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Home My WebLink AboutPermit D15-0271 - SAPPHIRE HOMES - SINGLE FAMILY RESIDENCE DEMOLITIONSAPPHIRE HOMES INC - DEMO 13418 MILITARY RD, S D15-0271 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: 7346600116 Permit Number: D15-0271 Address: 13418 MILITARY RD S Issue Date: 10/28/2015 Permit Expires On: 4/25/2016 Project Name: SAPPHIRE HOMES INC - DEMO Owner: Name: MINNS DONALD Address: PO BOX 33710 C/O OHANA FIDUCIARY CORP, SEATTLE, WA, 98133 Contact Person: Name: TROY SCHMEIL Phone: (425) 818-8829 Address: 16834 SE 43RD ST, BELLEVUE, WA, 98006 Contractor: Name: CALLIDUS DEVELOPMENT INC Phone: (425) 818-8829 Address: 16834 SE 43RD ST, BELLEVUE, WA, 98006-8992 License No: CALLID1881MZ Expiration Date: 7/8/2016 Lender: Name: SOUND COMMUNITY BANK Address: 2001 FIFTH AVE, SEATTLE, WA, 98121 DESCRIPTION OF WORK: DEMO EXISTING HOUSE TO CONSTRUCT NEW 2671 SQ FT HOME. WATER DIST. 125 & VALLEY VIEW SEWER DISTRICT. Project Valuation: $10,000.00 Fees Collected: $741.22 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Occupancy per IBC: R-3 Electrical Service Provided by: TUKWILA FIRE SERVICE Water District: 125 Sewer District: VALLEY VIEW SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No Permit Center Authorized Signature: Date: I hearby 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 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: Print Name: lr This permit shall become nul 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: 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. 3: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 4: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206-431-3670). 5: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 6: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 7: ***PUBLIC WORKS PERMIT CONDITIONS*** 8: The applicant or contractor must notify the Public Works Inspector at (206) 433-0179 upon commencement and completion of work at least 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. 9: Permit is valid between the weekday hours of 7:00 a.m. and 10:00 p.m. only. Coordinate with the Public Works Inspector for any work after 5:00 p.m. and weekends. 10: Any material spilled onto any street shall be cleaned up immediately. 11: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site or into existing drainage facilities. 12: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 13: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. 14: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction approval. 15: CONTRACTOR SHALL OBTAIN A SEPARATE SEWER CAPPING PERMIT FROM VALLEY VIEW SEWER DISTRICT AND WATER CAPPING PERMIT FROM WATER DISTRICT #125. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL" 5200 EROSION MEASURES 5210 EROSION MEASURES FNL 0101 PRE -CONSTRUCTION 1600 PUBLIC WORKS FINAL 5160 PUBLIC WORKS PRE -CON CITY OF TUKWILA Community Development Department ' Public Works Department • Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwi]aWA.Izov Building Permit No. Oa7 Project No. Date Application Accepted:�3 Date Application Expires: Q dAL use CONSTRUCTION PERMIT APPLICATION � d eVn D 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 King Co Assessor's Tax No.: 7346600116 Site Address: 13418 Military Rd S. Tukwila, WA Suite Number: Floor: Tenant Name: New Tenant: ❑ .....Yes m ..No PROPERTY OWNER Name: Sapphire Homes Inc. Address: 16834 SE 43rd St City: Bellevue State: WA Zip: 98006 CONTACT PERSON — person receiving all project communication Name: Troy Schmeil Address: 16834 SE 43rd St City: Bellevue State: WA Zip: 98006 Phone: (425) 818-8829 Fax: Email: callidusland@comcast.net GENERAL CONTRACTOR INFORMATION Company Name: Sapphire Homes, Inc. Address: 16834 SE 43rd St City: Bellevue State: WA Zip: 98006 Phone: (425) 818-8829 Fax: Contr Reg No.: SAPPHHI867RH Exp Date: 12/08/2016 Tukwila Business License No.: BUS-0995576 ARCHITECT OF RECORD Company Name: Nash & Associates Architects Architect Name: Mike Johnson Address: 11644 NE 80th St. City: Kirkland State: WA Zip: 98033 Phone: (425) 828-4117 Fax: Email: mjhnsnwy@hotmail.com ENGINEER OF RECORD Company Name: PBG, LLC Engineer Name: Han Phan Address: 5130 S. 166th Lane City: Seatac State: WA Zip: 98188 Phone: (206) 446-1292 Fax: Email: pbg.engr@yahoo.com LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: Sound Community Bank - David Sharon Address: 2001 Fifth Avenue City: Seattle State: WA Zip: 98121 HAApplications\Forms-Applications On Line\2011 ApplicationsTermit Application Revised - 8-9-I Ldocx Revised: August 2011 bb Page 1 of 4 BUILDING PERMIT INFORMATION - 206-431-3670 Valuation of Project (contractor's bid price): $ /yi UtU =' Existing Building Valuation: Describe the scope of work (please provide detailed information): Demo existing house to construction new 2671 square foot home. 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 V Floor 2" Floor 3" Floor Floors thru Basement / J0 Accessory Structure* Attached Garage Detached Garage 3D 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? El ....... Yes ❑....... 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 8-112" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ .......On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Forme-Applications On Line\2011 Applications\Permit Application Revised - 8-9-1 I.docx Revised: August 2011 Page 2 of 4 bh PUBLIC WORKS PERMIT INFORMATION - 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 X. Water District # 125 ❑ .. Highline ❑ .. Renton m ... Water Availability Provided Sewer District ❑ ...Tukwila m ... Valley View ❑ .. Renton ❑ .. Seattle ❑ ...Sewer Use Certificate m ... Sewer Availability Provided Septic System: ❑ 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 Auplication (mark boxes which am ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report El... Traffic Impact Analysis ❑ ...Bond ❑ .. Insurance El.. 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 - Profit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ .. Right-of-way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way ❑ Non Right-of-way ❑ ❑ ...Total Cut cubic yards ❑ ...Total Fill cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities ❑ ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor ❑ .. Curb Cut ❑ .. Channelization ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size.. WO # ❑ ...Water Only Meter Size............ WO # ❑ ...Sewer Main Extension.............Public ❑ Private ❑ ❑ ... Water Main Extension.............Public ❑ Private ❑ FINANCE INFORMATION Fire Line Size at Property Line ❑ ... Water ❑ ...Sewer Monthly Service Billine to ❑... Deduct Water Meter Size Number of Public Fire Hydrant(s) ❑ ...Sewage Treatment Name: Sapphire Homes, Inc. Day Telephone: (425) 818-8829 Mailing Address: 16834 SE 43rd St Bellevue WA 98006 City State Zip Water Meter RefundBillini?: Name: Sapphire Homes, Inc. Day Telephone: (425) 818-8829 Mailing Address: 16834 SE 43rd St Bellevue WA 98006 City State Zip H:\Applications\Form -Applications On Line\2011 ApplicationsTerruit Application Revised - 8-9-ILdocx Revised: August 2011 bh 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR Print Name: Trdy Schmeil Mailing Address: 16834 SE 43rd St Date:�� Z Day Telephone: (425) 818-8829 Bellevue WA 98006 City State Zip H:\Applications\Forms-Applications On Line\2011 ApplicationsTermit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 4 of 4 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $555.12 D15-0271 Address: 13418 MILITARY RD S Apn: 7346600116 $555.12 DEVELOPMENT $290.80 PERMIT FEE R000.322.100.00.00 0.00 $286.30 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 PUBLIC WORKS $250.00 BASE APPLICATION FEE R000.322.100.00.00 0.00 $250.00 TECHNOLOGY FEE $14.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT:R6522 R000.322.900.04.00 0.00 $14.32 $555.12 Date Paid: Wednesday, October 28, 2015 Paid By: SAPPHIRE HOMES Pay Method: CHECK 2255 Printed: Wednesday, October 28, 2015 10:49 AM 1 of 1 l!TT"f srsreanS DESCRIPTIONS PermitTRAK QUANTITY PAID $2,588.57 D15-0271 Address: 13418 MILITARY RD S Apn: 7346600116 $186.10 DEVELOPMENT $186.10 PLAN CHECK FEE R000.345.830.00.00 0.00 $186.10 D15-0272 Address: 13418 MILITARY RD S Apn: 7346600116 $2,402.47 DEVELOPMENT $2,402.47 PLAN CHECK FEE RECEIPT:TOTAL FEES PAID BY •.4 R000.345.830.00.00 0.00 $2,402.47 Date Paid: Tuesday, October 13, 2015 Paid By: SAPPHIRE HOMES INC Pay Method: CHECK 2226 Printed: Tuesday, October 13, 2015 2:19 PM 1 of 1 L1 L, Lil"5Y57EM5 INSPECTION RECORD Retain a copy with permit IN PEC ION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: J , ��. -� Typ of I spect'o ur �. Addr s Date Ca d: Special Instructions: , Date Wanted: / a.'m. Reque er: Phone No: Inspector: Date: !L IT-16 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. D T_ 1)z7 o-- INSPECTION RECORD D�> D�' Retain a copy with permit aNI0ENN 0PERMIT No. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. DNA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 Pr ject: c Type ectioFr Addr s: Lr �Gi (� t ary 4 Date Call . If Special Instructions: /C} Date Wan ell: a.m. p.m. Requester: Phone No: ® Approved per applicable codes. OCorrections required prior to approval. COMMENTS: Lk LA9 VU31 b E KXJ Ide, / � rezilt a V - — l r� Inspector: Dat—7 e— REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD ' Retain a copy with permit 2,7 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Proj ct: Ty a of Inspection: Addre � � D toCalfed: Special instructions: 644 Date Wanted: 30 a.m Q._ Re qjuesterc i✓f i°1`'' Phone N 5T Approved per applicable codes. C� Corrections required prior to approval. C /d/-310/1 El REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. A-T ARBEST0 UST, o� Ma 1429Ave. D. #187, Snohomish, WA 98290 425-189-40d 0; c 206-91 d-5500; f 775-665-0420 wit1w.ns6esioiesi.ram; nrlvnma.nsbesiolesr.com ASBESTOS SURVEY 13418 Military Rd, S., Tukwila, WA 98168 Page I of 8 August 20, 2015 2150828 Sapphire Homes NW 16834 SE 43rd St. Bellevue, WA 98006 425-818-8829;206-954-4945 Attn: Troy Schmeil call id uslandCa)comcast.net REVIEWED FOR CODE COMPLIANCE APPROVED OCT 21 2015 City of Tukwila BUILDING DIVISION On August 12, 2015, Asbesto-Test personnel conducted an Asbestos survey (per U.S.E.P.A./A.H.E.RA. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State) of the house & garage (a),13418 Military Rd, S., Tukwila King County, Washington 98168. This survey purpose is to identify asbestos containing materials, prior to demolition. NARRATIVE OF FINDINGS BASIC CONSTRUCTION: The house is two story wood frame on a concrete basement. The siding is concrete asbestos board. The roofing is composition. The siding and roofing materials were sampled. INTERIOR CONSTRUCTION, FINISHES, AN FLOORINGS: The interior construction is wood and drywall. The drywall/taping materials were sampled. The misc. mastic materials were sampled. The tile and vinyl floorings with relating backing and mastic materials were also sampled. INSULATION: The insulation was sampled. F C. \- i °! D CITY OF TUKWILA PERMIT CENTER continue to page 2 BBB i o' Page 2 of 8 August 20, 2015 CB2150828 Asbesto-Test, Inc. 425-489-4040 13418 Military Rd, S., Tukwila, WA 98168 ELECTRICAL SYSTEM: The electrical wiring insulation did not appear to be the kind to be ACM. The power may have been "on" at the time of the inspection, thus sampling was not safe. Any suspect electrical wiring insulation or any suspect TSI (Thermal System Insulation) found in, around, or behind any located fuse or breaker boxes should be considered to be ACM (Asbestos Containing Material), unless determined otherwise by laboratory analysis. HEATING AND VENTILATION SYSTEM: Heating throughout is baseboard / wall electric. There was no visible suspect ACM located associated with any of the electric heating units. It was not possible to dismantle the electric heating units to locate and/or evaluate any additional suspect ACM which may be concealed, inside the units, or associated in hidden areas. It is our opinion any further handling of the heating units should be coordinated by the project manager and/or abatement contractor. If any additional relating suspect ACM is located prior to and/or during any demolition or renovation, those materials are PACM (Presumed Asbestos Containing Material), unless determined to be otherwise by laboratory analysis. MISC.: The window glazing materials were sampled. ADDITIONAL STRUCTURES ON SITE INCLUDED IN SURVEY: The garage is adjacent to the house. The structure is wood frame. The siding is also Concrete Asbestos Board. The siding and roofing materials were sampled. # of structures included in survey: one !rouse Requested by: Troy Schmeil � �ct'titir.tts� nt � ntnUtt>isq��-•� C,I "t a. Carl Dykstra Inspector, certified A.H.E.R.A. Accred. #146955 EXP. May 12, 2016 continue to page 3 B ; 1429 ne.0 NJ�87 SnohiInfish, WA 98290 .. 425 4404Q c 201-914 5500; /'775 665-0420 WWII,.0$b slbtest @oFn^0 m�!a70.che,totesY.conr Page 3 of 8 CB2150828 August 20, 201 S Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, King County, Washineton 98168 Any and all materials identified as ACM or PACM in this report (and/or additional materials associated with the structure that may be discovered and later identified as ACM or PACM), must be professionally abated prior to demolition. ASSESSMENT AND QUANTIFICATION OF ACM FOR ABATEMENT PURPOSES AND/OR PRICING FOR REMOVAL SHOULD BE DETERMINED BY ON SITE EVALUATION, AS LISTED QUANTITIES ARE NOT GUARANTEED AND ARE AN APPROXIMATION ONLY. SAMPLES 1-8 ARE ASBESTOS CONTAINING MATERIALS except those materials listed as "NAD" ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL 1.0 CAB EXTERIOR SIDING yes H chrysotile // 18% non -fibrous materials Concrete Asbestos Board ACM FRIABLE FOR DEMOLITION PURPOSES APPROX. 2400 SQ. FT. ON HOUSE APPROX. 600 SQ. FT. ON GARAGE BASEMENT: 2.0 FLUE MORTAR PACKING yes H chrysotile H 2% non -fibrous materials NON -FRIABLE ACM CIRCLE OF PACKING MATERIAL FROM AROUND ABANDONED FLUE OPENING LESS THAN 1 SQ. FT. 3.0 FLOOR TILE yes H chrysotile H 2% TILE IS NON -FRIABLE ACM BATHROOM — COLOR: YELLOWISH TAN APPROX. 30 SQ. FT. 4.0 mastic beneath previous sample listed NAD non -fibrous materials cellulose, adhesive 5.0 MASTIC yes // chrysotile H 2% adhesive, cellulose MASTIC IS NON -FRIABLE ACM THROUGHOUT BASEMENT ON ORIGINAL CONCRETE FLOOR -HIT AND MISS — COLOR: BLACK ON CONCRETE QUANTITIES OF ASBESTOS CONTAINING MATERIAL (FOR ABATEMENT ASSESSMENT AND/OR PRICING FOR REMOVAL) SHOULD BE DETERMINED BY ON SITE EVALUATION. continue to page 4 .a BBB ,o . CD 1429Are. D. 4187, Snohomish, WA 98290 425-489-4040; c 206-914-SSOO;.f775-665-0420 ivsrsv.asbesmtert corer; arlynn!a_.a•ebee'loresl.Cnnr Page 4 of 8 CB2150828 August 20, 2015 Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, Kine County, Washington 98168 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL UPPER LEVEL: 6.0 FLOOR TILE yes H chrysotile H 2% non -fibrous materials NON -FRIABLE ACM KITCHEN 2ND LAYER -ALSO IN BOTH BEDROOMS (PAINTED WHITE) & HALL -COLOR: BLUE 7.0 FLOOR TILE yes H chrysotile // 2% non -fibrous materials NON -FRIABLE ACM BATHROOM — COLOR: OFF WHITE 8.0 BLACK MASTIC yes // chrysotile H 2% adhesive, cellulose NON -FRIABLE ACM HOLDING PREVIOUS FLOOR TILE SAMPLES THROUGHOUT MAIN FLOOR — COLOR: BLACK APPROX. 725 TOTAL SQ. FT. ACM FLOOR TILE AND/OR MASTIC ON WOOD NOTE: ANY ADDITIONAL COLORS OR KINDS OF VINYL FLOORING AND/OR TILE WITH ANY RELATING MASTICS/BACKINGS THAT WERE NOT DISCOVERED IN THIS SURVEY AND MAY LATER BE LOCATED IN THIS STRUCTURE ARE ALSO PRESUMED TO CONTAIN ASBESTOS UNLESS TESTED OTHERWISE BY LABORATORY ANALYSIS THERE WAS NO ASBESTOS DETECTED IN ANY OF THE REMAINING SAMPLES BASEMENT: 9.0 linoleum flooring NAD non -fibrous materials, west bedroom — color: red cellulose, tar 10.0 mastic/backing beneath previous sample listed 11.0 drywall sample 1 IL I drywall taping compounds SAMPLED PER AHERA GUIDELINE NAD cellulose, tar NAD non -fibrous materials cellulose, fiberglass, paint, (gypsum) NAD non -fibrous materials, cellulose, fiberglass continue to page 5 CED 1429Ane. D. 9187, Snohomish, WA 98290 425-489-4040, c 206-914-5500r j775-665-0420 wwiv.asbestou•s7com; arlvnnaovhcslorestcom .=rEPA a. 0 rrer.�.cn'c, t. r a Page 5 of 8 August 20, 2015 CB2150828 Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, King County, Washington 98168 ANALYSIS ID ASBESTOSUTYPEHOUANTITY OTHER MATERIAL 12.0 drywall NAD non -fibrous materials sample 2 cellulose, fiberglass, paint, (gypsum) 12.1 drywall taping compounds NAD non -fibrous materials, SAMPLED PER AHERA GUIDELINE cellulose, fiberglass 13.0 drywall NAD non -fibrous materials sample 3 cellulose, fiberglass, paint, (gypsum) 13.1 drywall taping compounds NAD non -fibrous materials, SAMPLED PER AHERA GUIDELINE cellulose, fiberglass UPPER LEVEL: 14.0 the flooring NAD non -fibrous materials kitchen surface layer — color: light & dark gray 15.0 mastic NAD adhesive beneath previous sample listed 16.0 the flooring NAD non -fibrous materials bathroom surface layer — color: olf white 17.0 mastic NAD adhesive beneath previous sample listed 18.0 mastic NAD adhesive, cellulose bathroom holding base cove 19.0 insulating material NAD non -fibrous materials, kitchen on underside of'sink cellulose, polymers 20.0 mastic NAD adhesive, cellulose kitchen holding laminate on countertop 21.0 the flooring NAD non -fibrous materials hall surface layer — color: off white 22.0 mastic NAD adhesive beneath previous sample listed continue to page 6 BBBCL41 �mrct.n�o:u.g A _'J' 1429 Ave. D. 9187, Snohomish, WA 98290 425-489-4040;c 206-914-5500;f775-665-0420 WWWasbesiotestcom; ar•linn(i;)achestaie.ct.cnnr f; Page 6 of 8 August 20, 2015 CB2150828 Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, King County, Washington 98168 ANALYSIS ID ASBESTOS//TYPE//QUANTITY OTHER MATERIAL 23.0 surface paint NAD non -fibrous materials, bedrooms cellulose 23.1 plaster surfacing NAD non -fibrous materials, bedrooms cellulose 23.2 plaster material 31 layer NAD non -fibrous materials, bedrooms cellulose 24.0 surface paint hall 24.1 plaster surfacing hall 24.2 plaster material 311 layer hall 25.0 surface paint bathroom 25.1 plaster surfacing bathroom 25.2 plaster material 31 layer bathroom 26.0 surface paint living room 26.1 plaster surfacing living room 26.2 plaster material 311 layer living room 27.0 surface paint dining room 27.1 plaster surfacing dining room 27.2 plaster material 31 layer dining room 28.0 surface paint kitchen 28.1 plaster surfacing kitchen 28.2 plaster material 31 layer kitchen 29.0 mastic bathroom holding wall panel BBB NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD non -fibrous materials, cellulose NAD continue to page 7 CE) /429Ave. D. #187, Snohomish, WA 98290 425-489-4040: c 206-9/4-5500:J775-665-0420 wiviv.ashestotest.rom: arlyml0al'hesti)1C5t Con! adhesive, cellulose c1, Page 7 o, f 8 August 20, 2015 CB2150828 Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, King Countv, Washington 98168 ANALYSIS ID ASBESTOSH/TYPEHOUANTITY OTHER MATERIAL COMMON AREAS: 30.0 insulation NAD cellulose, fiberglass color: black 31.0 vapor barrier NAD cellulose. tar material beneath siding exterior both house & garage 32.0 composition roofing NAD cellulose, tar, homogenous on both house & garage non -fibrous materials 33.0 vapor barrier . NAD cellulose, tar beneath composition roofing 34.0 mastic NAD cellulose, adhesive holding composition roofing 35.0 window glazing NAD non -fibrous materials, homogenous on both house & garage cellulose H=HOUSE, G=GARAGE NOT TO SCALE continue to page 8 BBB Ic CD 1419Ave. D. 1187, Snohomish, WA 98290 425-489-4040; c 206-914-5500; f775-665-0420 ivwwnsbestonsicom; arlvnMa7ashe.+'totesl.cnm Page 8 of 8 CB2150828 August 20, 2015 Asbesto-Test, Inc. 425-489-4040 13418 Military Road South, Tukwila, King County, Washington 98168 Samples taken are listed with their corresponding analyses. If asbestos is detected, those samples containing asbestos are listed first and noted with the initials 'ACM". Some sample analyses listed may be a representative analysis of individual and separate samplings and analysis of homogenous materials, as prescribed byA.H.E.R.A. guideline. If, during demolition or renovation, any additional suspect asbestos containing materials are located [may include but not limited to: sheet vinyl flooring, tile flooring, wall or ceiling texturings or paints, concrete siding or skirting, cement pipes, cement wallboard, electrical cloth, electrical wiring insulation, thermal paper, wallboard, joint compounds, vinyl wall coverings, spackling compounds, or any other suspect TSI (Thermal System Insulation)], those materials are presumed Asbestos Containing Materials unless determined to be non -asbestos by laboratory analysis. Asbesto-Test Inc. does not guarantee approximations of quantities of ACM, which may be listed with the analyses. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc.), or by on site assessment. Any and all materials identified as ACM and/or PACM in this report must be abated prior to disturbance in renovation or demolition. PLM (polarized light microscopy) has been known to miss asbestos in small percentages of some samples, which contain asbestos, thus negative PLM results cannot be guaranteed. Floor tiles and wipes should be tested with SEM (scanning electron microscope) or TEM (transmitting electron microscope), to insure analytical accuracy when asbestos is reported in small percentages Analytical test method.' USEPA 600/R93/1161' (PLM); WAC 296-62-07753 App. J "One percent is the USEPA regulatory limit for asbestos in bulk samples. Key: "FRIABLE" signifies "Easily Airborne" ACM signifies "Asbestos Containing Material" PACM signifies "Presumed Asbestos Containing Material" CAB signifies "Concrete Asbestos Board" < signifies "less than" TSI signifies "Thermal System Insulation" HVAC signifies -Heating Ventilating Air -Conditioning" NAD signifies "No Asbestos Detected" END OF REPORT ArLynn Hammond, Pres., BSc. Analytical Chemist, AIHA proficient Inspector, certified A.H.E.R.A. accred.#152486 (Expires July 28, 2016) B CD 1429Aye. D. 9187, Snohomish, WA 98290 425-489-4040: c 206-914-5500; f 775-665-0420 wlyw.asbeslotesrcom; arlymrrLUashe.sioie.si.conl 9/29/2015 Approved Transaction pscleanai'.€)rg Puget Sound Clean Air Agency Notification Amendment ##: 201503883-2 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site (Reg III, 4.03(a)(6)). Fee Amount Paid $20.00 Credit Card Transaction # ASOFD81A2ADS Transaction Date 09/29/15 Owner's Name Sapphire Homes NW Project Street Address 13418 Military Rd.,S. City Tukwila Contact Person Andrew R. Mailing Address 16834 SE 43rd St. Bellevue, WA Phone (425) 818-8829 Zip 98168 Phone (425) 818-8829 This project includes asbestos removal. Project Size linear feet / 2255 square feet Project Start Date 09/24/15 Completion Date 09/29/15 Asbestos will be removed by a licensed asbestos abatement contractor r{ tvJa Contractor One Step Environmental Abatement LLC n actor Job # 1387 Contact Turbo Phone (206) 228-4290 Mailing Address 18412 4th Ave S. Seattle, WA 98148 This project includes a demolition. Demolition Start Date 09/30/15 Completion Date 12/30/15 Demolition will be completed by a demolition contractor Demo Contractor Watreson Escavating Contact Larry Mailing Address Contractor Job Phone (253) 217-9869 By submitting this Amendment: (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand the fees for this Amendment are nonrefundable. Create Another Notification View History If you have questions, contact us at asbestos@pscleanair.org or 206,689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx ♦< i T,Jr''-IWILA OCT 13 2015 `ERMIT CENTER .0 Nei I Ill City of Tukwila Allan Ekbere. Mavor Department of Community Development Jack Pace, Director 3/l/2016 TROY SCHMEIL 16834 SE 43RD ST BELLEVUE, WA 98006 RE: Permit No. D15-0271 SAPPHIRE HOMES INC - DEMO 13418 MILITARY RD S Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 4/27/2016. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 4/27/2016, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: D15-0271 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 e Fax 206-431-3665 HERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D15-0271 DATE: 10/15/15 PROJECT NAME: SAPPHIRE HOMES INC '' DeKb SITE ADDRESS: 13418 MILITARY RD S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: R3 "ID hm NIA lb�u I0 vL 4-P 10-13--15— Building Division ® Fire Prevention Planning Division DW Wo ION q Public Works 9 Structural ❑ Permit Coordinator ❑ PRELIMINARY REVIEW: DATE: 10/15/15 Not Applicable ❑ Structural Review Required ❑ (no approvallreview required) REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 11/12/15 Approved ❑ Approved with Conditions ❑ Corrections Required ❑ (corrections entered in Reviews) Notation: REVIEWER'S INITIALS: Denied ❑ (ie: Zoning Issues) DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 12/18/2013 CALLIDUS DEVELOPMENT INC Page 1 of 2 Flume hliciu en ESP3601 Contact. Safety Claims & Insurance Washington State Department of Labor & Industries CALLIDUS DEVELOPMENT INC Owner or tradesperson 16834 SE 43RD ST BELLEVUE, WA 98006 Principals 425-818-8829 SCHMEIL, TROY JOHN, PRESIDENT KING County SCHMEIL, ANGELA MARIE, SECRETARY Doing business as CALLIDUS DEVELOPMENT INC WA UBI No. Business type 602 406 904 Corporation Governing persons ANGELA Search i_&I � A-% Index Help My Secure L&I Workplace Rights Trades & Licensing SCHMEIL TROY SCHMEIL; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. .............................................................. I........... Meets current requirements. License specialties GENERAL License no. CALLID1881 MZ Effective — expiration 07/09/2012— 07/09/2016 Bond ................. Wesco Insurance Co $12,000.00 Bond account no. 46WB000496 Received by L&I Effective date 07/09/2012 07/09/2012 Expiration date Until Canceled Insurance ...................... Western Pacific Mutual Ins Co $2,000,000.00 Policy no. WPGL4600056615 Received by L&I Effective date 10/02/2015 10/01/2015 Expiration date 10/01/2016 Insurance history Savings ...................... No savings accounts during the previous 6 year period. Lawsuits against the bond or savings https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602406904&LIC=CALLIDI881MZ&SAW= 10/28/2015 r Found 1-1/2" pi (no #) -r j \\ cross walk wv 37 NOTES: 1. The location of utilities as shown serving the subject property have been taken from public records. We cannot certify to their accuracy and/or completeness. Before commencing construction involving excavation or removal of existing structures, call a locating service or 811 for underground utility locations. 2. Field data for this survey was obtained by direct field measurements. Angular and linear relationships were measured with a Topcon GTS225 theodolite and electronic measuring device, supplemented by a steel tape. Traverse methods used in performing this survey meets or exceeds the standards contained in WAC 332-130-090. 3. This survey has been prepared for the exclusive use of parties whose names appear hereon only, and does not extend to any unnamed third parties without express recertification by the land surveyor. 4. Contours as shown have been interpolated between spot elevations, actual ground surface may vary. 5. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A CURRENT TITLE REPORT AND THEREFORE DOES NOT PURPORT TO SHOW ALL EASEMENTS, COVENANTS, CONDITIONS OR RESTRICTION, IF ANY. LEGAL DESCRIPTION PARCEL A OF CITY OF TUKWILA SHORT PLAT NO. 1-11-035, RECORDED UNDER KING COUNTY LEGEND RECORDING NUMBER 20120209900004, RECORDS OF KING COUNTY, WASHINGTON. ® Concrete Monument in Case BASIS OF BEARING X>; Tack in Lead or Nail & Disk BASIS OF BEARING FOR SURVEY IS RECORD OF O Set rebar w/cap #23604 SURVEY VOL. 192, PAGE 084, RECORDED UNDER O Found pipe or rebar KING COUNTY RECORDING NUMBER 20050826900007, RECORDS OF KING COUNTY, Hydrant WASHINGTON. Power pole BASIS OF ELEVATION o Catch Basin BASIS OF ELEVATION IS CITY OF SEATAC HORIZONTAL CONTROL #3457; TACK IN LEAD IN WV Water Valve CONCRETE MONUMENT IN CASE AT THE INTERSECTION OD S. 136TH ST & 32ND AVE S; sewer manhole ELEVATION = 340.66 FEET NAVD88 wM water meter inv=(12"(E)=346.9' REVISIONS No changes shall bO- made% to the scope of work withow, prior C pproval of Tukv,11ifa Eluildin n;vi.^1,•1. HOTS: will suhmitt=�l J r ny ir,'�.r'o---Cs �._._I OCT OCT 21 2015 City of Tukwila PUBLIC Works ,ww — /41 l (Ro S1o� 4tjTlu C FILE Copy Permit. t4o........d Plan review EPPru"I is subject to errors and om ssions. Approval ro r:onstruction documents does not authorize the violation of any adopted code or ordinance. Receipt Of approved Field Copy dit and co ions is knowledged: Date: City Of Tukwila BUILDING DIVISION cr- P�"�;,^artical y_! 7bing /,",o Piping t , Awifa//'�l' IVED OF T' ,,, ur•.Wl OCT 1 3 2015 CENTEI A REWE" CODE CO! APPIR OCT 2 Ili p-J City Of" BUILDING it SURVEY FOR: CALLOUS DEVELOPMENT, INC 16834 SE 43RD ST BELLEVUE, WA 98006 x TE 2 /24 SCALE 1 " = 20' SHEET 1 OF 1