HomeMy WebLinkAboutPermit D18-0106 - SMITH RESIDENCE - GARAGE DEMOLITIONSMITH DEMOLITION
14060 35 AVE S
D18-0106
Parcel No:
Address:
City of Tukwila
7 1
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov ,
1523049153
14060 35TH AVE S
Project Name: SMITH DEMOLITION
DEVELOPMENT PERMIT
Permit Number: D18-0106
Issue Date: 8/27/2018
Permit Expires On: 2/23/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
14060 LLC
4438 S 176TH ST , SEATTLE, WA, 98188
RANDY SMITH
4438 S 176TH ST, SEATAC, WA, 98188
RESTAD CONSTRUCTION LLC
16625 16TH AVE SW , BURIEN, WA,
98166
RESTACL820N7
N/A - UNDER $5000
Phone: (206) 406-4455
Phone: (206) 853-2024
Expiration Date:
DESCRIPTION OF WORK:
DEMOLISH 674 SF DETACHED GARAGE
Project Valuation: $500.00
Type of Fire Protection:
Sprinklers: NO
Fire Alarm: NO
Type of Construction: VB
Electrical Service Provided by: TUKWILA
Fees Collected: $117.22
Occupancy per IBC: U
Water District: 125
Sewer District: VALLEY VIEW
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:
2017
2017
2017
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 the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
Date: -2, r 4
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***BUILDING PERMIT CONDITIONS***
2: Work shall be installed in accordance with the approved construction documents, and any changes made
during construction that are not in accordance with the approved construction documents shall be
resubmitted for approval.
3: All permits, inspection record card and approved construction documents shall be kept at the site of work
and shall be open to inspection by the Building Inspector until final inspection approval is granted.
4: 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.
5: 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).
6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila
Permit Center.
7: 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.
r
8: This demo permit does not include authorization to remove any trees. If removing trees, please contact
Lindsay Brown in the Planning Department to discuss.
During demolition, keep all heavy equipment out of the critical root zone (away from the tree trunk,
outside of the tree canopy edge) of adjacent trees. Do not pile soils or building materials in the critical
rootzone of adjacent trees.
9: ***PUBLIC WORKS PERMIT CONDITIONS***
10: 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.
11: Permit is valid between the weekday hours of 7:00 a.m. and 5:00 p.m. only. Coordinate with the Public
Works Inspector for any work after 5:00 p.m. and weekends.
12: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with
the Public Works Inspector.
13: Work affecting traffic flows shall be closely coordinated with the Public Works Inspector. Traffic Control
Plans shall be submitted to the Inspector for prior approval.
14: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Contractor shall
provide certified flagmen for traffic control. Sweep or otherwise clean streets to the satisfaction of Public
Works each night around hauling route (No flushing allowed). Notify Public Works Inspector before 12:00
Noon on Friday preceding any weekend work.
15: Any material spilled onto any street shall be cleaned up immediately.
16: Temporary erosion control measures shall be implemented as the first order of business to prevent
sedimentation off-site or into existing drainage facilities.
17: 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.
18: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a
vertical rise of 10 feet or more and will be unworked for greater than 12 hours. During this time period,
cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must
be stockpiled on site at the beginning of this period. Inspect and maintain this stabilization weekly and
immediately before, during and following storms.
19: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at
least monthly. All disturbed areas of the site shall be permanently stabilized prior to final construction
approval.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
1700 BUILDING FINAL**
5200 EROSION MEASURES
5210 EROSION MEASURES FNL
0101 PRE -CONSTRUCTION
r
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
r�
Building Permit No. -DIS-0W-VProject No.
Date Application Accepted: 11' $
1111117
Date Application Expires: l0
(For office se 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: j q 0 (9 d 35�' A -v 3
Tenant Name: VQCCtr+
PROPERTY OWNER
Company Name:
f\ Grik
11
Name: -- co ld_9 C jr:r\'1r.
Company Name: n vfA
Address: LA (--1► 6
Name: Cl ,
�'A
1
Phone: 2_,06_40G-(NSS Fax:
City:
Address: , `j06U
3s Av5
Zip:
Phone:
Fax:
City u kw i
State: vvil
Zip
2 1
,g
CONTACT PERSON — person receiving all project
communication
Company Name:
f\ Grik
11
Name: -- co ld_9 C jr:r\'1r.
Company Name: n vfA
Address: LA (--1► 6
Address:
City: 3e__L, State: WA ZilYS
1
Phone: 2_,06_40G-(NSS Fax:
City:
Email: r,b� ',.\_ 02 q_h 6t\•com
GENERAL CONTRACTOR INFORMATION
Company Name:
f\ Grik
Company Name: n vfA
Address:
Address:
Architect Name:
City:
State:
City:
State:
Zip:
Phone:
Fax:
Phone:
Fax:
Contr Reg No.:
Email:
Exp Date:
Tukwila Business License No.:
H:\Applications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
bit
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes 2.. No
ARCHITECT OF RECORD
Name: nun
Company Name: n vfA
Address:
Architect Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
ENGINEER OF RECORD
Name: nun
Company Name: 'RUYI k.
Address:
Engineer Name:
City:
State:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
LENDER/BOND ISSUED (required for projects $5,000 or
greater per RCW 19.27.095)
Name: nun
Address:
City:
State:
Zip:
Page 1 of 4
r •
BUILDING PEWIT IN) OR➢4ATIO , 206-431-3670
Valuation of Project (contractor's bid price): $ 313°O Existing Buildin& Valuation: $
Describe the scope of work (please provideZO4rqCf,
detailed information): dQ tY1 ;
goy
1 OY1.
°6??8‘.
Will there be new rack storage? El ....Yes
2..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, provideidthe following:
Lot Area (sq ft): l (� a Floor area of principal dwelling: I23 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:
0 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? 0 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
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H: Applications\Forms-Applications On Linei2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1' Floor
a
I _,,v
fir.
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, provideidthe following:
Lot Area (sq ft): l (� a Floor area of principal dwelling: I23 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:
0 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? 0 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
0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H: Applications\Forms-Applications On Linei2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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Page 2 of 4
PUBLIC WORKS PERMIT INFO,. -NATION — 206-433-0179 \ J
Scope of Work (please provide detailed information): d exa o1 -\--,, }f\ ( - c, i �T
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 apnlv):
❑ .. Civil Plans (Maximum Paper Size — 22" x 34")
❑ .. Technical Information Report (Storm Drainage) 0... Geotechnical Report ❑ .. Traffic Impact Analysis
❑ .. Bond ❑...Insurance 0... Easement(s) ❑... Maintenance Agreement(s) ❑ .. Hold Harmless — (SAO)
❑ .. Hold Harmless — (ROW)
Proposed Activities (mark boxes that apply):
❑ .. Right-of-way Use - Nonprofit for less than 72 hours
❑ .. Right-of-way Use - No Disturbance
❑ .. Construction/Excavation/Fill - Right-of-way 0
Non Right-of-way 0
❑ .. Total Cut
❑ .. Total Fill
cubic yards
cubic yards
❑ .. Sanitary Side Sewer
❑ .. Cap or Remove Utilities
❑ .. Frontage Improvements
❑ .. Traffic Control
0 .. Backflow Prevention - Fire Protection
Irrigation
Domestic Water
0...Right-of-way Use - Profit for less than 72 hours
0...Right-of-way Use — Potential Disturbance
0... Work in Flood Zone
0...Storm Drainage
0...Abandon Septic Tank
0... Curb Cut
0...Pavement Cut
0...Looped Fire Line
91
0... Grease Interceptor
❑... Channelization
0...Trench Excavation
❑... Utility Undergrounding
❑ .. Permanent Water Meter Size (1) " WO # (2) " WO # (3) " WO #
❑ .. Temporary Water Meter Size (1) " WO # (2) " WO # (3) " WO #
❑ .. Water Only Meter Size If WO # ❑ .. Deduct Water Meter Size "
❑ .. Sewer Main Extension Public 0 Private 0
❑ .. Water Main Extension Public 0 Private 0
FINANCE INFORMATION
Fire Line Size at Property Line Number of Public Fire Hydrant(s)
❑ .. Water 0 .. Sewer ❑ .. Sewage Treatment
Monthly Service Billing to:
Name: Day Telephone:
Mailing Address:
Water Meter Refund/Billing:
Name:
Mailing Address:
City
State Zip
Day Telephone:
City
State Zip
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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 OWWNNER OR AUTHORIZED AGENT:
Signature 7) G 17' ,
Date: 11//4/
Print Name: L /"./04 3/77 / 77-/ Day Telephone: C;:k-56—i 5;_O' 1((
Mailing Address:
City
H:Wpplications\Forms-Applications On Line\2012 Applications\Permit Application Revised - 2-7-12.docx
Revised: February 2012
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State Zip
Page 4 of 4
/
:ashRegister sReceip1
City of Tukwila
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$117.22
D18-0106 Address: 14060 35TH AVE S Apn: 1523049153
$117.22
DEVELOPMENT
$113.90
PERMIT FEE
R000.322.100.00.00
0.00
$66.30
PLAN CHECK FEE
R000.345.830.00.00
0.00
$43.10
WASHINGTON STATE SURCHARGE
B640.237.114
0.00
$4.50
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE R000.322.900.04.00 0.00
r
TOTAL FEES PAID BY RECEIPT: R14235
$3.32
p,
k $117.22
Date Paid: Thursday, April 12, 2018
Paid By: RANDALL BARNEY SMITH
Pay Method: CHECK 5105
Printed: Thursday, April 12, 2018 2:34 PM 1 of 1
SYSTEMS
0
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
bC018-oo6
Project:
J o i , /%
Approved
T e of Ins ction:
... \ NL9, F /r/ A L<
_Demi)
e'sss:� �T'l,
Ad4/drF�
-35
ate Called:
Special Instructions:
Date Wanted: (a.m.
/ 0" / —20/8 p.m.
Requester: B
Phone No:
— 39&
62 9--g398-
Approved per applicable codes.
_36e>
Corrections required prior to approval.
COMMENTS:
Inspector: /j /]
Date:/b ZQxer,
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
ts 17-0 10(9
Project: 1.T,rpe
SKI T
i- )Pma
of Inspection:
I�'R?I -CON LDSc)
Address:41Av�
P AO 60 35 e. S.
Date Called:
--
Special Instructions:
Date Wanted:
9-Zg-2.041
a.m.
p.m.
Requester:
Phone No
2062 - X06 -1fy55
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
emc7
Inspector:
Date: z7 , /g/
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
1y060 3Sk{1 AvS
\q,Wv�
9%ib�
•
SE. `y2 JE PERMIT
=�C,JUiRED FOR:
lJ lechanual
Electrical
ii mbinq
as Piping
°'y of Tukwila
L ~'_"t r!NG DIVISION
REVISIONS
No chanoe� shall be made to the scope
of wn.,4( -,ithoi4t prior approval of
!, -la Building Division.
- M , .sR 'stuns will require a new plan submittat
and may include additional plan review fees.
PLANNING APPROVED •
No changes can be made. to these
plans without approval from the
Planning Division of DCD
Approved By: L 67.)YO w h
4-11-Dat4-11-I S -•
FILE COPY
Permit No. - 010
Plan review approval is subject to errors and omissions,
Approval of construction documents does not authorize
the violation of any adopted code or ordnance. Receipt
of approved Feld Copy and condtions Is acknoltedged:
Date:
City of Tukwila
BUILDING DIVISION
These plans have been reviewed by the Public
Works Department for conformance with current
City standards. Acceptance is subject to errors and
omissions which do not authorize violations of
adopted standards or ordinances. The responsibility
for the adequacy of the design rests totally with the
designer. Additions, deletions or revisions to these
drawings after this date will void this acceptance
and will require a resubmittal of revised drawings
for subsequent approval.
Final acceptance is subject to field inspection by
the Public Works utilities inspector.
Date: A 17/ By:
REVIEWED FOR
CODE COMPLIANCE
APPROVED
AA APR 18 2018
vie
ity of D NG Tukwila
DIVISION
RECEIVED
-APR 17 2018
TUKWILA
PUBLIC WORKS
RECEIVED
CITY OF TUKWILA
APR 1 2 2018
PERMIT GEN TEC.'
DW/ DIP
Page 1 of 3
March 31, 2018
PAT2180320
Linda Smith
4438 S. 176'h St.,
Sea -Tac, WA 98188
206-755-0874
A -T
Asbesto-Test,
Inc.
1429 Ave. U. 4-I87, Snohomish, WA 98290
425-489-4040
ASBESTOS SURVEY
Garage Only (&,,14060 35th Ave S, Tukwila, WA 98168
RECEIVED
APR 17 2018
TUKWILA
PUBLIC WORKS
On March 27, 2018, Asbesto-Test personnel conducted an Asbestos survey (per
U.S.E.P.A./A.H.E.R.A. guidelines as designated and specified by Puget Sound Clean Air
Agency and Washington State) of the garage only (a,14060 35th Ave S, Tukwila, Kim,
County, Washington 98168. This survey purpose is to identify asbestos containing materials,
prior to demolition.
Note: Samples of suspect Asbestos Containing Materials were taken and analyzed for the presence of asbestos.
THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES TAKEN. If there is any additional suspect ACM
Located prior to or during demolition (such as, but not limited to, those materials listed on the last page of this
report), that was not discovered in this survey, the material fs) must be Presumed Asbestos Containing Material
unless tested otherwise by laboratory analysis.
NARRATIVE OF FINDINGS
BASIC CONSTRUCTION: The garage is wood frame. The siding is wood. The wood siding
vapor barrier material was sampled. The composition roofing materials were sampled.
INTERIOR CONSTRUCTION, FINISHES, AN FLOORINGS: The interior
construction is all wood.
INSULATION: The insulation materials were sampled.
ELECTRICAL SYSTEM: N/A
HEATING AND VENTILATION SYSTEM: N/A
MISC.: None.
FO UCTURES ON SITE INCLUDED IN SURVEY: None.
RECEIVED
CITY OF TUKWILA
APR 1 2 2018
PERMIT CENTER
CODE COMPLIANCE
APPROVED
APR 18 2018
City of Tukwila
BUILDING DIVISION
continue to page 2
Page 2 of 3
PAT2180320
GARAGE
March 31, 2018
Asbesto-Test, Inc. 425-489-4040
Garage Only (&, 14060 35th Ave S, Tukwila, WA 98168
# of structures included in survey: one garage
Requested by: Linda Smith
Ti th.)matarrere
'..• •
Christopher L Patterson --
i;d5 sat t-lactxl.vcurpl,eel
ru'ry.t.lr Imr1,7
AHERA ii1j IASoear.,F
Ik-ruy wah!qt2 t:zin i fell
TSCA 1,40T CFR 763 (AHERN
.
Christ-optietPatter/
9".
"G -P Operations/Analyst- Asbesto-Test, Inc.
Inspector, Certified A.H.E.R.A.
Accred.01626922 EXP. May 10, 2018
continue to page 3
*7 1429 Are. b. # IV. Snohomish, WA 25290
425-489-4040; f 775-665-0420
Page 3 of 3
PAT218O320
ANALYSIS ID
March 31, 2018
Asbesto-Test, Inc. 425-489-4040
Garage Only (a 14060 35th Ave S, Tukwila, WA 98168
THERE WAS NO ASBESTOS DETECTED IN ANY OF THE SAMPLES LISTED
ASBESTOS//TYPE//QUANTITY OTHER MATERIAL
1.0 composition roofing
NAD cellulose, tar,
non-fibrous materials
2.0 vapor barrier NAD cellulose, tar
beneath previous sample
3.0 mastic NAD cellulose, adhesive
holding composition roofing
4.0 vapor barrier NAD cellulose, tar
beneath siding exterior
5.0 drywall
interior is unfinished
(no taping or mud)
6.0 insulation
color: cream
NAD
NAD
non-fibrous materials
cellulose, fiberglass,
fiberglass, cellulose
lf, during demolition or renovation, any additional hidden or covered suspect materials similar to those identified in the survey are located (may include but not Limited to: sheet
vinyl flooring, tile flooring, wall or ceiling texturings or paints, concrete siding or skirting, cement pipes, cement wallboard, electrical cloth, electrical wiring insulation, thermal
paper, wallboard, joint compounds, vinyl wall coverings, spackling compounds, or any other suspect Tv (Thermal System Insutation)J, they are presumed Asbestos Containing
Materials unless determined to be non -asbestos by laboratory analysis.
Asbesto-Test, Inc. does not guarantee approximations of quantities of ACM, which may be listed with the analyses. It is therefore recommended professional abatement price
and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc.), or by on site assessment.
Any and all materials identified as ACM and/or PACM in this report must he abated prior to disturbance in renovation or demolition.
Analytical test method: USEPA 600/R93/116"* (PLM); WAC 296-62-07753 App. 1
"One percent is the USEPA regulatory limit for asbestos in bulk samples.
Key:
"FRIABLE' signifies "Easily Airborne'
ACM signifies 'Asbestos Containing Material"
PACM signifies "Presumed Asbestos Containing Material"
CAB signifies "Concrete Asbestos Board"
< signifies "less than" _
TSI signifies 'Thermal System Insulation"
HVAC signifies Heating Ventilating Ah. -Conditioning"
signifies "No Asbestos Detected"
%/ z END OF REPORT
NAD
A'rLyytn Ha ma d, Pres , BSc.
A�r elytidel C hemist, AIHA proficient
(—Inspector, certified A.H.E.R.A.
accred:#1 283 (Expires July 27, 2017)
1429 Ave. D. 187. Snolronrish, 0'A 98290
425-489-4040:1775-665-0420
.. ,.'u'.atY): ifi)lc:.t7.: tad' 1nI,/i . 'nit'.t81/r-iLCi'pi
• N
PERMIT COORD COPY
PLAN REVIEW/ROUTING SLIP
PERMIT NUMBER: D18-0106 DATE: 04/16/18
PROJECT NAME: SMITH DEMOLITION
SITE ADDRESS: 14060 35TH AVE S
X Original Plan Submittal Revision # before Permit Issued
Response to Correction Letter # Revision # after Permit Issued
DEPARTMENTS:
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Building Division O
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Public Works
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Fire Prevention
Structural
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Planning Division
❑ Permit Coordinator ❑
PRELIMINARY REVIEW:
Not Applicable ❑
(no approval/review required)
DATE: 04/17/18
Structural Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: DUE DATE:
Approved ❑ Approved with Conditions /
Corrections Required ❑ Denied ❑
(corrections entered in Reviews) (ie: Zoning Issues)
Notation:
05/15/18
REVIEWER'S INITIALS:
DATE:
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg 0 Fire 0 Ping ❑ PW 0 Staff Initials:
12/18/2013
RESTAD CONSTRUCTION LLC
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Washington State Department of
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RESTAD CONSTRUCTION LLC
Owner or tradesperson
RESTAD, ROY WAYNE
Principals
RESTAD, ROY WAYNE, PARTNER/MEMBER
WA UBI No.
604 285 721
16625 16TH AVE SW
BURIEN, WA 98166
206-853-2024
KING County
Business type
Limited Liability Company
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.
RESTACL820N7
Effective — expiration
08/27/2018— 08/27/2020
Bond
Western Surety Co
Bond account no.
63700727
$12,000.00
Received by L&I Effective date
08/27/2018 05/23/2018
Expiration date
Until Canceled
Insurance
..._...........
Northfield Ins Co $1,000,000.00
Policy no.
WS361581
Received by L&I Effective date
08/27/2018 08/07/2018
Expiration date
08/07/2019
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
No L&l tax debts are recorded for this contractor license during the previous 6 year period, but some debts
may be recorded by other agencies.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Help us improve
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RESTAD CONSTRUCTION LLC
No active workers' comp accounts during the previuus 6 year period.
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.
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