L :fit. ❑ �ifi fi &Sat II t #biitilr; ' Sub►riifclieklist. !No' . M -1 - ; ❑ 1lrO)tC L; ' 4 , t, . c . 5ubniit ch cklist " No:r M 10. ... i -fe Fax N: ( ,) . • �� „_, ri, _. _ , " h� *,fir s ; -� � `St�biriitZchiCklist. FJ6;� 1M-b rCity /State/Zip: In ,G }' ,, fA >, " , :. iSobmit cheeklitt No: M -3: ` ❑ ' ',.. rri;'fitiPit4&l &Heighe': ;Subtiiit�.cliecklist ,No: M =9 ❑ elailt}I�Altiwit'I /G•r iii /�!"relbtrds , • , Siibifiit•Checklitt -' ,No: M -2 - in in i.... 11nEOg1 IPFi�bik WdirltIIP%rmiii•j. .Submit checklist 'No: H =9, k" Miin Uhcturritd. {Hhymnit;(RE,D;INSICNIA ONLY) - , fSuboilt checklist No:. -4.5 ❑ kMovltrg,:O+t i14W d1. t 0414,Uliivg. *4:440.'' SUbmit•checkllist No: 4.5 © INI rkirigLoM, -.:‘,.try.: bi Su bmit checklist No M4 ❑ Riitipli tftWiilf I. . ln het lit 4Stibnnit checklist '''No: '*.l. CI � ` a Nit 1 :, Y° t ' .py, .. �i3' i. •., . 1 YS {i• 2 .'h%�. t 4 4 i" 1. 1 .{ t. 1'! �. . iYy.�w t i. l - ,.-. • i, y�y ze, ? .1. t,�l' - `i ! ;Sbbmit ch eckHst Not M.7' r,.? } t i ; �f rP.4 $ ' LJ. '.* .< .6±- T a ❑l T- ; : -..T }J3{J - {Kra. t i {' ! ... - S � J? art•{ �.i 7C •} i - JJ �. " y� PQJ' .4 "sr TFi FTi� j S,1 F•17 �.- � _L i� �'� ��j', {,i f.. / tl {e`,£'a,Y1 r� f �-t *,'"i'3�} 0. Y4 iS y )rl 4l! 'ail` 4'Ii f' 2f /�1yp(.�r >- fF�. li'S L{ ,�sr 3>I�..'.i ❑ Current copy of Washington State Department of Labor and Industries Valid Contractor's License. 11 not available at the time of application, a copy of this license will be required before the permit Is issued, unless the homeowner will be the builder OR submit Form 14.4, "Affidavit in Lieu of Contractor Registration ". I HERESY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE UNDER PENALTY OF PENURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. • Signature: X11* L :fit. �'f`1 Date; 1 � .phone: ) I . c . t Fax N: ( ,) . • ' . Address: ,,. rCity /State/Zip: AA 47:, , 717I-.'•7 _ y- li 6/11:3 1' Ir g 00 �w Ili 0 v zp u. r O chiCZ City of 1 ukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No,: Address: Suite No: Applicant: 0041000551 3765 S 150 ST TUKW OLIVIER RESIDENCE RECEIPT Permit Number: Status: Applied Date: Issue Date: MI02 -051 APPROVED 04/22/2002 Receipt No,: Initials: User ID: 8020000568 KAS 1684 Payment Amount: Payment Date: Balance: 51.50 04/30/2002 02 :25 PM s0.00 Payee: OLYMPIC DEVELOPMENT TRANSACTION LIST: Amount Type Method Description Payment Check 2660 ACCOUNT ITEM LIST: Description Current Pmts 51.50 Account Code BUILDING - NONRES STATE BUILDING SURCHARGE 000/322.100 000 /396,904 47.00 4 SO Total: 51.50 .::306 35 /01 :1716. TOTAL doc: Receipt Printed: 04.30 -2002 1.0 P� INSPECTION RECORD Retain a copy with permit • INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 Project: Type o Inspection: r -- . 1., r. Date ca = : w Spec a Instructions: brziexo t4,�/4144C Date want = .: it // a.m. ,m. Requester . P one2 ❑ Approved per applicable codes. COMMENTS: Corrections required prior to approval, $47.00 REINSPECTION FEE REQUIRED Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins. -ction. Receipt No: Date: INSPECTION NO CITY OF TUKWILA BUILDING DIVISION INSPECTION RECORD Retain a copy with permit 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206)431 -3670 P J ct: V" e. • T of /l npectl ; V • es Dale E e +. I OIV /.1t/ ., r,-)e awl Specie Instructions: Date w : e • : — - 0 y. , . . �,m, Reque ;)or: Phyly .,. 76,6,„.., 9.7 pproved per applicable codes. , EJ Corrections required prior to approval, COMMENTS: r ' �;'il 0, fr '$iS I OIV /.1t/ ., r,-)e awl ,' '• Y�. _MI1_ Dace: 740 REINSPECTION FE REQUIRED. Prior inspection, fee must be paid at 6300 Southcenter Blvd., 5 lie 100. Call t chedule reins'ectlon. File: MI02 -0051 35mm Drawing #1 . Agency Cue No. 200200562 PUGET SOUND AIR POLLUTION CONTROL AGE NCY. '') Union Street, Suite 500, Seattle, WA 93101.2C NOTICE OF INTENT TO PERFORM: Pro eet T • e: . Property Owner: roperty Owner's tailing Address: 1. • Asbestos Removal , IS" 10 2. Cl sbestos Removal & Demolition 9734 'Date Received APR 16 2002 1 Demolition. No Asbestos Removal Phone: a , ) Z •–OOS�' State: WA Zio:9Wed,•, . Asbestos PLI tt PAIN? cuAnz rwr Nut et TOW rrao !AUL Contractor: Contractor Owner /CEO: • Contractor Job No.: ailin Address: • A1it0UUT "' •"� b - Phone: tv: State: ; •�'. O. Fax: f241 oject Manager or D ,_..... intact Person: ►"� y2p Asbatoa Survey or No. of Atat'1 Presumed: Structures: Date Survey was Conducted: /ERA Building AN "MIA NAM 15 AMMO ILPOA [Af.LDLWONTIOMPAO /ICR pector Name: M I .. .► L, ti t Certification No.:, Wu Asbestos Found? (jWs 01. "4" If No. Attach Survey • Expiration • Date: , • jiet Demolition Information: )emolltion -Contractort No. of Structures: Sta Daatte:7 it.' aDmAte LiTronaPitt (Ci$tfire Dept. u demolition contractor below) ❑ Ordered Demolition attach copy of Ord MR' M NINLA&IMYMM4/NMOitDDALttINIOX 10N SACK IP MINING OWN LKUNALDtP1 MUA 0 LJ I�•t ti. .a INS SO Phone: (ZOi, ) Asbestos Project Informations No. of Structures: a ac > Al /fit Start I Completion Date: Date: • Wk. Days: M yh F Sa Hou : , Su : Yes • al uomi to be Removed: Linear Ft. S • uare Ft. ■ Duct Ini, ■ Pi Ins, OtMr Will all ubestos miteriaa ! r „ • v .. .. • „ • • , ., _,, _ • -_V_it .4 . rural System Insulation: facing Mat'l: TU BoiletlFumace Ins, Fireproofin D Palnu Pluter Textured Coadnis Other: 1311-1.0-0-0 994 linear feet or 5.000. 49 999 • uare feet 10 Da s ,e, Mat'i: C Cement Bd. 0 Cement Pips ❑ Flooring Mst'I Gi Roofing Mat'I Other, APR 2 2 NM? 10 Da s S2.000 dabutoalDemollhion Project Categories; ❑ Owner•Occupied, Single•Family Residence Asbestos Removal Project : • Sin le•F I • esidence Demolition Pro set Notification Walling Period,• , �, ABLE FEZ Prior Nollce I S25 • • A • her Den • t • W t • • - t • • e • va P o ect 10 Da s • S SO • 0 • • line feet • r 4 .1 9 • uare feet see back of form for o • tionsl 3 Da s S 1 SO are et • 260.999 linear feet or 160.4 999 • w fe 10 Da s S300 1311-1.0-0-0 994 linear feet or 5.000. 49 999 • uare feet 10 Da s 5750 • 10 000.49 999 linear feet or 30 000.99.999 • um feet 10 Da s S2.000 • 30.000.99 999 linear feet or 100.000.149,999 • uare feet 10 Da s 55.000 100.000+ linear feet or 150.000 s uare feet 10 Days S 10.000 Emer encv Asbestos Pro ect or Emer enc Demolition Pro ect Prior Notice Twice Pra ect Fee • Alternate Means of Com • fiance for friable materials or • Demolitions 10•Da Review Period Twice Pro ect Fee • Alternate Means of Compliance for nonfriable asbestos materials Concurrent with Project Twice Project Fee 1 do hereby certify that the information contained in this notification; and supplemental data described herein, is to the best of my sjis accurate and templets, 1 shall not cause or allow any asbestos project or demolition activities to begin until the appropriate .1Azhe- Date Complereneu Review Pe fornmed By /_ :A Form No. 66.160 (Revised 4191) AM . Agency Case No, 200200562 PUGET SOUND AIR POLLUTION CONTROL AGENCY. • 10 Union Street. Suite 500, Seattle, WA 98101.2' NOTICE OF INTENT TO PERFORM: A. Pro eet Tv • e: 1. • Asbestos Removal 2. ClAsbcstos Removal & Demolition B. Property Owner: Property Owner's Mailing Address: •aReceived o Date APR 16 2002 1 •-•k-,1- • ..).au, Demolition, No Asbestos Removal J Zin:� 94 L� C. Asbestos Contractor: Mailin Address: PLUM PAINT CLtAALC 7M1! with BE row LAIfL rimva am 0. Phone: ( Fax: (2ir State: 3. Site Address: ' roject Manager or :ontact Person: 65 Contractor Owner /CEO: Contractor Job No.: veef Cit I State: ar Asbestos Survey or Mat9 Presumed: No. of Structures: Date Survey was Conducted: %HERA Building AN ANLM IUAYrt' 13 AtQUTALO /MMOAt ALL OLMOLTION►AOIWI nspector Name : %y11G4 '. Demolition Informations " emolition -Contractors Z Phone: ( Certliicatlon No. :: ) 0 Was Asbestos Found? Dies If No, Attach Survey . Expiration Date: , ✓r' No. I Start. ��• �,Z or r0 Training Fire (Cist'Flre Dept. as demolition contractor below) Structure:. 1 Date, 4144gi. O Ordered Demolitlonlittach copy of Order) PUNY NAM MUL t&NIAMA NN°A00ALVINIOX IONMACK I/TAAININO BURN LMITA nit Ot►! MW w ran. 1MIN 10* Phone: (Zai, ) 3 i. Asbutos Protect Information: No. of Structures: e bac f > Iv /P Start 1 Completion Date: Dote: Wk. Days: M i :'. yh F Si Su '• ' t ' oral • uanti to be Removed: Linear Ft. S. uare Ft. Will all asbestos miterial , Yes -1, v • • • • • at • • ,' ! • hernial S stem Insulation: 4Boiler Fumace fns. • Duct Ins. • PI • Ins. Other f, , ` : VEU Arfacin ' Mat I: • Fire • rootin ■ Paints • Plaster ■ Textured Coatin s Other. isc, Mat I: ■ Cement Bd. ■ Cement PI • • Fioorin Mst'I • Rootin: Mall Othen 11:1PAPTIVAMIIIIIII . Asbutos/Demolition Project Categories: 1. 0 Owner•Occupied, Single•Family Residence Asbestos Removal Project 1 Sin Ie•Famll Residence Demolition Pro ect j•lotitleation Waiting Perlo w ,.6•ltiA;t::.01.1•7.1.111:11a:4- Prior Notice " 1. ■ M Other se of ti. With N • As . - tos Re ova! Pro ect 10 Da s , S150 i. • 10.259 l near feet or 41I . 159 y uare feet see • ack of form for o . tionsl 3 Da s SO WO • 260.999 linear feet or 160.4 999 • uare feet 10 Da s S300 . • 1.000.9 999 linear feet or 5.000 ' 49 999 • uare feet 10 Da s 5750 . • 10.000.49.999 linear feet or 50.000.99.999 • uare feet 10 Da s 52.000 . • 50.000.99 999 linear feet or 100.000 . 149.999 s • uare feet 10 Da s 55.000 • 100.000+ linear feet or 150.000+ ware feet 10 Days 510.000 . Emer: encv Asbestos Pro ect or 11U1 Emer . enc Demolition Pro tier Prior Notice Twice Pro ect Fee . • Alternate Means of Com.liance for friable materials or • Demolitions 10•Da Review Period Twice Protect Fee • Alternate Means of Com.liance for nonfriable asbestos materials Concurrent with Protect Twice Protect Fee .1 do hereby certify that the information contained in this notification, and supplemental data described herein, is to the but of my I s accurate and complete. 1 shall not cewe of allow any ubestos project or demolition activities to been until the appropriate Comp it s tft Revlrw Peyormid By A,encv PCA Form No. 66.160 (Revised 4/91) AM NUboSI 18 va �t Og `) The Puget Sound Air Pollution Control Agency ( PSAPCA) is the local air pollution authority for nononush, n:ng, tierce ana Kitsap Counties. PSAPCA's Regulation III, Article 4, requires advance notification be submitted to PSAPCA, on Agency - apprdved form no. 66 -160 (Revised 10/S for any asbestos project involving materia' J ual to or greater in size than 10 linear . •feet or 48 square feet and for any demolition project, regardless of asbestos content, involving structures with a projected roof area greater than 120 square feet. Notices of Intent should be mailed or hand delivered to PSAPCA (address on reverse side) with the appropriate project fee. A PSAPCA representative will review the notification, and if it is completed correctly a copy will be returned by mail within 3 to 5 days to the Mailing address entered in box C and box J. The returned copy will be your valid notification. •. t • :1, • e 11 • ' ' • 1 •'e is 'nv • v 1 • Hate a a 1 d tructu e be • w the • e rata • , ti 1 • d J. on don Demalltlon . of , 1 ,• • Contractor:- a .,•• ., 1 Owner /CEO: Mailing ddress: g G 7. �r Phone, �) 2 :� 9� �► Contractor's Job ti: City: qe4 • t . State: L1/ __zip: 98i (p 8 Fax: (206)_ ZelG `oe 3'. GUIDELINES FOR SUBMITTING A NOTICE OF INTENT Enter all applicable information accurately and completely. Incomplete Notices of Intent.will be returned. Box A. Check the appropriate project type. Box B. Enter the legal property owner information Box C. Enter the asbestos contractor information, or "not applicable" (N /A) for demolition projects when no asbestos - containing materials are present. For an Owner Occupied, Single- Family Residence asbestos removal project (project category Hi), list the asbestos removal contractor or property owner doing the 'asbestos removal (include property owner's mailing address). Box D. Enter the asbestos removal or demolition site address�For an Owner- Occupied, Single - Family Residence asbestos removal project (project category Hi) where the property�owner's mailing addrus,differs from the site address listed in Box D, a letter must accompany the Notice of Intent verifying that the structure located at the site address Is currently being used as the property owner's domicile. Multiple asbestos/demolition protects Involving more than one structure (project category H2 through H8) must be submitted in accordance witl RSAPCA Regulation I, Section 4.03(0)(7). Box E. Enter the asbestos survey information or check material presumed (for asbestos projects only). An AHERA building inspector must conduct an asbestos survey prior to any demolition protect (i.e., the wrecking, razing, leveling, dismantling or burning of a structure, making the structure permanently uninhabitable or unusable). Box F. Enter the demolition project information, If the structure is to be used In a training fire, list the fire department responsible for conducting the burn u the demolition contractor in Box J. If the property owner has been ordered to perform a demolition by a government official, submit a copy of the order from the appropriate official, Box G. Enter all asbestos project information or enter "N /A" for demolition projects with no asbestos removal required, AU multiple structure asbestos projects (project category 1.110 and H11) must be submitted with a work nlan. man oft stru__ ciures. DP • 11' 1 •■• 1, 11• 1 . • ... • u: •1 , • • 11 • v 11 ' 1 wor schedule. Box H. Check one project category in boxes I through 8. The project fee includes the demolition fee. Asbestos removal projects and demolitions with an asbestos removal involving less than 10 linear feet or 48 square feet may be filed u project category 3. An emergency asbestos project or demolition may be requested by checking the appropriate job size category In boxes 2 through 9 and then checking the applicable emergency box in category 9. Emergency asbestos project notifications must be submitted with a letter from the property owner explaining the necessity for the emergency. Emergency demolition notifications must be submitted with a letter from an authorized government official or a licensed structural engineer documenting that the structure is in imminent danger of collapse, To request an alternative means of compliance for friable or nonfriable materials, check the appropriate job size category in addition to the applicable box in categories 10 and 11, A work plan must be submitted by an appropriately trained individual along with the notification, Box I. Sign the notification certifying the accuracy and completeness of the information provided on the form. Box J. Enter demolition contractor mailing information (on back). Mandatory amendments are required for changes that increase the project type, job size category, the types of, asbestos materials to be removed and work schedule changes. No fee is required for work schedule changes if the contractor is participating in the Agency work schedule fax program. A $50.00 processing fee is required for all other amendments. For technical usistance, contact Tom Hudson at (206) 689 -4058, Larry Vaughn (206) 689 -4035 or Kwame Agyei (206) 689- 4054. For inquiries concerning notification and amendment sta s contact Anne Morgan at (206) 689 -4090. PSAPCA Form No.: 66-160 (Reviled •�► . 62 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -051 PROJECT NAME: . Olivier Residence DATE: O4 -22 -02 SITE ADDRESS: o___�____ ._�._3.765_S_1.50 St. ....,$ ,Original Plan Submittal Response to Correction Letter # # After Permit Is Issued ,Response to Incomplete Letter__._ DEP_AitTM N_T_S: Buil I Division i 42;P-oz. Public Works Fire Prevention rt1 44-23 -0-4. Structural Planni gn Division Er R4 1.2.3 -vim' Permit Coordinator gi DIIIRMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Er Incomplete ❑ Comments: DUE DAT E Lit4f2_3242. Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route REVIEWER'S INITIALS: Structural Review Required No further Review Required DATE: ❑ APPKOVMLS Og CORR,ECTI NS: Approved ❑ Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE: 0� -2 t-OZ Not Approved (attach comments) ❑ DATE: �. Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW Staff Initials: Documents touting slip.duc 1.1801 REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # • EXP. DATE CCO1 DATE- 07%18% EFFECTIVE y 030M 1997 OLYMPIC. DEVELOPMENT N - W -t INC � Y P 0 BOX 69736 '' SEATTLE.- WA.,98168 -8736 , 1,o y�y .carac 296? Si nuturu } -�Q. 3o K lysucd by U!. 'I'ARTMt. '1' 011 LABOR AND 1NDUSTRU S File: MIO2 -0051 35mm Drawing #1 1 • ' 0 Inch 1• I'1 ;'I'i''' ' ' ;i, 1 >I 5 rY YWi hJ. r L L t 0 1111111111111111111111111111111111 ,11111 IIII1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIII huil IIl1 1 1 111111111111111111111'1111.1111 IIIII)111111_11 40.0 '_y .P.‘W °,) {Y, ' ss e \ Apo P9 09 F= 1 E .: t.:: , .., r I understand that the Ron Check ^np•ovols are object to errors and aniisci01 s and approval of ans does not authorize the violation of any a•opted code or ordinance. Receipt of con - tracto p• • . • roved plans acknowledged. Date Permit No. 120c62' "it ESE Pi 14•4' o,,, t: 2 /-ei-- CXtV1` 1j;' "l -c03.3 . SC.AIA- W 1- • GE'epE.k.) WATER DeAlms �KI4i"TAX, C'.eareoc.a2S Pc1Po 4. ,a C N a- tzuy'Z 7Co,S% Erosion Control Plan 1. Install gravel as needed in driveway to prevent silt from getting on road leaving site. 2. Install silt fence as necessary around the perimeter of the lot to prevent silt from leaving site. 3. Landscaping when new home is complete. WATER CAS lh {;C CAFp &O qf Ca0E—ex oN Ex Wr Mcw6 as .i' DeA Iti1 G I�JL To CA 1,6 2.o .LAN. C' dAPi6o) 1)2A1,0 4 IivE• Puw.t17 C o,RMv3E2 These plans have been reviewed by the Puhlic \ \'cuk. Department for conformance with current 4_1(1��1Ca C� r F` - . City s, andards. Acceptance is subject to errors and )2. -f c 5� ) unrissibns which do not authorize violations of adopt�e(d standards- or ordinance'�ie responsibility for thy adequacy of the design rests totally with the designer. Additions, deletions or revisions to these drawin s after this date will void this acceptance and w 11 require a resubmittal of revised drawings for sul sequent approval. �y,WlILA. lo3 0 1 I Final cceptance is subject to field inspection by ate tic Works utilities inspector. Date: $y: /2/1 Z i ITYOFE uKWI A APR 2 2 200 PERMIT CENTE APR 2 3 2002 'rUKWILA PUBLIC WOR I 1 0 Inch 1/16 I:'1•I'l'I'1'I '1•IJiIIIIII:iitf1 1 • I • I t • 11 d M10fr06 1 6 iV TI twT* s I � .. _ v" i_—`t; I � t t ; J t� - _- -_. --� - - - -.� _ .__t. _ ._ _ s.. _ � � Z -- —1 - -- — 0 Iullluliliniliiii ln�illl�iliulliulllllllillillllllilllllliiliiii IIUJIIII�InIInulnulnnluulnn�nnlunlnulnn1 1