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Permit MI99-0019 - BEANE RESIDENCE - DEMOLITION
.a�, ,i+z.i. ,.,... ✓�',4:;4"4,�EsY.� a�..: drJi!.i,. 'aw ga Yrha P PAtO.NC}Yk tt• 7 � 4 57fity MI99 -0019 12224 51" Pl. So. City of Tukwila (- (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MISCELLANEOUS PERMIT WARNING: IF CONSTRLICTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 017900 -1945 Address: 12224 51 PL S Suite No: Location: Category: DEMO Type: MISCPERM Zoning: MIC /H Const Type: Gas /Elec.: Units: 001 Setbacks: North: Water: TUKWILA Wetlands: Permit No: Status: Issued: Expires: MI99 -0019 ISSUED 02/10/1999 •08/09/1999 Occupancy: DWELLING UBC: 1997 Fire Protection: .0 South: .0 East: .0 West: .0 Sewer: SEPTIC Slopes: N Streams: Contractor License No: RIVERCI173NP OCCUPANT BEANE PAT 12224 51,PL S, TUKWILA WA 98188 OWNER KELSO PAUL F & JOHN R 12224 51ST PL S, TUKWILA 'WA 98178 CONTACT AMY TELRES Phone: 206- 767 -3404 12218 51 PL S, TUKWILA WA 98178 CONTRACTOR RIVERTON CONTRACTORS INC . Phone: 206 -767 -3404 12218 51 PL 5, TUKWILA,WA 98178 ** ** ** k•k * ** *** *** **** *•k* *•k *•k** * **•k * * * *•k **** k ** k k**** k* **** ******•*** *•k * ******* ****** Permit Description: DEMOLISH A 530 S) FT SINGLE FAMILY RESIDENCE. PW ACTIVITIES INCLUDE SEPTIC SYSTEM ABANDONMENT AND WATER SERVICE CAPPING AT MAIN SINCE PROPERTY WILL STAY VACANT. WATER METER WAS REMOVED BY CITY SHOPS. *•k•k•k *• *•k * * ** ** *** * *k *** k• k*****************•************• k *k ** * * * **k * * **•kk•k•k * * * *k * * * ** Construction Valuation: 9: 1,500.00 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 Time: End Time: Land Altering: N Cut: Fill: Landscape Irrigation:• N Moving Oversized Load: N •Start-Time: .End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: Public: Storm Drainage: N Street •Use: • N Water Main Extension: N •Private:.: Public: **********************• k****************: 1r**************** ** * * *•k•k* * * * *•k*** * * ***•k ***k* TOTAL DEVELOPMENT PERMIT FEES: $ 51.50 ** k• k• k********** k***k k*********************** k*********• k ** *k* *k* *•k * * * * *** ** ** **•k* *•kk Permit Center Authorized Signature:_ Date bib" 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 perfe,rm nce of work. I am authorized to sign for and obtain this development lit. 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 TliKWILA Address.: 12224 51 PL Suite Tenant: Type: MIScPERM Parcel #: 017900 -1945 Permit :'Not M1.99 -0419 Status: ISSUED Applied: 01/28/1999 Issued: 02/10/1999 4N• k* k• kkk• k• k• k- kk• k*• k: kk• kk kkkk• k• 4kkkkk• k• k• k• k• h• k• kk• 4•• k• kkkk• kk• klekk 4k• k• kk •k•k;44-kk•kkk•k•k•k•k**t:44k•k Permit Conditions: 1. The applicant must notify the City utility inspector at 206 -433 -0179 upon commencement anti comp 1 et i on of work at least 24 hours in advanc ect i on requests for utility wort' must mrie,2 4 "tna �� f hr.,e.' ; - a,•P1rnpar1 .e 2. Temporary eru.iontltr of nea s uies,t-ha11 t m eited as the first order cf` bus;e n ise, to pr,ev;ent se,1iment:;atlon off -. .4 site or into °ee tink i'vint iir..a4na4e,,ta..ilitie 4t E3; 3. The site si~a11 have perm•ianent erosion control mess i0* in place as;, ..�.'oon as powsib1e, atte'r''fina1 ,grading` completed ,and' prior to the FAn,acl, Inspection. 4, sePtib tank i n, the rea- sha 1 1, be pumper{ empty arrd remove i'. or° t i 1 l ed with sand., copy of docuni nta t from the business th;at°.pertorned,.the punipin9 shall b'e proviied to th 5. Allf�perm<i'ts,, inspection reco,r,?'dS.,` and approved plans shasli . avai labte at the .iob �s'i°te :.pr:ior to :he .tart of any con s true ti on These doc Oments.7a're tv be' n in,ta i ned and 0:01- able unti 1 final i spection;,.. '. aPP oa i' t�: xrentedf. 1 �t ' 6. Remoe a11. weed4 ?,concrete tone foundation J • Crete, concrete,pati os-, ntasonry +y;a1l�, ��t-a!�e floor S, driv wa =vsf and Similar `structure and alt -loo .e rriscel laneoci`'s`'' material. , Properl;v cap sanitary `sener..'; and water co'nnec -%. rf . r v erl v f f l l = or•.o t herwi'se :: p otect °,a M basen ent" w a T ce1J;arsi ` septic tanks, wells aYd ether eacavaticns,t 7. Va 1 I ty of e,m i t . The i ssaance of ayrperm i tor approval a 4t��,b plan=;;, spec.if ications, and computation '' ha1•1. ncit be>t,eon- lr strue'd .4to' "be a permit for, or aft approval: of a,iriy vivla'tli�rt�. of any, of the pr ovi ,ion:. of the buildin'q cod& . +r of other ordinance of, 'tAhe iurisdii;c,tion. iV,o, <p'er�nit pe. suinir g tv. give autho,r.ity, to violate or cancel the p�rovi i "c}ns)of ti-r,i,s code shal!•,7.,'tzhe valid. ' f # { 3s pt ".x CITY OF TIKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Project Number :. Permit Number:'. 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: D Value o •nstr ction: 0 Site Address: 1,-, 2 15f �C`C� ` I ___ Cit State, /Zip: 1 �3 1 uKW ;1c� t'�A 1�17� gait' -arcel`Niirrtber :. ot,'Qo -- 19115' Property Owner: PaAPhone: - 6eo,nk_ 4 �D� -Pai5 ons .�v6 7�� 3yo Street Address: . State /Zip: /22- g 5 S °IAce� Ste. K (u jc t4A (J ;7te Fax #: Contact Person: A , Pho e: Street Address: ()a g r^ City S te/ sl,s )- f)pCeSo i��l,�l f��+a 7� Fax #: Contractor: '�1t�'�(n C�ror\-Vra c, �ro ss 1 n e . , — City State/Zio: C 5.51- i° la c-e c30. 1(4 6.)t 1„ d .7( Phone: tle 70 J y77 Fax #: Street Address: LLai \ R . Architect: , ( 4 Phone: Street Addre s: City State /Zip: Fax #: Engineer: A Phone: Street Addrest;: City State /Zip: Fax #: MISCELLANEOUS PERMIT REVIEW AND APPROVAL REQUESTED: ITO BE'FILLED;OUT BY. APPLICANT)';a Description of work to be done: • ,---) &ol -jon u. �- Gb it ,. • C.- o - _... - Will there be storage of flammable /combustible hazardous material in the building? ❑ yes © • Attach list of materials and storage location on se.arate 8 1/2 X 11 •a•er indicating 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.PUBL'IC WORKS: PERMITS': ❑ Channelization /Striping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ 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 in Water Meter /Exempt # Size(s): ❑ Water Meter /Permanent # Size(s): ❑ Water Meter Temp # Size(s): Est. quantity* gal Schedule: ❑ Miscellaneous ❑ Moving Oversized Load /Hauling 0 Deduct 0 Water Only MONTHLY SERVICE BILLINGS TO:." Name: Phone: Address: City /State /Zip: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT /REFUND BILLING: Name: Phone: Address: City /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: 1-215-11 Date application expires: `•-2 -q9 Appll atlon taken by: (Initials) I ALL MISCELLANEOUS PE IT APPLICATIONS MUST BE SUB ED WITH THE FOLL WING: > ALL DRAWINGS SHALL SE AT A LEGIBLE SCALE AND NEATLY DRAWN D 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 Above Ground Tanks/Water ..Tanks i. :Supported directly upon .grade' exceeding 5,000 gallons and a ratio of.heightto diameter or width which exceeds 2:1 Antennas /Satellite.Dishes :Submitchedklist. No:`. M -9 Submit checklist:" Awnings /Canopies - No.signage Bulkhead/Dock Commercial:Reroof:; Commercial Tenant Improvement Permit Submit checklist ,.• No: M -10 Submit checklist No: M -6 Dernolition: Submit :checklist: No: M -3 : M -3a Fences - Over '6 feet'ih Height 'Submit checklist, .No: M -9 Land Altering/Grading /Preloads. Submit checklist` No: M=2 • L• oading:Decks : Commerciai Tenant Improvement • >. Permit::: :Submit checklist No: H -17 Mechanfcal`(Residential &:Commercial): Miscellaneous; P.ublicWorksPermits`:• • • 'Sulimit`cliecklisfi;: - No::.: M =8;; ;' . Residentialiorhly : H -6;. H -16 Submit checklist::: No::H -9 Manufactured Housing :(RED :INSIGNIA.ONLY Moving,Oversized .Load /Hauling Submit checklist No: M -5' 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 Retaining` Walls'-: Over'4'feet in height Residential Building.Permit Submit:checklist -. No :. M -6 —submit checklist No M -1 :Temporary; Facilities;: Submit checklist ::':. No: M -7 emporary ).Pedestrian Protection/ExiVSystems :. Submit' checklist • No: M -4.;' Tree Cutting.: Submit checklist No: W2. ❑ Copy of Washington State Department of Labor and Industries Valid cgoOttaittOrsistLiCiiinect. 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 ". BulIding :Owner/Authorized Agent. If the applicant is other ;than•the :owner, registered arcfaitect/engineer, or:contractor licensed ';; • by the State. of. Washington, a notarized letter, from the_' property; ownerauthorizIng the agent to submit this`. permit application. and obtain the permit rWWill.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 0 E • n • 'AUTHORIZED AGENT: ?`Sipnatine; ,\ I 'diaiii :.- i _ /1_1 `i (r[tlit'. lame: _ p,--1-Py,ADve c oz/ Fax #: Address: >'77 iR SIts-"I- Plc�c -r_ tcDt�fi-!� [2eyx-74,73 City /Stale /Zi 1 / e, %/i q Q/ i /� � U,��,,Il n tvt"1 �i / Q MISCPMT.DOC 7/11/96 CITY OF T'IKWILA Permit Center 6300 Southcenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 F./ M -3 Submittal Checklist Miscellaneous Permits DEMOLITION ✓ Site Plan Requirements ✓ Working Drawings Abandonment of Septic Tank for residential requires the following conditions be met: Distance between structures and property lines Fill with Sand . 0 Existing landscaping - Identify current sewer /water billing account number Norge Hauling requirements must be met if over 50 cubic yards of material is to be taken to or from site ✓''Building location and total square footage N A- High water mark of river if within 200 feet of shoreline Identify water meter size Foot print and location of structures to be removed Temporary/permanent erosion control plan Two (2) foot contours on site .oints of access for demolition activities „VA. Limits of area to be disturbed by demolition activities Locate existing sanitary side sewers and points to be plugged /capped at property line ./r-removed Locate existing water meters, identify existing meters to be by City Public Works staff. Identify existing water services to be capped by demolition contractor. 4 . , N pi • Identify existing side drain: modify and /or capped - Location of slopes 20% or greater, wetlands, watercourses and their buffers Additional Requirements Asbestos Abatement: Obtain approval from Puget Sound Air Pollution. Control Agency prior to proceeding with demolition If structure to be demolished is over 4000 sq. ft., SEPA checklist is required Construction debris to be taken to debris facility (King County informational handout available at Permit Center) Foundation must be completely removed Abandonment of Septic Tank for residential requires the following conditions be met: Pump tank empty . . Fill with Sand . Dismantle /destroy cap Letter or receipt to verify above conditions have been met by pumping service Identify current sewer /water billing account number Norge Hauling requirements must be met if over 50 cubic yards of material is to be taken to or from site Fire Protection System Demo (issued through Fire Department) An inspection prior to demolition will be made and again at mid - demolition and after work is completed. BOND - A bond must be made in amount equal to the cost plus 10% and must be posted prior to issuance of permit. (Bond may be made in the form of surety or secured by a deposit in cash in the amount specified with a banking or escrow agent acceptable to the City, and conditioned as in the case of a surety. A surety shall be in form joint and several, shall name the City as obligee. This bond is required to be done in order to comply with all the conditions of demolition permit.) Title 16 City of Tukwila Ordinance 1393, 1986 Puget Sound Air Pollution Control Age.. y 110 Union Street, Suite 500 ♦ Seattle ♦WA•98101 -2038 (206) 343 -8800 Guidelines for Application to Perform a Demolition Who must file for a demolition permit? Any property owner who is going to burn or demolish any structure, including, but not limited to, commercial buildings, or abandoned structures on private property. The purpose of the permit is to certify that the building is asbestos -free prior to demolition. . Why must I file for a demolition permit with PSAPCA? I already filed one with the building department. Building departments do not regulate asbestos. Federal law requires the filing of a demolition permit with the Puget Sound Air Pollution Control Agency, and removal of all asbestos. What should I do first? You must hire an Environmental Protection Agency (EPA) accredited inspector to survey. your structure for asbestos. A copy of this survey Must be available for inspection during demolition You cannot demolish a building with any asbestos still present. Look for qualified inspectors in the yellow pages under Asbestos Removal, Laboratories Analytical, Building Inspection, Asbestos or Environmental Consulting and Testing. • What if the inspector finds asbestos in the building? If there is asbestos in the building, it must be removed prior to demolition. You must hire a certified asbestos abatement contractor for removal. What do I need as far as paperwork is concerned? 0 A completed Application to Perform a Demolition O $25 check payable to PSAPCA. OO • Copyof survey stating the structure has been inspected and no asbestos was found, or an Application to Perform an Asbestos Project filed by an asbestos contractor to remove any asbestos in the building. Please include all of the required paperwork with your application or a permit cannot be issued. How Long will it'take? You may begin demolition on the 11th - working day after you have provided us with the required information. Your approved Demolition Permit will be mailed to you within 10- working days after receipt by the Agency. •, • 77,1 rt. . -1 ,.,V7.711.77471COVNtitc,./FITMSIIP .217,771,' (CP • i7r,77777.4 *************************************************************** CITY OF TUKWILA, WA TRANSMIT **************************************************************** TRANSMIT Number: R9800238 Amount: 25.00 02/23/00 08:46 Payment Method: CHECK Notation: wally hanks Init: JLI • Permit No: MI2000-019 Type: MISCPERM MISCELLANEOUS PERMIT • Location: 3726 S 142 ST-ACROSS S 142 ST R.O.W Total Fees: 25.00 This Payment 25.00 Total ALL Pmts: • 25.00 Balance: .00 **************************************************************** Account. Code Description Amount 000/345.830 PLAN CHECK - UTILITY 10.00 000/342.400 INSP FEE - UTILITY 15.00 e7.777177777777.777777777,77-- q77,1177777 kA• ** * * *:4 **A* *:4 * ** ****: 4*• k*****A.**A***.N 4A* * **,*4. **A:k:4•k * *•k :t, * * * *A4 *A CITY OF TUt <WXL�i WH .. TRANSMIT. * *.4A' — kAh:t *:4A:4 **#,t *:tA...k* *,4 *A* ** *k. .A* * *** * * *.•k *•k *A *A0 A*AA. *744* *.if *k TRANSMIT Numhirr R9800Q1 q Amciunt.: 51 ..56 02/10/9 16r27 Paymept MethoO. CH,ECN Notiit;ionc RXVCicTON CONT'RA (n••i•t i3LH Permit No,, M199-0019 Type: i4I"CPEfU1 MX 3CELLANI:•OU8 PERMIT Parcel Ma: 017900 -1945. Site Address: 12224 51 PL "a Total Fens This Payment 51'.50 Total . ALL Pmts:. . .I3 xz •lance 0'0 i%** 1***.k irfiA* 4<***** *ii**• * * *ds'*A** *.k****4k***** ** **Akslh+ * **rl•A•fi•A*•h•il 51.50 51.5() Account Code 000 /322.100 000/3S6..904 Description N0t4RE5.. ST1 TE I3UILOXNG SI4RC;HHRUZ' Am0U,1t 47.00 4!.5() 12; 2S. I INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 981 ( OJ PERMIT NO. )431-3670 Project:A /.... ege44,1 . TypeetxtrikLi Date ca Address: Special instructions: q%— Z:9° i • • Date wanted. a.m. 5 --` //— Req Atakt 11700-767-404- R,Approved per applicable codes. Collection required prior to approval. COMMENTS: Inspector: Date: .....71/43020 LJ $47.00 REINSPECTION FI1 REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1Receipt No: 1 Date: 1 5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 m ,tei-oom PERMIT NO. (206)431-3670 Project: Type of Inspection: water hider f *pi," 44iii■ Addressv z2,23i 515, P1 5 Date called:5_1 _ 0 0 abandon r Special instructions: Date wanted: 5 . .... i 0 0 0 (1010 Requester:Am Y Phone: 206/76.7_3v04 —I Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 0 9/0 0 5 „v,,,L„..i...,..t./ L., mAt., 4,1 li-e petiit ilAtd, 11A4 .644 /v..4.,..0‘./J 5cA-AJ Le.e. Se...4,-4. ALL-te- a (.1-a P 71\1) 02" INID-ti i'VV"N- Sty Pkt&i dyr ..0yod 544,-,„( yvv-41,1 sfrofrd 46-..v,(444, A, . 0 fr,144,./9,0, 9 ge aye- i 16/d, .1 LA-dr-4 ,W.--1A 5/141/4 d PAI r,A,....,i -,........s. Inspector: Date: 0 $47.00 REINSPECTION F[E REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. . , 1 rinta• INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431-3670 \J\' Project•ba We bfk4A0 Type of Inspectiori. 7 • i r(vv,t1 Address: 51 P) s Date called: 51-oo Special instructions: q:-aioo Awl ii„ m) 0-N■ce 1\f'..:i. door e 11■Velf-Aor■ Com.}. ( Perh.,4) Date wanted : 5-9- oo g Requester: riml Phone: 24 6 - 76-7- 3)-4oLl Approved per applicable codes. j Corrections required prior to approval. COMMENTS: POe_.. 1..)tag_k_s MAJ4L, T--r-Gh1t AC-44 Dat../4:9,/to $ 7.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection. Receipt No: Date: INSPECTION RECORD` Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila WA 98188 o(x U.SY:xran, :y4;rt•V, MI r r-0oi PERMIT NO. (206)431 -3670 Project: PGhe 1Mo Type of Inspection: S -S C kv,rA �i 'c k1wks Address 1r)")) )-1 Si P1 S. ) Date called: 5 -e -00 Special instructions: 9:30 ,f Bice vveNA- ('g( uar @ (1-,_ `� ,�fr tar ors�'� . VVA 4D Date wanted: C� dfDi 00 , Requester: A►� Y Phone: 206 - -767- "3'-101-1 0 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: lea) 5(//{ WO/JC- re7L itw Vii- `�.° �`/ in 40 1 Inspector: 4i/ Date: irce $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection. Receipt No: ' I Date: rsi�tk�4. 01/12/1999 13:41 1 -10b /b3 -9490 CUL PAGE 01 Agency Case No. PUr=cT SOUND AIR POLLUTION CONTROL AC r 4CY .0 Union Street. Suite 500. Seattle, WA 98101 -2G. NOTICE OF INTENT . TO PERFORM: 9o1212 Agenc-y Use Only Date Received JAN ? '1999 Agency Ure Only Project Type: 1.321, Asbestos Removal 2. ❑ Asbestos Removal do Demolition 3. U Demolition. No Asbestos Removal Property Owner: %c ( 1/t y ,Cga r'aC iGe. T✓t L Phone: (?c ) %.0 7 - 3yG�l operty Owner's ailing Address: ! Z2 1$ S j - - L. city: 7t i w,,'1c State: W.4" Zip: 9r/ 7$ City: �iJ Asbestos PLEASE PRINT CLEARLY. THIS WILL SE YOUR RLTUA.v MAILING LABEL Contractor: (6ee,„ 4 £L (-I c rv- ivi /o.i yin g ..i 40/ Contractor p Owner /CEO: Ruvt 8 yet 4 Contractor Job No.: ailing Address: % e. -f- /14 1'c. kw) ei ti f Phone: (7 06 ) 76' ?�-f 23a Fax: (2G6) 7 ' ? -?gfoi tv: Se�f4 %e. State: W f4' Zip: 9f (O S Site Address: 1 ZZ(� oject Manager or intact Person: 4,1". State: Zip: 967/75' Phone: (Z06 ) -3 c ❑ Asbestos Survey or lia. -Mat'1 Presumed: No. of Structures: Date Survey was _ Conducted: Was Asbestos Found? Gies ❑ If No, Attach Survey E-iERA Building spector Name: AN ANERA SURVEY IS REQUIRED 3EFOA6ALL DRMOLmON PROJECTS Certification No.: Expiration Date: Demolition No. of Start ❑ Training Fire (List Fire Dept. as demolition contractor below) Information: Structures; Date: 0 Ordered Demolition (attach copy of Order) Demolition Contractor: HUNT NAME HERE. ENTER MAILING ADDRESS IN BOX JON LICK I? TRAINING JUAN ENTER FIRE DEPT. NERE Phone: ( . Asbestos Project Information: No. of Structures: (see back if> 1) l Stan Completion Date: / 9 Date: /I g q9 Will all removed Wk. Days :.M T W Th ! Su Hours: Z.GU,,... - j ..?D 4/ asbestos material be 1.J es by project completion? lNo oral Quantity to be Removed: Linear Ft. Square Ft. 1 £fv hermal System Insulation: ❑ Boiler\Fumacc Ins. ❑ Duct Ins. QPipe Ins. Other. . urfacine Mat'l: 0 Fireproofing 111 Painu C7psaster ❑ Textured Coatings Other. lisc. Mat'l: I Cement Bd. 0 Cement Pipe Uncaring Mat'l ❑ Roofing Mat'1 Other 1. Asbestos/Demolition Project Categories; 1. 0 Owner- Occupied, Single - Family Residence Asbestos Removal Project ❑ SineIe- Family Residence Demolition Pro'ect Notification Waiting Period NON- REFUNRABLE FEE Prior Notice '• S2.5 2. • All Other Demolitions With No Asbestos Removal Project 10 Days 3150 3. 12"10 -259 linear feet or 48 - 159 s•uare feet see back of form for options) 3 Days 10 Days S150 3300 4. 0 260.999 linear feet or 160 - 4.999 square feet 5. 1.000 - 9.999 linear feet or 5,000 - 49,999 square feet 10 Days _ 5750 6. LL 10.000 - 0.9.999 linear feet or 50,000.99.999 square feet 10 Days S2.000 7. 0 50.000 - 99.99': linear feet or 100.000. 149.999 square feet 10 Days 35.000 8. ❑ 100.000+ linear feet or 150.000+ square feet 10 Days 510.000 9. 0 Emcreency Asbestos Project or 0 Emergency Demolition Proicct Prior Notice Twice Project Fe e 0. ❑ Alternate Means of Compliance for friable materials or ❑ Demolitions 10 -Day Review Period Twice Project Fee 1. U Alternate Means of Compliance for nonfriable asbestos materials� Concurrent with Proiect _ Twice Pro'ect Fee . I do hereby certify that the information contained in this nod(cadon. and supplemental data described herein. Is to the best of my nowledge accurate and complete. I shall not cause or alloy any asbestos project or demolition activities to begin until the appropriate 'sung period has elapsed Signature tow.. £9C E Reptesenting 'SAPCA Form No 66.160 (Revised 10/961 AM AN 13 1999 ComplI1Mutr Review Performed By t\ \IQPIr\ CD niT a do, rs toNc. RECEIVED CITY OF TUKWILA JAN 2 8 1999 PERMIT CENTEPPIPAD)C . , „ 00417°A) A A •■ a. a di APPROVED PER PUBLIC WORKS ---1/ DATED fek 5, (Kg etceric. AZAivLoN GAIT- Tae 5Ezuree ei4-09 Lol- Size. tor732 LAjct4e.r Mt.-ttr kise, 30 F 35' --=? 51 N ac eit44\ IIPPAPK Q04-T1 101 leo" 1 . •IA rr-7• May 5, 2000 i49 C: City of Tukwila Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director Amy Telres 12218 515 Place S Tukwila Wa 98178 RE: Permit Status MI99 -0019 12224 5151 Place S Dear Ms Telres: In reviewing our current permit files, it appears that your permit to demolish a single family residence, issued on February 10, 1999, 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, G)-(IP Bill Rambo Permit Technician Xc: Permit File No. M199 -0019 Duane Griffin, Building Official TO: FROM: DATE: SUBJECT: City of Tukwila John W. Rants, Mayor Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION Permit Center Public Works Engineering February 5, 1999 Beane SFR Demolition 12224 51st Place South Permit Number: MI99 -0019 Contact Person: Amy Telnes Phone: (206) 767 -3404 Ross A. Earnst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON FEBRUARY 5,1999: Septic System Abandonment Water Service Abandonment PERMIT FEE NO FEE Two copies of the confirmed Utility Permit Application Form with plans are attached for inclusion in the permit file. JJS /cs CF: Development File (with copy of application and plans) PW Utilities Inspector (with copy of application and plans) Finance Dept. (with copy of application) PPx4ni4. LOOvt*. 60 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M199 -0019 PROJECT NAME: BEANE PAT XX Original Plan Submittal Response to Correction Letter # Revision # After Permit Is Issued DATE: 1 -28 -99 Response to Incomplete Letter DEPARTMENTS: Btlifding Division 11UI�x. 7yf- (� IJ�✓c A z4 01) Fire Prevention Structural Planning Division Permit Coordinator DETERMINATION OF COMPLETENESS: (Tues, Thurs) Complete IT Incomplete 0 Comments: DUE DATE: 2 -2 -99 Not Applicable TUES /THURS ROUTING: Please Route El No further Review Required 0 Routed by Staff n (if routed by staff, make copy to master file and enter into Sierra) REVIEWERS INITIALS: DATE: APPROVALS OR CORRECTIONS: (ten days) DUE DATE: 3 -2 -99 Approved n Approved with Conditions Not Approved (attach comments) 0 REVIEWERS INITIALS. DATE: CORRECTION DETERMINATION,: DUE DATE: Approved 0 Approved with Conditions fl Not Approved (attach comments) REVIEWERS INITIALS: DATE: V'R•ROUTE.DOC State of Washington f/ r DEPARTMENT OF LABOR & INDUSTRIES a w DLY PEI<UF , WA. 20% REGISTERED AS PROVIDED BY LAW AS1 CONST CONT GENERAL REGIST. # EXP. DATE CCO1 RIVERCI173NP 07/01/1999 RACTORS INC EFFECTIVE DATE 08/17/1983 8178 RIVERTON CONTRACTORS INC.', 12218 51ST :PL TUKWILA WA •98178 FIRST CLASS MAIL US POSTAGE PAID =4�` 117 P Signature Issued by DEPARTMENT OF LABOR AND INDUSTRIES itriltttititttinttltdittl I I Detach And Display Certificate. F625.052•Oth) (8/97) DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP.'DATE 0001• :RIVERCI173NP 07/01/1999 EFFECTIVE DATE• 'O8/17/1983,: RIVERTON CONTRACTORS INC 12218 51ST PL S TUKWILA WA 98178 City of Tukwila, Washington . USIN -ESE LOC -ERSE 767 -3404 Underground Utilities TELEPHONE NATURE OF BUSINESS LICENSEE AGREES TO COMPLY WITH ALL THE REQUIREMENTS OF CITY ORDI- NANCES AND STATE LAWS APPLICABLE TO THE BUSINESS ACTIVITY LICENSED HEREUNDER. Riverton Contractors, Inc. 12218 518T PL 8 TUKWILA WA 98178 -3432 EXPIRATION DATE 12 -31 -99 DATE ISSUED 02/05/99 LICENSE NUMBER 99 -1178 FEE PAID $50.00 SALES TAX CODE NO.1729 CITY CLERK This license Is to be displayed conspicuously at the location of business and Is not transferable or assignable.