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Home My WebLink AboutPermit MI98-0216 - BALL APARTMENTS - BUILDING DEMOLITIONBALL APARTMENTS MI98-0216 City of Tukwila t (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: 736060 -0531 Address: 13601 42 AV S Suite No: Location: Category: DEMO Type: MISCPERM Zoning: LDR Const Type: Gas /Elec.: Units: 001 Setbacks: North: Water: N/A Wetlands: Contractor License No: .0 South: Sewer: N/A Scopes: Y Permit No: Status: Issued: Expires: MI98 -0216 ISSUED 12/03/1998 06/01/1999 Occupancy: DWELLING UBC: 1997 Fire Protection: N/A .0 East: .0 West: .0 OCCUPANT BALL APARTMENTS 13601 42 AV S, TUKWILA WA 98168 OWNER BALL KENNETH RAY 13629 28 PL S, SEATTLE WA 98168 CONTACT KENNETH BALL 13629 28 PL S, SEA TAC WA 98168 4 ** k** k ** *•k ** * * * * * * *** * *•k * *** * *•k* * *** fir *** * *** * * * *** k*• k** **•k * *•k *** * ** * * ** *** * * ** * * * *•k Permit Description: DEMOLITION OF EXISTING 5280 SO FT, THREE STORY BUILDING AND REMOVAL OF DEBRIS. 4* * * k•k * ** * * * * * * * * * ** *•k ** * * * * ** * ** *******• k* * * * * *•k * * * * * * * * * * * * * * * * * ** *•k•k * * * * ** * * * * * * *•k Construction Valuation: $ 56,500.00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: 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: N Public: N Storm Drainage: N Street Use: N Water Main Extension: N Private: N Public: N kk* k*******************k******************************* * * * * * * * * * * * * * *** * * * * **k * * *•k * *, TOTAL DEVELOPMENT PERMIT FEES: $ 51.50 k* k********************* k***** k*** k********************* k * * * * * *•k * * * * * * * * * * *•k * * * * *** *. Streams: Phone: 206- 244 -8625 Phone: 206 244 -8625 Phone: 206 246 -6917 Size(in): .00 End Time: Fill: Permit Center Authorized Signature: _1 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 am authorized to sign for and obtain this development permit. Signature: Date: 1.,2 -3-- 2'e Print Name: ICen/'I.e . 24i ..,452q. /4 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('"UKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 • R STAFF USE ONLY Project Number: Permit Number:MVP 021 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: /nom ,' _I / ! !' C.-itWl0I tt0in Value of Construction: 6--/L-0442.7.41e. S6 SOG oG Tax Parcel Number: f73� a6a _09.31 -may Site Address: City State /Zip: 1360 / t/L d ,4t- -� ..._E L..4 'f / Property Owner: // ecm e r) Ar7 1 // Phone: U� a? 1/' 1 8'‘ 115 Street Address: ,, City State /Zip: /-5...5.6 `/ 37 77, /41-�. Sa #35 rvrti ;/p 4.4 yeix Fax #: Phone: a oe - ‘29t--6(1/7 Contact Person: - Person: /7- -e.77-7 A// Street Address: City State /Zip: /3 q 0Z ', n, / 50 S�4 naL -g, �f& /6 5 Fax #: 1d[. - `'/ `? Contractor: ce / F Phone: Street Address: City State /Zip: Fax #: Architect: Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: City State /Zip: Fax #: . MISCELLANEOUS PERMIT REVIEW' AND APPROVAL REQUESTED: (TO BE FiLLED OUTBYAPPL ICANT) . Description of work to be done: nA _ ,1/4 I `/v70l%5'4 Q T l57 ,'M,• ST,AUe7t,S C >/// ler Pm.L „4-.6r,1/4 Will there be storage of flammable /combustible hazardous material in the building? ❑ yes 0 no Attach list of materials and stora•9location on se•arate 8 1/2 X 11 •a•er indicatin • • uantities & Material Safet Data Sheets ■ Above Ground Tanks ■ 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 # ❑ Miscellaneous ❑ Curb cut/Access /Sidewalk 11 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 Size(s): Size(s): Sizes Est. quantity: : 0 Moving Oversized Load/Hauling 0 Deduct gal O Public O Water Only Schedule: MONTHLY SERVICE BILLINGS .TO:, :: Name: /cirti0 -C, 7-7, A /J.r / i Phone: X06. -- % k_ d' 7 / 1' Address: 100 `io ix 6.s. .5 / City /State /Zip: s 7-G t-c/4 ,6 /6: Ee 0 Water 0 Sewer Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address: 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 application accepted: 4 Off. ra.0- MISCPMT.DOC 7/11/96 Date applic n expires:, � Appllcalyta • (initials) ALL MISCELLANEOUS PEA IT APPLICATIONS MUST BE SUB ED WITH THE FOLLOWING: • K,. AL. DRAWING SHILL 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.) r-i ❑ 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 itl Demolition Submit : checklist:: No:.' M -3, 5M-3a' El 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- 6L H -16 . ❑ Miscellaneous Public Works Permits Submit checklist No H =9 .. ❑ 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 re•aired or replaced Residential: Building Permit Submit checklist...: No :. M -6 . Submit; checklist No M-1:. in Retaining Walls - Over 4 feet in height ❑ 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 ". Build /ng.Owner /Authorized Agent. If the applicant Is. othe than'the owner, registered: architect/engineet or cpntractorllcen r sed by the State of Washington, a notarized letter from the property :owner authorizing the agent: to suhmit :thls,pe mlt 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 :. Signature :X. ' ,721 /62 Date: //— /,2 — i Print name: rhr) er7,7 � 9/ y Phone 2,19- ¢t 1s 1 5s#i- 2 y6 _4 y' `/9 Ais L/ J % ri , t- - ..5. O , r ?L zLzi �, S 9l k td/ �i` City /ale ' • y 4,* • AAICCPAAT nnr 7/11/94 CITY OF TUKWILA Address: 13601 42 AV S Permit No MI98-0216 Suite: Tenant: Status: ISSUED Type: MISCPERM Applied: 11/12/1998 Parcel #: 736060-0531 Issued: 12/03/.1998 *****k****41k**************A******14***********A**4.***************4*k******A"44 Permit Conditions: 1. The applicant must notify the City utility inspector at 206-433-0179 upon commencement,and,completion of work at least 24 hours in advapoe0)440eCtjonrequests for utility work must,ajsObe-Made 24 hoiirsindyance. 2 . No changes willba-Made to the scope of work,--'unless approved, by Tukwila Building DiviSlOn " 3. All permitpSpectionyrecOrds'c and,apprOVed'planshall be ,at::thejcib'site prior to the start.",of*anon- struction'Thesed6cumants'are to be maintained and',0ail- able until final inspection approval is granted - 4. Remove all weed: concretestOne'.foundations, flat con-' crete„::,,,Concrete patios,maSonry walls, garage floors thltje- ways:andSiMilar '.strutUreSyand all loose miscellaneOUS, matarjalroperly cap sanitary sewer and water connec- tions, proper lY till or otherWise protect all basement cels;spptit tanks','welTsjand other excavations..., 5. Vati,dity of Parmit.,--,The,.isSuance:Ofapermit or aPproVajof plans, specif)cations, and :CompmtatiOns-shall not be q60-.. struedto„be,a;:permit.for;']* anapprOvai ,Of, any violatiOn ofeny of „the proviSionsof,the building .code or ofany__ other ordinance'Of_the juf-is'iliction:. 'No permit presuMingtO'U give to violate Or'',canCelthe,,Provisions Of4thli codeshail be valid 6. **A* PUBLIC woR - . 7. Tem0Orary:eroston control measures :shall... beimplementedasiv the'Orst, Order'of business to preVentsadiMantat;ionoft- site or into existing storm drainage 8. The site shall have permanent erosion" cOntrol'*easures 104 place as!,.,soonas poSOble after final %grading'has:been completed and pOtir to-the Finat-Inspection'. • , 9. ALL CONSTRUcTION2:ACTIVITcASS0CIATECLWITHTHIS pfM0Lui6N SHALL BE LIMITED TO WITHIN 10k OF BUILDING'EXTU100'. 30. Sewer and Weter,..utilities sha11 ;c0apligged at tha,,,*Ons if they are to be abandoned. ,Jf..they,q0lil be used 1n in the near r futue4Ora...new b'utlding\they sha114'capped at the property 1 iheikh:0:':,:atthe water.meteiVOSPect ively. APPLICANT SHALL osrAfW43Ewkk:OP:00.Gptrulfr FROM VALVUE SEWER DEISTRICT .(a (2"06J-72112323-6AND A WATER CAPPING PERMIT FROM WATER DISTRICT #125 @ (206)242-9547. • . 11. Hauling over 50 cy shall require application for a Hauling Permit prior to any associated activity: 12. Any material spilled onto any street shall be Cleaned up immediately. PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI g' Oa■(.0 DATE: Il Ia -) SIS PROJECT NAME: ?XU ` /fTflftS Original Plan Submittal Response to Correction Letter # Response to Incomplete Letter Revision # After Permit Is Issued DEPARTMENTS: Buil ii ivision il Works No C, Fire rLv�9 � Pla gg Division tructuralP E !� DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete C Incomplete Ej Comments: Permit Coordinator DUE DATE: Not Applicable TUES /THURS ROUTING: Please Route C No further Review Required fl Routed by Staff C (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 1 2 f 17 / 98 Approved Approved with Conditions ❑ Not Approved (attach comments) E REVIEWERS INITIALS. DATE: CORRECTION DETERMINATION: DUE DATE: Approved El Approved with Conditions E Not Approved (attach comments) Ej REVIEWERS INITIALS: DATE: \PR.ROUTE.DOC 6/98 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 _A-0Z.114 PERMIT NO. (206)431 -3670 Ppt ry 1 ' Ty f spectiM OA( `°°" 77 c 7r7/ee . -0,1 1 7 Address: t 4 At. M Date called: Special instructions: Date w t � J ' a.m, p.m. Request r: '£-FE i4'U 6... RA lei (3 •02/ Phone: A 0 Approved per applicable codes. rections required prior to approval. COMMENTS: `°°" 77 c 7r7/ee . -0,1 1 7 770 it V rtA 6.ev7- 3,6-.6 sG,E... A P/L - roe 4 CO>)pG4- Dr we.e.A '£-FE i4'U 6... RA lei (3 •02/ 4 A 1 El $47.00 REINSPECTION FEE REQUIRED, Prior to insp ction, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. 112m-faint Nn, 1 Date! INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #10Q,ITuIovila, WA 98188 Wr1Z PERMIT NO. (206)431 -3670 Project: --_.e_,`\ r^�" Type of Insl Ce ` 0 Add re s:Cgb, 01,16 � J C .Date called: Special instructions: �- «a. 1 e a w ��` ( I ) Date wanted: 1 ( t 1 `I 60 a.m. p.m. Requester: Kovvx.11.3.3av Phone : i* Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Nom ro4v 47,c pUG— suiy, / Qc./4` /77-7 (-76,--x7,720-4... Inspector: Date: LJ $47.00 REINSPECTION EEEttEQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. I Receiat No: Date: * * * * *nr* *t ***A *.k. * * *i * ** * *A *a * *� *V * * 4 A * **A **k xklk** * *4* • CITY- OF.TUKWI.( NA - TRANSMIT' , . * * *k,i. *4t* *4- ** Ilvi4 *,t *'.ii* •k4A* *licA 4 *4 *.11 * * ** *441!0,4,t4 TI.ONSSMI•C. Number: R0001376 Amount: 31 „510 12/03/'4a 1.1.c09' PE vme'�t MethQCI N CIECK Natet i ar: KENNETH BALL 1r i t i , K 1P : Permit No: MISS-0216 Tv'pe }t MISCPEUM' MTrCELLNNECJ,Uca: PV,RM1:T P zrce 1 NO :71606070,531 73t30G0- -0531 Site Adc$re?ea: 0601 42 :AV a ToW (Tees: 51 :.-S0 Th,i.st,,,,Petvment Si 50 Toth] ALL Pmt;;: • ,iN.;Sf) : U a1 /ride : Ap,., *4 **A*0. *A•R• •kl:iokki.7r * * * *41* **,,,*fir *.A.frAik* *A * *,k * **4k *fir *44,,.., „ **4.4,riA0t,l•* Accauvrt Ccd : 000/322.100 000/326.904 Description, UUTI.C}I;NG .NCINRES • STAT1 13UILJIUG 3tJRCIiARf3E. .,47 „00 '4.30 May 5, 2000 C City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Kenneth Ball 13629 28th Place S Seattle Wa 98168 RE: Permit Status MI98 -0216 13601 42nd Ave S Dear Mr Ball: In reviewing our current permit files, it appears that your permit to demolish a three story building, issued on December 3, 1998, has not received a final inspection as of the date of this letter by the City of Tukwila Building Division. Per the Uniform Building Code and /or Uniform Mechanical Code, every permit issued by the building official under the provision of this code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, if a final inspection is not called for within ten (10) business days from the date of this letter, the Permit Center will close your file and the work completed to date will be considered non - complying and not in conformance with the Uniform Building Code and /or Mechanical Code. Please contact the Permit Center at (206)433 -7165 if you wish to schedule a final inspection. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician Xc: Permit File No. M198 -0216 Duane Griffin, Building Official A ,CCVI . 6 Asrncy Use Only _ 7 1GET SOUND AIR POLLUTION CONTROL AGEN 110 Union Stmt, Suite 500, Searle, WA 981 f 138 NOTICE OF INTENT TO PERFORM: P .PCN A. Pro at T i, 1. • Asbestos Removal . Asbestos Removal & Demolition 3. ■ Demolition 1 99 Aarecy (last Only No Asbestos Removal B. Property Owner: Property Owner's Mailin Address: Kenneth R. Ball Properties PO Box 69571 C. Asbestos Contractor: Walker Specialty Construction, Inc. Mailin&Address: PO Hex 469 City: Snohomish 1 state: WA Ci : Seattle PLUM'Pl l7P't .WUT rwnwzu sr rpratrlSrvrtxad'!mtl //R/!. Phone/206) 246 -6917 S e: WA Zi : 98168 Contractor Owner /CEO: Bill Walker Contractor Job No.: D. Site Address: 13601 42nd Ave South _ Project Manager or Contact Person: Kenneth Ball. Phone: (206) 361 -8913 Fax: ( 425) 806 -7383 1 A -699 City Tukwila State WA Zi •: 98168 Phone ( 206) 246 -691 7 • E. Asbestos Survey or No. of 0 !Nat'l Presumed: Structures: AHERA Building ins ' r Name: Mike McKenna Date Survey was Conducted: Wan Was Asbestos Found? E Yes 1/19/99 C.1 1fNo, Attach Survey Expiration Certification No.: 930596 Date: . . F. Demolition Information: Demolition Contractor: No. of Structures: 2 Start Date: Kenneth R. Ball Pro rtics ❑ Training Fire (List Fire Dept. u demolition contractor below) 2/19/99 I ❑ Ordered Deinolitlon (attach copy of Order) G. Asbestos Project No. of Structures: Information: see back if> 1) 2 Total Quantity to be Removed 'thermal System Insulation: o Boi Surfacinj Mat'l: Fireplea% Misc. Mat'l: Cement Bd. U Ceatent Pipe ■ - 1 Phone: 206) 246 -6917 Start Completio Date: 2/15/991 n Date Linear Ft a Ft. 2380 letlFnniace !m. Duct Itts. __TrPi Ins. Paints Plaster Textured Coatinp Floorin. Mat'l CRooii Mer'l Wk. Days: (a! T W Tb 0Se Su 2/19/99 Hours:7ar1- 3:30pm Will all asbestos material be removed ■ Yes H. Asbestos/Demolition Project Categories: 1. ❑ Owner- Occupied Single Family Residential Asbestos Removal Project ❑ Single Family Residence Demolition Project . Notification Waiting ep�r od Projtfilia — NON- REFUNQ $LE $25 Prior Notice - - 2. r3 All Other Demolitions With No Asbestos Removal Projat 10 Days 3 Days S150 —37C3 10 - 259 linear feet or 48 - 159 square fed (sae back of form for optic s) 4. ■ 260 - 999 linear feet ur 160 - 4,999 sq_usre feet 10 Days 5300 5. 0 12000 - 9,999 linear feet or 5,000 - 49,999 square feet 10 Days 50 6713 10 000 - 49 999 linear fat or 50 000 - 99 999 • feet 10 Da S2 000 7. • 50 000 - 99 999 linear feet or 100 000 - 149 999 ' feet 10 Da s S5 000 linear feet or 150,000+ square feet 10 Days Prior Notice $10,000 Twice Project Fee .�8_..,.,•�.110.0�000+ 9. 0 Emergency Asbestos Project or ❑ Emergency Demolition Project 10. U Alternate Means of Corn • Hance for friable materials or II Demolitions 10-Da Review Period Twice Project Fee I I . • Alternate Means of Co • Hence for nonfiable asbestos materials Concurrent with Project Twice Pro'eet Fee 1. l do homy calif), that the information contained in this notification, lied supplemental data described herein. le to the best of my. knowledge accurate and complete i shall not cause or allow any whence psojeCt or demolition actividtn to begin until the approptiaee& waiting period has clapsed. ple/t JOtVer MAR' PSAPCA Form No. 66-160 (Revised 10/96) AM • �C r? ._: \... .., ` r ..... ... »... -- ..... •+... ' s •. � ... r. .. :'�:.::•�`. ins. .:.. .1... s..... .:�. The Puget Sound Air Pollution Control Agency ( PSAPCA) is the local air pollution authority for Snohomish, King, Pierce and Kitsap Counties. PSAPCA's Regulation III. Article 4, requires advance notification be submitted to PSAPCA. on Agency -, approved form no. 66 -160 (Revised 10/96). for any asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet and for any demolition project, regardleu 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. v b'ect krii l ri c .I rL/J n�r r craua7. ran swam nant fearuwsr�vA' • Demolition Contractor: Kenneth R. Ba11 Properties Owner/CEO: Phone: ( 2 0 6) Ken Ball 246-6917 Contii cor's IOC Mailing Address: PO Box 69571 Cit : Tukwila State:WA 98 1.68 pax: 206 246 -6949 GUIDELINES FOR SUBMITTING A NOTICE OF INTENT Enter all applicable Information accurately and completely. Incomplete, Notices of Intent will b. returned. Box A. Check the appropriate project type. Box B. Enter the legal property owner information PSAPCA FEB 5 199A'PCii FEB 8 Enter the asbestos contractor information or "not applicable" (N /A) for demolition projects when no a stos- Anx C. Fnt s pQ P 1 containing materials are present. For an Owner Occupied, Single- Family Residence asbestos removal project (project category I11), 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 H1) where the property owner's mailing address differs from the site address listed in Box D, a letter must accompany the Notice of Intent veritying,that the structure located at the site address is currently being used as the property owner's domicile. Multiple asbestos/demolition projects involving more than one structure (project category H2 through H8) must be submitted in accordance with PSAPCA Regulation I, Section 4.03(a)(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 project (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 as 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. All multiple structure asbestos projects (project category H10 and H11) must be submitted with a work plan. map of the structures, complete site address, type and amount of asbestos material to be removed from each structure. AHERA asbestos survey. and work schedule, Box H. Check one project category in boxes 1 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 as 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 SS0.00 processing fee is required for all other amendments. For technical assistance, contact Tom Hudson at (206) 689 -4058. Lam Vaughn (2061 tiR9 -Atm nr xu,.m• anus; PIM in 420- 3_26.99 ... .. r. _ r 13601 is 65'7" X 80' it is a three story structure of primary wood construction. 13601 1/2 is 26'5" X 39' It is a one story structure with a basement the building is all wood construction. The water meters are located at the end of 41st Street off of 139th street. They will be disconnected at the back of the meters before demolition starts. Distance between buildings is 47 feet. 113601 1/2 42nd Ave. South IMO '00 /00 !r d 1 13601 42nd Ave. South Sewer disconnection will be at North West corner of property on 42nd ave. South /4 At OA /,,4 /t V a f S t both Drivew ay provides access 0 o properties. AEI Stab AS NO f • DUILDING.,; DI t ,0