HomeMy WebLinkAboutPermit D14-0160 - BOULEVARD AT SOUTH STATION - FIRE DAMAGE REPAIRBOULEVARD @ SOUTH
STATION
4722 SOUTHCENTER BLVD
D14-0160
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
DEVELOPMENT PERMIT
Parcel No: 2223049003 Permit Number: D14-0160
Address: 4722 SOUTHCENTER BLVD Issue Date: 5/28/2014
Permit Expires On: 11/24/2014
Project Name: BOULEVARD AT SOUTH STATION
Owner:
Name: MG ACRES APARTMENTS LP
Address: 10505 SORRENTO VALLEY RD , SAN
DIEGO, WA, 92121
Contact Person:
Name: STEVEN THYMIAN Phone: (206) 972-7484
Address: 4320 S 131 PL #100 , SEATTLE, WA,
98168
Contractor:
Name: BELFOR USA GROUP Phone: (206) 632-0800
Address: 3826 WOODLAND PARK AVE N ,
SEATTLE, WA, 98103
License No: BELFOUG99OBJ Expiration Date: 12/20/2014
Lender:
Name:
Address:
111
DESCRIPTION OF WORK:
REPAIR FIRE DAMAGE - SHEET ROCK AND INSULATION
Project Valuation: $5,031.67
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction:
Fees Collected: $357.94
Occupancy per IBC:
Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125
Sewer District: TUKWILA SEWER SERVICE,VALLEY VIEW
SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Public Works Activities:
Channelization/Striping:
Curb Cut/Access/Sidewalk:
Fire Loop Hydrant:
Flood Control Zone:
Hauling/Oversize Load:
Land Altering:
Landscape Irrigation:
Sanitary Side Sewer:
Sewer Main Extension:
Storm Drainage:
Street Use:
Water Main Extension:
Water Meter:
Volumes: Cut: 0 Fill: 0
Number: 0
No
Permit Center Authorized Signature. Date
I hearby certify that I have read and examined tFis 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 provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
` Signature: - � Date: 4—.421- 'IV
Print Name: Steve -Al 42/4-r,-
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***BUILDING PERMIT CONDITIONS***
2: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0409 FRAMING
0601 WALL INSULATION
0413 WALL SHEATHING/SHEAR
CITY OF TUL ILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. 1 Li-6 1 t.s1 0
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
CONSTRUCTION PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
SITE LOCATION 3o 4 cv4" -)
King Co Assessor's Tax No.:
Site Address: y 7 aa- e 4
uL4✓ f t l) Suite Number:64)c .2/d Floor:
Tenant Name:
PROPERTY OWNER
Name: ma efiee1,x4-7s.
Address: 1170 S .5'e tet CQ- , eowL,P�t 0j a
City: 1 yKL✓ •L 4- State:iiigoti_ Zip: 5,4`,Yr
CONTACT PERSON — person receiving all project
communication
\
Name:
sfeeer, Th m
y %0.1
Address: C/- J- 0 s� Pi.. i 4U
City: .,,_orertte,State: , Zip:9g10r
Phone:Q.06. 9 701 I/ 6,, v Fax:
Email:s't,U P • vi 0m / 4...Ade Lis, B ezitivi c ►n
GENERAL CONTRACTOR INFORMATION
Company Name: 6eLt it u6,4
Address:zf3a v 5.. / g'St !°k . Frio, a
City: s--w, {ie, State: cydi_ Zip:9g4e
Phone: Fax:
Contr Re No.: 9 16 �- Exp Date:
Tukwila Business License No.: /) /D / 7 -
New Tenant: ❑ Yes ❑ .. No
ARCHITECT OF RECORD
Company Name:
Architect Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Company Name:
Engineer Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
Address:
City: State: Zip:
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 1 of 4
BUILDING PERMIT INFORMA7 1— 206-431-3670
Valuation of Project (contractor's bid price): $ �O 3 �. 4. 7Existing Building Valuation: $
n
Describe the scope of work (please provide detailed information): 1c e/'a-, 1;- liar Peivr2/4-4 e , 5 J, opiltecIA.7
i��4,.►Niarkt
-
Will there be new rack storage? ❑ ....Yes
..No If yes, a separate permit and plan submittal will be required.
Provide All Building Areas in Square Footage Below
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1" Floor
2nd Floor
3`d Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard: Compact: Handicap:
Will there be a change in use? ❑ Yes 0 No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No
If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
O On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INI .MATION — 206-433-0179
Scope of Work (please provide detailed information):
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
0 .. Tukwila 0 ...Water District # 125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑ ... Highline
0 ...Valley View ❑ ... Renton
0 ...Sewer Availability Provided
O ... Renton
O ... Seattle
Se tic System:
0 On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department.
Submitted with Application (mark boxes which apply):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage) ❑... Geotechnical Report ❑ .. Traffic Impact Analysis
❑ .. Bond ❑... Insurance ❑... Easement(s) ❑... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way ❑
Non Right-of-way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
❑ ...Right-of-way Use - Profit for less than 72 hours
❑ ... Right-of-way Use — Potential Disturbance
❑ ... Work in Flood Zone
❑ ... Storm Drainage
O ... Abandon Septic Tank
O ...Curb Cut
O ... Pavement Cut
❑... Looped Fire Line
99
79
O ...Grease Interceptor
❑ ... Channelization
O ... Trench Excavation
0...Utility Undergrounding
❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3)
❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3)
❑ .. Water Only Meter Size 79 WO # ❑ .. Deduct Water Meter Size
❑ .. Sewer Main Extension Public 0 Private ❑
❑ .. Water Main Extension Public ❑ Private 0
" WO#
" WO#
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water ❑ .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 3 of 4
PERMIT APPLICATION NOTES
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 grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
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 A THORIZED AGENT:
Signature: L.� Date: S. 2 7 - / r
Print Name: 5*4vTX-yy f / r4"
Mailing Address: /3a 0 S. / 3/ 104. a /Ud
Day Telephone: a L' ( 979 ' %/�
51-),-17V4. /,vim- 9r/Mr
City State Zip
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Revised: February 2012
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Page 4 of 4
AUTHORIZATION FOR ALTERNATE PLAN
SUBMITTAL (LIMITED SCOPE OF WORK)
IBC & IRC Section 104.1
Date:
Address:
L\722 so (3J-t)
Permit/Application Number: P v O (id
Tukwila, WA 981
Description of Work: rt Ctt -E} ti\ PyCs
The above project permit applicant, due to the limited scope of work, is authorized to submit reduced plan
requirements described below:
1. Complete permit application(s):
uilding ❑ Mechanical ❑ Plumbing/Gas Piping ❑ Electrical ❑ Other
2. Plan and/or Specification (minimum):
❑ Site Plan ❑ Floor Plan ❑ Elevations ❑ Foundation ❑ Structural Calcs
❑ Cross Sections ❑ Roof Plan M,Narrative ❑ Narrative WSEC Compliance
3. Required Inspections (only completed when to be issued over the counter):
$. Framing
❑ Glazing ❑ Final ❑ Other: LU e (- i ��-
4. Other Special Instructions:
IC1Authorized By:7
Printed Name:
may
Date: S —Z 8- i&f
(Authorization void 30 days after date)
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 431-3670 • Fax: 206 431-3665
W:\Permit Center\Templates\Forms\Auth for Reduced Plan Submittal.docx
PermitTRAK
D14-0160
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
I ACCOUNT
Address: 4722 SOUTHCENTER BLVD
DEVELOPMENT
PERMIT FEE
Apr,: 2223049003
R000.322.100.00.00
QUANTITY PAID
0.00
$357.94
$357.94
$347.54
$207.90
PLAN CHECK FEE
R000.345.830.00.00
0.00
$135.14
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$10.40
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2221
R000.322.900.04.00
0.00
$10.40
$357.94
Date Paid: Wednesday, May 28, 2014
Paid By: BELFOR USA GROUP
Pay Method: CHECK 5720
Printed: Wednesday, May 28, 2014 2:32 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPERMIT NO. G
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Pro ect:
LzAj4e...._ s,
Typ of in,spectiop:/‘ 6 r"�
Addr ss:
Date Called:
Special nstructions:
7 ,..,
Date Wanted J 2 —
t4-
a.m.
Requester:
5Mve
Phope No: ..-., ....
Approved per applicable codes.
0-Corrections required prior to approval.
COMMENTS:
ins ctor:
L
Date:/ et
REINSPECTION FEE RECtlikRED. F rior to next inspection. fee must be
paid at 6300 Southcenter 81 d.. Sutte 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit ( -0 (40
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Projil:0) (. 5
Type of inspection:
Add
.
`l:'Z Sc
I v to,
Date Called:
5e.. ler nkt. e
I
Specia structions:
Date Wanted:
`7 - t
p.m.
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
cn � TAS OK raAP
WA!? dA/
_1.._.frAa/cr 5 P A
nctor:
Date:.
ri REINSPECTION:FEE REQ RED or next inspection, fee must be
paid at 6300 Southcenter = .. Suite 100. Call to schedule reinspection.
.D,.q,OI(0,
INSP T N . PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
Pr ect:
0o eJnrf) 5 5au k
Typ of in pection: ��_
A•11 _.•I --I 3
Address:
Date I -
Speci I Idstructions:
R� 4 � 1 . �Q q
e14-
' v" _
Date Wanted: --7
( �� `��
a.m.
.
Requester:
Phone No:
0 Approved per applicable codes
Corrections required prior to approval.
COMMENTS:
-.-.?#)
.
fiA. . -
-
L
f .'A-1
o _.f-;rP 5b V- Prio
C7 `1'A Sv tk{ 1::
-4 j v i f2 \, I-0f 41
h
Ins
Date:
REINSPECTION FEE REQUj1fED. Prior to next inspection. fee must be
paid at 6300 Southcenter vd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit l4 f n
INSP PERMIT NO. l
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
J (tta
c----
S, 1t h-(` `4
of Insc�ction•
vtl/
Addre s:
Date Called:
Special nstructions:
Date Wanted: , Fn.!r51 r/•
l {1
Requester:
eve-'
phone No: T Z- _ . (5-
Appwoved per applicable codes.
aCorrections required prior to approval.
CQMMENTS:
Th
ictor
REINSPECI'ION FEE _
paid at 6300 Southc
R RED. Prior to next inspection. fee must be
er Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
IN P PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C
At
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
ttki6 c -55-14:0A/PT
"Cez'f insPWIcti°
Address:: r�
Date Called:
,---,
Special Instructions:
Date Wanted
ffif
a.m.
Requester:
Phone No:
Approved per applicable codes.
erections required prior to approval.
COMMENTS:
i J & kGL- e S . IV t NkL2 A-6c ,
R.S L\ c /le 4
/4J
Ins
ctor: Date: f
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must 1)e
paid at-6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
June 20, 2014
Belfor USA Group
3826 Woodland Park Avenue
Seattle, WA 98103
RE: Refund for Permit D14-0160
To whom it may concern,
A permit was pulled over the counter for fire damage repair work at Boulevard at South Station. At the
time of permit issuance a plan review fee was assessed in error. Enclosed is a check to refund the full
plan review fee of $135.14.
Sincerely,
r ! n n
enni er((Mars all
t 'cchni ian
ti
File: Permit No. D14-0160
Encl: Check No. 366524
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
MEMORANDUM
TO: Laurie Anderson
FROM: Brenda Holt \)W)(k
DATE: May 29, 2014
SUBJECT: Refund for Development
D14-0160
Please draw a check in the amount of $135.14 (one hundred thirty-five dollars and
fourteen cents) to be payable to Belfor USA Group at 3826 Woodland Park Avenue in
Seattle, Washington 98103.
This permit was approved without plan review per Building Inspector Jim Dunaway.
Due to this fact no plan review should have been assessed. Consequently this request is
for a full refund of plan review fees.
Refund to Account R000.345.830.00.00 for $135.14
Please forward the check to me and I will forward it on to the applicant.
Thank you!
•
BELFOR (.) Belfor Property Restoration
PROPERTTREOTORATION
4320 South 131st Place, Suite #100
Seattle, WA 98103
Client: Boulevard at South Station C Building
Property: 4708 Southcenter Boulevard
Tukwila, WA 98188
Operator Info:
Operator: TED
Estimator: Ted Sitterley
Business: 4320 South 131st Place, Suite #100
Seattle, WA 98168
Type of Estimate- Fire
Date Entered: 4/4/2014 Date Assigned:
Price List: WASE7X_APR14
Labor Efficiency: Restoration/Service/Remodel
Estimate: MG-BLVD-C-210-FIRE
Business: (206) 632-0800
E-mail: ted.sitterley@us.belfor.com
Thank you for choosing BELFOR Property Restoration to provide you with this estimate. We look forward to working with you
on your project. This estimate is only inclusive of those items specifically described within. Unless otherwise noted, concealed
damage, rot, code updates and hazardous materials are excluded. Any work requested by the owner that is beyond this scope of
work will be additional.
RECEIVED
CITY OF TUKWILA
MAY 2 8 2014
PERMIT CENTER
PL'4-Ot(eO
BELFOR (.) Belfor Property Restoration
PROPERTTRIiTORATIOR
4320 South 131st Place, Suite #100
Seattle, WA 98103
F-r
1-Tr-1
Missing Wall - Goes to Floor
DESCRIPTION
MG-BLVD-C-210-FIRE
2nd Floor
210 Kit Height: 8'
224.71 SF Walls
281.77 SF Walls & Ceiling
6.34 SY Flooring
30.45 LF Ceil. Perimeter
57.06 SF Ceiling
57.06 SF Floor
27.62 LF Floor Perimeter
2' 10" X 6' 8" Opens into DEF_210_ENTR
QNTY
REMOVE REPLACE TOTAL
Seal stud wall for odor control 338.82 SF 0.00 0.63 213.46
Seal the walls and ceiling w/latex based stain 281.77 SF 0.00 0.44 123.98
blocker - one coat
Seal/prime then paint the walls and ceiling 281.77 SF 0.00 0.70 197.24
(2 coats)
Paint baseboard - two coats 27.62 LF 0.00 0.99 27.34
Totals: 210 Kit 562.02
Door
T
fV
1
s
Tub (11
I-56--I
210 Bath Height: 8'
129.47 SF Walls
161.30 SF Walls & Ceiling
3.54 SY Flooring
17.78 LF Ceil. Perimeter
31.84 SF Ceiling
31.84 SF Floor
20.09 LF Floor Perimeter
2' 8" X 6' 8" Opens into DEF_210_ENTR
Subroom: Tub (1) Height: 8'
Missing Wall - Goes to Ceiling
DESCRIPTION
79.12 SF Walls
89.80 SF Walls & Ceiling
1.19 SY Flooring
9.27 LF Ceil. Perimeter
10.68 SF Ceiling
10.68 SF Floor
14.24 LF Floor Perimeter
4' 11 5/8" X 7' Opens into DEF_210_BATH
QNTY
REMOVE REPLACE TOTAL
MG-BLVD-C-210-FIRE
5/20/2014 Page: 2
BELFOR (.) Belfor Property Restoration
PROPERTTREOTORATIOR
4320 South 131st Place, Suite #100
Seattle, WA 98103
CONTINUED - 210 Bath
DESCRIPTION QNTY REMOVE REPLACE TOTAL
Seal stud wall for odor control 293.62 SF 0.00 0.63 184.98
Seal the walls and ceiling w/latex based stain 251.10 SF 0.00 0.44 110.48
blocker - one coat
Seal/prime then paint the walls and ceiling 251.10 SF 0.00 0.70 175.77
(2 coats)
Paint door slab only - 2 coats (per side) 2.00 EA 0.00 21.76 43.52
Paint door/window trim & jamb - 2 coats 2.00 EA 0.00 21.71 43.42
(per side)
Paint baseboard - two coats 34.32 LF 0.00 0.99 33.98
Totals: 210 Bath
I-3' 9'- I
Door
DESCRIPTION
592.15
210 H2O height: 8'
118.93 SF Walls
136.22 SF Walls & Ceiling
1.92 SY Flooring
16.95 LF Ceil. Perimeter
17.28 SF Ceiling
17.28 SF Floor
14.45 LF Floor Perimeter
2' 6" X 6' 8" Opens into DEF_210_ENTR
QNTY
REMOVE REPLACE TOTAL
Seal stud wall for odor control 153.50 SF 0.00 0.63 96.71
Seal the walls and ceiling w/latex based stain 136.22 SF 0.00 0.44 59.94
blocker - one coat
Seal/prime then paint the walls and ceiling 136.22 SF 0.00 0.70 95.35
(2 coats)
Paint door slab only - 2 coats (per side) 2.00 EA 0.00 21.76 43.52
Paint door/window trim & jamb - 2 coats 2.00 EA 0.00 21.71 43.42
(per side)
Paint baseboard - two coats 14.45 LF 0.00 0.99 14.31
Seal & paint closet shelving - single shelf 1.00 EA 0.00 35.73 35.73
Totals: 210 H2O 388.98
MG-BLVD-C-210-FIRE
5/20/2014 Page: 3
BELFOR (.) Belfor Property Restoration
PRO•ERTTRE$TORATION
4320 South 131st Place, Suite #100
Seattle, WA 98103
Male 1
zr r r a' 17
4.
b �
H
Missing Wall - Goes to Floor
Missing Wall
Door
Door
Door
Door
DESCRIPTION
210 Entry Height: 8'
169.82 SF Walls
218.99 SF Walls & Ceiling
5.46 SY Flooring
32.62 LF Ceil. Perimeter
49.17 SF Ceiling
49.17 SF Floor
18.95 LF Floor Perimeter
2' 10" X 6' 8" Opens into DEF_210_1(IT
3' 4" X 8' Opens into DEF_210_LIVR
2' 8" X 6' 8" Opens into DEF_210_BED
2' 8" X 6' 8" Opens into DEF_210_BATH
2' 6" X 6' 8" Opens into DEF_210_H20
3' X 6' 8" Opens into Exterior
Subroom: 210 Clos (1) Height: 8'
106.27 SF Walls
114.28 SF Walls & Ceiling
0.89 SY Flooring
13.28 LF Ceil. Perimeter
QNTY
8.01 SF Ceiling
8.01 SF Floor
13.28 LF Floor Perimeter
REMOVE REPLACE TOTAL
Seal stud wall for odor control 390.44 SF 0.00 0.63 245.98
Seal the walls and ceiling w/latex based stain 333.27 SF 0.00 0.44 146.64
blocker - one coat
Seal/prime then paint the walls and ceiling 333.27 SF 0.00 0.70 233.29
(2 coats)
Paint door slab only - 2 coats (per side) 2.00 EA 0.00 21.76 43.52
Paint door/window trim & jamb - 2 coats 2.00 EA 0.00 21.71 43.42
(per side)
Paint baseboard - two coats 32.23 LF 0.00 0.99 31.91
Paint door slab only - 2 coats (per side) 4.00 EA 0.00 21.76 87.04
Paint door/window trim & jamb - 2 coats 2.00 EA 0.00 21.71 43.42
(per side)
Totals: 210 Entry 875.22
MG-BLVD-C-210-FIRE
5/20/2014 Page: 4
BELFOR (.) Belfor Property Restoration
PROPERTTREOTORATION
Fa sr-I-4-+Tf4
4320 South 131st Place, Suite #100
Seattle, WA 98103
DESCRIPTION
210 Bed Height: 8'
381.85 SF Walls
519.35 SF Walls & Ceiling
15.28 SY Flooring
49.95 LF Ceil. Perimeter
137.51 SF Ceiling
137.51 SF Floor
47.29 LF Floor Perimeter
2' 8" X 6' 8" Opens into DEF_210_ENTR
Subroom: Closet (1) Height: 8'
140.96 SF Walls
153.79 SF Walls & Ceiling
1.43 SY Flooring
17.62 LF Ceil. Perimeter
QNTY
12.83 SF Ceiling
12.83 SF Floor
17.62 LF Floor Perimeter
REMOVE REPLACE TOTAL
Seal stud wall for odor control 823.49 SF 0.00 0.63 518.80
Seal the walls and ceiling w/latex based stain 673.15 SF 0.00 0.44 296.19
blocker - one coat
Seal/prime then paint the walls and ceiling 673.15 SF 0.00 0.70 471.21
(2 coats)
Paint baseboard - two coats 64.91 LF 0.00 0.99 64.26
Paint door slab only - 2 coats (per side) 6.00 EA 0.00 21.76 130.56
Paint door/window trim & jamb - 2 coats 4.00 EA 0.00 21.71 86.84
(per side)
Totals: 210 Bed
IZ 4I-6 -17 6
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i
1,567.86
210 LivRm Height: 8'
366.80 SF Walls
512.97 SF Walls & Ceiling
16.24 SY Flooring
45.85 LF Ceil. Perimeter
146.17 SF Ceiling
146.17 SF Floor
45.85 LF Floor Perimeter
Missing Wall 3' 4" X 8' Opens into DEF_210_ENTR
DESCRIPTION QNTY REMOVE REPLACE TOTAL
Seal stud wall for odor control
MG-BLVD-C-210-FIRE
659.14 SF 0.00 0.63 415.26
5/20/2014 Page: 5
BELFOR 10) Belfor Property Restoration
PROPERTTRESTORATION
4320 South 131st Place, Suite #100
Seattle, WA 98103
DESCRIPTION
CONTINUED - 210 LivRm
QNTY
REMOVE
REPLACE TOTAL
Seal the walls and ceiling w/latex based stain
blocker - one coat
Seal/prime then paint the walls and ceiling
(2 coats)
Paint baseboard - two coats
512.97 SF
512.97 SF
45.85 LF
0.00
0.00
0.00
0.44
0.70
0.99
225.71
359.08
45.39
Totals: 210 LivRm
1,045.44
Total: 2nd Floor
5,031.67
Line Item Totals: MG-BLVD-C-210-FIRE
Grand Total Areas:
1,717.93 SF Walls
470.55 SF Floor
0.00 SF Long Wall
470.55 Floor Area
805.63 Exterior Wall Area
0.00 Surface Area
0.00 Total Ridge Length
MG-BLVD-C-210-FIRE
470.55 SF Ceiling
52.28 SY Flooring
0.00 SF Short Wall
525.46 Total Area
91.74 Exterior Perimeter of
Walls
0.00 Number of Squares
0.00 Total Hip Length
5,031.67
2,188.48 SF Walls and Ceiling
219.38 LF Floor Perimeter
233.78 LF Ceil. Perimeter
1,717.93 Interior Wall Area
0.00 Total Perimeter Length
5/20/2014 Page: 6
BELFOR (.) Belfor Property Restoration
PNO/ENTIMESTONATION
4320 South 131st Place, Suite #100
Seattle, WA 98103
Summary
Line Item Total 5,031.67
Replacement Cost Value
Net Claim
Ted Sitterley
MG-BLVD-C-210-FIRE
$5,031.67
$5,031.67
5/20/2014 Page: 7
BELFOR (.) Belfor Property Restoration
PROPERTTRE$TORATIOR
4320 South 131st Place, Suite #100
Seattle, WA 98103
Recap by Room
Estimate: MG-BLVD-C-210-FIRE
Area: 2nd Floor
210 Kit 562.02 11.17%
210 Bath 592.15 11.77%
210 H2O 388.98 7.73%
210 Entry 875.22 17.39%
210 Bed 1,567.86 31.16%
210 LivRm 1,045.44 20.78%
Area Subtotal: 2nd Floor
Subtotal of Areas
Total
MG-BLVD-C-210-FIRE
5,031.67 100.00%
5,031.67 100.00%
5,031.67 100.00%
5/20/2014 Page: 8
BELFOR (.) Belfor Property Restoration
PROPERTTRESTORAT10N
Items
4320 South 131st Place, Suite #100
Seattle, WA 98103
Recap by Category
Total %
PAINTING
Subtotal
MG-BLVD-C-210-FIRE
5,031.67 100.00%
5,031.67 100.00%
5/20/2014 Page: 9
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