HomeMy WebLinkAboutPermit MI99-0235 - TRACY RESIDENCE - CARPORT DEMOLITION� ... . :> ''!;1 1't1;.i..t.i:r c t..'��,;e,a.u•:,x. F„�
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MI99 -0235
13742 53rd Ave. So.
Celeste Tracy
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: 000300 -0009
Address: 13742 53 AV S
Suite No:
Location:
Category: DEMO
Type: MISCPERM
Zoning:
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: N/A
Wetlands:
Contractor License No:
Permit No:
Status:
Issued:
Expires:
MI99 -0235
ISSUED
01/19/2000
07/17/2000
Occupancy: PRIVATE GARAGE
UBC: 1997
Fire Protection: NONE
.0 South: .0 East: .0 West: .0
Sewer: N/A
Slopes: Y Streams:
OCCUPANT CELESTE TRACY Phone:
13742 53 AV S, TUKWILA, WA 98168
OWNER TRACY CELESTE M
13742 53 AV 5, SEATTLE WA 98168
CONTACT CELESTE TRACY Phone: 206 -246 -9160
13742 53 AV S, TUKWILA, WA 98168
kk: k• k******* k******** k• k •k*kk ***** *•k**k•*k* *k** ******* * *k ****** **** *** ***k********k***
Permit Description:
DEMOLISH AND REMOVE CARPORT /GARAGE DAMAGED BY FIRE
TO REMAIN FOR POSSIBLE RE -USE OR PARKING. DEBRIS
REMOVED VIA DLIMPSTER. THERE WERE NO WATER OR SEWER
HOOK- UPS.
k•k k**•k* ** k•k** **•k k• k**************•k** k**• k**** k** k***• k**•****• k*' k ****•k *•k*•k***'k * *•k *•k. * * *•k*
Construction Valuation: $ 14,000.00
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: 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 k k•k•k* k•k* *•k * **•k* k•k•k* *•k* **•k * ** k * * *•k ** ** * * ** k * * * **** * ** * *•k•k *•k *•k * ** * *** k ** k k•k* * *•k * ***•k
TOTAL DEVELOPMENT PERMIT FEES: $ 51.50
k kkk* kk********* *** * * ****•k•kk * * *•k * * ***** * * * ** k****.*• k* k** k * ***** * *kk * * *•k *•k *•k * * * *•k *•k*
Permit Center Authorized Signature:
1= Date: _1 -J 9-.Z00g)
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 p nil
/
Signature: � � Date:��
Print Name: 6f-(1‘14 172ikeI.
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or abandoned
for a period of 180 days from the last inspection.
CITY OF TUKWILA
Address: 13742 53 AV S
Suite:
Tenant:
TYpe: MISCPERM
Parcel it: 000300-0009
•
Permit No: MI99-0235
Status: ISSUED
Applied: 12/17/1999
Issued: 01/19/2000
14**A1.******:04****14******4************************************************k**
Permit Conditions:
1. No changes will be made to the plans unless approved by the
Engineer and the Tukwila Building Division.
2. All permits, inspection records and approved plans shall be
available at the lob site prior to the start of any con-
truction. These documents ',are to be maintained and avail-
able until final inspection approval is granted.
3. Remove all weeds, concrete, stone foundations, ,flat con-
crete, concrete patios, masonry walls, garage floors, drive-
ways and similar structures and all loose miscellaneous
material. Proper* cap sanitary sewer and water connec-
tions, properly fi,11 or otherwise protect all basements,
cellars, septic' tanks, wells and other excavations,
4. Validity of Permit. The issuance of a permit or approval of
plans, specifications, and computations shall riot be con-
strued to be a permit for, Or an approval of, any violation, '
of any of the provisions of the building code or of any
other ordinance of the Jurisdicticin. No permit presuming to
give authority to violate or cancel ,the provisions of this
code shall be valid.
CONTRACTOR SHALL NOTIFY PUBLIC WORKS UTILTIY INSPECTOR MR'.
,
, ,
GREG, VILLANUEVA ta'(206)433-0179 or COMMENCEMENT AND
COMPLETION:.017-WORK ArLEAST 24 HOUW3AWADVANCE:
CITY OF JKWILA
Permit Center
6300 Southcenter Boulevard, Suite 100
Tukwila, WA 98188
(206) 431 -3670
Project, Number:
Permit Number:
NCI�Iq -0�6
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:
Description of work to be done (please be specific):
• / 1 /:-..),(:)
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'.. ) v1 C, iii I ti%_s -I .'v` . !'ei-c Gc/a.: no wa•f.;r- or se.,.'C.r'hookt.)•s�
Will there be storage of flammable/combustible hazardous material in the building? ❑ yes U' no
Attach list of materials and store location on separate 8 1/2 X 11 aper Indicating quantities & Material Safety Data Sheets
❑ Above Ground Tanks DI Antennas /Satellite Dishes Bulkhead /Docks ❑ Commercial Reroof
0- Demolition ❑ Fence ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Facilities ❑ Tree Cutting
Name:
Value o ' onstruction:
Site Address :
13- 7/.1')
~.'
.5. 'r AVc
,.-
-
r City State/Zip:
1T'l .c,'.Ji(C( c'K/ 8
Tax Parcel Number:
0003eo- 0009- -09
Property Owner: r
�
,,.r...:
0 Sewer
0 Metro
0 Standby
Phone: (206) 24 6. -- C"f l ., Cj
Street Address:
1 , I. "
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City State/Zip•
' � ': J 1 I_ C( C( Ci' I (n (/
Fax #: ( )
Contractor:
Phone: ( )
Street Address:
City State/Zip:
Fax #: ( )
Architect:
Phone: ( )
Street Address:
City State/Zip:
Fax #: ( )
Engineer:
Phone: ( )
Street Address:
,.;; , City State/Zip:
Fax #: ( )
Contact Person:
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 (please be specific):
• / 1 /:-..),(:)
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'.. ) v1 C, iii I ti%_s -I .'v` . !'ei-c Gc/a.: no wa•f.;r- or se.,.'C.r'hookt.)•s�
Will there be storage of flammable/combustible hazardous material in the building? ❑ yes U' no
Attach list of materials and store location on separate 8 1/2 X 11 aper Indicating quantities & Material Safety Data Sheets
❑ Above Ground Tanks DI Antennas /Satellite Dishes Bulkhead /Docks ❑ Commercial Reroof
0- Demolition ❑ Fence ❑ Manufactured Housing - Replacement only
❑ Parking Lots ❑ Retaining Walls ❑ Temporary Facilities ❑ Tree Cutting
APPLICANT RE
UEST 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 ❑
❑ Land Altering: 0 Cut cubic
❑ Sanitary Side Sewer #:
❑ Street Use ❑ Water Main
Size(s):
Size(s):
Size(s): Est. quantity:
U Moving Oversized Load /Hauling
Fire Loop /Hydrant (main to vault) #: Size(s):
yards 0 FiII_cubic yards 0 _sq. ft.grading/clearing
❑ Sewer Main Extension 0 Private 0 Public
Extension 0 Private 0 Public
0 Deduct 0 Water Only
gal Schedule:
MONTHLY SERVICE'BlLL!NGS TOti '''' :''''
: "'.
Name:
Phone:
Address:
City/Sta e/Zip:
0 Water
0 Sewer
0 Metro
0 Standby
WATER METER.DEPOSIT/REFUND'BILLING:
Name:
Phone:
Address:
ICity/Sta e/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 dale 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 applia acct l; — cjc1
Date applic tlon exp
jApPflcan by: (initials)
,411 AILS( 1!/AN/0115 PI RAI API'!1(A1 /ON.S AltJS! Rl S( /13Af111! '1111 1111 1011011.1\(,:
> ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
> BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
D ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT
> STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED
STRUCTURAL ENGINEER
D CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.)
❑ Current 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;OwneilAuthorized Agent. If the applicant is other than•the owner, registered architect/engineer, or contractor
licensed by the State of Washington, a notarised letter from,thei property owner authorizing the agent to submit this
permitapplication and obtain the''permitwill be required as, p.art of this submittal.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
SURtillt AI'PII( AIION ANI) RI(1UIRII) ( Ill( 1<1ISIS IOR
I'1RS111 RI VII IV
Above Ground Tanks/Water Tanks - Supported directly upon grade
exceeding 5,000 gallons and a ratio of height tachometer or width which
exceeds 2:1
Submit checklist . No M -9
Date: I Z _ f 0 _If
Antennas /Satellite Dishes
Submit checklist No: M -1
Phone: (a 06,) a y � q 2 p
Bulkhead /Dock
Submit checklist: No: M -10
❑
Commercial Reroof
Submit checklist No: M -6
Qom'
Demolition
Submit checklist No: M-3
❑
Fences -Over 6 feet in Height
Submit checklist No: M =9
❑
Land Altering/Grading/Preloads
Submit checklist No: M -2
❑
Miscellaneous Public Works Permits
Submit checklist No: H -9
Manufactured Housing (RED INSIGNIA ONLY)
Submit checklist No: M -5
❑
Movin Oversized Load /Haulm �` =`"�"
g 8.
Submit checklist No:, M -5 :
❑
Parking Lots `''ii.
Submit checklist No M-4
❑
Retaining Walis - Over At, feet in height
Submit checklist No M -1
❑
Temporary Facilities
• Submit checklist No M -7
❑
:Tree Cutting
Submit checklist No: M -2
❑ Current 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;OwneilAuthorized Agent. If the applicant is other than•the owner, registered architect/engineer, or contractor
licensed by the State of Washington, a notarised letter from,thei property owner authorizing the agent to submit this
permitapplication and obtain the''permitwill be required as, p.art of this submittal.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature : /{ 1? „-1 i , fh Q
Date: I Z _ f 0 _If
Print name;
Ce ( es+-e att bra Cj
Phone: (a 06,) a y � q 2 p
Fax #: ( )
Address: (3,714 a 53 -d Ade
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
PERMIT N
. (206)431-3670
P ejebke D„. rv, U
Ty �o P InsileciQ n � I -I -
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Date called:
Special instructions:
y
Date wanted:
-1/0/0011n111:
Requester .e -k �
1,.� T 7—r-U6y
Phone:
,.. om _9, /, a
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Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
Date:
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee m st be paid
a
at 6300 Southcenter Blvd., Suite 100. CaII to schedule reinspection.
Receipt No: 1 Date:
k
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 98188
(206)431-3670
Project?-. i , -r,
s..j Jw'o
Type of InspectiAR:
Addrsi. 1...‘ s 3 r ,. A til, s
Date called:
Special instructions:
s
Date wanted: 1.... 22_ 0 A 46
V . .
Requester: r \
Phone:
-f)t,- P0-110- q1b0
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
142206a43rsv6
ri $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
!Receipt No: Date:
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CITY OF TUKWILA
APPROVED
JAN 1 0 2001
AS NO
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RECEIVED
CITY OF TI 1KWII
N.
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DEC 17 1999
PERMIT CENTER
'i- - 66VL
Agency Case No.
Agency Use Only
14"YI llvv >Url w� t 8G✓
3 3"
PUGF SOUND AIR POLLUTION CONTROL AG!'"
l.,i Union Street, Suite 500, Seattle, WA 98101 -2036
NOTICE OF INTENT
TO PERFORM:
h
•
Date Received
Agency We Only
A. Project Type: 11. ❑ Asbestos Removal 1 2. ❑ Asbestos Removal & Demolition
. Q'Demolition, No Asbestos Removal J
B. Owner y C., e- L
Property Owner's 13742._ 53 rd late- S
Mailing Address:
City: ar(1� W 1`t
Phone: 12.00 �- ce— 91
State: W A 0 zi : I $ 116
C. Asbestos P r SE PRINT CLEARLY, THIS WILL BE YOUR RETURN MAILING LABEL
Contractor: -
Contractor
Owner /CEO:
Mailing Address:
Phone: ( )
Contractor
Job No.:
City:
State:
Zip:
Fax: ( )
D. Site 1374-12_ 5 r D S
Address:
Project Manager or /1 y L S / C r/l
Contact Person:
cites: TJkwi 'tc`
State: 'k1 Zip:
'? 16
Phone: (? DG) 2 44- Cr, 9 X40 0
E. ❑ Asbestos Survey or
❑ Mat'I Presumed:
AHERA Building
Inspector Name:
No, of
Structures:
Date Survey was I •
f2 / l %
Conducted: /
W�af. Asbestos Found? ❑Yes _
2' If No, Attach Survey
AHERA SURVEY IS REQUIRED BEFORE ALL DEMO/1770N PROJECTS
1/721Cc v'1 l'Q e c-e
J &J9f 0418- 3UUQ -03.
Certification No.:..
Expiration
Date:q //$ /2t 2
.J
F. Demolition
Information:
Demolition
Contractor:
No. of
Structures:
Start
Date:
❑ Training Fire (List Fire Dept. as demolition contractor below)
❑ Ordered Demolition (attach copy of Order)
PRINT NAME HERE. ENTER,MAIIJNG ADDRESS IN BOX J ON BACK. IF TRAINING BURN ENTER FIRE DEPT. HERE
o w � •e- r
Phone: (• )
G. Asbestos Project
Information:
No. of Structures:
(see back if> 1)
Start ••
Date:
Completion
Date:
Wk. Days: M T W Th F Sa Su
Hours:
Total Quantity to be Removed: • Linear Ft. Square Ft.
Will all asbestos material be ❑ Yes
removed by project completion? ' ❑ No
Thermal System Insulation: ❑ Boiler\Fumace Ins. ❑ Duct Ins. •
Pipe Ins.
Other:
Surfacing Mat'1:1 ❑ Fireproofing ❑ Paints. ❑ Plaster ❑ Textured Coatings
Other:
Misc, Mat'l: I 0 Cement Bd. ❑ Cement Pipe ❑ Flooring Mat'I ❑ Roofing Mat'l
Other
H. Asbestos/Demolition Project Categories:
1. ❑ Owner- Occupied, Single - Family Residence Asbestos Removal Project
Single- Family Residence Demolition Project
Notification Waiting Period
NON- REFUNDABLE FEE
Prior Notice
$25
SG
2. ❑ All Other Demolitions With No Asbestos Removal Project
10 Days
• $150
3. .0 10 - 259 linear feet or 48 - 159 square feet (see back of form for options)
3 Days
$150
,
4. ❑ 260 - 999 linear feet or 160 - 4,999 square feet
10 Days
$300
5. ❑ 1,000 - 9,999 linear feet or 5,000 - 49.999 square feet
10 Days
$750
6. • 10,000 - 49,999 linear feet or 50,000 - 99,999 square feet
10 Days
10 Days
. $2.000
$5,000
7. • 50,000 - 99,999 linear feet or 100,000 - 149,999 square feet
8. ❑ 100,000+ linear feet or 150,000+ square feet
10 Days
$10,000
9. ❑ Emergency Asbestos Project or ❑ Emergency Demolition Project
Prior Notice
Twice Project Fee
10. ❑ Alternate Means of Compliance for friable materials or ❑ Demolitions
10 -Day Review Period
Twice Project Fee
11. ❑ Alternate Means of Compliance for nonfriable asbestos materials
Concurrent with Project
Twice Project Fee
L 1 do hereby certify that the information contained in this notification, and supplemental data described herein, is to the best of my
knowledge accurate and complete. 1 shall not cause or allow any asbestos project or demolition activities to begin until the appropriate
waiting period has elapsed.
t
i2Ji 7(yq
Date
Representing
COmpkrerress Review
, Performed By
DEC 17 1C1._.-1 •
RGRMi1“ -1 '
Agency Use Only
PR
E
December 17, 1999
PACIFIC RIM ENVIRONMENTAL, INC.
Celeste Tracey
13742 53rd Avenue South
Tukwila, WA 98188
RE: Asbestos Survey
Dear Ms. Tracey,
On December 17, 1999, Melanie Bryce of Pacific Rim Environmental, Inc. performed an
asbestos survey of the fire- damaged garage associated with the residence located at
13742 53`d Avenue South, Tukwila, WA 98188. As required by local, state, and federal
regulations, Ms. Bryce is an AHERA Certified Building Inspector (See Attached
Certificate of Training).
The garage is a one -story building of wood frame construction with a flat built -up tar
roof, and a dirt floor. One sample of the built -up tar roofing was collected from the
garage for analysis by Polarized Light Microscopy (PLM). The sample was "none
detected" for asbestos'(See Attached Bulk Sample Analysis Report).
If you have questions regarding any of the information provided, please do not hesitate to
contact our office at (206) 244 -8965.
Reully,
i%i JA-
h
Melanie Bryce,
Project Manager
Pacific Rim Environmental, Inc.
Mt 99.02x5
RECEIVED
CITY OF TUKWU 1
DEC 1 7 1999
PERMIT CENTER
6510 Southcenter Blvd. • Seattle, visa 98188 • Phone: (206) 244-8965 • Fax: (206) 244 -9096
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PACIFIC RIM ENVIRONMENTAL, INC.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Celeste Tracey
13742 53`d Avenue South
Tukwila, WA 98188
PRE #: 11927
Report #: 1299362
Report Date: 12/17/99
Date Received: 12/17/99
Project: Fire Damaged Garage Date Analyzed: 12/17/99
Page: 1 of 2
Analyst: Fred Golloway
Attached are the results of analysis of 1 bulk sample submitted for asbestos identification, lab
ID #1299362.
The sample was analyzed in accordance with method EPA - 600 /R- 93/116: "Method for the
Determination of Asbestos in Bulk Building Materials ".
The sample was initially examined under a Nikon SMZ - 2T stereoscopic microscope at a
magnification of 10X to 50X. Fibrous material was examined for morphology and content.
Representative fibers from the sample were immersed in a fluid with a known refractive
index. The specimens were examined under polarized light using a Nikon Labophot
microscope with a McCrone Dispersion Staining objective under 100X magnification. Optical
characteristics of the fibrous material were examined to determine the mineralogy of the
fiber. The observed optical characteristics include angles of extinction, sign of elongation
and refractive indices.
Separate layers of inhomogeneous samples are analyzed and reported separately. Unless
otherwise stated, asbestos content was quantified by calibrated visual estimation (CVES).
Samples in which asbestos is not observed are reported, "none detected ". Test results
pertain only to the samples submitted for analysis.
This report cannot be represented by the client to claim product endorsement by NVLAP or
any agency of the U.S. Government.
This report shall not be reproduced except in full without written permission of the laboratory.
NVLAP Accredited LAB #101631 -0
Reports reviewed by: ���..•�- /„ /���
Approved Signatory
6510 Southcenter Blvd. • Seattle, \NA 98188 • Phone: (206) 244-8965 • Fax: (206) 244 -9096
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PACIFIC RIM ENVIRONMENTAL, INC.
BULK SAMPLE ANALYSIS REPORT
CLIENT: Celeste Tracey
Project: Fire Damaged Garage
PRE #:
Report #:
Report Date:
Date Received:
Date Analyzed:
Page:
Analyst:
11927
1299362
12/17/99
12/17/99
12/17/99
2 of 2
Fred Golioway
Client/Lab
Number
Sample Location and
Description
Asbestos Type / %
Other Material
Date
Analyzed
11927 -01
Tar roofing composed of white
None detected
Layer'1: Cellulose
12/17/99
1299362
gravel - embedded tar (layer 1)
over tar with fibers (layer 2), tar
with straight fibers (layer 3), tar
with straight fibers (layer 4), tar
(all layers).
(<1 %), Mineral
Aggregate, Tar.
Layer 2: Cellulose (30-
(layer 5) and tar felt (layer 6).
35 %), Tar, Mineral
Aggregate.
Layer 3: Fiberglass (10-
15%), Cellulose (15-
20 %).
•
Layer 4: Fiberglass (3-
5%), Cellulose (10 -15 %),
Tar.
'
Layer 5: Fiberglass (3-
5 %), Cellulose (10 -15 %),
Tar.
Layer 6: Fiberglass (40-
45 ° / ), Tar.
4
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`• J &J Associates is pleased to certify that
• Melanie Bryce • o ,
,. • . 11,, has attended and successfully completed the . - :•'
Air AHERA BUILDING INSPECTOR REFRESHER' ` - •. fi �•ri.''.
_ • in accordance with .. <<r''
'� _ 40 CFR Part 763, Subpart E, Appendix C ' t
on this 18th day of September 1999
• ��`
'..'1!-",:!, at Tukwilla, Washington *).)10 sv
(,..,•,., ! ”' Valid through September 18, 2000 . - • . .,-��tt . • ._.. ..
. A t.:- I
�? �� / J &J990918 -BIR 03e�
`k _ COURSE INSTRUCT' 1 ACCREDITATION NO ) '� �i
1 J &J ASSOCIATES • • •
6: �y 550 NW Fairwood Way t . +.
„; , TRAINING / '` Bremerton, Washington 98311 ' I .:1
:; (360) 731 -6015 ; _: t
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�ERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
ACTIVITY NUMBER: MI99- 0235DATE: 12 -16 -99
PROJECT NAME: CELESTE TRACY
XX Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision # _ After Permit Is Issued
DEPARTMENTS:
Building Division
III
G 12 -2$-
Public Works
Lg 9112Ak O-
Fire Prevention
fit.IZZ'H9
Structural
PIa�r�]]ning Division
V
L(2,-21-4t?
Permit Coordinator
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
Complete
Comments:
Incomplete
DUE DATE: 12 -21 -1999
Not Applicable
TUES /THURS ROUTING:
Please Route Structural Review Required
REVIEWER'S INITIALS:
No further Review Required
DATE:
APPROVALS OR CORRECTIONS: (ten days)
Approved
Approved with Conditions
REVIEWER'S INITIALS:
DUE DATE 1 -18 -2000
Not Approved (attach comments) 17
DATE:
CORRECTION DETERMINATION:
Approved Approved with Conditions n
DUE DATE
Not Approved (attach comments) n
REVIEWER'S INITIALS: DATE:
U'RKOUTE.DOC
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