HomeMy WebLinkAboutPermit MI98-0217 - BALL APARTMENTS - DEMOLITIONBALL APARTMENTS MI98-0217
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: 736060 -0271
Address: 13601 1/2 42 AV S
Suite No:
Location:
Category: DEMO
Type: MISCPERM
Zoning: R1.72
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: N/A
Wetlands:
Contractor License No:
Permit No:
Status:
Issued:
Expires:
MI98 -0217
ISSUED
12/03/1998
06/01/1999
Occupancy: DWELLING
UBC: 1997
Fire Protection: N/A
.0 South: .0 East: .0 West: .0
Sewer: N/A
Slopes: Y Streams:
OCCUPANT BALL APARTMENTS Phone: 206- 246 -6917
13601 1/2 42 AV 5, TUKWILA WA 98168
OWNER BALL KENNETH RAY
13629 28 PL 5, SEATTLE WA 98168
CONTACT KENNETH BALL Phone: 206 246 -6917
13629 28 PL S, SEA TAC WA 98168
*****•**** k******************************************** * * * ** ** * * ** * *** *•k ** * * * * *** * * *)1
Permit Description:
DEMOLITION OF EXISTING 1053 SQ FT, ONE -STORY
STRUCTURE AND REMOVAL OF DEBRIS. SEWER CAPPING
PERMIT FROM VALVUE SEWER DISTRICT @(206)242 -3236
AND WATER CAPPING PERMIT FROM WATER DISTRICT #125
@(206)242-9547 IS REQUIRED.
***** k***• k******************************************** * * * * * * *k* * * * * * * * * *** * * *•k ** * **4
Construction Valuation: $ 51,000.00
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
k********* k********* * * * * * * * * * * * ** * * ** * * * * * * * * * * *•k* vet***** *•k** * * * * *•k * * * * * *k ** ** * * * * * *•A
TOTAL DEVELOPMENT PERMIT FEES: $ 51.50
• A**************************************************] k***** ** * * * *•k * * * * *•k *•k*•* *** * *•k * **
Size(in): .00
End Time:
Fill:
Permit Center Authorized Signature:_
_ Date: j)---3
T3
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: •,,e2'-'3 9
Print Name: % Gn2-1C-7.2 g et111/
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 IKWILA
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: /
l S // c'dcurio // l"I 6.-,
Description of work to be done:
/%
t lryt)% /i% r' A,.57-i Sr&e7rr -5' C " c -Aa%� cly .
�. .EYE3'
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes RI no
Value of Construction:
5 /oe�, o�
Site Address: /
(.3 C G / /� 142 h (1 ,4-1,-e_
City State /Zip:
sue, L'/S 4.-1/4, e.W, wa
Tax Parcel Number:
Az 7 3 to Go - 027/ - c,
Property
/rh/')
h.., /fie,y X; / /
City /State /Zip:
3-x7T/�- 4_,/g /C
Water
Sewer
Phone:
r,961 G -.
1/9
-g4;2,-
Street Address:
/- 5 6 `/ 3'7%/, A sc•. it 35
/SC. -i/ ,
City State /Zip:
4-4-/J, ,S /‘
Fax #:
a
Contact Person:
i'',1,-, -e r / /52- //
Phone:
,206 "
Fax #:
.1, '
Phone:
a I/‘-- 6-9 /7
6 ? z/e.
Street Address:
/3G . p
)07, 4 sue,
5=r
2 /7.94
City State /Zip:
6-4v, yg•/c
Contractor:
3-,- /r
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 OUT BY APPLICANT) .
Description of work to be done:
/%
t lryt)% /i% r' A,.57-i Sr&e7rr -5' C " c -Aa%� cly .
�. .EYE3'
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes RI no
Attach list of materials and location on se aratp e 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
dssltoorrage
t_.1 Above Ground Tanks Antennas/Satellite Dishes LJ 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 PUBLICANORKS PERMITS:
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk Fire Loop /Hydrant (main to vault) #• Size(s):
❑ Flood Control Zone ❑ Land Altering: 0 Cut cubic yards 0 Fill cubic yards 0 sq. ft.grading /clearing
❑ Landscape Irrigation ❑ Sanitary Side Sewer #: ❑ Sewer Main Extension 0 Private 0 Public
in Storm Drainage ❑ Street Use ❑ Water Main Extension 0 Private 0 Public
❑ Water Meter /Exempt # Size(s): 0 Deduct 0 Water Only
❑ Water Meter /Permanent # Size(s):
❑ Water Meter Temp # Size(sL Est. quantity: gal Schedule:
❑ Miscellaneous ILI Moving Oversized Load/Hauling
MONTHLY SERVICE BILLINGS .TO:: `
Name:
r/7/'-e77 /'` , 9 //
Phone:
.?e,‘- - `C/ /7
Address: D 1 p /
/ V 1 X fa Kg (� l
City /State /Zip:
3-x7T/�- 4_,/g /C
Water
Sewer
"Metro 9'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:
Date application expires:
11- 6-1
Application take: (initials)
ALL MISCELLANEOUS PI
IT APPLICATIONS MUST BE SUB
ED WITH THE FOLLOWING:
ALL DRAWINIGS4SHAL L 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.)
❑ 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 ".
Building 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 agenl:to submit this,perrrdt application and
obtain the permit will be required as part of this submittal. ;::` : ,
1 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:
SUBMIT APPLICATION AND REQUIRED CHECKLISTS FOR PERMIT REVIEW
❑
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height to diameter or width,
which exceeds 2 :1
Submit checklist No:: M -9
❑
Antennas /Satellite Dishes
Submit checklist :No : :M =1 .'
❑
Awnings /Canopies - No signage
Commercial Tenant Improvement
Permit
❑
Bulkhead/Dock
Submit. checklist No M-10
0
'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=1.7
❑
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':
❑
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 ".
Building 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 agenl:to submit this,perrrdt application and
obtain the permit will be required as part of this submittal. ;::` : ,
1 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_ /2e <e____
[ Date: /r. /.2 , ys._
Print name: f.5 �hn �7y, / �i ,
Phonea��� G �7
Fax #:� 6,9 �� i
A ddress: /
Cit /Stale /Zip:
Mi.SCPMT_ nfr 711119E
CITY OF TUKWILA
Address: 13601 1/2 42 AV S Permit No: MI98-0217
Suite:
Tenant: Status: ISSUED
Type: MISCPERM Applied: 11/12/1998
Parcel #: 736060-0271 Issued: 12/03/1998
****A***************4*k*********************4**********************k*A****
Permit Conditions:
1 No changes .will be made to the scope of work unless approved
by Tukwila Building
2. All permits, inspection,ireCOrd*,:f4hd0Pr9.V.,ed plans shall be
- -
available at the jpb:..Sjt'.6.-:.priti'r to file-start i,:pf any con-
struction. These",.d$aMentsane to be maitiiI010t,„and avail
,
able until firranspectlon appro4.,0 is gi-anted-l:',
3. Remove all w401., cohcreW 'Stone FOudtton ftacon-
crete, concrete pat4,os 'Masonry,wal,ls,
ways and„-:0Mllar etrUcturesand al 1 loose
materiaroperlY cap sanitarysewer arid,water,'Conne
tions,/properiy..fill'or otherwtS'.eprotect aflbasements.
septic tanks, wejTs: and Other excavaiAonsr.':.
4, Validtty OfA.Permit. TheASs'uance Of a permit or appr6Val0
plaOyspeOficationsfand computation hall nott,b0:,,cb'k-
strued to'be'a;:permit:for, or an approval of, anyvi6Aation
of tArei)if of the provisiOns-oftIe buIlding code or of. ny
other ordtnance of the juriSdtctionNopermit presumAng,to
g ei a t hat' t t .tiolatc or t cangel the prt::!vis ions 6f 76:art
cole;hali he valid. i
PUBLIL 'WORKS ' 044"
6. TeMplorark",erOSIOn contrOl/Measuresall be implemented as ; •
theijirStorder of.:-,buSiness to.',prevent.„sedimentatior:i off.-
siteor into existing.:,..ttof‘1» cwt.1,1nagefact-o-ties.
7. The,:*te,Shalt..,have permanent el.;:tiStori..cOntroll„measke,46'
Placasisobn as possible after'iffrOTsgradipgjiasQbeen
completed and prior to the FinalAspeCti,on:', !!'
8. ALL CONSTRUCTION ACTIVITY ASSOCIATED OTItTII:u. DEMOLITION/.
SHALL BE LIMITED TO WITHIN 10' OF THE7BOLDIPEXTERIOR,
9. Sewer it14,water4tilies shal4-!be pluggeearthemainsAf//
they are to be .abandoned. If they will beobsed44ain ynW
the nearaturefar a neibutiding, they7Shall he capped
at the property lf,ne and at the water meter reS$ectlY0%'.
APPLICANT SHAL,L. OBTAIN A SEWEFCAPRTN% PERMIT FROPV5
VALVUE SEWERIDISTRICT @ (206242432,.36 AND A WATEeOPPING
PERMIT FROM WATERISTRICT4125)6j206)242-954
10. Hauling over 50 ck-01:04,,.rp.Ruire app11,CaAvtWfOr a'Hauling
Permit prior to any . -
IL Any material spilled onto irly",504et"Shall be cleaned up
immediately.
?eqpn41 Cievd. Co
PLAN REVIEW /ROUTIN SLIP
ACTIVITY NUMBER: M198 -0217 — DATE: 11 -12 -98
PROJECT NAME: BALL APARTMENTS
Original Plan Submittal Response to Incomplete Letter
Response to Correction Letter # Revision # After Permit Is Issued
DEPARTMENTS:
Building Division
t& I1-�1�1
Public Works
No
Fire Prevention Planning ivision Ij
((�r� � ��— �Y
Structural1, 0 Permit Coordinator op
DETERMINATION OF COMPLETENESS: (Tues, Thurs)
Complete [0 Incomplete 0
Comments:
DUE DATE: 11 -19 -98
Not Applicable 0
TUES /THURS ROUTING: Please Route 0 No further Review Required 0
Routed by Staff El (if routed by staff, make copy to master file and enter into Sierra)
REVIEWERS INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 12 -17 -98
Approved 0 Approved with Conditions El Not Approved (attach comments) El
REVIEWERS INITIALS. DATE.
CORRECTION DETERMINATION: DUE DATE:
Approved 0 Approved with Conditions 0 Not Approved (attach comments) El
REVIEWERS INITIALS: DATE:
\PRAOUTE.DOC
6/98
INSPECTI.N NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
f 630 Southcenter Blvd, #100, Tukwila, WA 9818
flkt, Oc)-111
PERMIT NO.
(206)431 -3670
Project:
��.`�
1"
1 1 V"'"r `'"`�Ty!
t 0
of Insp lion: �1
i^� ■L 0
Addr ss:
—Date called:
Special instructions:
Rc c,4
C
Ca\\
s4.._
Date wanted: a
1 � 9 (���
a.m.
p.m.
Requester:
Phone
c Cp -- 130 —SS 5 -/
Z.Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
P/ge-Exi De-
So -eiil� > ,Q-lie CSC v c fte
(Q . (? -t -- A-r or/ i i c,P7c3�
Inspecto
"1,1/
El $47.00 ' EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No: 1 Date:
Date: /9
1
***Ak*******A*************k* A*A.le*********. **********{***A***
CITY OF TUKWILA. WA
TRANSMIT
*** *A ,**, **A* **A********A******
RANSMIT Number: R9700876 Amount: 51.50 12/03/98 11:14
Pavment Method t CHECK No tat ion: KENN!: fhl BALL In i t: KJP
Permit No MI98-0217 Type: MISCPERM MISCELLANEOUS PERMIT
Parcel NO2 736060-0271 , ,
Site Address: 13601 1/2 42 AV S
Tote' Fees: 51.50
This Payment 51.50 Total ALL Pints: 51.50
Dal once: .00
icita**iif****Ao *A*******************A it*******11**********14*******0.
Account Code Descr i on Amoun b
BUILDING - NOMRES
000/306.904 STATE BUILDING SURCHARGE 4.50
000/322.100
-------,----------
•
•
,••
07114:v19/A7 .071 1 T
May 5, 2000
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 -0217
13601''A42 " Ave S
Dear Mr Ball:
In reviewing our current permit files, it appears that your permit to demolish a single 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. MI98 -0217
Duane Griffin, Building Official
_; (7
qinimmumumermer
Ana
Afytceferq. 6
Agency use alb,.
PUGET SOUND AIR POLLUTION CONTROL AGENCY
110 Union Suter, Suite 500. Seattle, WA 98101 -2038 p
NOTICE OF INTENT
TO PERFORM:
Rec�'
PcHF :1
Agency U+e my
99
A. Pro eat T
4'
1.
Asbestos Removal 2 Asbestos Removal & Demolition
. ■ Demolition No Asbestos Removal
B. Property
Owner: Kenneth R. Ball Properties
Property Owner's
Mailin Address: PO Box 69571
rye. , • ....,,.r :n -ri . •
C. Asbestos , • t n.
Contractor: Walker Specialty Construction, Inc.
PO Box 469
Mailing Address:
City: Snohomish
State: WA
Zip: 98291 -0469
D. Site
Address: 13601 42nd Ave South
Project Manager or
Contact Person:
Kenneth Ball
E. Asbestos Survey or No. of
❑ Mat's Presumed: Structures:
AHERA Building
ins . • r Name: Mike McKenna
azassImstlIINM
Contractor
Owner /CEO:
Phone: (206) 361 -8913 1 Fax: ( 425) 806 -7383 1 A -699
Bill Walker
Contractor
Job No.:
i_g_ity Tukwila
Phone
State WA 2 . 98168
(206)246 -6917
Date Survey was
Conducted:
1/19/99
Was Asbestos Found? I Ves
0 If No, Attach Stun
Expiration
Date:
Certification No.:
F. Demolition
Information:
Demolition
Contractor:
No. of
Structures:
2 I Date:,Start
_ 2/ 19/99
Kenneth R Ball Prozerties
❑ Training Fire (List Fire Dept. as demolition contractor below)
❑ Ordered Demolition (attach copy of Order)
Phone: 2061 246.6917
G. Asbestos Project
information:
No. of Structures:
(see back if > 11 2
Start
Date:
Completio
2/15/95 n Date 2/19/99
Total a uanti to be Removed
Linear Pt
Ft
. 2380
Thermal System Insulation: ■ Boileau/nice Ina. ■ Duct Ins
Surfacing Mat'l: ■ Firepnooan( ■ Paints
Misc. Mat'l: Cement Bd. U Cement Pi . = R Flooring Mat'I
_ u Pipe Ins,
Q 'iastrr� J Tpttured Coatings
�
Rooti Mat'l
Wk. Days: TWTh 'SaSu
Hours: Tar t -3:3
Will all asbestos mstsrW be . R Yes
removed by Most comnlytion? D blo
Otha-;
! (
11.';111;1 .
■ I, .37, `.
H. Asbestos/Demolition Project Categories:
1. ❑ Owner- Occupied Single Family Residential Asbestos Removal Project
0 Single Family Residence Demolition Project
l�tific Waiting
g,,eiod
Prior Notice
project Fee`"
NON- REFUNDA@I
S25
2. • All Other Demolitions With No Asbestos Removal Project
10 Days
S150
3. Li 10 - 259 linear feet or 48 - 159 . uare fed see back of form for ...ems
3 Da
«.•�
4. 260 - 999 linear feat or 160 - 4 999 . were feet
10 Days
S300
5. • 1 000 - 9 999 linear feet or 5 000 - 49 999 • feet
10 • s
' SO �..
6. • 10 000 - 49 999 linear feet 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
5 000
8. • 100 000+ linear feet or 150 000+ flare feet
10 Da s
$10 000
9� ter ' en Asbestos Pro' • or Esser ...u1.) Demolition Pro' -
Prior Notice
Twice Pro act Fee
10. • Alternate Mesas of Compliance for friable materials or • Demolitions _
10-Day Review Period
Twice Project Fee
Twice Project Fee
11. CI Alternate Means of Compliance for nonfiable asbestos materials
Concurrent with Project j
1. t do hereby certify that the information contained in this notification, sad eupplatwd dap demribsd herein. is eo the bta&uf•tbjr. AsvNw
knowledge accurate and complete t shall not cause or allow any asbestos prttiect or demolition 'divides to begin until die eptgriile"' `.' : ''14ifoiwelliy:
waiting period hes elapsed.
. 1-% y 3 9 loom AA
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, regardless of asbestos content, involving structures with a projected roof
area greater than 120 square feet. Notices of Intent should be mailed or hand delivered to PSAPCA (address on reverse side)
with the appropriate project fee. A PSAPCA representative will review the notification, and if it is completed correctly a copy
will be returned by mail within.3 to 5 days to the mailing address entered in box C and box J. The returned copy will be your
valid notification. Asbestos and demolition projects involving materials and structures below the notification tbreshoids listed
.Site:
•,.
v
t
e
11'.►
Tukwi1ra
J. Demolidoo m.mw WT (W .ii. Mt n/ r M DAWnao Alla: ---
Convector: Kenneth R. Ball Pra•erties
Owner /CEO:
Ken Ball
Mailing Address:
PO BOX 6 9 5 71
Phone: ( 2 0 6)
2 4 6
—6 917
Contractor's
Job t1:
•
City: Tukwila
State:WA
98
Zip: 168
Par: 2061
246
-6945
GUIDELINES FOR SUBMITTING A NOTICE OF INTENT
Enter all applicable Information accurately and completely. Incomplete Notices of Intent will be returned.
PSAPCA FEB 51int,ch FEB
Box A. Check the appropriate project type.
Box B. Enter the legal property owner information
81999
Box C. Enter the asbestos convector Information, or "not applicable" (N /A) for demolition projects when no asbestos-
containing materials are present. For an Owner Occupied, Single - Family Residence asbestos removal project (project
category II1), list the asbestos removal contractor or property owner doing the asbestos removal (Include property
owner's mailing address).
Box D. Enter the asbestos removal or demolition site address. For an Owner - Occupied, Single- Family Residence asbestos
removal project (project category Hi) where the property owner's mailing address differs from the site addreu Hated in
Box D, a letter must accompany the Notice of Intent verifying.that the structure located at the site address is currently
being used as the property owner's domicile. Multiple asbestos/demolition projecu 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, rating, leveling. dismantling or
burning of a structure, snaking 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 suucture asbestos projects (project category H10 and 1111) must be submitted with a work plan. map of the structures,
complete site ;ckIress. type and amount oaf jsbes_tos 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 nodfleatlons
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 ntifcation.
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).
MandaI2ry amendment., are required for changes that increase the project type, job size category, the types of asbestos
113601 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
w
/00
1 13601 42nd Ave. South
Sewer disconnection will be at
North West corner of property
on 42nd ave. South
•
Driveway provides access
to both properties.
aft *Sly
�C OF TUKWILA
AP ROVED
1 'li 42 Av
5
CITY OF TUKWIIA
APPROVED
D E C 01199
AS NOTE
BUILDING ii DIV!St
At-aa ID
DIVT
CITY o TUKWILA
NOV 1 2.1998
PERMIT CENTER