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HomeMy WebLinkAboutPermit D17-0183 - CHAND RESIDENCE - SHED DEMOLITIONCHAND SHED DEMOLITION 4651 S 144T" ST D17-0183 Parcel No: Address: 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.eov DEVELOPMENT PERMIT 0040000501 Permit Number: D17-0183 4651 S 144TH ST Project Name: CHAND SHED DEMOLITION Issue Date: 7/19/2017 Permit Expires On: 1/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: LOCKHART CRILLION+EDNA TRUS 11211 AUBURN AV S , SEATTLE, WA, 98178 SUNNY KOHLI 13739 41 AVE S , TUKWILA, WA, 98168 OWNER AFFIDAVIT - SUNNY KOHLI Lender: Name: N/A - LESS THAN $500 Address: Phone: (206) 330-5574 Phone: Expiration Date: DESCRIPTION OF WORK: DEMOLITION OF 360 SQ FT SHED Project Valuation: $500.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $120.73 Occupancy per IBC: U Water District: 125 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: Date: I hearby certify that I have read and examined this permit and know t e 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: Print Name: Date: 7-1 0 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 0101 PRE -CONSTRUCTION CITY OF TUKI A Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. bp- 0 C 9)3 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 Site Address: 16 Si /t -(ti Tenant Name: King Co Assessor's Tax No.: w -I DoO —050/ PROPERTY OWNER Name: uiy,vr -ec<7 Address: Name: --147,a014GrAt..4 QQ_ Address: / 3 7 3`7 ti AuF 5 r Address: ) 5 7 3 9 v/ 5 City: -- oizi(,fL✓4 State: to Phone: 2,6_330 -5s7 y Fax: Zip:9811-6 CONTACT PERSON — person receiving all project communication Name: uiy,vr -ec<7 Address: Company Name: Address: / 3 7 3`7 ti AuF 5 r City: City: -14,0/t A State: Itii Zip: cg/6-6, Phone: 2,6_330 -5s7 y Fax: Fax: Zip: Email: Contr Reg No.: Phone: GENERAL CONTRACTOR INFORMATION Company Name: Address: Company Name: - City: S tale: Zip: Phone: Fax: Zip: Phone: Contr Reg No.: Phone: Exp Date: Tukwila Business License No.: H:Wpplications\Forms-Applications On Line \2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Suite Number: Floor: New Tenant: ❑ Yes ❑ .. No ARCHITECT OF RECORD Name: Company Name: Company Name: Architect Name: Engineer Name: Address: Address: City: /State: Zip: Phone: / Fax: Phone: Email: Email: ENGINEER OF RECORD Name: Address: 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: Page 1 of 4 BUILDING PERMIT INFORMAT1J— 206-431-3670 Valuation of Project (contractor's bid price): $ 500 Describe the scope of work (please provide detailed information): 6E01106/ 51-( S/fT Existing Building Valuation: $ (7-°( c Y TIC-) 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 princal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal o ner 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 MA1`ERIALS: 0 Sprinklers 0 Au erfrlatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammabl-, combustible or hazardous materials in the building? 0 Yes ❑ No If `yes', attach list of materials i d storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Sep System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Departmen H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1St Floor 2nd Floor 3rd 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 princal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal o ner 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 MA1`ERIALS: 0 Sprinklers 0 Au erfrlatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammabl-, combustible or hazardous materials in the building? 0 Yes ❑ No If `yes', attach list of materials i d storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM 0 On-site Sep System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Departmen H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 2 of 4 PUBLIC WORKS PERMIT INF (% IATION — 206-433-0179 Scope of Work (please provide detailed information): bbict/' 1-( 5I./: Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ .. Tukwila 0 ...Water District # 125 0 .. Water Availability Provided Sewer District ❑ .. Tukwila 0 .. Sewer Use Certificate ❑... Highline 0 ...Valley View ❑ ... Renton 0 ...Sewer Availability Provided 0... Renton ❑... Seattle Septic System: . ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by Ki Submitted with Application (mark boxes which apply): ❑ .. Civil Plans (Maximum Paper Size — 22" x 34") ❑ .. Technical Information Report (Storm Drainage) ❑ .. Bond 0...Insurance ❑... Easement(s) 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 0 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 ❑. ❑. Geotechnical Report .. Maintenance Agreement(s) County Health Department. .. Traffic Impact Analysis ❑ .. Hold Harmless — (SAO) ❑ .. Hold Harmless — (ROW) 0...Right-of-way Use - Profit or less than 72 hours 0...Right-of-way Use — Potential Disturbance ❑... Work in Flood Z 0...Storm Drainag ❑... Abandon Septic Tank ❑...Curb Cut 0...Pavement Cut 0...Looped Fire Line ❑ .. Permanent Water Meter Size (1) " WO # ❑ .. Temporary Water Meter Size (1) " WO # ❑ .. Water Only Meter Size 51 WO # ❑ .. Sewer Main Extension Public ❑ Private 0 ❑ .. Water Main Extension Public ❑ Private 111... Grease Interceptor ❑... Channelization 0...Trench Excavation O... Utility Undergrounding (2) " WO # (3) (2) " WO # (3) ❑ .. Deduct Water Meter Size " WO# " WO# FINANCE INFORMATION Fire Line Size at Property Line 0 .. Water 0 .. Sewer Monthly Service Billing to: Nu .er of Public Fire Hydrant(s) .. Sewage Treatment Name: Day Telephone: Mailing Address: City Water Meter Refund/Billing: Name: Mailing Address: 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 bh Page 3 of 4 PERMIT APPLICATION NOTES —' n 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 OWN OR AUTH RIZEE G 1 Signature: Date: 6- 0—/ 7 Print Name: 5u►-{ y (CJ Day Telephone: 206 33o - 557" Mailing Address: f 37 % t'i/ .4u 5 - (-v/1-- G48/0) City State Zip H:Wpplications\Forms-Applications On Line\2012 ApplicationsTermit Application Revised - 2-7-12.docx Revised: February 2012 bh Page 4 of 4 or Cash Register Receipt. City of Tukwila Receipt Number R1.1950 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I. PAID $76.34 D17-0183 Address: 4651 S 144TH ST Apn: 0040000501 $76.34 Credit Card Fee $2.22 Credit Card Fee R000.369.908.00.00 0.00 $2.22 DEVELOPMENT $70.80 PERMIT FEE R000.322.100.00.00 0.00 $66.30 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $4.50 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11950 R000.322.900.04.00 0.00 $3.32 $76.34 Date Paid: Wednesday, July 19, 2017 Paid By: SUNNY KOHLI Pay Method: CREDIT CARD 06211G Printed: Wednesday, July 19, 2017 10:23 AM 1 of 1 SYSTEMS Cash Register Receipt City of Tukwila - -• Receipt Number R11870 DESCRIPTIONS PermitTRAK ' 1 ACCOUNT • QUANTITY . :: PAID $44.39 D17-0183 Address: 4651 S 144T1 -1ST , Apn: 0040000501, . , ' $44.39 Credit Card Fee , $1.29 Credit Card Fee R000.369.908.00.00 0.00 $1.29 DEVELOPMENT , $43.10 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R11.870'..:-: R000.345.830.00.00 0.00 $43.10 $44.39 Date Paid: Friday, July 07, 2017 Paid By: SUNNY KOHLI Pay Method: CREDIT CARD 52286G Printed: Friday, July 07, 2017 9:33 AM 1 of 1 CRIWYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit Th 7-©/S'3 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: eil4ND Type of Inspection: Mi-- C'oev UG70.N Address: / �,,. 4 / $ /`l77,4 . Date Called: 17 Special Instructions: SHAD �.ri/tild / �` (Mfg Ti Date Wanted:a:m! 12 �-I2 Requester: N Phone No: ff4tifife77 p KLA --/0<'30)'2,_r_63.-- 3,3---5.-7�/ Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: C3K — $Ud1Di I& �l l' - Inspector: ffz- Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. sxt ®. -a : sn t9 c ,o !i .71 O n CD 3 Q , --e: 0 •/,,;;; Q. Cis• O OD 0 E.+? d ct. O O 8 Oco C . CI. co cp o :--I fiTo m .. 0. 0 -CO 03 0 p :cD o _--'- wit-_..... 0- CD M e 0 0. ®;h -0 o .13, : z.7lij" CO ' '•". 0._ p _ W `•o; Z 5� ® CO) o --i 30) 1:131N331lWb3d m� c omr i Pli�1 �-f C -_- x' . . '.t . . Z � ."1 e pi C) Approved Transaction pscleanair.arg Puget Sound Clean Air Agency Notification Case #: 201703246 Page 1 of 1 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 $65.00 Credit Card Transaction # ASOFFA034B18 Transaction Date 07/05/17 Owner's Name Tarlok Chand Phone (206) 380-0180 Project Street Address 4561 South 144 City Tukwila Contact Person Sunny Kohli Mailing Address 13739 41 Ave South Tukwila, WA 98168 Zip 98168 Phone (206) 330-5574 This project includes a demolition. Demolition Start Date 07/15/17 Completion Date 07/16/17 Demolition will be completed by a demolition contractor Demo Contractor Contact Mailing Address Property"Owner Contractor kb # Phone (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification If: • The type of project has changed. The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The projects start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. REVIEWED FOR CODE COMPLIANCE APPROVED I JUL 17 2017 City of Tukwila BUILDING DIVISION o $33 RECEIVED CITY OF TUKWILA JUL 01 2017 PERMIT CENTER https://secure.pscleanair.org/Asbestos/Approved.aspx 7/5/2017 II ENVIRONMENTAL SERVICES, INC. Environmental Consulting & Compliance July 3, 2017 Sunny Kohli 4651 S 144th St, Tukwilla, WA 98168 RE: Asbestos Survey 4651 S 144th St, Tukwilla, WA Dear Mr. Kohli, NOW Environmental Services is pleased to present this survey report for suspect asbestos -containing building materials analysis conducted on June 30th, 2017. We appreciate the opportunity to have been of service to you. If you have any questions regarding this report, please feel free to contact me at (253) 927-5233. Sincerely, Carole Seng AHERA Building Inspector Accreditation No BI -NES -04-13-17-01 (Exp. April 15, 2018) NOW Environmental Services Enclosure: Asbestos Survey Report bn- ois3 REVIEWED FOR CODE COMPLIANCE APPROVED JUL 17 2017 City of Tukwila BUILDING DIVISION RECEIVED CITY OF TUKWILA JUL 0.7 2017 PERMIT CENTER 34004 9th Avenue South, Suite 12, Federal Way, Washington 98003 Phone: (253) 927-5233 Fax: (253) 924-0323 www.nowenvironmental.com Pre-Denlo.Iition Asbestos Survey Prepared For: Sunny Kohli 4.651 S 144th St Tukwilla, WA 98168 July 3, 2017 Subject Property: Residential Structure 4651 S 144th St TukwiIIa, WA 98168 Prepared By: Now Environmental Services 34004 9th Avenue South, Suite 12 Federal Way, Washington 98003 Contents Section Introduction 1.0 Executive Summary 2.0 Regulatory Compliance 3.0 Sampling Plan and Laboratory Analysis 4.0 Survey Results 5.0 Conclusions and Recommendations 6.0 Limits of Survey 7.0 Appendices Laboratory Results A Maps B Certification(s) C. Section 1.0 - Introduction On June 30, 2017, AHERA Building Inspector Carole Seng of NOW Environmental Servicesconducted an inspection for suspected asbestos -containing building materials at the residential structure located at 4615 S 144th St, Tukwilla Washington. Ms. Seng is an Environmental Protection Agency (EPA) Accredited Building Inspector Accreditation No. No BI -NES -04-13-17-01 (Exp. April 18, 2018). Accessible areas were visited and samples were taken of budding materials, suspected to contain asbestos (vinyl floor sheeting, plaster, gypsum wallboard, roofing etc.). These samples were analyzed for the presence of asbestos. In addition, the quantities of asbestos -containing materials were estimated:" Please see. Table. 1 for an inventory of sampled suspect building materials. Sample locations are indicated on the attached site drawings. -- QUANTITIES ARE APPROXIMATE AND ARE NOT TO BE USED FOR BIDDING PROSPECTIVE BIDDERS MUST SITE VERIFY QUANTITIES AND SITE CONDITIONS. 4651 144"' ST TUKWILLA WASHINGTON PROJECT# N17-0323 Section 2.0 - Executive Summary Building Description The structure, located at 4615 S 144th St, Tukwilla Washington The structure is a home/shed built at an unknown time of approximately 360 square feet. It is a wood structure with a composite roof. A large part of the structure was demolished prior to this inspection. Please see attached photos. Asbestos NO ASBESTOS CONTAINING BUILDING MATERIALS were found in any samples taken. Please see Table 2 for an inventory of sampled suspect building materials found at 4615 S 144th St, Tukwilla Washington. Table Summary of Asbestos Containing Building Materials sampled at 4615 S 144th St, Tukwilla Washington Material Sample .Location Analytical (Laboratory) ;Results=_ NO Regulated Asbestos Building Materials identified 4651 144TM STTUKWILLA WASHINGTON PROJECT 6 N17.0323 Section 3M - Regulatory Compliance Asbestos The intent of the asbestos survey is to comply with governing asbestos regulations required by the State of Washington and Puget Sound Clean Air Agency (PSCAA). Currently, the State of Washington requires a written "good faith inspection" for identification of asbestos -containing materials prior to any remodeling or demolition work. During demolition and construction work it is the responsibility of the owner and the contractors to make this survey document available to all concerned parties who may be handling the building materials. In addition, PSCAA requires that a copy of the written asbestos survey be made available on-site for inspection by a PSCAA Control Officer during construction and demolition work. The survey is required to. be performed in accordance with 40 CFR 763.86. These federal standards require inspections to be conducted by an EPA Accredited Building Inspector. with analysis to be provided by an asbestos laboratory certified by the National Bureau of Standards. The requirements are described in Article 1 and Article 4,. of PSCAA's Asbestos Control Standards. All survey work was conducted in compliance with the above mentioned standards. Asbestos -containing materials are required to be removed and disposed of in accordance with Washington State Regulation 296-155 WAC; Part S prior to any demolition, renovation, or remodeling that would disturb these materials. Washington State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on-site supervision of a Certified Asbestos Supervisor in accordance with 296-65 WAC. Also see 296=62 WAC, Part I-1—General requirements for handling asbestos. 4651 144'4 ST TUKWILLA WASHINGTON PROJECT # N17-0323 Section 4 - Sampling Plan and Laboratory Analysis Asbestos Objectives The objective of the survey was to determine the quantity and location of building materials (vinyl floor tile, roofing, gypsum wallboard, etc.) that contain asbestos within areas to be impacted by planned renovation work. Asbestos Sampling Plan Protocol This survey was conducted using a protocol adapted from the Asbestos Hazard Emergency Response Act (AHERA). The protocol is as follows: 1. Group materials into homogeneous sampling areas. 2. Quantify each homogeneous sampling area and collect samples from each area using the "3-5-7" criteria for surfacing material to determine the number of samples needed. Quantify and collect a minimum of three samples of each thermal system insulation (the number of samples collected of miscellaneous materials was determined by the inspector). 3. Samples of each material were taken to the substrate, ensuring that all components of the material were included. 4. Sampling was performed by a Certified Building Inspector, and the use of proper protective equipment and procedures was followed. Asbestos Sampling Procedure 1. Spread the plastic drop cloth (if needed) and set up other equipment, e.g., ladder. 2. Put on protective equipment (respirator and protective clothing if needed). 3. Label sample container with its identification number and record number. Record sample location, and type of material sampled on a sampling data form. 4. Moisten area where sample is to be extracted (spray the immediate area with water). 5. Extract sample using a clean knife, drill capsule, or cork boring tool to cut out or scrape off approximately one tablespoon of the material. Penetrate all layers of material. 6. Place sample in a container and tightly seal it. 7. Wipe the exterior of the container with a wet wipe to remove any material that may have adhered to it during sampling. 8. Clean tools with wet wipes and wet mop or vacuum area with HEPA vacuum to clean all debris. 9. Seal the sampling location with caulking compound, spackle or duct tape. 10. Discard protective clothing, wet wipes and rags, cartridge filters, and drop cloth in a labeled plastic waste bag. Asbestos Laboratory Analysis The bulk samples were analyzed in our laboratory using polarized light microscopy (PLM) with dispersion staining in accordance with US EPA method 600/R-93/116 as specified in 40 CFR Chapter 1(7-1-93 edition) Part 763, Subpart F, Appendix A, pages 499-504. Polarizing light microscopy quantifies asbestos concentrations at between 100% and 1% detection levels. Levels below 1% can onlybe stated as "trace." For samples containing more than one separable layer of materials, the report will include findings for each layer (labeled L-1 for layer one and L-2 for layer two, etc.) and a total percentage for the entire sample. The asbestos concentration in the sample is determined by visual estimation. For those samples with asbestos concentrations between 1 and 10 percent based on visual estimation, the EPA recommends a procedure known as point counting (NESHAPS, 40 CFR Part 61). Point counting is a statistically more accurate means of quantification for samples with low concentrations of asbestos. 4651 144'" STTUKWILLA WASHINGTON PROJECT :» N17-0323 Section 5.0 - Survey Results Asbestos Table II Summary of suspect Asbestos Containing Building Materials sampled at 4615 S 144th St, Tukwilla Washington Materia Description Sample, Number . Material Sample Location 4 Analytical (Laboratory) Results White Mortar 323-01 Fire Place ND** Gray Mortar 323-02 Fire Place ND** Vinyl Tile 12x12 Self Adhesive 323-03 Dining Room ND** Roofing Material 323-03a Roof ND** Tar Paper 323-03b Roof ND** Window Putty 323-04 Living Room Windows ND** Asphalt Roofing 323-05 Roof ND** Miscellaneous Paper 323-06 Ground ND** Window Putty 323-07 Kitchen ND** 4651 144TM ST TUKWILLA WASHINGTON **ND (No Asbestos Detected) PROJECT # N17-6323 Section 6.0 - Conclusions and Recommendations NOW Environmental Services is not responsible for materials which require destructive means to access, or materials which are hidden from sight, those materials hidden behind walls, or materials which cannot be found with reasonable diligence. Extreme caution should be used during renovation or demolition to ensure that additional unidentified materials are not disturbed. In the event thatadditional materials are discovered, the material should be sampled by an EPA Accredited AHERA Building Inspector and analyzed to determine if it contains asbestos prior to disturbance. Asbestos According to Washington Administrative Code (WAC) 296-62-07721, prior to the start of work, a building owner must identify the presence, location, and quantity of ACM and/or presumed ACM (PACM) prior to renovation and demolition. This information must be communicated to contractors bidding on work, contractors performing other work, employees and tenants in or adjacent to the work area. The. Puget Sound Clean Air Agency Regulation III, Article 4 requires that an asbestos survey be conducted prior to any renovation or demolition of existing buildings. This survey was intended to meet these regulatory requirements. Asbestos -containing materials are required to be removed and disposed of in accordance with Washington State Regulations prior to any demolition, renovation, or remodeling that would disturb these materials. Washington State Department of Labor and Industries and PSCAA require that the abatement be performed using Certified Asbestos Workers under the direct on-site supervision of a Certified Asbestos Supervisor. The only exemption is for resident owners performing removal of asbestos -containing materials other than furnace interiors and direct applied mudded asbestos insulation. ACM is identified as those building materials containing greater than one percent (>1.0%) of asbestos as verified by laboratory analysis. All building materials fabricated prior to 1980 are assumed to contain asbestos unless proven otherwise by a licensed building inspector. Materials that contain 1.0% or Tess asbestos are not regulated for disposal purposes. However, removal of materials containing 1.0% or less asbestos is considered an unclassified asbestos operation by OSHA and WISHA. Unclassified asbestos operations cover employees likely to be exposed in excess of the permissible exposure limit (PEL), and who are performing operations not covered by Class I through IV. For construction work involving unclassified asbestos the applicable requirements will include: an exposure assessment, use of vacuum cleaners equipped with HEPA filters, use of wet methods and prompt cleanup of debris, use of respirators and protective clothing, training, and record keeping. Asbestos -containing joint compound associated with non -asbestos gypsum wallboard (GWB) assemblies is sometimes found in specific locations of a building. The presence of asbestos in this material requires personnel impacting the material to adhere to regulatory requirement outlined in WAC 296-62-17712(2) and training as outlined in WAC 296-62-07722(5) and WAC 296-62-07728. Personal protect equipment and proper work practices are required pending completion of a negative exposure assessment. Such an assessment may include air monitoring of workers' breathing zones. Refer to WISHA Regional Directive 23.30 for additional information. The possibility exists that additional ACMs may be present in wall and ceiling cavities. Any previously unidentified material encountered during construction activities should be sampled prior to impact. Work that may be impact asbestos should be performed by personnel having proper training and utilizing proper worker protection according WISHA standards. NOW Environmental Services recommends that a Certified Asbestos Project Designer design any asbestos abatement project to ensure that the job is completed according to regulatory standards. 4651 144`" ST TUKWILLA WASHINGTON PROJECT # N17-0323 Section 7.0 - Limits of Survey Asbestos surveys are non -comprehensive by nature and subject to many limitations including those presented below. Our assessment has considered risks pertaining to asbestos; however, this survey is limited to only those locations sampled. This survey was not designed to identify all potential concerns or eliminate all risk associated with asbestos. Materials sampled were limited by the scope of work as defined by the drawings provided. Lead based paint & TCLP testing, mercury light tubes and/or other hazardous materials were not included in the scope of work during the course of this survey. Other risks that were not evaluated with this survey; Risks such as 1) toxic and hazardous substances in (or in contact with or associated with) soil or ground water; 2) risks associated with structural, electrical, or mechanical working of the building; 3) risks associated with radon gas, slope stability, building settlement, moisture, or site drainage and flooding have not been evaluated during this survey. No warranty, expressed or implied, is made. The site visit consisted of a thorough visual walk-through of building for the purpose of viewing and sampling potential asbestos -containing material. A TCLP sample was not collected of the building to determine levels of leachable lead in building debris. Suspect PCB containing tight ballasts were not estimated. Fluorescent bulbs were not quantified for recycling purposes. Mercury vapor lamps were not identified during the survey. NOW Environmental Services performed this survey in accordance with the generally accepted standards of care that exist in the industrial hygiene profession in Washington State at the time of this study. The asbestos survey was performed in preparation for removal of asbestos -containing materials in accordance with NESHAPS regulations. Written By: Carole Seng AHERA Building Inspector Accreditation No. Bt -NES -04-13-17-01 (Exp. April 15, 2018) Reviewed By: Donna McNeal AHERA Building Inspector, CEO 4651 144m ST TUKWILLA WASHINGTON PROJECT #N17-0323 APPENDIX A. Laboratory Results/Chain of Custody . 00 o � u nn 01 cc^ -. c > 2 w wc 'B.c E ea N c (a O aI H u v - O c -c 0 ORION Environmental Services M O O 00 rn d vi O c cu LL O O N N 33 r( 3 mu• Mi -a 3 x N LL • • CU N• ko N N C 4J N 0 Q O' L M V • N v0 - Z c er hi o C V _c E ▪ d w t ., ''? 'd. eipads 1HOM/11.VI :.4-.„ :;, ling PIoW J!v PIoW ,, ,, CO ...a1 try :~ Y d101aa410 tqD8 8 peal zs 44 ANALYSIS=REQUESTED �'� . z �y Hydrocarbons: Z SOH ia410 1 SOH Ja410 9-HdlM/M X318 X318 0 IDH-Hd1M ('lxa) a-Hd1M a-HdiM 9-Hd1M Total Metals`: Z slelaW aa410 1 slelaW Ja41O V Ja 8 peal . fir N': F ° .44 PA 1 solsagsyJa410 W31 AV WJd , )IIn8 Wld xXXXXXX Client: Sunny Kohli Address: 4651 S 144th St, Tukwilla, WA 98168 Attention: Sunny Kohli Phone: (206) 330-5574 Fax: Project Name: 4651 S 144th St, Tukwilla Project Number: Rpt. Date: 6/30/2017 P.O. Number: Page: 1 of 1 Orson Sample ID 20170630-80 20170630-81 20170630-82 20170630-83 20170630-84 20170630-85 20170630-86 x'; 3(u. Bulk, PLM Bulk, PLM Bulk. PLM Bulk, PLM Bulk, PLM Bulk, PLM Bulk, PLM 'Date: 6/30/2017 6/30/2017 6/30/2017 6/30/2017 6/30/2017 6/30/2017 6/30/2017 .rd, C ;V: 0' P N M sT 00 (D r- t En vie• `=ntal'Comptanto&Consulting ORION Environmental Services 34004 Ninth Avenue South, Suite Al2, Federal Way, WA 98003 Phone: (253) 952-6717 • Fax: (253) 927-4714 Email: info@oriones.net • Web: www.oriones.net WBE W2F9219763 Polarized Light Microscopy Test Report EPA Method 600/R-98/116 Client: Sunny Kohli Address: 4651 S 144th St, Tukwilla, WA 98168 Attention: Sunny Kohli Project Name: 4651 S 144th St, Tukwilla Project Number: Rpt. Date: 6/30/2017 Page: 1 of 1 Invoice: 173848 Date Rcvd: 6/30/2017 +.y,.3 s�"r � R"�x�` : „Client ; 'tEx Sa to ID �`i� `• w 9 `'�* � ,Orion Sam le ID � s``a,.� is v°':kA C '�' , ru . r x`s z : r ,��� g aterial;; = � per f $,-�'..,.,�; X. j9.�. . Y: � Description r� �z 4'rw � � Sampler` .. p �^+re. Treatrnent�i ': R'rt��� e``vs 7 a `� �nrtl Aibestos��' los Gon Ughg ti:�aS?r`"-.. e , TM n° ,r '-,-� ' 4 '� k: A. sbestos�,Other F, y T e ibers 323-01-a 20170630-80 White mortar Time ND cellulose 323-01-b Gray mortar ND cellulose 323-02 20170630=81 Self adhesive 12x12 cream vinyl tile ND cellulose 323-03-a 20170630-82 Roofing material ND ND cellulose cellulose 323-03-b Tar paper 323-04 20170630-83 Window putty ND cellulose cellulose & fiberglass 323-05 20170630-84 Asphalt roofing ND 323-06 20170630-85 Miscellaneous paper ND cellulose 323-07 20170630-86 Window putty ND cellulose Dup: Laboratory QA/QC Duplicate; M; Mastic [(a), (b), (c), etc.): Sample layers numbered from front to back. Comments: For layered samples, each component has been analyzed separately. ND means non -detect for asbestos fibers by EPA Method 600/R-98/116.Disclaimers: PLM has been known to miss asbestos in a small percentage of samples that contain asbestos. Thus, these laboratory results represent due diligence, however negative or <1 % PLM results can not be guaranteed. Per EPA guidelines samples will be archived for 30 days then will be disposed of. This report may only be reproduced in full with written approval of ORION Environmental Services. Analyzed By (Print) a McNeal Date 7/3/2017 Reviewed By (Print) Dennis Rauschenberg Date 7/3/2017 Analyz Review nature) Time gna, Time a Eart W 1-40 2 W c/k) 06 cf:34v 2 a a H A 0 x A wr. W ,44 C� C w I o Q EACH LOCATION OF MATERIAL qq" s 1 ,-, Vg c -g a i LAYER AND SUBSTRATE tio g og 2 �4' P t g 6 3 SAMPLE I LAB I MATERIAL DESCRIPTION MATERIAL NO. NO. ID & — — c/( (----) ci 111 i CY C'd - v __J E. ct3 cE ,- r-2 & i 2 el o cie N Do tin 00 VA 60 A la 60 -- Oe ` 9 M APPENDIX .B Maps i ti 1 j 1 111 i TTJJ ! ! i i ? I. , 1 T. 1 ! i 1 1 1 1 1 1 1 1 lit i I- 1 1 111111jE11 F! 1 i ! { 1 1 I I ! ! 1 1j 1 1 111 ! t• •1 i ! Ii 1 111 i 1 1 1 11 1 t • 1 1 If i f ! 1- -r 1 T • 1 1 1 1 141_ 1 ! 1 1 O! 1 1 1 t 1 1 1 i E lilt 1!,1;11 1 APPENDIX C Certifications 12/1/2017 City of Tukwila Department of Community Development SUNNY KOHLI 13739 41 AVE S TUKWILA, WA 98168 RE: Permit No. D17-0183 CHAND SHED DEMOLITION 4651 S 144 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 1/15/2018. 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 1/15/2018, 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: D17-0183 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 -CD PERMIT COORD COPY0. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D17-0183 DATE: 07/07/17 PROJECT NAME: CHAND SHED DEMOLITION SITE ADDRESS 4651 S 144 ST X Original Plan Submittal Response to Correction Letter # Revision # Revision # before Permit Issued after Permit Issued DEPARTMENTS: AT Aug- 7-w--(7 Building Division Public Works Fire Prevention Structural PRELIMINARY REVIEW: Not Applicable ❑ (no approval/review required) REVIEWER'S INITIALS: 1,a, AP H-0-17 Planning Division Permit Coordinator E f a DATE: 07/11/17 Structural Review Required DATE: APPROVALS OR CORRECTIONS: Approved Corrections Required (corrections entered in Reviews) Approved with Conditions Denied (ie: Zoning Issues) DUE DATE: 08/08/17 Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW ❑ Staff Initials: 12/18/2013 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 FAX (206) 431-3665 E-mail: tukplan@ci.tukwila.wa.us Permit Center/Building Division 206 431-3670 Public Works Department 206 433-0179 Planning Division 206 431-3670 AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION STATE OF WASHINGTON) ) ss. COUNTY OF KING ) v.dt [please print name] , states as follows: PERMIT NO: V I 0 16 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requireme of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number j , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. F,1.LE -% tp4, r 0 c' A- ., i • •• V"fp 40 <k•10 ; WAS�;��` \\N� Owner Owner's Agent* Signed and sworn to before me this ig day of V Owtitat NOTARY PUBLIC in TVfr he State of Washington , .112. Residing at Name as commissioned: My commission expires: , County R.: 17 70 0 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile/manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile/manufactured home dealer or manufacturer who subcontracts the installation, set-up, or repair work to actively registered contractors. This exemption only applies to the installation, set-up, or repair of the mobile/manufactured homes that were manufactured or sold by the mobile/manufactured home dealer or manufacturer; 18. An entity who holds a,valid..e-1ectrical'contractor's license under chapter 19ti28ACW that employs a- certified journeyman electriciana certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and; immediately' appropriate to the like na kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited`waste and/or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. * Per Washington State Department of Labor and Industries lessee has been interpreted to be equivalent to owner for purposes of exemptions.