HomeMy WebLinkAboutPermit D17-0164 - CARY LANG CONSTRUCTION - HOUSE DEMOLITIONCARY LANG
DEMOLITION
5230 S 137 ST
D17-0164
Parcel No:
Address:
�l
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.Rov
DEVELOPMENT PERMIT
0003000099 Permit Number: D17-0164
5230 S 137TH ST
Project Name: CARY LANG - DEMOLITION
Issue Date: 7/11/2017
Permit Expires On: 1/7/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KLUE E
5230 S 137TH ST , SEATTLE, WA, 98168
CARY LANG
29815 24 AVE SW , FEDERAL WAY,
WA, 98023
CARY LANG CONSTRUCTION INC
29815 24TH AVE SW , FEDERAL WAY,
WA, 98023-2300
CARYLCI1010F
CARY LANG
29815 24 AVE SW , FEDERAL WAY,
WA, 98023
Phone: (206) 423-5055
Phone: (253) 661-6880
Expiration Date: 9/26/2018
DESCRIPTION OF WORK:
DEMO EXISTING HOME AND GARAGE
Project Valuation: $15,500.00
Type of Fire Protection: Sprinklers:
Fire Alarm:
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $946.45
Occupancy per IBC: R-3
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
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:
1
R—'1( Date:
1 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 agree to the conditions attached to this permit.
Signature: Date: 7`// /
Print Name: e4472- `) L -c Ce.wY, 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: 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: Sewer and water utilities shall be plugged at the mains if they are to be abandoned. If they will be used
again in the near future for a new building, they shall be capped at the property line and at the water meter
respectively.
14: Eastern half of site is in a mine hazard area on City's Sensitive Areas Map. Pursuant to TMC18.45.140, a
geotechnical report showing that significant risks associated with abandoned mine workings can be
eliminated or mitigated so that the site is safe is required prior to development (building permit issuance)
of the site. Director approval is required prior to building or land -altering activities. Additionally, owner
shall execute a Sensitive Areas Covenant and Hold Harmless Agreement running with the land with King
County Division of Records.
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
CITY OF TUKDJ A
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Building Permit No. b tTl - (p q
Project No.
Date Application Accepted: lD
Date Application Expires: D--)-1- ( 7
(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
Site Address:
Tenant Name:
in�oAssOspor's
Tax No.: / 0060 6636 ��S/ 3 7�
Suite
Number:
PROPERTY OWNER
Name: (?e L-44-j
1
Address: g 9/ /r ift jive, < ' -
7
Name:
Phone: 2v6--q�3,_505- ax:
City: State:
Address:
Phone: j41-/,/.Z3-�4 :
6c.A.)
City
State:
Zip:
ONTACT PERSON - person receiving all project
communication
Name: (?e L-44-j
1
Address: g 9/ /r ift jive, < ' -
7
Address:
Phone: 2v6--q�3,_505- ax:
City: State:
Zip:
Phone: j41-/,/.Z3-�4 :
6c.A.)
Email: t-Clr� /(/ cone -0 �01-0-vt-1-Z
Address:
GENERAL CONTRACTOR INFORMATION
Company Name: /r, Jf G � 1 pi-,,t_.
Address: g 9/ /r ift jive, < ' -
7
City: r'e0�f r"w /
State:_ Zip: 19,0
Phone: 2v6--q�3,_505- ax:
Contr R5WW) L G1 -.1.0,1 a rExp Date: GI/04IN.
Tukwila Business License No.:
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Floor:
New Tenant: ❑ Yes .. No
ARCHITECT OF RECORD
Name:
L
G
Company Name:
Address: 2q j
Architect Name:
'7:2_ , t
6c.A.)
Address:
Address:
Stater_
City:
tate:
City:
Phone:
tate:
Zip:
Phone:
/
Fax:
Email:
ENGINEER OF RECORD
Name:
L
G
Company Name:
Address: 2q j
Engineer Name:
'7:2_ , t
6c.A.)
Address:
tf^" [
Stater_
City:
tate:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name:
L
G
6
Address: 2q j
'7:2_ , t
6c.A.)
City: Ro6
tf^" [
Stater_
Zip:9i9a0✓
Page 1 of 4
BUILDING PERMIT INFORMATIO— 206-431-3670
Valuation of Project (contractor's bid price): $ (S� °
Describe the scope of work (please provide detailed information :
Existing Building Valuation: $
f,t e,e----&,-6( 3—e
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
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 ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 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
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
HAApplications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1st Floor
j 82-0
/ (,
rd Floor
3rd Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
9aD
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 ❑ No If "yes", explain:
FIRE PROTECTION/HAZARDOUS MATERIALS:
❑ Sprinklers 0 Automatic Fire Alarm 0 None 0 Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes 0 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
❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
HAApplications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of4
PUBLIC WORKS PERMIT INF
TION - 206-433-0179
Scope of Work (please provide detailed information):
p I~S ' o n ft eC. (' S_e (,1.A— T f
vt"�KIcJ'1"�jt`rvj
57-12uc7"t4.
Call before you Dig: 811
Please refer to Public Works Bulletin #1 for fees and estimate sheet.
Water District
❑ .. Tukwila ❑ ...Water District #125
❑ .. Water Availability Provided
Sewer District
❑ .. Tukwila
❑ .. Sewer Use Certificate
❑... Highline
❑ ...Valley View 0...Renton
❑ ...Sewer Availability Provided
0... Renton
0... Seattle
Septic 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):
0 .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage)
❑ .. Bond 0... Insurance 0... Easement(s)
Proposed Activities (mark boxes that apply):
0 .. Right-of-way Use - Nonprofit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance
El.. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way ❑
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
0 .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
El.. Traffic Control
❑ .. Backflow Prevention - Fire Protection
Irrigation
0... Geotechnical Report
0... Maintenance Agreement(s)
❑ .. Traffic Impact Analysis
❑ .. Hold Harmless — (SAO)
El.. Hold Harmless — (ROW)
El...Right-of-way Use - Profit for less than 72 hours
0...Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
❑... Storm Drainage
. Abandon Septic Tank
. Curb Cut
Pavement Cut
. Looped Fire Line
Domestic Water
0 .. Permanent Water Meter Size (1)
❑ .. Temporary Water Meter Size (1)
❑ .. Water Only Meter Size
❑ .. Sewer Main Extension Public
❑ .. Water Main Extension Public
33
37
WO #
WO #
WO #
Private 0
Private 0
0... Grease Interceptor
❑... Channelization
0... Trench Excavation
❑... Utility Undergrounding
(2) " WO # (3)
(2) " WO # (3)
❑ .. Deduct Water Meter Size
" WO#
" WO#
33
FINANCE INFORMATION
Fire Line Size at Property Line
Number of Public Fire Hydrant(s)
0 .. Water ❑ .. Sewer 0 .. Sewage Treatment
Monthly Service Billing to:
Name:
Mailing Address:
Day Telephone:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State
Zip
Day Telephone:
City
State
Zip
H:Wpplications\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 OWNS Oil AUp1,141ZED GFN
Signature:
Print Name:
Date:
672-
(94,1( 1,4,-./0- eve 1-71- ` Day Telephone:
Mailing Address: ` (2/ 6— 2- / t- &ii(?vet ( 14 99 e -3
City State Zip
H:Wpplicationaorms-Applications On Line\2012 Applications'Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 4 of 4
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
PROJECT NAME O, L -,A J G 1)6 yV\ o PERMIT # D1-7 f D / to 1-
5Zo S. /;--)141 )
If you do not provide contractor bids or an engineer's estimate with your permit
application, Public Works will review the cost estimates for reasonableness and may adjust
estimates.
1. APPLICATION BASE FEE
2. Enter total construction cost for each improvement category:
Mobilization
Erosion prevention
Water/Sewer/Surface Water
Road/Parking/Access
A. Total Improvements
$250 (1)
Soo
So a Wee
3. Calculate improvement -based fees:
B. 2.5% of first $100,000 of A.
C. 2.0% of amount over $1.00,000, but less than $200,000 of A.
D. 1.5% of amount over $200,000 of A.
4. TOTAL PLAN REVIEW FEE (B+C+D)
5. Enter total excavation volume
Enter total fill volume
cubic yards
cubic yards
/25-0
$ / 2 .-o-oo (4)
Use the following table to est' mate the grading plan review fee. Use the
greater of the excavation and fill volumes.
QUANTITY IN CUBIC
YARDS
RATE
Up to 50 CY
Free
51
–100
$23.50
101
– 1,000
$37.00
1,001
–10,000
$49.25
10,001
–100,000
$49.25 for 1S1 10,000,
PLUS $24.50 for each additional 10,000 or fraction thereof.
100,001 – 200,000
$269.75 for 1sT 100,000,
PLUS $13.25 for each additional 10,000 or fraction thereof.
200,001 or more
$402.25 for 1ST 200,000,
PLUS $7.25 for each additional 10,000 or fraction thereof.
GRADING Plan Review Fees
$ (5)
TOTAL PLAN REVIEW FEE DUE WITH PERMIT APPLICATION 5a
(1+4+5) $ 2 2 —
269-66—
The Plan Review and Approval fees cover TWO reviews: 1) the first review associated with the submission of the
application/plan and 2) a follow-up review associated with a correction letter. Each additional review, which is
attributable to the Applicant's action or inaction shall be charged 25% of the Total Plan Review Fee.
Approved 09.25.02
Last Revised 01/01/14
1
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
6. Permit Issuance/Inspection Fee (B+C+D)
?0
$ /2-
-e-oe- (6)
7. Pavement Mitigation Fee $ f (7)
The pavement mitigation fee compensates the City for the reduced life span due to removal of
roadway surfaces. The fee is based on the total square feet of impacted pavement per lane and
on the condition of the existing pavement. Use the following table and Bulletin 1B to estimate
the p
Approx.
Remaining Years
Pavement Overlay and
Repair Rate
(per SF of lane width)
20-15 (100%)
$10.00
15-10 (75%)
$7.50
10-7 (50%)
$5.00
7-5 (33%)
$3.30
5-2 (25%)
$2.50
2-1 (10%)
$1.00
0-1
$0.00
8. GRADING Permit Issuance/Inspection Fee
Grading Permit Fees are calculated using the following table. Use
the greater of the excavation and fill volumes from Item 5.
$ (8)
QUANTITY IN CUBIC
YARDS
RATE
50 or less
$23.50
51 —100
$37.00
101 —1,000
$37.00 for 1st 100 CY
plus $17.50 for each additional 100 or
fraction thereof.
1,001 — 10,000
$194.50 for 1st 1000 CY
plus $14.50 for each additional 1,000 or
fraction thereof.
10,001 — 100,000
$325.00 for the 1st 10,000 CY
plus $66.00 for each additional 10,000 or
fraction thereof
100,001 or more
$919.00 for 1st 100,000 CY
plus $36.50 for each additional 10,000 or
fraction thereof.
9. Technology Fee (5% of 6+8)
Approved 09.25.02
Last Revised 01/01/14
2
BULLETIN A2
TYPE C PERMIT FEE ESTIMATE
PLAN REVIEW AND APPROVAL FEES DUE WITH APPLICATION
PW may adjust estimated fees
10. TOTAL OTHER PERMITS
A. Water Meter — Deduct ($25)
B. Flood Control Zone ($52.50 — includes Technology Fee)
C. Water Meter — Permanent*
D. Water Meter — Water only*
E. Water Meter — Temporary*
* Refer to the Water Meter Fees in Bulletin Al
Total A through E $
0.00 (9)
11. ADDITIONAL FEES
A. Allentown Water (Ordinance 1777) $
B. Allentown Sewer (Ordinance 1777) $
C. Ryan Hill Water (Ordinance 1777) $
D. Allentown/Foster Pt Water (Ord 2177) $
E. Allentown/Foster Pt Sewer (Ord 2177) $
F. Special Connection (TMC Title 14) $
G. Duwamish $
H. Transportation Mitigation $
I. Other Fees $
Total A through I $ 0.00 (10)
DUE WHEN PERMIT IS ISSUED (6+7+8+9+10+11) $ /3 ---
ESTIMATED TOTAL PERMIT ISSUANCE AND INSPECTION FEE
This fee includes two inspection visits per required inspection. Additional inspections (visits)
attributable to the Permittee's action or inaction shall be charged $60.00 per inspection.
WATER METER FEE.
--, Permanent and Water Only Meters ,----
.-Size
Size
(inches)
Installation
\01.01.2014
Cascade Water Alliance
RCF2.
-12.31.201
!' Total Fee
0.75
$625
\ $6005,7-
$6630
1
$1125
$112.50
$16,137.50
1.5
$2425
/$30,023\
$32,450
2
$2825
Zr $48,040 \�
$50,865
3
$4425
/ $96,080
\$100,505
4
$7825 /
$150,125
$157950
6
$12525 /
$300,250
$312,775..
Approved 09.25.02
Last Revised 01/01/14
Temporary Meter
0.75"
$300
2.5"
$1,500
3
oktm
(/2g//7
Clear Form
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT I QUANTITY PAID
PermitTRAK $691.68
D17-0164 Address: 5230 S 137TH ST Apn: 0003000099 $691.68
DEVELOPMENT $396.46
PERMIT FEE
R000.322.100.00.00
0.00
$391.96
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
PUBLIC WORKS $275.00
BASE APPLICATION FEE
R000.322.100.00.00
0.00
$250.00
PERMIT ISSUANCE/INSPECTION FEE
R000.342.400.00.00
0.00
$12.50
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$12.50
TECHNOLOGY FEE $20.22
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11887
R000.322.900.04.00
0.00
$20.22
$691.68
Date Paid: Tuesday, July 11, 2017
Paid By: CARY LANG CONSTRUCTION INC
Pay Method: CHECK 24932
Printed: Tuesday, July 11, 2017 11:05 AM 1 of 1
I?ISYSTEMS
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT I QUANTITY I PAID
$16,251.05
D17-0096 Address: 13945 53RD AVE S
Apn: $15,996.28
1 INCH
$7,130.00
CONNECTION CHARGE
R401.379.002.00.00
0.00
$100.00
METER/INSTALL DEPOSIT
B401.245.100
0.00
$950.00
WATER METER PLAN REVIEW
R000.345.830.00.00
0.00
$10.00
WATER METER INSPECTION
R401.342.400.00.00
0.00
$15.00
WATER TURN -ON FEE
R401.343.405.00.00
0.00
$50.00
CASCADE WATER ALL-SPRINKLERED
B640.237.500
0.00
$6,005.00
DEVELOPMENT
$4,546.15
PERMIT FEE
R000.322.100.00.00
0.00
$4,541.65
WASHINGTON STATE SURCHARGE
8640.237.114
0.00
$4.50
IMPACT FEE
$2,348.00
FIRE
R304.345.852.00.00
0.00
$922.00
PARK
R104.345.851.00.00
0.00
$1,426.00
MECHANICAL
$189.00
PERMIT FEE COMBOSFR
R000.322.100.00.00
0.00
$189.00
PLUMBING
$252.00
PERMIT FEE COMBOSFR
R000.322.100.00.00
0.00
$252.00
PUBLIC WORKS
$1,274.88
PERMIT ISSUANCE/INSPECTION FEE
R000.342.400.00.00
0.00
$118.75
CONSTRUCTION PLAN REVIEW
R000.345.830.00.00
0.00
$118.75
GRADING PERMIT ISSUANCE
R000.342.400.00.00
0.00
$23.50
TRAFFIC IMPACT FEE
R104.345.840.00.00
0.00
$1,013.88
TECHNOLOGY FEE
$256.25
TECHNOLOGY FEE
R000.322.900.04.00
0.00
I $256.25
D17-0164 Address: 5230 S 137TH ST
Apn: 0003000099 $254.77
DEVELOPMENT
$254.77
PLAN CHECK FEE
TOTAL FEES PAID BY RECEIPT: R11765
R000.345.830.00.00 0.00 $254.77
$16,251.05
Date Paid: Wednesday, June 21, 2017
Paid By: CARY LANG CONSTRUCTION INC
Pay Method: CHECK 24871
Printed: Wednesday, June 21, 2017 8:49 AM 1 of 1
CSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
b17-01 (041
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:
o,-, y 1-1 KG—
Type of inspection:
U«D/W i H4L
Address:
5230 -5, 137m ca
Date Called:
Special Instructions:
Date Wanted:
1a—l51%
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Pi4A C) Li T-1) Fi Nit 1 --
Inspector:
Date:
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
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
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Project:
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Type of Inspection:
PPe ram .ev('MON
Address:
5230 .5, /37m
5
Date Called:
Special Instructions:
Date Wanted:a.m`
I2-12'7
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
7-/2 -17
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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TACOMA ABATEMENT COMPANY, LLC
Cary Lang Construction
SILL
REVIEWED FOR
CODE COMPLIANCE
APPROVED
'JUL 07 2017
City of Tukwila
BUILDING DIVISION
RE: 5230 S. 137th St, Tukwila, WA 98168
Good Faith Survey
RECEIVED
JUN 22 2017
TUKWILA
PUBLIC WORKS
June 20th, 2017
Tacoma Abatement Company LLC conducted a hazardous materials survey at 5230 S.
137th St, Tukwila, WA 98168, to determine the presence of asbestos -containing materials
prior to planned demolition. The intent of this investigation is to ensure that the owner is
in compliance with applicable regulatory requirements that a "good faith inspection" for
ACMs be performed prior to renovation, demolition, and remodel activities. .
Building Description:
The dwelling is a single family dwelling, which has one story with a partially finished
basement. The dwelling was built in 1902, and lists the square footage at 1,820. The
foundation is a combination of concrete block and poured concrete foundation. There are
two bedrooms, one upstairs and one downstairs. There is one bath on the main floor. The
exterior siding is brick veneer with interior wood stud walls. The roof structure is hand cut
stick framed roof with three tab shingles. The interior walls and ceilings were paneling
material throughout. The plumbing system was comprised of copper and cast iron. The
HVAC system is a gas style central fireplace with power vented blower motor. There was
no visible ductwork/duct tape on this system. The electrical panel was an updated romex
insulated style wiring and main panel assembly. There is a detached two car garage, which
was built with CMU block walls, and stick framed roof trusses. The roofing was a three tab
asphalt shingle.
Survey Process: On June 5th, this building was inspected by AHERA Certified Building
InspectorrMitch Eaden, (accreditation No. BI/R-NES-09-01-16-03) (Expires 9-1-17).
Accessible -areas were visited and samples were taken from all accessible areas throughout
the two floors of the building. Inaccessible spaces are defined as those requiring selective
demolition, fall protection or confined space entry protocols to gain access. All samples
were assigned a unique identification number and transmitted for analysis to Asbestos
Northwest, (NVLAP #200-993-0) under chain of custody protocols. Asbestos fOF 61e
CITY TUK ILA
t7, -o tay
JUN 212017
PERMIT CENTER
analyzed according to EPA Method 600/R-93/116 using Polarized Light Microscopy
(PLM), which has a reliable limit quantification of 1% asbestos by volume.
Suspect materials may exist in inaccessible areas encountered at the residence, such as
ceiling or wall cavities, or in interstitial spaces. Tacoma Abatement attempts to determine
the presence and estimate the condition of suspect materials in all accessible areas
included in the scope of work. There were no prior survey reports available or determined
Findings:
Asbestos Containing Materials (ACM)
None of the samples that were taken had any asbestos containing materials detected from
the lab analysis.
Refer to the attached PLM Asbestos Sample Inventory which lists the materials sampled
and determined to be non asbestos.
Mercury
There was a Mercury filled thermostat in the living room which should be properly
disposed of in accordance with Federal, State, and or Local laws and regulations.
Recommendations:
ACMs
No ACM materials were found during our hazardous materials survey. No Asbestos
abatement is required.
There is a possibility that exists that suspect ACM may be present in inaccessible areas of
the residence. Any suspect ACMs that may be encountered should be considered
asbestos -containing until properly sampled by an AHERA Certified Building Inspector.
Any ACMs that are to be impacted should be removed prior to construction activities or be
impacted by properly trained and protected personnel in accordance with all applicable
local, state, and federal regulations. A qualified asbestos abatement contractor licensed in
the State of Washington should be employed for any removal and proper disposal of ACM
in accordance with all applicable local, state, and federal regulations.
If you have any questions regarding this letter or require additional information, please
feel free to contact me.
Report Prepared By:
7YLct, J JL &tdiit
Mitchell Eaden
253-229-6391
meaden@tacomaabatement.com
AHERA Building Inspector #3508-15-09-25536
Exp. 9/1/2017
Asbestos Sample Results
sample #
Type
Location
Positive
Negative
Friable
1A
Trace Powdery
Material
Living Rm
ND
1B
Brown Wood
Living Rm
ND
2A
Beige Tile
Kitchen
ND
2B
Brown Tile
Kitchen
ND
• 2C
Black Mastic
Kitchen
ND
2D
Trace Black Fibrous
material w/mastic
Kitchen
ND
3A
Tan, Patterned Sheet
Vinyl
Master Bed
ND
3B
Black Fibrous material
with Mastic
Master Bed
ND
4A
Brown Sheet Vinyl
Family Room
ND
4B
Black Fibrous Material
w/Mastic
Family Room
ND
5A
Tan Sheet Vinyl
Living/Dining
ND
5B
Black Fibrous Material
w/ Mastic
Living/Dining
ND
6
Off White Brittle
Material
Kitchen Sink
ND
7A
Beige Ceramic Tile
Bath
ND
7B
Yellow Mastic
Bath
8A
Beige Ceramic Tile
Bath
ND
8B
Gray Brittle/Sandy
material
Bath
ND
9A
Black Asphaltic
Material w/Sand
Main House Roof
Shingle
ND
9B
Black Asphaltic fibrous
Material
Main House Roof Felt
ND
9C
Black Asphaltic fibrous
Material
Main House Roof Felt
ND
10A
Black Asphaltic
Material w/Sand
Detached Garage Roof
Shingle
ND
10B
Black Asphaltic fibrous
Material
Detached Garage Roof
Felt
ND
10C
Black Asphaltic fibrous
Material
Detached Garage Roof
Felt
ND
* ND - Denotes Non Detect of Asbestos Materials
NORTHWEST
30620 Pacific Hwy S, #I03,
Federal Way, WA 98003
(253) 941-4343
TESTING
NVLAP LAB CODE 200993-0
Enclosed please fmd the analytical report for one or more samples submitted for analysis by
Polarized Light Microscopy.
The six types of asbestos fibers are chrysotile, amosite, crocidolite, tremolite, anthophyllite
and actinolite. A sample which contains more than 1% asbestos is considered positive and
is defined by the EPA as an Asbestos Containing Material (ACM).
The samples were analyzed in accordance with EPA method 600/R-93/116 and 600/M4-82-020.
The analyst used a stereomicroscope to visually inspect the sample to determine homogeneity
and material descriptions. The sample was then viewed under the polarized light microscope to
determine the presence and percentage of asbestos and non -asbestos fibers.
After analysis is complete, all paperwork will be filed together, and kept in a secure locked filing
cabinet away from other clients and laboratory staff. Asbestos Northwest ensures that the files
will not be tampered with at any time, and will be removed from the filing cabinet only if the
client requests a modification on the report or re -analysis. If you have any concerns or
comments, feel free to contact Asbestos Northwest.
Thank you,
(AV
)91e -e-7
-These results are only applicable to the samples enclosed, and may not be reproduced, except in
full, without the approval of the laboratory. This report may not be used to claim product
certification, approval, or endorsement by NVLAP, NIST, or any agency of the U.S.
Government.-
Bulk Sample Log / Chain of CLAustBody 1.03 )_cas Nu}
Client Company: Tacoma Abatement Company, LLC LAB Job #: ()MI c0C
Client Address: 5111 S Burlington Wav
Tacoma, WA 98409
Phone #: (253) 830-5945
Fax #: (253) 383-1592
Report Results To: Mitch Eaden
At Phone #: (253) 229-6391
Fax Results: (253) 383-1592
Mail Hard Copy: 5111 S Burlingt n Wav
Tacoma, WA 98409
Email Coov To: meaden@tacomaabatement.com
Condition of Package:
# of Samples:
Job Name: LAf`l
Job Address: 5236 5, 3771491
TUe.cam
Type of Analysis (Check One)
ASBESTOS LEAD
0 PCM (air) 0 Paint
O Soil
tZt PLM (bulk) CI Dust/Wipe (area?)
O Air (volume?)
O TCLP
0: REGULAR CI RUSH
Good CD Damaged (No Spillage) El Severe Damage (Spillage)
Lab ID
Sample ID
Type
Location
1
' A ,
,
lElitielq 9.
VIA if/ too,
2
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3
/-
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'llovIze-1 chi".
5
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VIVA, RAI-
L=zkrx4b /1)=N to
6
ONLY if Sample # is Greater Than .01 f/cc
6101L. riti,aNt
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7
tAALf.— -ITLE
GerTrt
8
PLAR—
3141 -ft
9
10
11
12
13
14
gn
Date
Time
Sampled By"------
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Delivered By. ,tir
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Received By: (r" -
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Analyzed By:
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Special:
Read Abatement Sample #
ONLY if Sample # is Greater Than .01 f/cc
NORTHWEST
Asbestos Northwest, LLC
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175
TESTING
NVLAP LAB CODE 200993.0
Batch Number: 201711505
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Mitch Eaden
Tacoma Abatement Company LLC
5111 S Burlington Way Tacoma WA
Project: 5230 S 137th St Tukwila WA
Date Received: 6/5/2017
Date Analyzed: 6/5/2017
Samples Received: 8
Samples Analyzed: 8
Project #: Cary Lang
Client Sample
ID
Lab Sample ID
Layer
Description
Matrix
% Non -Asbestos
Fibers
% Asbestos Fibers
and Type
1
1
1
Trace powdery material
with paint
Binder/filler,
Paint
2% Cellulose
None Detected
2
Brown wood
Wood
Aggragates
None Detected
None Detected
2
2
•
1
Beige tile
Vinyl/binder,
Mineral grains
3% Cellulose
None Detected
2
Brown tileVinyl
binder,
Mineral grains
20% Cellulose
None Detected
3
Black mastic
Mastic/binder
5% Cellulose
None Detected
4
Trace black fibrous
material with mastic
Filler,
Mastic/binder
50% Cellulose
None Detected
3
3
1
Tan, patterned sheet
vinyl
Vinyl/binder
None detected
None Detected
2
Black fibrous material
with mastic
Filler,
Mastic/binder
60% Cellulose
None Detected
4
4
1
Brown sheet vinyl
Vinyl/binder
None detected
None Detected
2
Black fibrous material
with mastic
Filler,
Mastic/binder
60% Cellulose
None Detected
5
5
1
Tan sheet vinyl
Vinyl/binder
None detected
None Detected
2
Black fibrous material
with mastic
Filler,
Mastic/binder
60% Cellulose
None Detected
6
6
1
Off white brittle material
Binder/filler
20%
Cellulose/Talc/Wol
lastonite
None Detected
7
7
1
Beige ceramic tile
/1
Ceramic/binder
None Detected
None Detected
Analyzed by: Nancy Butler
Report Page 1 Reviewed by: Dan Lafley �` —
MOI THWEST
Asbestos Northwest, LLC
30620 Pacific Hwy S, #103, Federal Way, WA 98003
Ph: (253) 941-4343 Fax: (253) 941-4175
TESTING
NVLAP LAB CODE 200993-0
Batch Number: 201711505
PLM Analysis by EPA Method 600/M4-82-020 and 600/R-93/116
This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST, or any
agency of the U.S. Government.
Attn: Mitch Eaden
Tacoma Abatement Company LLC
5111 S Burlington Way Tacoma WA
Project: 5230 S 137th St Tukwila WA
Date Received: 6/5/2017
Date Analyzed: 6/5/2017
Samples Received: 8
Samples Analyzed: 8
Project #: Cary Lang
Client Sample
ID
Lab Sample ID
Layer
Description
Matrix
% Non -Asbestos
Fibers
% Asbestos Fibers
and Type
2
Yellow mastic
Mastic/binder
3% Cellulose
None Detected
8
8
1
Beige ceramic tile
Ceramic/binder
None Detected
None Detected
2
Gray brittle/sandy
material
Binder/filler,
Sands
5% Cellulose
None Detected
9
9
1
Black asphaltic material
with sand
Asphalt/binder,
Sand
20% Cellulose,
Glass fibers
None Detected
2
Black asphaltic fibrous
material
Asphalt/binder
20% Cellulose,
Glass fibers
None Detected
2
Black asphaltic fibrous
material
Asphalt/binder
70% Cellulose
None Detected
10
10
1
Black asphaltic material
with sand
Asphalt/binder,
Sand
20% Cellulose,
Glass fibers
None Detected
2
Black asphaltic fibrous
material
Asphalt/binder
20% Cellulose,
Glass fibers
None Detected
2
Brown asphaltic fibrous
material
Asphalt/binder
70% Cellulose
None Detected
Analyzed by: Nancy Butler41
Report Page 2 Reviewed by: Dan Lafley
12/1/2017
City of Tukwila
Department of Community Development
CARY LANG
2981524 AVE SW
FEDERAL WAY, WA 98023
RE: Permit No. D17-0164
CARY LANG - DEMOLITION
5230 S 137 ST
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
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 1/7/2018.
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 1/7/2018, 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,
Rachelle Ripley
Permit Technician
File No: D17-0164
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
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JOB N0.
R17770
ISSUE DATE
6-11-2017
DESIGNED BY:
DRAWN BY:
CHECKED BY:
PROD. MNGR:
D TRAN
D TRAN
H H. PHAN
H H. PHAN
LLC
lard Development and 09/1168699'9d5 Consultants
5130 South 166th lane
SeaTac, WA 98188
T (206) 229-6922
CARY LANG CONSTRUCTION
5230 S 137TH STREET
TUKWILA, WA 98168
DEMO SITE PLAN
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ISSUE DATE
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DESIGNED BY:
DRAWN BY:
CHECKED BY.
PROD. MNGR:
D TRAN
D TRAN
H H. PHAN
H H. PHAN
PBC*. LLO
Land Derebpment and 213 Englnecring CmsoIWnN
5130 South 166th Lane
SeaTac, WA 98188
T (206) 229-6422
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CARY LANG CONSTRUCTION
5230 S 137TH STREET
TUKWILA, WA 98168
DEMO SITE PLAN
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8: When special inspection is required, either the owner or the registered design professional in responsible
charge, shall employ a special inspection agency and notify the Building Official of the appointment prior to
the first building inspection. The special inspector shall furnish inspection reports to the Building Official in
a timely manner.
9: A final report documenting required special inspections and correction of any discrepancies noted in the
inspections shall be submitted to the Building Official. The final inspection report shall be prepared by the
approved special inspection agency and shall be submitted to the Building Official prior to and as a
condition of final inspection approval.
10: Subgrade preparation including drainage, excavation, compaction, and fill requirements shall conform
strictly with the recommendations given in the soils report. Special inspection is required.
11: All construction shall be done in conformance with the Washington State Building Code and the
Washington State Energy Code.
12: Notify the City of Tukwila Building Division prior to placing any concrete. This procedure is in addition to
any requirements for special inspection.
13: There shall be no occupancy of a building until final inspection has been completed and approved by
Tukwila building inspector. No exception.
14: 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.
15: 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).
16: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
17: Preparation before concrete placement: Water shall be removed from place of deposit before concrete is
placed unless a tremie is to be used or unless otherwise permitted by the building official. All debris and ice
shall be removed from spaces to be occupied by concrete.
18: 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.
19: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center (206/431-3670).
22: The total number of fire extinguishers required for an ordinary hazard occupancy with Class A fire hazards is
calculated at one extinguisher for each 1,500 sq. ft. of area. The extinguisher(s) should be of the "All
Purpose" (3A, 40B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (IFC
906.3) (NFPA 10, 5.4)
20: Portable fire extinguishers, not housed in cabinets, shall be installed on the hangers or brackets supplied.
Hangers or brackets shall be securely anchored to the mounting surface in accordance with the
manufacturer's installation instructions. Portable fire extinguishers having a gross weight not exceeding 40
pounds (18 kg) shall be installed so that its top is not more than 5 feet (1524 mm) above the floor. Hand-
held portable fire extinguishers having a gross weight exceeding 40 pounds (18 kg) shall be installed so that
its top is not more than 3.5 feet (1067 mm) above the floor. The clearance between the floor and the
bottom of the installed hand-held extinguishers shall not be less than 4 inches (102 mm). (IFC 906.7 and IFC
906.9)
21: Extinguishers shall be located in conspicuous locations where they will be readily accessible and
immediately available for use. These locations shall be along normal paths of travel, unless the fire code
official determines that the hazard posed indicates the need for placement away from normal paths of
travel. (IFC 906.5)
23: Maintain fire extinguisher coverage throughout.
24: Egress doors shall be readily openable from the egress side without the use of a key or special knowledge
or effort. (IFC 1008.1.8.3 subsection 2.2)
r •
25: Dead bolts are not allowed on auxiliary exit doors unless the dead bolt is automatically retracted when the
door handle is engaged from inside the tenant space. (IFC Chapter 10)
26: Exit hardware and marking shall meet the requirements of the International Fire Code. (IFC Chapter 10)
27: Door handles, pulls, latches, locks and other operating devices on doors required to be accessible by
Chapter 11 of the International Building Code shall not require tight grasping, tight pinching or twisting of
the wrist to operate. (IFC 1008.1.9.1)
28: Exits and exit access doors shall be marked by an approved exit sign readily visible from any direction of
egress travel. Access to exits shall be marked by readily visible exit signs in cases where the exit or the path
of egress travel is not immediately visible to the occupants. Exit sign placement shall be such that no point
in an exit access corridor is more than 100 feet (30,480 mm) or the listed viewing distance for the sign,
whichever is less, from the nearest visible exit sign. (IFC 1011.1)
29: Every exit sign and directional exit sign shall have plainly legible letters not less than 6 inches (152 mm) high
with the principal strokes of the letters not less than 0.75 inch (19.1 mm) wide. The word "EXIT" shall have
letters having a width not less than 2 inches (51 mm) wide except the letter "I", and the minimum spacing
between letters shall not be less than 0.375 inch (9.5 mm). Signs larger than the minimum established in
section 1011.5.1 of the International Fire Code shall have letter widths, strokes and spacing in proportion to
their height. The word "EXIT" shall be in high contrast with the background and shall be clearly discernible
when the exit sign illumination means is or is not energized. If an arrow is provided as part of the exit sign,
the construction shall be such that the arrow direction cannot be readily changed. (IFC 1011.6)
30: Aisles and aisle access ways serving as a portion of the exit access in the means of egress system shall
comply with the requirements of this section. Aisles or aisle access ways shall be provided from all
occupied portions of the exit access which contain seats, tables, furnishings, displays and similar fixtures or
equipment. The required width of aisles shall be unobstructed. (IFC 1017.1)
31: Exit signs shall be illuminated at all times. To ensure continued illumination for a duration of not less than
90 minutes in case of primary power loss, the sign illumination means shall be connected to an emergency
power system provided from storage batteries, unit equipment or on-site generator. (IFC 1011.6.3)
32: Emergency lighting facilities shall be arranged to provide initial illumination that is at least an average of 1
foot-candle (11 lux) and a minimum at any point of 0.1 foot-candle (1 lux) measured along the path of
egress at floor level. Illumination levels shall be permitted to decline to 0.6 foot-candle (6 lux) average and
a minimum at any point of 0.06 foot-candle (0.6 lux) at the end of the emergency lighting time duration. A
maximum -to -minimum illumination uniformity ratio of 40 to 1 shall not be exceeded. (IFC 1006.3.1)
36: Fire protection systems shall be maintained in accordance with the original installation standards for that
system. Required systems shall be extended, altered or augmented as necessary to maintain and continue
protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems
shall be done in accordance with applicable standards. (IFC 901.4)
34: Sprinklers shall be installed under fixed obstructions over 4 feet (1.2 m) wide. (NFPA 13-8.6.5.3.3)
33: All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department
review and approval of drawings prior to installation or modification. New sprinkler systems and all
modifications to sprinkler systems involving more than 50 heads shall have the written approval of Factory
Mutual or any fire protection engineer licensed by the State of Washington and approved by the Fire
Marshal prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence
without approved drawings. (City Ordinance No. 2436).
38: Maintain fire alarm system audible/visual notification. Addition/relocation of walls or partitions may
require relocation and/or addition of audible/visual notification devices. (City Ordinance #2437)
37: All new fire alarm systems or modifications to existing systems shall have the written approval of The
Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been
obtained. (City Ordinance #2437) (IFC 901.2)
39: An electrical permit from the City of Tukwila Building Department Permit Center (206-431-3670) is required
for this project.
40: All electrical work and equipment shall conform strictly to the standards of the National Electrical Code.
(NFPA 70)
41: The maximum flame spread class of finish materials used on interior walls and ceilings shall not exceed that
set forth in Table No. 803.9 of the International Building Code.
• •
35: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances
#2436 and #2437)
42: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply
approval of such condition or violation.
43: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention
Bureau at (206)575-4407.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
0301 CONCRETE SLAB
1400 FIRE FINAL
4037 SI -CAST -IN-PLACE
4046 SI-EPDXY/EXP CONC
4033 SI -HIGH LOAD DIAPH
4034 SI -METAL PLATE CONN
4023 SI -OBS -SEISMIC REST
4028 SI-REINF STEEL -WELD
4039 SI -SEISMIC RESTIST
4035 SI -SOILS
4025 SI -STEEL CONST
4026 SI-STRUCT STEEL
4040 SI -TEST -QUAL SEISM
4004 SI -WELDING
"ERh41T COORD COPY •
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D17-0164 DATE: 06/21/17
PROJECT NAME: CARY LANG - DEMOLITION
SITE ADDRESS: 5230 S 137 ST
X Original Plan Submittal
Response to Correction Letter #
Revision # before Permit Issued
Revision # after Permit Issued
DEPARTMENTS:
a O (00�
Building Division ��{
AW (o-"'
Public Works IPI
NR.
Fire Prevention
Structural
M17
�9 Awc7-(0-i 7
Planning Division
Permit Coordinator
M
PRELIMINARY REVIEW:
Not Applicable n
(no approval/review required)
DATE: 06/22/17
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE: 07/20/17
Approved
Corrections Required
Approved with Conditions
❑ Denied
(corrections entered in Reviews) (ie: Zoning Issues)
n
Notation:
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping 0 PW 0 Staff Initials:
12/18/2013
CARY LANG CONSTRUCTION 1
Washington State Department of
, Labor & Industries
i
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My t.& t
Workplace Rights Trades & Licensing
CARY LANG CONSTRUCTION INC
Clwner or tradesperson
Principals
LANG, CARY MITCHEL, PRESIDENT
LANG, JENNIFER ANN, SECRETARY
Doing business as
CARY LANG CONSTRUCTION INC
d'JA (JAI No.
601 231 391
29815 24TH AVE SW
FEDERAL WAY, WA 98023
253-661-6880
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Construction Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no
CARYLCI101OF
Effective --- expiration
09/06/1990— 09/26/2018
Bond
DEVELOPERS SURETY & INDEM CO
r3ond 3CCOu(nt +?O.
796451 C
$12,000 00
Received by L&I Effective date
09/10/2008 08/09/2008
F..xp,ration date
Until Canceled
Insurance
INTERNATIONAL INSURANCE COMPAN $1,000,000.00
Policy no
I G06C004381-00
Received by Effective date
09/01/2016 09/10/2015
Expiration date
09/10/2017
Insurance history
Savings
No savings accounts during the previous 6 year period.
Lawsuits against the bond or savings
No lawsuits against the bond or savings accounts during the previous 6 year period.
L&I Tax debts
Help us improve
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CARY LANG CONSTRUCTION INC
No L81 tax debts are recorded for this cont. license during the previous 6 year period, but somillts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
582,910-00
Doing business as
CARY LANG CONSTRUCTION INC
Estimated workers reported
N/A
L&I account contact
T2 / MATT PEDERSEN (360)902-5476 - Email: PEDM235@lni.wa.gov
Account is closed.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
CO Washington State Dept. of Labor & Industries_ Use of this slte is subject to the laws of the state of Washington.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601231391&LIC=CARYLCI101OF&SAW= 7/11/2017