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Permit MI02-131 - DOAK HOMES - GARAGE DEMOLITION
MI02 -131 DOAK HOMES 4058 So. 148th St. It !t ig City of Tukwila Department of Community Development/6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: Address: Suite No: 0040000955 4058 5 148 ST TUKW MISCELLANEOUS PERMIT Tenant: Name: DOAK HOMES Address: 4058 S 148 ST, TUKWILA, WA Owner: Name: Address: Contact Person: Name: Address: DOAK DARRYL E SR 11917 4TH AVE SW, SEATTLE WA DARRYL DOAK 11917 4TH AV S W, SEATTLE, WA Contractor: Name: DOAK HOMES INC. Address: 11917 4TH AVENUE S.W,, SEATTLE, WA Contractor License No: DOAKHI *092NZ DESCRIPTION OF WORK: DEMOLISH 576 SQ FT DETACHED GARAGE. Permit Number: Issue Date: Permit Expires On: M102 -131 09/05/2002 03/04/2003 Phone: Phone: 206.246.6587 Phone: 206 246.6587 Expiration Date: 08/01/2003 Value of Construction: Type of Fire Protection: Type of Construction: $2,200.00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $51.50 1997 0017 Public Works Activities: Curb Cut/Access/Sldewalk/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 M(02.131 Printed: 09.05.2002 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Permit Center Authorized Signature: Date: 9- 5-- 62. I hereby certify that 1 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constr, ion or e performance of work. I am authorized to sign and obtain this mechanical permit. Signature: Print Name: This permit shall become null and void if the work k 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: Mlscperm M102 -131 Printed: 09-05-2002 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 0040000955 Address: 4058 5 148 ST TUKW Suite No: Tenant: DOAK HOMES PERMIT CONDITIONS Permit Number: M102 -131 Status: ISSUED Applied Date: 08/19/2002 Issue Date: 09/05/2002 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 Utility Inspector Mr. Greg Villanueva at (206)4330179 of commencement and completion of work at least 24 hours In advance. 8: Temporary erosion control measures shall bo implemented as the first order of business to prevent sedimentation off-site or Into existing drainage facilities. 9: 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, 10: Any material spilled onto any street shall be cleaned up immediately. 11: Hauling over 50 cubic yards shall require application for a Hauling 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 regulating construction or the performance of work. Signature: Print Name: / , /4? Date: doc: Conditions M102.131 Printed: 09- 05.2002 CITY OF ''ILIKWILA Permit Center 6300 Southcentcr Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 OR STAFF USE ONLY Project Number: Permit Number: 4103)-131 Miscellaneous Permit Application 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/Te t:�, / � City State/Zip: Value of Construction: Tax Parcel Number: 1 " j Site Address : 5C. �•,/� �/ l �/ C, --- - -� <t J/ Property Owner: "` 0/4 /& ii(' i l l —c Phone: Phone: (, .t06 ) 2 y� 5"-g7 Street Address: / / ? / 7 _ %r7Z 1.e 5,�-0 , l City State/Zip: Fax #: ( ) / t 7 0 Standby Contractor: � .— em t-/.._ / 14 :2 e{ /Gv c Phone: ( ) / r Street Address: / City State/Zip: Fax #: ( Phone: ( Fax #: ( ) /r / 7 ) /0 ) Architect: City State/Zip: Street Address: Engineer: ��r l'dL / / /?/,- t4, re, #" Phone: ( ) Street Address: , . , City State/Zip: Fax #: ( Contact Person: ` ! Phone: (2, )A Y( ~ ,� � Street Address: City State/Zip: Fax #: ( ) r r / / MISCELLANEOUS PERMIT - REVIEW AND APPROVAL RE 1 BESTED: (TO HE FILLED OUT BY APPLICANT) Description of work to be done (please be specific): " j 5010,1 74•00//,'-, 414 9) 5. /y t $' r... , - 104i A6 we 9 e ,c, lie c. 6' -► e 5`'/atA /00-0 *yet,v Will there be storage of flammable/combustible hazardous material in the building? ❑ yes fr nu Attach list s� t of materials and stora a location on se &rate 8 1/2 X 1�1 patter lndicatiinn ua�ndNes & Milietihii Sa:(ejnta Sheets Phone: L) Above Ground tanks Antennas/Satellite Dishes tdJ Bulkhead/Docks tJ Commercial Reroof Demolition ❑ Fence ❑ Monufaetured Housln •Rrpincement only Parkin Lots ❑ Retainin Walls ❑ Teri :nervy Fncllines Tree Culling Address: APPLICANT RE VEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS L_I Channolltatton/Striping LJ Curb cut/Access/Sidewalk >• fire Loop/Hydrant (main to vault)#: Site(s): ❑ Flood Control Zone ❑ Lalnt1 Merin!): 0 cut ,cubic yards 0 fill cubic yards 5*-- sq. (l,grntling/clertring ❑ Landscape Irrigation ❑ Sanitary Sido Sower N: in Sewer Main Cxtennion 0 Privitte 0 Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public ❑ Water Meter /Exempt it ,_■_. Sinc(sl: 0 Deduct 0 Water Only ❑ Water Motor /Permanent 0 Sizo(s): ❑ Water Motor Temp # ❑ Miscellaneous Sixe(s): Est. quantity: gal Schedule: Mavin;; Ovorslted Load /Hauling MONTHLY SERVICE BILLINGS TO: Name: Phone: Address: City / State/Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Phone; Address: City/51a e/Zip: 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. 1 he 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: Date application expires: Application tilken by: (initials) W9i99 wiscentdoc• ALI, MISCELLANEOUS PE APPLICATIONS MOST BE SUBMIT ITH THE FOLLOW NG: > ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED > ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT • STRUCTURAL. CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER • CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) 0 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant Is other tlit ti the owner, registered architect /engineer, or contractor licensed by the State of Washington, n notarized letter from tho,property owner authorizing the agent to submit this "omit trilcntlon and obtain the jermlt will be routirAmpart of this submittal, I HEREBY CERTIFY THAT I IIAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO AE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND / AM AUTHORIZED TO APPLY FOR THIS PERMIT, WILDING OWNER OR AUTHORIZED AGENT: SUBMIT APPI I( AI ION AND RE(1t11RED (HE( KI ISIS 1 OR PERMIT REVIEW Above Ground Tanks /Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 Submit checklist No: M -9 0 Antennas /Satellite Dishes Submit checklist No: M -1 f Bulkhead /Dock Submit checklist No: M -10 0 Commercial`Reroof Submit checklist No: M -6 d Demolition Submit checklist No M -3 cl Fences - Over 6 feet in Height Submit checklist No: M -9 0 land Altering/Grading/Preloads Submit checklist No: M -2 c Miscellaneous Public Works Permits Submit checklist No: H 4 Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 Q Moving Oversized Load /Hauling ° °'= -.., . Submit checklist No: M -5 Parking tots . ° �_ , Submit checklist No: M -4 0 Retaining Walls - Over 4 feet in height Submit checklist No: M -1 © Temporary Facilities Submit checklist No: M -7 Tree Cutting Submit checklist No: M -2 0 Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit k issued, unless the homeowner will be the builder OR submit Form H4, "Affidavit in Lieu of Contractor Registration ". Building Owner /Authorized Agent If the applicant Is other tlit ti the owner, registered architect /engineer, or contractor licensed by the State of Washington, n notarized letter from tho,property owner authorizing the agent to submit this "omit trilcntlon and obtain the jermlt will be routirAmpart of this submittal, I HEREBY CERTIFY THAT I IIAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO AE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND / AM AUTHORIZED TO APPLY FOR THIS PERMIT, WILDING OWNER OR AUTHORIZED AGENT: Signature: Date: Print name: Phone: ( ) Fax II: ( ) Address; City /State/Zip: 9/9/99 ni:scpuu.doc Parcel No,: Address: Suite No: Applicant: City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670 0040000955 4058 S 148 ST TUKW DOAK HOMES RECEIPT Permit Number: Status: Applied Date: Issue Date: MI02d131 PENDING 08/19/2002 Receipt No.: Initials: User ID: R020001206 KAS 1604 Payment Amount: Payment Date: Balance: 51.50 08/19/2002 03:54 PM $0.00 Payee: DARRYL DOAK TRANSACTION LIST: Amount Typo Method Description Payment ACCOUNT ITEM LIST: Cheek 2114 Description Current Pmte 51,50 Account Code BUILDING - RES STATE BUILDING SURCHARGE 000/322.100 000/386.904 47.00 4.50 Total: 51.50 doe: Receipt Printed: 08- 19.2002 ig f INSPECTION RECORD i Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4 1 70 t: TJ /. f Type , pectin : )7 . Is . • Date C�. I. ■ pew nowt ons: (tit., ac ier nO ©n Pw ae.heett dCc Cer- eal k tA c(ity'mgo h win 03 a.m. equeste . on tV- 3 7, r 8 Approved per applicable codas. Corrections required prior to approve', COMMENTS: • .a • 1 A. Date: 'Li- 3" o 3 0 847.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Cali to schedule relnspectlon. Receipt No,: Date: t_• INS C o 14 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (2 1 =3670 stir e o pectinn: "r "` i/e Ad 1 e_ .: — 03 pecla nstruucnons: 17 : Wei erap, _ irKg Phoa No: .- { 9 1 R :4 1.9 - `M 1(i) Approval par applicable codes. ❑ Corrections required prior to approval. 11��1 iii.M.AWS4W2111 0 $a7, ' • EINSPECTI ' ► FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection, INSPECTION RECORD Retain a ropy with permit INSPECTION NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO, (206)431 -3670 Project: Do 0..k. Type of Inspection: p toj ` 10.51 SO (si$ Date called: 41 Specla Instructions: 6 0.A.6--or Oe.Ne, 0 Date want : ■ �, a.m. +,m, Requester: V e.X.....7C. Phone: Approved per applicable codes, Corrections required prior to approval. $47.00 REINSPECTION fkE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd. Suite 100. Call to schedule reins'ection. r f Jo -16 -2002 ii:15 t'M_ LABS NVL Laboratories, Inc, 2066341935 P.02 4708 Aurora Ave. N., Seattle, WA 98103 Tel: 208.547.0100, pax: 208.6341938 www.nvllabs.com Bulk Asbestos Fibers Analysis By Polarized Light Microscopy Client: NVL Field Services Division Address : 4708 Aurora Ave. North Seattle, WA 98103 8518 Attention: Ms. Lisa Kollssch Project Location: 4058 S 148th, Seattle, WA CiTY Or T'. IKWIL '- AUG 19 2002 0102063 Batch S: 2211791.00 Client Project #:2002 -460 Samples Received: 4 Samples Analyzed: 4 Method: SPA/600R,93 /118 Lab ID : 2200041/7 Client Sample 0: 2002.410.1.1 Location: 4058 9 148th, Seattle, WA Layer 1 at 2 Description: Asphalt shingle with granular coating Non - Fibrous Materiels: Other Fibrous Materials:% Asphait/binder,Sand Cellulose 6% Glass fiber 22% Layer 2 of 2 Deeerlpden: Asphalt shingle with granular coating Non - Fibrous Materials: Other Fibrous Materiels:% Asphslt/binder,9end Cellulose 6% Glass fiber 23% Asbestos Type: % None !Mooted ND Asbestos Type: % None Detected ND 22011018/ Client Sample 0: 2002.4104.2 Location: 4068 8 148th, Seattle, WA Layer 1 of 2 Description: Asphalt shingle with granular coating Non-Fibrous Materials: Other Fibrous Materials:% Asphmit/binder,Sand Cellulose 6% Oleos Aber 20% 1 Layer 3 of 2 Descriptions Asphalt shingle with granular coating Non - Fibrous Materials: Other Fibrous Materials:% Cellulose 8% tiles fiber 20% Asphaitibinder,8and Asbestos Type: % None Detected ND Asbestos Type: % None Detected ND r. Ilont limp Locution: 4058 8 148th, Seattle, WA Layer 1 of 1 Descriptions Tan formed comontitious material with painted surface Non - Fibrous Material *: Other Fibrous Materials:% Clay /binder,Minersbbindur,Point Cellulose 2% • 2002 2 1 Asbestos Type: % None Detested NO Lab I : " ' ' • ' Client Damp : 2002.410.2.2 Location: 4068 8 148th, Seattle, WA Layer 1 of 1 Description: Tan formed cementitious material with painted surface Non - Fibrous Materisls: Other Fibrous Materiatis % Asbestos Type: % Clay /binder,Mlnerallbinder.Pelnt Cellulose 2% None Detected NO f Sampled by; Client Analysed by: John Terrill Reviewed by; Munaf Khan Date; 08/1412002 Dale:08/14/2002 Nola it ample, ere not homogeneous, then subwinyplei o1 t i components were anslyred sew**, M leak *armies are analysed using EPA 600/R4W110 Method with the rnosaurwrnnt unwrtantin for the repotted IS Aebeetoo (1%•0•74, a%*1.e 4,10145.15 $, Z0.4010.3074. 507=40.00'4). Tnis report retatie QNy 10 the tMrna Milt If sample was not collected by NM. pommel. then the sowacy of the results Is Ranked by taw mstrwdotogy end ttpuiy of the simple oolieolor. This report shall not be reproduced except in M. without written approval o( NVL Laboratories, inc. n shoe not be used to dawn product endoricn *Mby MVP or srry otlrer agency ON U8 Oovsmm nt Page tot 1 TOTAL P.02 M 0 ?. 31 • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -131 .. PROJECT NAME: Doak Homes Inc.. SITE ADDRESS: . JLOriginal Plan Submittal Response to Correction Letter # # After Permit Is issued 4058 S 148 St DATE: 08 -16 -02 Response to Incomplete Letter #_� DEPARTfMEN $ '20,02 Building Division LI I o M9 q.3iaz- Fire Prevention Plane g Division Permit Coordinator rjit DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 08- O,. Complete d Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Flro ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUTING: Please Route It Structural Review Required ❑ No further Review Required REVIEWER'S INITIALS: DATE: APPRMUOK, CORRECTIONS: Approved ❑ Approved with Conditions Notation: DUE DATE: 09 -1 Z.71)2_ Not Approved (attach comments) ❑ REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Qepartments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Pocumentshouting siip.doc 2.2802 ig