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Permit MI97-0200 - FAMILY FUN CENTER - RESIDENCE DEMOLITION
City of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: Address: Suite No: Location: Category: Type: Zoning: Const Type: Gas /Elec.: Units: Setbacks: Water: Wetlands: 242304 -9013 7160 GRADY WY S DEMO MISCPERM DEMO 001 North: TUKWILA Permit No: Status: Issued: Expires: Occupancy: UBC: Fire Protection: .0 South: .0 East: .0 West: Sewer: TUKWILA Slopes: Y Streams: Contractor License No: PAULETE0082LA MI97 -0200 ISSUED 11/18/1997 05/17/1998 DWELLING 1994 N/A .0 OCCUPANT FAMILY FUN CENTER 15034 GRADY WY S, TUKWILA WA OWNER NIELSEN JACOB 7170 S GRADY WAY, SEATTLE WA 98188 CONTACT CHANDLER STEVER Phone: 425 822 -0444 11820 NORTHUP WY #E -300, BELLEVUE WA 98005 CONTRACTOR PAULETTO TRUCKING & EXCAVATING Phone: 509 466 -4425 1818 W FRANCIS #240, SPOKANE WA 99205 **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** Permit Description: DEMOLITION OF 2,000 SF BRICK SINGLE FAMILY RESIDENCE AND A 400 SF GARAGE INCLUDING SEPTIC ABANDONMENT - LEE'S SANITATION SEPTIC PUMPING RE- CEIPT IS ATTACHED AS PART OF THIS PERMIT. **************************************************** * * * * * * * * * * * * ** * * * * * * * * * * * * * * *** Construction Valuation: $ 8,333.34 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: JJS Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Size(in): .00 Flood Control Zone: N Hauling: N Start Tine: End Time: Land Altering: N Cut: Fill: Landscape Irrigation: N Moving Oversized Load: N Start Tinie: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: k*************************************************** * * * * * * ** * * ** * * * * * * * * * * * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 46.50 k•************************************************ $** * * * * * * * * * * * * * ** * ** * * * * * * * * * * * ** Public: 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 this permit does not presume to give authority to violate or cancel the provision of any other state or local laws regulating construction or the perFormance of work. I Al authorized to sign for and obtain this development permit. Signature:_ 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. • CITY OF TUKWILA . . Address: Suite: 'Tenant Permit No: MI97 -.04.00 Status: .ISSUED Applied: 11/03.1997 Issued: 11/181.1997 `Type: MISCPERM Pari:.el #:.242304 -9013' * kk; k: k**• k* kk* k*• kk***k• k• kk*•k *k• k*• k• kk• k* 4• k• k• k* k k* k*** k; kk• k •k*k* *•k* **•4*k•k4'k**kk•k ***** Permit Conditions: 1 No changes wi I 1 be made to scope of work unless . approved by the Tukwila Building fiivision, ;:: 2. All permits, inspecttonrecor • d4 and'-approved plans shall be available at the job yi•te prior to the start of',, any con- struction. These documen „ts are to .:be maintaineti ';and avail- able until finat;::inspec,tion, approval Is granted. 3 Comply with the, "requirements of ' TMC 16. 04,, Demo l i t i o /Re I oc- ation of St:r;ucture,s' land Article,.87 of the 'Uniform Fire Code. 4. Remove all weeds concrete stone fo rndations, flat con Crete, c,onorete patios,, masonry Wells, gar a;ie floors, dr i;ve- ways aryd,' imi ltar, structures and 'all miscellaneous materl a,l: !,Properly 'cap sanitary sewer and water connec- t ions .;.• proper•ly fill or :,otherwise protect all basements,, septic .tank , .we l i s land other excavations. S. Temp0ary` er`.osic'n control measures shall be implemented ,as the,J :ir;=:t; ornder of business ',to prevent sedimentation off— sit !or into existing'. storm �dreinage fa'c:ilitie .. 6. The,l' si to snail' have • permanent eras -Puri control measures :'` i place :: as, ston as possible after final grading has been completed and 1 prior to the Final. ,Insp "ection. 7. ALLY. CONStTRUCTION ACTIVITY ASSOCIATED` WITH THIS DEMOLITION CHALL;1 BE LIMITED TOI,W ITHIN .:10',,'OF 'THE"`BUILDIN►s EXTERIOR. 8. An ;'�t-ap c tanks in 'the`•`area shal1, b'e pu' ►riped ,empty and: y . � t „i removed o f�`i 1 1{ed with r -�`� sand. A .+:opy•`;of� °documentation ;ari�rn the 'hu,t i nes that performed the purip i ng. shall.. be prov i ded. to the `C i tvUt i li.t i es Inspector. ', LEE” S'.'SANITATION SEPTIC PUMPING ;RECEIPS "..ARE ATTACHED AS PART: :OF THIS PERMIT. 9. EXISTING :TREES`' CANNOT.BE REMOVED'WITH THIS PERMIT., 10. Validityof. Per`. The .issuance of a permit or approval of plans, specificati'ons, and computat,Sons'shall not be con' -' strued to be.`.apermit for or an 'approval of any violation of any of the provisions of :the ° bullding code or of "'ariy other ordinance of the juriS'dict'ion. :..Nc permit presuming to give authority eo avi:olate or Cancel '` the provisions of this code shall be valid. • CITY OF TUUKWILA Permit Center �... 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. Project Name/Tenant: /� is /-14 ern/7, l( 4r/r ! (' /r're.'P'. 1.;(..1(.-:- Value of Construction: [ /; - -. .Do ..., f"7. �, Site Address: City State /Zip: 7 /6c) -�Q l-60-d� /c.» y /e( f•41 ? /1 ii),, . / r-,P/ .+- s' Tax Parcel Number: 4-/�. X./ - ci • • ex8: 0 Property Owner: . i i_, /, AP7, /. 404/ (r'n; 6''4 4Jc -• 'i r - Si 5 - /s., j Street Address: City State /Zip: / /Sa c1.u4t /e,. . 't' G�(f•l,Ci.) ea 9,'t%.;/ Fax #: be - Jr3- l,S' ?7 Contact Person: ' —/iciC /,fN� � Phone; & /<:.- 5-9 '. -r/ ` S" Street Address: // r, �. 6d.1t,Y)S , e % (,-i (ref s City -i State/Zip: / : Fax #,y a" Contractor: %L/Cln• f 1 /C Cr/.1:f? if op Phone: .'O2 -1/6 6. -`/S/20. Street Address: City State /Zip: lAL i - /�4t" 1�.i�(/Us ._ /,'2go • 'c, /�4,Y ' (J)a4 /r. ` ,-.? c's Fax #: Architect: )) /4k'AA.'�/6l / !g rx,,,z :`fy 1p '(1, /f L//- �,IZ',,v4) Phone: '% (• - i z..;.? - Y<f S' Street Address: City State /Zip: /� ?7%) it)/WI 1 / 40 IL f_= 3l1'.:r Ji / / /M: 1( ret)ti4.t' Fax #: / /;! c- 02-5: f // Engineer: A 4P /i �� f 5r� /i1 /i/v /!a...,71 F: //,) Phone: ,, :iii 6 -- „7 r-/ -G... ::, Z Street Address: �/%�� / City State /Zip: / ?i , /7i/C' - -C 4c', / F'.vr 6.)(•5(41 /;..f02.• Fax #: (72.7 - j' 73Z- MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: (TO BE FILLED OUT BY APPLICANT) Description of work to be done: a,000 5F Earl C/c hou5c Jar' %✓1� ; ,� c? J ..7 _ei r c' re r /2 C '.. '/rX) ti ,C 5c1 r95/ . Will there be storage of flammable/combustible hazardous material in the building? ❑ yes is, no Attach list of materials and--storago location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets El Above Ground Tanks DI Antennas /Satellite Dishes ❑ Bulkhead /Docks ❑ Commercial Reroof Demolition ❑ Fence ❑ Mechanical ❑ Manufactured Housing - Replacement only Parking Lots ❑ Retaining Walls ❑ Temporary Pedestrian Protection /Exit Systems ❑ Temporary Facilities ❑ Tree Cutting APPLICANT REQUEST FOR MISCELLANEOUS PUBLIC WORKS PERMITS Channelization /Striping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt # ❑ Water Meter /Permanent # ❑ Water Meter Temp # Curb cut/Access /Sidewalk ❑ Fire Loop /Hydrant (main to vault) #: Size(s): ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): 0 Deduct 0 Water Only Size(s): Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load/Hauling MONTHLY SERVICE BILLINGS TO: •: ■ 9 Name: / r ' • • ex8: 0 0 Phone: Address: 1nlflals) City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Address: Phone: City /State /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. 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 applicallo agcept: •: ■ 9 Date applic: • • ex8: 0 0 Appll�af ta)n 1nlflals) ALL MISCELLANEOUS PERMIT APPLICATIONS MUST BE SUB ; TED WITH THE FOLLOWING: ➢ ALL DRAWINGS SHA:. 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.) ❑ SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW Submit checklist No: M -9 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 ❑ Antennas /Satellite Dishes Submit checklist No: M -1 ❑ Awnings /Canopies - No signage Commercial Tenant Improvement Permit ❑ Bulkhead /Dock Submit checklist No: M -10 ❑ Commercial Reroof Submit checklist No: M -6 ®' Demolition Submit checklist No: M -3, M -3a ❑ Fences - Over 6 feet in Height Submit checklist No: M -9 ❑ Land Altering /Grading /Preloads Submit checklist No: M -2 ❑ Loading Docks Commercial Tenant Improvement Permit. Submit checklist No: H -17 in Mechanical (Residential & Commercial) Submit checklist No. M -8, Residential only - H -6, H -16 ❑ Miscellaneous Public Works Permits Submit checklist No: H -9 ❑ Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M•5 El Moving Oversized Load /Hauling Submit checklist . No: M -5 ❑ Parking Lots Submit checklist No: M -4 ❑ Residential Reroof - Exempt with following exception: If roof structure to be repaired or replaced Residential Building Permit Submit checklist No: M -6 ❑ Retaining Walls - Over 4 feet in height Submit checklist No: M -1 ❑ Temporary Facilities . Submit checklist No: M -7 ❑ Temporary Pedestrian Protection/Exit Systems Submit checklist No: M -4 ❑ Tree Cutting Submit checklist No: M -2 ❑ 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 is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ". Bullding !Owner /Authorized.Agent. If the applicant is other•than the owner, registered architect/engineer, or contractor licensed by the State of Washington, "a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT :. a Signaturek )2 `` � Date: .7r :.. Print name. �/ Ur -/N Ill. Al is /1 (?I.I Au7LU�� �i iii P ono' = �` /`�Z�F iy -: T9. /Tr� x.N: I FiVl ,s- 5 -,e5,7 Address: ,� // .ti 6,01 -ve.1; ; mac, _ City /S1ate /dip: , / C�io,, .. 6; ', MISCPMT.DOC 7/1I/96 INSPECTION,, RECORD Retain a copy with mit PERMI NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila W&98188 :=!'^( (- 206). 3670 INSPECTION NO. ..--, 0.1 Special nstructions: fi'itay____ • Date wan a.m. •.m. Reque 143, 67,e Phon Noo.:" [pproved per applicable codes. r i Corrections required prior to approval. COMMENTS: 71, r1 $42,00 REINSPECTION EE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD . Retain a copy with CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100; Tukwila, WA 98188 rt iCri -off RMIT NO. 47' 431 -3670 Approved per applicable codes. Corrections, required prior to approval. COMMENTS: _p IInspector: V Datil •y (a/ l f F ] $42.00 REINSPECTION FEE REQUIRED. Prior to spection, fee must be paid at 6300 Southcenter Blvd., Suite 100, CaII to schedule reinspection. 1 h Fun G2err Mk T 1 s ctio YP� _ W ,► • 4 / / a.m. p.m. Icirc l rally Wl 5 Date called: / (Sj Date wanted... Special instructions: R e , Phone o.: Approved per applicable codes. Corrections, required prior to approval. COMMENTS: _p IInspector: V Datil •y (a/ l f F ] $42.00 REINSPECTION FEE REQUIRED. Prior to spection, fee must be paid at 6300 Southcenter Blvd., Suite 100, CaII to schedule reinspection. 1 INSPECTION REC Retain a copy with INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 Prpjec Type ctic • �\� I Alclrgss� el COCK/ ` /� , - / �j Date called: i — ass °- 1-7 Special instructions: Date wantrt.ato ,,1 �,m. Phone 1 •.: 3 - 9g L/-1 g7.1...� Approved per applicable codes. COMMENTS: Corrections required prior to approval. II /101q7 Inspector: Date: (-1 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 INSPECTION REC D Retain a copy with /Jnit PERMIT NO. (206) 431 -3670 Proje . Type of ins ti`ogi: Add ess: Date called: Date wanted: /HI-40 a.m. Special Instructions: Requester: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector; 11 Date:/)j $42.00 REINSPECTIGN FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection. Jt kkkk*: l* k*** iA ' * * **AkkA * * *kA• +1•*. *.A.Ick*A,4 k* ••4 *k•k *A?AAAAAA**k* ***'A* * ** ITY orf TUKW1G.A WA YY1 � `� —()(J TRANSMIT k*`•kfA *.k *J4**** *k/ `I;RAN3MXT;'Number l R970ph73 Ampunte 4 ;4 1i,/09497 1 act Pavme.nt Method' CHECJ( Notation:. HUISH"FAMILY FUN., Init: KUP ._._..._.Permi.t•No; M197•-0200 Type: MI9CPERM MISCELI:.WUIi.DUS PI RMtT 'Parcel No: 2.42304 -300 'Address: 1O34 , .GRADY WY' This Payment Total. Fees: ' 0. 0 Total ALL Pmts Balance:. .00 A* * * * * * *P4 . *AA *.*• *4A * *•k *•k ** *f•* * /,* *4 ** 4cAA **••k*4 *0 *A * * *kA **44 ** .Account, Cade De"acr i pt i:on 000/322: «,10q: BUILDING . MONRES 000/386Y:4.04 STor4 BUILDING SURCHARGE Amount 42.00 5(> II A " Go3N RAVER 1' co // / . .1 ■si % "" I. GT -11 - - ?p1'as ./ 06 / 1 CD / Iat,---- Approximcte E / Q° / ■ of Soil Stock; 1c ,� 1 ` - - -I .9 ti Z . of �° / • ncrete Grass glackbefrY gushes Parcel 2 -yr AT-5 r - - --, �':-'- - - - -7-4 'Shed! tl 1 General 555— gallon tel __ Sto age -- --=C`, 1 1 1 Barn r R �� U '; • Nursery • • Debris 1 r .,ioN ,•'S�,GC W -17 (POtp 't' -6 's_/ tom-- ; ) A- Ecology Blocks C' ,� Vcrious 011 Stains, 011 Dump'° Burned Boat • L/ OH Staining v— Former 8 J do G Nursery 1 411, o / • " I`I I \ I r--* - -- GT -10 ' \l t L Sawdust / -tai- 1 Diesel AST1 s), Sawdust \ (Removed) •, / o`` %1 — 5SAn9 5 bT -7r Boat / Looking / oil C:-- Heating Oil UST Fill Pipe Heating Oil AST 55— gallon Drum Motor 011 RoodwaY low GOT-8 Oil Stains GB-1 00T -4 Slag AT -7 Slcg AST Apprc: Lacs:: aCT- /Ecorcgy & RR ns 1 Fuel & Cos Gross A 0 1 MONSTER R0A0 Garage I G AB -5 CITY OF Tli UNDEvaiS ROVED NOV 1 7 19 f IVOil:l) PERMI ENTEA� // shown are approximate. r . / • • • • • I 5CALF (=Ice' Geo ikiEngineers ,. ,L'7 ._ _• . A = • 4, r- I r- A A • w►i.,..' \ Gb u 'O -o�g'M /5 � \Oy y t LANGSTON RD f J I 2 1i:,lN `- ,, UM STS St a Tr AI, S 132N0 ST g 173RD 2N0 F rHS cam. 1 ST sr /cite III ,`' b,,T � w.. ,+ 5 ,,,,,a ♦ y ., 1i9 ..I,ra 14 \\ \\ - fy�,Farm `\ .; :9'4' — % �,,cG coLF s'^-----..,. \ '. '��q COURSE \\ 'y ► f8 L £ / I S \�\ m JUN 1 I�? W 13 _ �}13en+ r sr 9� $ I \ a , - - - -- a''M / ciosuA Al ak "r:�fr `t� '� `I s 1_� k >:..�,,w� •� •rte P4' W. \``\ �- • �9 I 11 7 _� ^!)p I� �� )ADO 5 n \"q \ —� 1, 1W3R0 sr.,,, _ �'a 144 ` '� . 1177P arm • 1 i Fr \1iiiI •- 4r'. : 0A \ 8 5 52 t _ fr , ...c,..... N s7 ` .; ' \ \ NTON SITE . lirow,,, \41 cn , = I 23 < SIs • ,v,, - ST 5 152ND Sr I-1 s ., • � S � IN.L .�+ �.. ✓ j � .,�►- 'vi `. • �'1 , �)'" FI, S 15211D PL 1./. .� iS N .m1+ " �,... • �\\ . S Iozu). ��.�. • N Sr .t/1,P I. iii : ; Ug 1`" - 1 $T �� mum ,i/A�.`n, .:'.' �.� • itri)•1 1 1-7A m„ ST - .1 a Nit P,utr • '. 1 J _ 1M > <s+ � y Itt �� T UAW s. SOUTKCEISTER J e m. OD PKWY MKS — 1'f/� D� ." • 1 GRfE" ` /F I'` �,•"� , ,v,: ■ D+s� SUITES r L Ix, 1 § SL' 19TH 5T 1� ' •11 I 11!_11 P` $ �� / p , p SUMMER BAKER BL .c r Z 511 23RD ST I, • Y0 / °yam \' • . 27Tt. , ST 30 • , « o SOUf1fCENffR PU • m A 26 sr `rums • rno�sp 181) NTO N N CT I 0 25 s 1.: sr 1 ,,, 9bJ° • � r ORS 1 1 •.. S 29TH ST / / (.. �, ,p,.` . fit ati • slop CORPORA DR N v z3� auo PL rNIMIf•4ER I CORPORA DR 5 I J Tr ; eLro 4 a 4 ,RIT t �II ST 11 PAA} ar 0 . 2000 4000 r s .$111 ST I ., RECEIVED CITY OF TUKWILA ....�.� ,r.�� SCALE IN FEET NOV 0. 1 997 N "" r t' F nrrER reproduced with permission granted by THOMAS BROS. MAPS. This map is copyrighted by THOMAS BROS. MAPS. is unlawful to copy or reproduce oll or any port thereof, whether for personal use or resale, without permission. �� op VICINITY MAP 71 - - Demolition sites In relationship to existing significant trees. DjP, 1 1 - 1 4-9 7 • • • - • • • • • -- — e • NNW 11,411101111 ST T1) SOLIDI:ENTER STRANDER NTON NCTION 25 F CORPORA I N CORPORA DR s sJ —717. • :Alt PAAWAY PiAL4 MI I ANA n R 0 2000 J MON sr. 4000 SCALE IN FEET ST I • erryROECFETIuVovEDILA NOV 0 3 1997 in CENTR Reproduced with permission granted by THOMAS BROS, MAPS. This map is copyrighted by THOMAS BROS. MAPS, It is unlawful to copy or reproduce all or any part thereof, whether for personal use or resole, without permission. 1 Geo Engineers VICINITY MAP FIGURE 1 • LEE'S SANITATION SERVICE, INC. P.O. BOX 66537 — SEATTLE, WA. 96166 PHONE - 242.6911 / 228.4282 / 839.3637 / FAX • 242.1452 LICENSE NO. LEESSS347CM "COMPLETE SE •TIC TANK SERVICE - SIDE SEWERS - BULLDOZ ,IG" BILL TO //T t c��C w�, Cl jiG •�..� c_et, o'i4. 9 ;1 -9/ 0, • CITY OF�TUKWILA NOV 121997 PERMIT CENTER INVOICE 58005 REMARKS: DATE P.O. N PHON AI _ Agrafflaffaregli IBIRINSMI I r 4.-ai C"1 .:k' 4.1 ,C• -1,0 '7C-t�c1. ' � / / n) Ale-fe- � ' ILI6, 4..P .4(...e..141--' •C- �'►.t¢� 75D0�I, II /l�i° .t : 7I00 C toy 71ao '71 '4D 11 II 7150 11 I I C VW IPA h Lloyd Enterprises, Inc. P.O. Box 3889, Federal Way, WA 98063-3889 FAX: 838 -0103 PHONE: 874-6692 / 927 -0416 TICKET M Cit1(01r1'/8110 DATE TIME PLANT HAULER 1.1/04 /) r }9]'7 CUSTOMER 01301_ a . TRK DRIVER 1.- 0I)3.7 I r:1':',i; SA1411141TOM OUST. ORDER* P I') CtOX 66537 SEAT 1, IT WA '9811 f,c. r.; (16 .2 4; ?. -691). OW UNIT PRODUCT POUNDS TONS . 4',f:.. 114 r' :r T 4ilto, - WI t1..;',I. GROSS: TARE: NET: 91400 3f.',680 i,t'i720 • PRICE AMOUNT DRIVER SIGNATURE Customs, mamas and 'WINOS to hold harmless Uoyd Enterprises, Inc. tor any damage to htalher real or personal property caused by delivery of matsrialrlisted above. AN material having teen dumped out rn trucks Is considered sold and is not warranteed to meet any particular specifications. When material Is no longer acceptable it Is the cote rs(n^ ^w" ' "'"• buyer to notify seller O days delivery, The a �ner of the month described premises Is hereby advised that a lien mev ha riar.^^a 1... 1 win ha • • • ,NOV 11 7 09: 1.7R1 LLOYD ENTERP 0 t.. 1,.' ...' Ne.ir'; C. • irsEs iDY Fodarat Way, WA 1139.2144 )(r. LLOYD ENTERPRIRE:3 INC. PIT RUN PILL • CRUSHED ROC!; • TOPSOIL Mailing address P.O. BO): 3889 FEDERAL WAY, WA 98063 2102 S. 341ST PL, FEDERAL WAY, WA 98 )03 PHONE: 8744692 ' 927.0418 • • Sold To ._.__Li,rs.t± . tl.L"O9To N Address City Deliver To 147195 Date 1 19�_ .12.VI• m ,P roars°. QUANTITY DESCRIPTION PRICE AMOUNT a(,_ PIT RUN tiqNb CRUSHED ROCK T P.1/1 0 m cn rn co rn COLO-8£8 :XYA RECEIVED CITY OF TUKWILA NOV 1 21997 PERMIT CENTER SPECIALTY CONTRACTOR 849 S. 164TH ST. P.O. BOX 66537 SEATTLE, WASHINGTON 98166 (206) 242.6911. 242 -1452 5 RECEIVED CITY OF TUKWILA NOV 1 2 1997 Pi PAS PERFORMANCE 3201 13th Avenue, S.W., Seattle, Washington 98134 ABATEMENT SERVICES g Telephone: 206- 467 -8733 Fax: 206- 623 -2091 November 11, 1997 Huish Family Fun Center 1155 Graves Ave El Cajon, CA 92021 RE: 7100 — 7160 S. Grady Way Tukwila, WA 98188 Dear Mr. Huish: This letter has been prepared to report the results of our asbestos abatement work for the above reference project. PAS started the project on Monday 11/3/97 and will completed the project on 11/13/97. The abatement consisted of the removal of the following asbestos materials: • Multiple layers of floor sheeting and subfloor in upstairs and down stairs bathroom and kitchen areas. • Exterior transite panels and shingles. • Heating duct insulation removed with duct. • VAT floor tiles removed from corridors. • Roofing materials identified in survey are to be removed by the demolition contractor with onsite initial air monitoring by Pacific Rim Environmental (2060 244 -8965) and verified with PRE. • Air monitoring sampling for containment was performed by PAS and analyzed by by Pacific Rim Environmental. • PAS filed both Labor & Industry and PSAPCA (Case #9700812) permits (attached). • ACM waste from the site has been double bagged, properly labeled, and is being transported by NTSI to Waste Management's Facility. The structures are ready for demolition, except for minor work on the former Dairy Building (7170) which will be completed this week. Sincere PERF M NCE ABATEMENT SERVICES, INC. aul H . nway Project Manager RECEIVED CITY OF TUKWILA NOV 1 2 1997 PERMIT CENTER Dcparsncnt of Labor & Indust-les 300 W Harrison St Seattle WA 98119-4081 Phone: (206) 281 -5473 FAX: To Regional Offices • �2 /D NOTICE OF INTENT TO REMOVE OR ENCAPSULATE ASBESTOS THIS NOTICE MUST BE RECEIVED NO L4 TER THAN 10 DAYS PRIOR TO THE START DATE COMPLETE ALL APPLICABLE BOXES • INCOMPLETE NOTICES WILL NOT BE ACCEPTED 11cRFcTrr 4B 4TF"IF \T PF( E(7 Amended? f.,J Yes Lj No Emergency? ar Yes Li No DI On Hold? ',i Off Hold? CONTRki TOR INFORM kTIfN Wnrk Shift; T W w Th 7 am 4 pm _..,i� ..err A. 3 pm - 12 am ...- ... 11 pm - Sam _ ..— — .... »... (other) _..».. Work Shift and Project Dates must be exact ?RnPERTY 01,I ER 1NFORMATInN bun aam: // / ©3/97 Completion: " / /7rT7. Company Nurse Conuacor Cert. No. Sign hire (Pnntteti ,Name) Phase No (2) ion She C.A.S. �a . o4 /4PC '-Do h? t4 e r 'M /('6 4./ //401/47, 90-1753 E> None St°.4J,�GY� /VC. 4( S 't, ,'4, f/41 6761 Address Phone-No. ..._.... .._.. _ ......._._.._..._..� �._...._ z 91 d � (21Z) s 93 // Jfsf Owner's Rep. A . Nuys' Address Phone No (G /f� 3 93 -- / /JJ Job Site pRn.1ECT INFORM4Ti(N Adorns /2 ' G o y .1-) 4' '� ( City ZIP •4 !<.-i Ruw,' /4 Age WA i Si= Facility 5:41 /e #m, lv 4$;> c.e /2vo !4'N Indoor? Outdoor? QUANITTY nF AcRE.STn' TO BE rE. REMOVED, OR ENCAPSULATED No. .....45O O sq. ft. No. .. ln. ft. each box below Li fireproofing 1_,j popcorn ceiling '•,,,_, j CAB she vinyl 74 1 w o oD ,x /c'ca ;" boiler insulation '_ duct paper ( 1 duet tone ? V each box blow ...! m ag. pipe i insulation L air cell pipe insulation .1 cement asbestos pipe in 5/ .4/14-- V14415/7e . t� ‘4; &s C'f)ti�;I'R _NJEASURES 4ti PIP . l j each box below neg. p. enclosure I� glove bag El mini enclosure wrap & cut Ca' wet methods each box below 1/2 risk: APR full faca APR PAPR Type C continuous flow Tyre C pressure demantnECE1VED CITY OF TUKWII A +� HEPA vacuum .44 ej ..rade /icseptlex tit V 1 21997 RECEIVED CITY OF TUKWILA NOV 1 2 1997 PERMIT CENTER Agency Case No. 9700312 rlgencV Vise vn,v PUGET SOUND AIR POLLUTION CONTROL AGENCY 110 Union Street. Suite 500, Seattle, �%A 9S101 -2033 r E OF INTENT PERFORM: Date Received 3APC,$ ©CT 2 91997 Agency Use Only A. Pra(eet Type: U 1. 0 Asbestos Removal 1 2. Asbe tus Removal & Demolition 1 3. LII Demolition. No Asbestos Removal] ' A. Property Owner: . niftf1u /t/(1 �G°• -'2 [.S, 1�iIG• Fa:perry Owner's Mailing Address: f /� S t ' r'LcSSE P,L'.vr c-1:.LtLr. mts WILE. BE 1'otM R iZaIY.5U /U.VG WEL PERFORMANCE ABATEMENT SERVICES, INC. City: eL 1 Phone: (L'P) State: [/t / Zio: ?z`Z, C. Asbestos Contractor: Contractor Owner /CEO: Reid Williams Contractor 1 Job No.: MaiLinz Address: 3201 13th Avenue S.P1. Phone: (2061 467-6733 City: Seattle D. Site Address: Project Nfanagcr or Contact Person: 1 State; WA I Zin: 93134 Fax: (206y 623• -209I E. 6Asbestos Survey or 1 No. of / Date Survey was C� Mat'l Presumed: I St-ucrues: , /J . I Conducted: • ` f2 3/ ARTRA Building AN t : L'AVE' IS AEC CIAEU 9:fCAEAL: cevuu: ray rsrl,rr hope :c r Name; ,401 Q e- e / /e1Q • I Certification No.: Was Asbestos Found? 5.% la If No. Attach Survey Expiation .� Date: Z/ CS, F. Demolition Information: Demolition Contractor: No. of Start ' / ,,/ U Training Fire (List Fitz Dept. as demolition contractor below) Structures: 1/ Date: J ///// ?7 j� Ordered Demolition (attach copy of Order) I w ,.YAM}: nen+e. r:',ru •YAILJ.SI:,AWRCis I.'r sea t+R BA a ixt.'n t. aurcy L5IL7 ?ME LJI.et.. /WI To Le AVek.d/v.det/J C. Asbestos Project Information: No. of Structures: (sce back if > 11 Start Date: 1/ Com.pleien 3 I Date' 45- /9 Total Ouantity to be Removed: • Toermal System Insulation: 1 1 Balk:ATumacc S.rrfacinc Ivfat'I: 1 S Fcreproa:Ing t Paine. Misc. Mat'l: 1 Cement Ed. ❑ Cement Pipe Linear Ft. /l dV3S ' Scuare Ir.s. ".4 Inter Ins, LJ Pipe. Ins. II ?)aster Textured Coatings Ft. Other. Phone: ( • ) Wk Days6t 'C \v ►n D Sa Su Hours: %J,iMr • 5-31c40,1 all asbestos material be removed by project completion? • ❑ No di 0tbe • Flooring Matt Li Rooting Marl Other 7idiw,•re, 7,,14 ,Tr .w✓e . • H. Asbestos/Demolition Project Categories; 1. ❑ Owner - Occupied Residential Asbestos Removal Project ❑ Owner•C upied Residential Asbestos Removal c Demolition Project ❑ ner -Qc t ied Recidendai Demolition Profits :t. No Asbestos Removal Notification Waiting Arnica Fee. Fe "—... Period NON-REFUNDABLE S25 . Prior None 2. U All Other Demolitions With No Asbesms Removal Project - ' 10 Days I S130 3. l.! 10 - 259 linear feet or 43 - 159 square feet (see back of form for options) 3 Days ( S150 4. 0.260 - 999 linear feet or 160 - 4.999 square. feet 10 Days • S300 . 1.000 - 9,999 linear feet or 5,000 - 49.999 square feet 10 Days 5750 6. 10.000 - 49,999 linear feet or 50,000 - 99,999'scuarc feet 10 Days 1 S2,000 7. Li 50.000 - 99.999 linear feet or 100.000•- 149.999 soua re fee: ' 10 Days 1 55,000 B. U 100,000+ linear feet or 150,000+ square feet 10 Days I S10,000 9. Emeaercy Asbestos Project or U Ernerecncv Demolition Prefect • Prior tiot:ce I Twice Project F:c 10. Alternate Means of Corruliance for friable materials or U Demolitions IC -Day Review Period 1 Twice Proiect F :c 11. Ll Alternate Means of Compliance for nonfriable asbestos materials I Concurrent with Proiect I Twice Proiect Fee 1. I do het y certify that the inf nnatiur cunrairrd in :his nonricauo:. and supplemental data Jescrbed h=,n, is to :he best o:• my ktowledbr acct:nte and eon:plc:e. 1 s 1 not cause or ;Ow a^v :scesuu ptojecr o demuliuun activities to begin ::url Ute apprapti:c_ wainng period has cI4 cd le� Performance Abatement Services, Inc t.f.•npler;•7QSJ Rev:e.v Perfo,7ned By. -4 - ;•• yam- -•� 1 • + ptMr,!:., ---- /41 � • (1°211- ,.1... Parcel • $he1' 1._ . • .��.. �,-./ d� • Y liam i . - f • +I L.1 • 1 1 ' 1 1 / I 1 �"�1 i ! iTalog1 Shod 4...-......-1 71 ' \ I(Ropoir Ioq / i Slog,) 1 t w o I....._.1 \ `'•. �1 / • r�Nun ry Debris ,...........W t. ^ +`' •� tiOlOjC Parcel 3 I/ wONSitlt 904, ro/mt:I 0 'r,•, Nursery 11 I , I 1 1 J r•••••••'1 7110 ' ••••• � irttl / ' 1 - ' 001'3 \ r ' I to titker 1. ooess.,19 pgh1 ••1 7170 Shed t- (CvAopaed) -1 , 1 1 • 17150 i t - ,. _ r ” 104,0:o 1-ure -.1 Of /en Shat r'�` ++��."•'"/ -/� rte• • s ;• / �. „••••••••••• ' 1 •......••• , ▪ r • i / .,..•••• . ... 7101?....14 . #7, ..... ....... ,,,,,..r.:(..::::-- ▪ ' ....•... 11‘; CS:4'...V.I.:1' .......;:7/17 ........""."".......::• ,./"•'' - . ' '% �-- • . - -r, (34 . i- / • .i .- •...„ ' .„ ,,. rte r�,.�+, �' f-.,. - ;al.._.':/ "../. r. Ih, Innntirns of rtll (coluroa shown ory nllpnxim e• ,� ~ ` • `I -. - -• 1 +' 11) '._ +•. •+ /" W Oc -24 -S7 12:06P W( ;env 11 7e Family Fun Ct -66S -5;694 EXECUTIVE SLrMMARI' Asbestos- containing material (ACM) was identified at the Tukwila Property as follows: Material Tr:.asite S' ingics i7120 at 7140 Grady Way ' ar_n House" & Garage Sink Vied,?: coating.. 7120 Grad.: Way: Kitchen QuA Cisity: -1,400 fr - -. . 7120 Grady Way 7140 Grady Way "Farm House" 1 sink Vinyl Flooring.: tar: 7120 Grady Way: Kitchen -100 fc2 I 0.S% C Overall= 28% IEriahle C ndit:r.1 No Poor No Fair t es Fair Vinyl Flooring and Floor Tile 7J00 Grady Way: Throughout Structure ' ft' 000 Overall= f NO Fair /Poor 2 % -?? C Ductir. Yoi:a Tape: 7140 Grady Way "Farn: Hou; ": iaasemcm HVAC Ducts 100 lin. ft. Boiier Insulation 7140 Grady Way "Farm. House ": Basement 20 ft= Vinyl Flooring 7140 Grady House": "Farm HHcuse" : 2.4 Fi. Bedroom Vinyl Flooring 7 160 Grady Way: 2''" F1. and Kitchen 9'' Brown Floor } 7160 Grady Way: Til;. f Gar a2e:Office 20 fr;*. 1 50 ft2 150 ft :'• SQ t- 10% C Overall ?0i%C Yes. Poor V I >1.0% C to Overall= 1 Overall= j U C' Tulwi;a Prnprny Hui:1:174rni:y FJn Cucaer 4- P.03 FAr.n ive Summary p tge 2 RECEIVED CITY OF TUKWILA NOV 1 21997 .,...• c•.w ,. _ , . ._� .:.i.i.. 'i.; ' F'1 • , ..: , ..� -,,•• . i . , .. .. .. ; ...A... •r ..r..;' .: • `„ i7.7'...:',•'::' ;0..h..$ • . . • �''' -;i• , .0ct -24 -97 22:OSP W91. :nv! 11g Fam1l.Y Fur Ct s . ,. ' j ,e, .596,7~ ..7.1..:. :P 04 '' =. ':`�; • . . •' • tr�ri 1 hr 11".r, . Transit . Riverview Cooler, All • Ceilings, Tingling rwartity 3,004 ft' 20% C Ef^hle 1.cg.mi'i.+ii Boiler Packicg Riverview Dairy Material 1.20 ft, Ora C xf Core'• Riven'lew airy: • "4;010 ft2 R: =�•i:. i Flat Roof t ' • C. Chrysotile, A= Amosite, Cr =C ocidolite Overall= Sx C ..'` Y+s Pocr N +: Fair : i.•• i.. T w 1 M TO ea ,earrcieo ec;/ • , Tu2•4•114 Proporry Iiuish.Famiiy Fun Concur Es; sve Summa:! • P'-C= 3 RECEIVED CITY OF TUKWILA ■ 1 21997 1 Department of Labor &: Indust: ies 300 W Harrison St Seattle WA 98119 4081 Phone: (206) 281.5473 FAX: To Regional Offices 720 NOTICE OF INTENT TO REMOVE OR ENCAPSULATE ASBESTOS THIS NOTICE MUST BE RECEIVED NO L4 TER TH.4N 10 DAYS PRIOR TO THE START DATE COMPLETE ALL APPLICABLE BOXES - INCOMPLETE NOTICES WILL NOT BE ACCEPTED cTn5 AB ATFMF'T PRn TFr'T Amended? J Yes J No Emergency? Yes LJ No ED On Hold? 1_1 Off Hold? ALift oite: //...../..03/97 Completion: /1 /7,T7 Work Shift: T W L. E S 1- k!L 7 am - 4 pm »..,i� ....t 3pm -12 am Ilpm -8am (other) Wort Shift and Project Data trust be exact Tr . 1a1 O • nN Company }Fame Conuaaor Cert. No. PROPERTY nWNTRINFORMATInN V 1 e / Z'isti eta (Pruned Name) he// /7/40-1/ Poona No Joe site d°.A.s. 90°- 3 Name Address GAGA -yes flue. F/ �;�'J o t Phone No. _..__._... ». 9a a z.i (2c,1) 593— / /s °s` Owners R. . IJw7s Address St. 4-- Phone No F.Y e. c2J /4C'-1)� ....». I J(-jy X5.9.3 — Job Site Addr s city» 1%/ yes 6240 I ZIP + 4 PRO.IFCT INEQRM4TION Facility jTYPe Las Kuw,_/L Are County Age WA I »_... —.I Si Lye Go gem\ IIndoor? Outdoor? aLIAMEEDEASTEMS. TO BE '.:_.! REMOVED, OR II ENCAPSULATED No. it,00 D sq. ft. No. //30 1n. ft. --�--��. : Y3 each box below �,.Y.] each box below . �,1 ' each box below LJ fireproofing 0 mag. pipe insulation LJ neg. p. enclosure iJ popcorn ceiling ID air bag r cell pipe insulation cement asbestos pipe fi CmROL MEASURES An PIPE j CAB sheet vinyl ZN1,4c7 mini enclosure re44W-re. .14,A5/e I Ti wrap & cut 4441/ boiler insulation /4- 014 1/41 wet me:hods __i duct paper each box below LJ 1i2 mask APR Ca full face APR PAPR J 'Type C continuous flow J Type C pressure demand RECEIVED • CITY OF TUKWILA NOV 1 2 1997 PERMIT CENTER HEPA vacuum D Arns�.2 PLAN REVIEW / ROUTING SLIP t'4Iri-oaOcj _ATE 9/ en e,( dy y 5 ACTIVITY NUMBER PROJECT NAME LEPARTMENT: ILDIING DMSION El `0 �U Gl ` PUB WORKS 11 FIRE PREVENTION E s4rickRtil __LP( DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE „c21 COMMENTS PING DIVISION RMIT COORDINATOR II 1 DUE DATE 1% 110 CO NOT COMPLETE ED NOT APPLICABLE E3 TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED El ROUTED BY STAFF I 1 (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) DUE DATE 1, L (a0 9 7 APPROVED I I APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) 1� REVIEWERS INITIAL DATE CORRECTION DETERMINATION: APPROVED r7 APPROVED W/ CONDITIONS DUE DATE NOT APPROVED (attach comments) Q REVIEWERS INITIAL DATE (Certification of occupancy required. ) 1 PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER t Ict 1 ` OaO O PROJECT NAME -1 400 elf Ay Wy S DEPARTMENT: BUILDING DIVISION FIRE PREVENTION Ej PUBLIC WORKS o STRUCTURAL �• »■xtarvsornw, M:.ttNor,' DATE It15191 De_MCL PLANNING DIVISION 0 PERMIT COORDINATOR 0 DETERMINATXO OF COMPLETENESS: (T,Th) COMPLETE NOT COMPLETE COMMENTS DUE DATE %% 1 (0 1 a NOT APPLICABLE 0 TOES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED Er ROUTED BY STAFF Ej (If routed by staff', make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRE 1 TIONS: (ten days) APPROVED El APPRO D WI CONDITIONS REVIEWERS INITIAL DATE DUE DATE 11,t NO APPROVED (attach comments) ❑ CORRECTION DETERMINi ATION: APPROVED I I APPROVED W/ CONDITIONS REVIEWERS INITIAL DATE DUE DATE NOT APPROVED (attach comments) PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER IALCI1 ' 0:3,0 1 PROJECT NAME % DEPARTMENT: 1 1, O 1rA ay W 5 BUILDING DIVISION ❑) DATE FIRE PREVENTION 1111 PLANNING DMSION 1 0 PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑ DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE 1, `b rn COMPLETE ❑ NOT COMPLETE ❑ NOT APPLICABLE` COMMENTS TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRgCr ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) DUE DATE t lao 9 7 APPROVED ❑ APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) 0 REVIEWERS INITIAL DATE men CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS REVIEWERS INITIAL DATE DUE DATE NOT APPROVED (attach comments) ❑ • -- - -..._ ...;_.4 PLAN REVIEW / ROUTING SLIP HIi'O?OcJ DATE '1 ACTIVITY NUMBER PROJECT NAME -1 (o0 etrbd 1 Wy S DEPARTMENT: BUILDING DIVISION ❑ FIRE PREVENTION ❑ PLANNING DIVISION r PUBLIC WORKS ❑ STRUCTURAL E PERMIT COORDINATOR ❑ DETERMINATION OF COMPLETENESS: (T,Th) DUEDATE ` • • COMPLETE n NOT COMPLETE ❑ COMMENTS NOT APPLICABLE ❑ TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED U ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) DUE DATE Up (aoJT7 APPROVED ❑ APPROVED W/ CONDITIONS t4 NOT APPROVED (attach comments) 0 REVIEWERS INITIAL -W DATE Hwy CORRECTION DETERMINATION: APPROVED ❑ APPROVED W/ CONDITIONS El REVIEWERS INT AL DATE DUE DATE NOT APPROVED (attach comments) ❑ n.1111R[i_ PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER HI1OaOO DATE 111.49 PROJECT NAME WO et( 44 y 5 DEPARTMENT: BUILDING DIVISION ❑ FIRE PREVENTION E PLANNING DIVISION PUBLIC WORKS 111 STRUCTURAL ❑ PERMIT COORDINATOR ❑ DETERMINATION OF COMPLETENESS: (T,Th) COMPLETE ❑ NOT COMPLETE ❑ COMMENTS DUE DATE I k cr7 NOT APPLICABLE ❑ TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ❑ ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE 11 1 APPROVALS OR CORRECTIONS: (ten days) DUE DATE t lao) APPROVED ❑ APPROVED W/ CONDITIONS tZi NOT APPROVED (attach comments) E REVIEWERS INITIAL I ` 1 Qti �` DATE 11 � (1' 7 CORRECTION DETER1MIINATION: DUE DATE APPROVED n APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑ REVIEWERS INITIAL DATE TO: FROM: DATE: SUBJECT: c City of Tukwila John W. Rants, Mayor Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION Permit Center Public Works Engineering November 13, 1997 Huish Family Fun Center 7160 Grady Way South Project No.: PRE96 -0037 Permit No.: MI97 -0200 Contact Person: Chandler Stever Phone: (425) 822 -0444 Ross A. Eamst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON NOVEMBER 13, 1997: Septic Abandonment PERMIT FEE No Fee Two copies of the confirmed Utility Permit Application and approved plans are attached for inclusion in the permit file. JJS /jh CF: Development File (with copy of application and plans) PW Utilities Inspector (with copy of application and plans) Finance Department (with copy of application) 1 1'.6.1 1 • 1 . rrL.H rl „1. • .7>i 11 t-1 City of Tukwila Fire Department John W. Rants, Mayor Thomas P. Keefe, Are Chief October 20, 1997 John Huish c/o Family Fun Center 1.255 Graves Ayenue E1 Cajon, California 92021 Dear Mr. Hu`_sh: We have determined that par. Lniforl, Fire Code 103.4:5, the .buildings located at 7100 South Grady Way, corsitute a haca.:d to public safety and need•to be demolished. Please have these buildincs demolished within 14 days. A reinspeccicr• will be conducted at that time, If you have any questions regarding this issue, please call the Fire Prevention Bureau at 575 -4407. Enclosed you will find a copy of Uniform Fire Code 103.4.5. • Sinyerely, ,Chief ThomasKeef, co: Steve Lanc .ter - •Plain ng Department - -- : 11 • , n� ' ? i w �7 ` �� j EIVED Headcuartem ..ta..on: 44 Andover Par* East • Tukwila i�Yash1 `P'on 0818 Phone .A6' S7S- v4 • Far 206) SSfi TUKWI�A u n u 1 7 1947 71,0`.4.c+YU1t1. m1.4,4,41.:0411:114r4a.4n.,;1114.3. 4.y.a+.401,1,K.14/44uM2Mtn ee.011011N1.'41WA'S ir.,. A.:tJ `+'Valk *40-0L. 01.111:7101 b0.0C111t10014r/141 1.. PLEASE DETACH AND SIGN CERTIFICATE BEFORE PLACING IN BILLFOLD ti, 1'�1i:; .y..ii ;::..€GISilil1'[10�1ti �y2.4+ ,y., } +t 1i1 1;,qif a: • `:,l} sT;. 'i4 r:iiv,'ti �1. }g• y 5; I 11'''l _4 i "2'W* yY g • •AN• •ill. +Y gy} p} " x .s. . il.�a'1LluL'.1•f• �� y ;':ti}.+rly� ',�•,�T�',a�.�4� .. ±,�z,�'�2�.•�;.ti�',W A;' Ai��� .i,L���h':;�c.,�%.M';1, "t� 41ti�. SKiNATURE t�. ISSUED BY DEPA ii i• MENT.OF LABOR AND INDUSTRIES Poukc a0OSzc,l4' pigES c? )O))98 A V6 C • .314 n USA!!'l:.! 4. • • y ucrnt.rn Iv vwrt.nr *.x.11111 I. , L_ DETACH TO DISPLAY CERTIFICATES • • 1 16111". 'Iryl"�y.���tiv'. tii1.•/ •xr. �•tkh "Vn�/ U r• '•R4..,..:vh.i;;Ur n`.Jf ra' yl•FF ^y�,�},��� Icy} dA(.e..ny .:tf(r�.arV;,o3.,•xiq..w•:;,. r: jilhh tf, efry�, _. WI —!7� 1 xte fr .P r 1 ^G. AO, '�1ta� r rf?;.t. (irl '• �1�''4/ '.'ht':i:'�. .. '- ,s �..}r_� � _� Ci ..= 1 — yy,?� _`u \.� r.,; A. J : V•, 1� -'.` 1• i i r'. 1• .• �. .., 1•. • 1 • 6 • , X.1 `• .r ,. '{tit =1r r�•.i'Qr,rr.:•irtir.�• .. ►CR:1 -• 1- .rv- •..%_•v..•J• �r• • �w•w+www • *•r w. Y• ww► w• r+ rYw •w- er *yt +••4•�"a1Mir•••9www�r *.ww +ww.�w *• +� *ww.w'�f �a •- •�' �''` i 1 1 ♦ M • ♦ • Y r r w v • Y • • • Y ♦• . • . ♦ Y • • • r • • Y i 1 • 1.1 Y• 1..• • • •..Y • Y • • • • • v • 1 • •...v • Y Y • • '��• y •� .i ,�, t f rr > y !r'tn • 11� • ..1•tt• 7ytt .r+lt•',:_ j�l +�'� ` '•t r14t 'iit Ott' 1.1+ L'�r �.1f1 • • 11 1 J•! :'.��r, � hq�'�•.'�,;� r.�y�� 'i7 l.r; _ Seattle -King County Department of Public Health SLUDGE HAULER REGISTRATION AND VEHICLE INSPECTION CERTIFICATE CERT. NO. SH076 GRANTED TO LEE WARNER DBA LEES SANITATION SERVICE INC LOCATION 849 S 164TH ST, SEATTLE MAILING ADDRESS LEES SANITATION SERVICE INC PO BOX 66537 SEATTLE WA 98166 FORA PERIOD BEGINNING JANUARY 1, 1997 AND ENDING DECEMBER 31, 1997 DATED JANUARY 1, 1997 BY SUBJECT TO ALL STATE LAWS, COUNTY BOARD OF HEALTH RULES AND REGULATIONS, AND /OR CITY OR COUNTY ORDINANCES PERTAINING THERETO. THIS PERMIT MAY BE SUSPENDED OR REVOKED UPON VIOLATION BY THE HOLDER OF ANY OF THE TERMS OF THESE REGULATIONS. THIS PERMIT IS NOT TRANSFERABLE AND MUST BE POSTED IN A CONSPICUOUS PLACE, THIS PERMIT IS NOT VALID UNLESS SIGNED BY OPERATOR. 1)V .......•••••••"' IAECTOR OF PUBLIC HEALTH ; ►' 1)'• F.,• S X OPERATOR SIGNATURE 000ta ••.• RECEIVED CITY OF TUKWILA NOV 1 2 1997 x....•1111 nekrree PLAN REVIEW / ROUTING SLIP ACTIVITY NUMBER t4Idt1 -. OO O DATE 110191 PROJECT NAME '11 100 elf d►y y 5 DEPARTMENT: BUILDING DIVISION ❑ FIRE PREVENTION r PLANNING DIVISION ❑ PUBLIC WORKS [__. STRUCTURAL ❑ PERMIT COORDINATOR a DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE ‘` 1(0 1 CI U7 COMPLETE n NOT COMPLETE ❑ NOT APPLICAB COMMENTS TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.) REVIEWERS INITIAL DATE APPROVALS OR CORRECTIONS: (ten days) APPROVED ❑ APPROVED W/ CONDITIONS ❑ REVIEWERS INITIAL k. v DUE DATE � lao) -1 / NOT APPROVED (attach comments) ❑ DATE JI /6 e617 CORRECTION DETERMINATION: DUE DATE APPROVED r7 APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) 0 REVIEWERS INITIAL DATE MIIIMMV RAID.