HomeMy WebLinkAboutPermit MI97-0201 - FAMILY FUN CENTER - BARN AND SHED DEMOLITIONCity 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
7170 GRADY WY S
DEMO
MISCPERM
DEMO
649
001
North:
TUKWILA
Permit No:
Status:
Issued:
Expires:
MI97 -0201
ISSUED
11/18/1997
05/17/1998
Occupancy:
UBC: 1994
Fire Protection: N/A
.0 South: .0 East: .0 West: .0
Sewer: TUKWILA
Slopes: Y Streams:
Contractor License No:. PAULETE0082LA
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
k * ***** * * * * * * ** *** * ** *** k******************************* * * * *•k *** *****•k * *** *•k *•k * * * **
Permit Description:
DEMOLITION OF A 4,000 SF MILK PROCESSING BARN
AND A 200 SF SHED.
k**** k********************************************** * * ** * * * * * * ** * * * *k * *k * * * * * * * * * **
Construction Valuation: $ 8,333.34
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng, Appr:
Curb Cut /Access /Sidewalk /CSS: N
Fire Loop Hydrant: N No: Size(in): .00
Flood Control Zone: N
Hauling: N Start Time:
Land Altering: N Cut:
Landscape Irrigation: N
Moving Oversized Load: N Start Time: 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*************************************************** * *k * * * * * * *k * * * * * * * * * * * * * * * * * * **
TOTAL DEVELOPMENT PERMIT FEES: $ 46.50
k**************************************************_* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Center Authorized Signature: _' �'� �� =; L Date: / / --1 V )
End Time:
Fill:
Public:
I hereby certify that I have read and examin d 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 am authorized to sign for and obtain this
development permit;
Signature:_
Date:
Print Name:
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,
Addr ss 7170
Suite:
Tenant:
Type: MISCPERM;
Parcel #: 242304 --9013
k•k*`k*;k *•k`A•k** k'k'**• k •k•k•k *•k'k.•A * *'k•k'k*•k•k•k•b kik•4**
Permit Conditions :.
1 No changes will be made to scope
:the. Tuk;•wila`Buiidi.ng Divi ion
All:pern ► its, in..pectian,r cor"ds,:and app.ranved plans shall be
available at the job s•i;;te "prior to the "start anv con -
struction. Thee ,dacun►ents• are to be maintained "and avai 1 -:
able until final t:fnspection approval, is granted
Comply with t.he'requi;reinen'ts of,'.TMC 16.044 De,rnolition /Reloc-
ation of ;,tructuresd Article, ,87. of the Uniforn FireCode..
• Remove all ;weeds:, ,concrete:, ` stone foundations, f;la,t•: ctin-
'.Crete, concrete masonry val is, garage f,loors,
ways ardi mil ar. structures
and :all loose m i srce l Iar eous
maters, ..l; '.,Properly cap sanitary s'e'wer and water connec-
tions,:,proper'ly fil'I or'.:othierwise,.:p'rotect all basements,
cellar;``, septic tanks, :wet is and other excavations:
5. EXI5TING'TREES CANNOT`: BE REMOVED WITH THIS PERMIT.
.6.:Temhorary: e.ros,i'on control` °measures .sha.l1 be implemented as
the ftirst 'order of , bu:,iness ;to prevent :Sedimentation off-
sit;e.;or' into existing. storm; drai.nage.;facifities..
hall have .permanent erosion >control measures in
place as soon as, p ble •after f
ossiinal; grading ha$ been
completed and. pri��r�. to: the' Final Inspection.
• ALL: C)NSTRUCTI0N ACTIVITY ASSOCIATED: WITH ` THIS DEMOLITION.
SHAW BE; MIT"ED TO 'WITHIN 10' OF: THEBUIL,DING EXTERIOR:
• Validity yof Permit. The issuance of.'a .permit•:or approval:;
p 1 ans`,;'. cpe;i fJ ca t ions, and computations ', sha l 1. not be con-,
strued .to ,be a permit for, or an; approval` of, any ,violations:,
, of atyy of the ,prov,i s 1 ons of the bu it d i,n'g c�c'de'' or; of any
other o.r'd,inance of ;''the jurisdic:tion.,. No, permit _`presuming; to
give atithorityt<o,violate or canoe] the provision;s.of this
code shaLi be val:Id,
Per:mi t No: MI97 -0201
:Status': ISSUED'
Appl led :' 11/03/1 997
ISsued:. 11 /18/1997:
• k• k• k• kk kk k Ivkk *•k*•k•k *-k*k *•kk•kk *•k'kk* k'k:k? *
of work;
unless
approved by
CITY OF TUKWILA
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 mail or facsimile.
Project Name/Tenant: �+
/�i i_•X rfAr+7, 1. �•ir !r%r' re. 1_' :: .2.0 e:..
Value of Constructio
r, . ,' • $} `..� -
-,. _ �I
Site Address: / ) /Vet State /Zip:
.7/,7 -JG; �'k�e4•IILfi It.`r?if I;kh!i /i' /lets4 r(17 ,V &'
Tax Parcel Number: a
/ -90/
%
i
Property Owner:
' /-/-,;).-?, 6 ,� /;rev ' ' v ''f`; .Jk -.
Phone:
6 F - S %
ALL MISCELLANEOUS PERMIT APPL CATIONS MUST BE SUB / TED WITH THE FOLLOWING:
➢ ALL DRAWINGS SHALLJE 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
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
PERMIT REVIEW
Submit checklist No: M -9
❑
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
0
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
❑
Mechanical (Residential & Commercial)
Submit checklist No. M-8,
Residential only - H -6, H -16
Submit checklist . No: H -9
0
Miscellaneous Public Works Permits
ci
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
❑
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 ".
BulldingOwner /Authorized Agent If the applicant is otherthan the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to subrrllt 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:
Si nature:
24 Rif
`
•
? Date: /0
_r.
.2� ,�
Print name, e) N 7I'.
/- ltrl,A
.►
/
_
',,ne , 93 -// .C3
F > #:..
3
. <J'`1-
Address: r-
City /S ale/(Z :
MISCPMT.DOC 7/11/96
* *k * *•* * *k4hh'+k** * ***A * +k ** •k* *A• * ** ** ** *6k i *** /r * ** *k * *•k * *•A
CITY tlf 1'.UK4iIlA7 WA i 1 R.flNSMI1'
kA #4*4•ky k,* * *,h *+l *•A *•4 *k *** * ** ** ** kkkk* *.A*** E *•A * * *k ** * *fir *•k *•
1•Rf►NBMIT i 89100673 Amount: 46.10 11103 /q7 1G :4
Pavirunls: Method: CHECK Notatian:: HUI;1M f Aiixi,'/ FUN In•i.t: i(JP
Ptrrit Nq: MI97 -9201. Tvpe: MISCPERM MISCELLANEOUS' PEUPIIT
Pa !c.0 Na: '42304 »90643
Site Address :' 15034. GR.A,DY WY S
This Payment; 46'.50
*i% * * * *A *o4 ** /...k * * *** * * *** * *:k't* ***
Total Fees: .46'.50
Total 'ALL Piot!:
Balance: .00
**'****• A* e1* + *A* * ***A * * *,4 *4* * *4*•k*.:
Account. Code. . Description
000/37.2:100'. BUI:L..DING. _ N0NRES
000/386.',304 .,; ; 4 '.,;'STATE BUILDING SURCHARGE.
Amount
42 O0
-4.5p
INSPECTION RECORD
Retain a copy with perms..
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISIO(�L,.
6300 Southcenter Blvd., #100, Tukwila WA -98188
REIM
PE M T NO.
(206) 431 -3670
l ilih no
/
o., tol1>ma_
ailed.
Ad
���D <ra�/ Gay �
__
Special instructions:
Date want
a.m.
.m.
Requ C/L
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
j Date: 7 `� 7ri /l/
$42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
t;E
INSPECTION RECORD (1-
Retain a copy with perm._.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 981
PERMIT NO.
(206) 431 -3670
Projectp' ,...
Type of insp ion:
Address:
Date calla :
Special instructions:
Date wanted: //
Requester:
Phone No.:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ri $42.00 REINSPEC • N FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
oP
Pty
CoMMs'�ctN-
GREEN C°°
•
4'
pt of contractor's
•Concrete
Data
Permit No.
/
1'
e° // / '•\
i I
dsI gt
P °' •/ L� /
•'S;9,GCW -1T
l //0� AT-6
4..0\ '
Ecology
Blocks
/"Various �}
.10il Stains 'I
Oil Dump e
oat •✓
i / I
.s1
GT -11
i cD dr.-- Approximate
I •� /
/ Jb '
O
l`o
u GJ` 1
/ J °�
o csi
i
of Soil Stock
`
T.--*
G T -10
\1
+Sawdust/
Diesel AST 1 -') Sawdust
1
6T -71 1 (Removed)!,
/ X „1 •
I / !oat. ► J
Gil
Heating Oil UST Fill Pipe
Heating Oil AST
55— gollon Drum Sao'
Motor Oil Roadway
eakng 1 * GCT -6
Grass
\a°kberN
gushes
AT-45 r - - -�
Shed
_.r General
u 1 1 55— gallon
I Drum
u` i �__ _ ___Storage
8 I _ 1- -,
c.) 1 Barn
�--,' 8U FNEts
`-- .6.�i
. •
▪ Nursery
• Debris
Former
&G�
Nursery
•
•
7- AT -7
Shed
Repa•r Slag
Shop)
Oil Stains GB -1
c
AST
Acpr•
Loco
(Rer-
` 9C
/Ecorc_gy
do RR '‘77
X „
0 •
GT -1 '1'- Garage' Pa cel 3
L.J
Fuel
& Gas
Grass A
Shed
(Collapsed
SW MONSTER ROgD
Garage
CI1Y
API
UNDEVELOPED
•
alma
ania
Goa
roxirnote.
,CALF /' = /C•
1115i-1 jcAMICY FUN e ENT 5i -r Je• (OLD NEfLSE+/ •F4/2M ',wetly.
72/e)
Dcpartrrtent of labor & Indust:-ies NOTICE OF INTENT TO REMOVE OR
300 W Harrison 98St 19 +081 oma ENCAPSULATE ASBESTOS
Seattle WA 9S 1
Phone: (206) 281.5473 THIS NOTICE MUST BE RECEIVED NO LATER THAN 10 DAYS PRIOR TO THE START DATE
FAX: To Regional Offices COMPLETE ALL APPLICABLE BOXES - INCOMPLETE NOTICES WILL NOT BE ACCEPTED
ASBEcTO' UB4TFM1FNT PFfTECT
Amended? .._.
Emergency? a
# On Hold? ;,J Off Hold?
Yes :J No
Yes Li No
curt cute:
Work Chift, M
lam -4pm
1/ /03/97 3 pm - 12 am ••• -•.
Completion: 11 pm - 8 am
!l //7 7 i7 (other)
T W Th E SQL Q
....t _.. X
Work Shift and Project Dates must be exact
CO TRAP TOR INFOR MATION
Company Name
Contnmor Cert. A.o.
in/t/4 , * 'M
(2) 90-1733
Joo Site CA.S. 6
/.��e zoo /‘
Name
._,41, J,'c. G/ & 154 1`,4-#1,4 / 4I 6761
PROPERTY n«NFR IcFnRMATinN
Address
/es /fie. F/ j 0 , 60 Phone :'o:_ _......._._.Ales'
.. ._....._ ..............__.._.... _. 7264/
(2c) 593— // J (
Oµner s Rep.�y/ ,/
Address
None No
(677 .5 -.9.3 --
Job Site PRn1FCT INFORM4TInN
Add= j Tyrr
City / 2 v 672 4 y Gl%f .............._..... # .Age
Facility
Cory
Sys
/2'c )
/4-,o t Indoor? Outaoor?
OUA TTTY OF 4SRFSTOS
TO BE REMOVED, OR i ( ENCAPSULATED
No. - ....15. 0 d sq. ft. No. In. ft.
• �Y] each box below each box below
J fireproofing 0 mag. pipe insulation
iJ popcorn ceiling air cell pipe insulation
j CAB � cement asbestos pipe
'„�' sheet vinyl E.AnNet
w c v• i=kx.72:"
;_j boiler insulation
`.J duct paper
1 .a,,,.,
it size
+_f Ski �'�1 eGS
CONTROL N(F.SUREC 4 'sT) PIPE
each box below j.,,x,i each box. below
El) neg. p. enclosure 'J 1i2 mask APR
C3 glove bag „' full face APR
tJ mini enclosure J PARR
fv.-rap u: Cut
Le wet methods
1 Type C continuous flow
Tv C pressure dcmancRECEIVED
CITY OF TUKWILA
;_✓d HEPA vacuum Ej
✓i' ee,lk-raii 4,10drilICX
1iOV 1 21997
RECEIVED
CITY OF TUKWILA
NOV 1 2 1997
PERMIT CENTER
Agent;: Case No.
9700812
Agency use vnty
•
PUGET SOU147) AIR POLLUTION' CONTROL AGENCY
110 Union Str_et. Suite SO0, Seattle. WA 98101-2033
r
�
POF INTENT
�. 1. O ERFORM:
E
Date Received
PGA 0CT 2 91.997 '
Agency Use Only
A. Protect Tyne: 1 1. O. Asbestos Removal 12. Asbestos Removal S Demolition 1 3. 1 I Demolition. No Asbestos Removal
B. Property �• �.t 1 Phone: (4/P
,59? -- //J T Owner: J/4/ /7 Ave.
Property Owner's • ' 1
&failing Address: / /� f G'72/1145- l tr'
C. Asbestos es..4$eP.VtMrc:.E4tY. 777U WILL BE 'OUR RLr.LNJUru :,L L4je.
Contractor: PERFORMANCE ABATEMENT SERVICES, INC.
City: "f1. W I State: 61 , Zio: "2.47
!galling Address: 3201 13th Avenue S.W.
City:
Seattle 1 State: WA 1 Zip:
99134
Contractor
Gw-ner /CEO: Reid Williams
Contractor
Phone: (20G 1 467yS733 1 lob No.:
Fax: (20G y 623 -2091
D. Site /"j /,, /�� -� - �� f t�
Address: %�GdJ�60 S, d N City: /�/.ZL4�/¢ State :n/� 1 Zip: /�%
Project Manager or
Contact Person: //WJ-.r� Pttot e: (,4*/ 3.7 3 ~ / /-571-
E. gAsbestos Survey or No. of /
Mat'l Presumed: ( Scucrrres: . / .
AHERA Building
Iruvec :or Name:
Date Survey was , Asbestos Found? it'cs
Conducted: /Z 3 /57 0 If No. Attach Survey
Expiration
Certification No.: / Q P I Date: /2-1
AN 4Y._51:L'RYE! ISRECL'IREO9:FCRE AL: GEWWJ ,C.Y I crDELTS
4V,V i , Le JJeV
F. Demolition
Information:
Demolition
Contractor:
No. of Start
I Structures: // Dare: 1/
PAINT .YAme.iltAttr'rru.YAJQ,%tAiJQM iSr.YBOX Corr BA
To Be A e. e 4riAie4
L Training Fire (List Fire Dept. as dcraolidon contractor below)
Ordered Demolition (auach copy of Order)
L & nu+..AIJt ?ME LILY . MEM.
rPhone: ( • )
C. Asbestos P:ojec No. of Structures:
Information: L(we back if > 1)
Total Quantity co be Rernoved:
Toermal System Insulation: 1 li BoilerWurnace Its
S. riacing &fat'1: j ❑ Fireproofing ❑ Pints
Misc. Mail: _1_9:1 Cement Ed. Li Cetncnt Pipe
Completion 1 Wk. Dayst t 'C W Th Sa Su
Dntc' ////S19% 1 Hours: 9A.M - S•A0 n
'Will all asbestos material be
Linear Ft. //i y3 ' Scuare F't. I rcrttoved by t roicct completion? • ❑ No
jif Duct Ins. U Pipe Ins. 1 Other: J .cth j •,k tt:,;.✓
❑
?lam:
U Textured Coatings
Other:
9
Flceriog tvtart
Li Rooting Mat')
1 0the-: 1,1t,4Wp7e/ j?4 7'e' ¢f%.w✓c -° soal
/
H. Asbestos/Demolition Project Categories:
1. ❑ (honer - Occupied Rrzide.nrial Asbestos Removal Project
❑ Owner•Q -upied Residential Asbcstcs Removal & Demolition Project
❑ Owner -C opied P.:tidendal Demolition Proiet. No Asbestos Removal
Notification Waking
project Fee .-7."""
Period
NON-REFUNDABLE
S25
.
Prior Notice
2. U All Other Demolitions With No Asbesoos Removal Project -
' 10 Days
S1.50 •
3. U 10 - 259 linear feet or 43 - 159 square feet (see back of form for ootionsl
3 Days I
S150
4. U. 260 - 999 linear feet or 160 - 4.999 sauar feet
10 Days 1
5300
5.36 1.000 - 9,999 linear feet or 5.000 - 49.999 square feet
10 Days 1
5750
6. Li 10,000 - 49,999 linear feet or 50,000 - 99,999'scuare feat
10 Days )
52.000
7. U 50.000 - 99.999 linear feet cr 100.000'- 149.999 sound fee:
10 Days 1
55.000
8. U 100.000+ linear feet or 150,000+ soua -c feet
10 Days 1
510,000
9. Emcrsercy Asbestos Project or Li Emerecncv Demolition Project •
. Prior Notice i
Twice Project Fee
10. Alternate Means of Compliance for friable materials or 0 Demolitions
1C-Day Review Period 1
Twice Praiect Fee
11. U Alternate Means of Compliance for nonfriablc asbestos materials
Concurrent with Proiect 1
Twice Project Fee
1. 1 do hera;y certify that the int.u:wttim .unrained in :his nonlic: eon, and supptemenr.J data Jesmbed hxein, is to the beu e:' my izowtedgr
x_v:te and con:plc:e. 1 s I not c:u.se or ai1u• ray :sccs:ci plulect u d :nwliuut activities to be:in yang the apprepti:c_ wainng period has
dapscd
Performance
Abatement Services, Inc
Canptere.'rvs Rev :e''
Per; a.ir.cd By.
.- i / / r c �
8a04,aorY„.r; i 11001..1 V „, "
.44 _; _
_' -^-1" - .. ..✓
-'•
•
\ ii 1 •
1 r. flam r_r i 1.7. r r
'_'�- , ; i Carogei Shod 4...., 7140 ` A
... _ �� ,ff4opoir Slog
�_ __.i irauara
Parcel
V 1
J
• ,. 1� N„n ry
ponis
Parcel 3
/
..----"" f
1
-•
v....1 \\
1 i 111E \ 1
1710D c riN
r
•.
1 .1.
t 1
,. ooessSriq ��....0
Cu,aqe �- , 1 70 i Open • :',
or�ncr n
^IrO .,'\ Hurstry, ij &heA • �� 1 `i n -1 -.-1 ♦� �' �.•� f� +-
'rSTlli R�! \ ` C • r ^"■ / (Cg110p7bd) �i u ii rr1m� O `r - -) �• ,/' �,��" J
._.. , , . I% r :717.01
t....; f
▪ ol
♦ ��;�• (t1t1,P4 p. �.._.- i = ""�' ^J COfOQ�t -'��✓� i j' ,/` r f .i• r r'. in
I;If.E'/I1MCf) •��.• •�`•� o' 1i�'^ ,./ , -/ .M01
,,&.
\ 1( r i /_,/'ice .......• ..•' •••••;:•••"' /�A
?� a - -/ II a.1. �r�" ,��'.�� yam. • �r. • �•�,.
It _/ "� ��, G1t PU� ,,%i -� ` y "' %• ,--- • -
� • __.. _. .. _ . , ,�`• • ~7�..• _.. -- ^``" "� !',(;j1.) " -� ..• -''"r f �'�,�'��..�'' i/ -'�+
'� "1.l -fie ...._..�. '` • r .r / "- -• ./• ' �,.•'�• %. ,.i!�..�- ''(�,.1 -.�' i'
m Iv ... ._ 'Nnla, 'Ih,t I nil fc 1 i�� r/
�� nention's o! n urns sh w '� .--`
i as , �S - -'- shown nry ol►prn><irnalc, 0
Fri �i r ._
12:0e' W
'onv i 7 7e Femi 7y Fun Ct
EXECUTIVE SUMMARY
-.: • 1..-.r.1 . 1 •.
Asbestos- containing material (ACM) was identified at the Tukwila Property as follows:
,Material
Tr: r site
Shingles
17120 &7140Grady
Way "1=arn House"
• & Garage
'1
Quantity I %
"1,400 ft-.. • 15 C
7120 Grady
Way
7140 Grady
Way "Farm
• ouse"
Friable Ccntht`.on
No Poor
Sink
Under caatine
7120 Grady Way: 1 sink
Kitchen
Vinyl Flioring:
tare
7120 Grady Way:
Kiechen
-100 fel
Vinyl Flooring
and Floor Tile
7.100 Grady Way:
Throughout
Structure
`4 ft=
Cp0
' 0.8% C
Overal: =
1 2S C
Overal? =
2 % -3? C
Ducting Mint
Tape,
7140 Grady W:ty
"Farr!: ,
: House ':
Baserr.ent HVAC
Ducts
100 lin. ft. 50% C
No l=air
'Yes Fair
No Fair /Poor
Yes. Poor
Boiler
Insulation
7140 Grady Way
"Fatter. House ":
Basement
20 ft=
10,E C 1 Yes
Poor
Vinyl Flooring
7140 Grady Wty
r :
" arri House": 7'
Fi. Bedroom
Vinyl Fioo :ing
7160 Grady Way:
?''`' Fl. and Kitchen
9'' Er ow:. Floor
Tilt
7160 Grady Way:
Garaze.Offica
1 20 ft:
1
50 fc2
!S0 f0
Overall
X07, C
1 >1.0 C
t: Overall =
24% C
Overall=
9 C
Aiu
No
Ncy
Fair
7uLwvta Pruprny
Nui:L 1 ma Fen Csttitr
P • 03
Xe :vtiv e Summary
y n° RECEIVED
CITY OF TUKWItA
NOV 1 21997
VOIMOMI Ma.
Oct.-24-97422: OgP Wi rev'. 1 l FamV!.y Fur: Ct . SC
art,. i. i. 1 L.rjr`minn , • 1 flt ?r, i V
Transice Panels
Boiler Packicg
Material
Roof Core' •
r.�; s�.•I.rii;1,:.
A C:^AC'os
Riverview Dairy: '$,000 ft3
Coolcr, All • ' � '
Ceilings, Flashing
Rh'erYiew Dairy .20 Ai
Rivers' cw Dairy: .
Flat Roof . •
f •
'4;000 ft=
iEIILhIe 1 rrlitia
20% C I Itio Poor ,..
i
EO;c C Yes Pop.
Overall =
C= Chrysot Ile „hi = Amosite, Cr = C_acidolite
Noa Fair ,
•7•••i•. t.• .t' .1
4 vet �S� ��;;�.' �_v���. -i�•�-
r
• , Tukwila Prupv; riy
Iiuish Family Fun Cuncur
• nu.•:•s •»I• 41..• . 1.•
.V
E t::tu3vc Summary
?• i RECEIVED
CITY. OF TUKWILA
:14.611 1 21997
a
1
•
1
Department of labor & Ind
300 W Harrison St
Seale WA 98119 -4081
Phone: (206) 281-5473
FAX: To Regional Offices
us
72 10
NOTICE OF INTENT TO REMOVE OR
ENCAPSULATE ASBESTOS
THIS NOTICE MUST BE RECEIVED NO LATER TH.4.N ID DAYS PRIOR TO THE START DATE
COMPLETE ALL APPLICABLE BOXES . INCOMPLETE NOTICES WILL NOT BE ACCEPTED
AcRFcTfS &B kTF\IFNT PR() TFCT
Amended? t_.1 Yes
Emergency?
{ On Hold?
Yes
I Off Hold?
CONTRACTOR 1NFORIL4Ti 1N
start ante:
/D.3/97
Completion:
/1 /7/47
Cornpsny Nine
Contncor Cert. No.
3igs—Wour—r7.---14_4/
41/ /40.11 V
(2 )
904753
II....
(Pruned Name)
Phone No
Work Shift; ;L( T W Th F m San
7 am - 4 pm _..,Y. _..rr ,C X
3pm -12am
l I pm -Sam
(other)
Wort Shift and Project Dates must be exact
PROPFRTY nS;NER INFORM4TlnN
�,J Name _
Address F/
Phone No.
(24c) 593— 1/ 5-J--
Owners Rep.
Address
Ste
Job Site C.A.S. l Phone No
A If 4 e e A t M / 4 C 5 / — ' ° C ) .... «.1 (4- 1.f)..« g 93 — //J J
Job Site
72 es Z
pRO.IFCT LNFORM4TIn? Facility
Add.
iT y pe
6714 41 W ..« �cs� o. 10,4/c.c r 6144f e
I Age
WA
ZIP . 4 ' Sim
e tCiro SSFJ
Indoor? Outdoor?
City
"fa Rte,J4
Cotmry
Go 1,0
OUk TITY OF ACRF.STOS
TO BE •` v' REMOVED, OR ; f ENCAPSULATED
No.
iJ
0 popcorn ceiling
i 1 CAB
7J
oo0 sq. ft.
No. .. In. ft.
each box below t.17
fireproofing
sheet vinyl
eNlok7
boiler insulation
`.� duct paper
each box below
mag. pipe insulation
air cell pipe insulation
ec:nent asbestos pipe
.041/
k4. Ell4 7. tXI
CO' TROL- MEASUR .0 4ti PIPE
Mi. • each box below each box below
0 neg. p. enclosure
0 glove bag ca full face APR
L. I mini enclosure
1i2 mask APR
wrap &.cut
wet methods
!� HEPA vacuum
RECEIVED •
CITY OF TUKWILA
NOV 1 2 1997
PERMIT CENTER
PAPR
*Type C continuous flow
J Type C pressure demand
October 29, 1997
Huish Family Fun Center's
1155 Graves Ave.
El Cajon, Calif. 92021
Phone: 619- 593 -1155
• Fax:. 619- 593 -6897
City of Tukwila
Tukwila, Washington
Subject: Property Demo Permit
Family Fun Center property,
7100 -7170 South Grady Way
Tukwila, Washington 98188
11 Exhibit B 11
J & G Nursery
7101
7120
7150
Garage
,7140
Shed
Garage
7160
Garage, 1 �f i
Shed'Y.
Approx.
200 sq.ft.
1000 sq.ft.
1000 sq.ft.
1000 sq.ft.
400 sq.ft.
2000 sq.ft.
400 sq.ft.
3200 sq.ft.
2000 sq.ft.
400 sq.ft.
000 sq: ft
200:'
Total. square footage to demo: Approx. 15,800 sq.ft.
Demo Contractor:
Pauletto Trucking and Excavation
Washington State License: PAULETTO 082LA
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER }!Lt O- DATE l' 131 9-7
PROJECT NAME VArni 1'4 4Rn Ce*r:
D EPARTMENT: 1110 ,(Clay wy 5
U ING DM ttIO^�N ❑ FN ❑ .1i
tt*� C 11-(4-472 DIVISION cif
UB I W1�RKS 1 J ❑ PERMIT COORDI NOR 1.
DETERMINATION OF COMPLETENESS: (T,Th)
• COMPLETE
COMMENTS
1
DUEDATE'``(O `C111
NOT COMPLETE ❑ 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
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 1% aO 9 %
APPROVED ❑ APPROVED W/ CONDITIONS ❑
REVIEWERS INITIAL
DATE
NOT APPROVED (attach comments) ❑
CORRECTION DETERMINATION:
DUE DATE
APPROVED l l APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
DATE
(Certification of occupancy rsquued. )
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER
PROJECT NAME
MLq1 -Oao �
DATE iiM-7
DEPARTMENT: 1110
BUILDING DIVISION a
"may wy
FIRE PREVENTION ❑ PLANNING DIVISION
0
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
1
DETERMINATI OF COMPLETENESS: (T,Th) DUE DATE 1,'
COMPLETE NOT COMPLETE ❑ NOT APPLICABLE 0
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE NO FURTHER REVIEW REQUIRED ❑✓
ROUTED BY STAFF ❑ (If routed b staff, make copy to master file & enter Sierra.)
REVIEWERS INI'T'IAL
t
DATE
APPROVALS OR CORREC 'INS: (ten days)
APPROVED 1.1 APPROVE ' W/ CONDITIONS, NOT APPROVED (attach comments) ❑
DUE DATE ao 9 7
> REVIEWERS INITIAL
DATE
CORRECTION DETERMINATION:
APPROVED ❑
REVIEWERS IMTIAL
APPROVED W/ CONDITIONS
-•
DATE
mai
DUE DATE
NOT APPROVED (attach comments) ❑
f(`.reifiririnn of eeeunaneV recui rd. )
6i✓tVUr.. m •/M'en.xn x✓ra.n.rvemtrt
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER MLT "'CAC DATE ti q 1
PROJECT NAME VArni
DEPARTMENT: 1 t 10 Ira dy WY 5
BUILDING DIVISION C1 FIRE PREVENTION ❑ PLANNING DIVISION
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
r
DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE b c,
COMPLETE ❑ NOT COMPLETE ❑ NOT APPLICABLE ❑
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)
DUE DATE It ao 97
APPROVED ! 1 APPROVED W/ CONDITIONS NOT APPROVED (attach comments) ❑
REVIEWERS INITIAL
DATE
11— !1-fr erl
CORRECTION DETERMINATION:
DUE DATE
APPROVED I I APPROVED W/ CONDITIONS ❑ NOT APPROVED (attach comments) Q
REVIEWERS INITIAL
DATE
. .............. ..reuirea_
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER MIN•CrECA101.__ DATE 3 �
PROJECT NAME
DEPARTMENT: 1 110 ,relay 5
Wy
BUILDING DIVISION
PUBLIC WORKS •
FIRE PREVENTION ❑ PLANNING DIVISION
a
STRUCTURAL ❑ PERMIT COORDINATOR ❑
r �
DETERMINATION OF COMPLETENESS: (T,Th) DUE DATE b
COMPLETE ❑ NOT COMPLETE ❑ NOT APPLICABLE ❑
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE Z 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) DUE DATE 1I 1 ao p 7
APPROVED W/ CONDITIONS NOT APPROVED (attach comments) ❑
NJ Pc,) fF_2-/-4 IT /9 CTi0T( w/ 71/5 v
' 1.12 DATE 11145 1 R7
!1
APPROVED ❑
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED ❑ APPROVED W/ CONDITIONS
REVIEWERS INITIAL
DATE
DUE DATE
NOT APPROVED (attach comments) 0
in __.:a r . ,, met t,lied_ )
......�ww.ruu.n✓awnitwl wYl��iu'igxoNH W rAaM.ouiw+.'uiw
City of Tukwila
Fire Department
John W. Rants, Mayor
Thomas P. Keefe, Fire Chief
Mr. John Huish
c/o Family Fun Center
1155 Graves Avenue
El Cajon, California 92021
Dear Mr. Huish:
We have determined that per Uniform Fire Code 103.4.5, the
buildings located at 7100 South Grady Way consitute a hazard to
public safety and need to be demolished.
Please have these buildings demolished within 14 days. A
reinspection 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
Sin erely,
Chief Thomas Keef
find a copy of. Uniform Fire Code 103.4.5.
cc: Steve Lancaster Planning Department
4 DETACH TO DISPLAY CERTIFICATE -1,
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON . NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
; .l. i'S14, • � •. •x..14"
_.- ___._. , • v. ,,vim.. �i�, /,- iii i.. rii.�.ii --- -- �ii.a.a i -- .-
L DETACH TO DISPLAY CERTIFICATE.t • • r ‘811$1,
��'17"•- I � ,• • •0
• . •
rQ' .mow••. - n , w k* j' ,11Yy ' '`� S•.74".-1`.�'i
tM• s � � 4
V4**-rte- *w * +- •-• ,►•� - ,r•�t+► �••,► w-e-• ♦ � * * � � . �"ir =�7`i+ y 4 4 * 4 «-+ . . * v .. • • � � * +* �• • r72i� piIC
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
— 'RECTOR OF PUBLIC HEALTH
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.
^ OPERATOR SIGNATURE
.nib .'
jM
,e y � 'x it 1•t r.�, , _ ,,P . .. • • � • • • �t r.
4
" _, k c '''..+:;*:;..::;;:":''' . ,� � • • � . � . • .
•• • • • • • •• • • . • • .w ••••. • -- Y . • r , r
x�ir .i Ali: 4:4 4 ,r _1 1 i lnl A.a1+ 11. r: /
? i
00011 4.A .•,.,, ..•
RECEIVED
CITY OF TUKWILA
NOV 1 2 1997
EICOILAIT (' MTCG
^1
•
:.v
•
• PLEASE DETACH AND SIGN
CERTIFICATE BEFORE PLACING
IN BILLFOLD
:N w IPROVIDED BY
fl�u l.;S rr r• 'EAV1�AA:�'r.':'it�!
:.;;��; •::,3+a;::EtGlsrctn�t34N�N'
1.. • �"1y.6�,1k :q is
• fr '
f S't'yt f,. n
s�o�r;YUaE
ISSUED BY DEPA ` MENT.OF LABOR AND INDUSTRIES
co, o))9S