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HomeMy WebLinkAboutPermit D18-0356 - MUTUAL MATERIALS - OFFICE DEMOLITIONMUTUAL MATERIALS OFFICE DEMOLITION 4302 S 104T" PL D18-0356 Parcel No: Address: Project Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 0323049213 4302 S 104TH PL DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: MUTUAL MATERIALS - OFFICE DEMOLITION D18-0356 12/31/2018 6/29/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: MUTUAL MATERIALS COMPANY 605 119TH AVE NE , BELLEVUE, WA, 98005 TYLER LITZENBERGER 11335 NE 122ND WAY - SUITE 105 , KIRKLAND, WA, 98034 NORTHWAY CONSTRUCTION INC 1433 VALENTINE AVE SE SUITE 102, PACIFIC, WA, 98047 N0RTHC1905CQ MUTUAL MATERIALS 605 119TH AVE NE, BELLEVUE, WA, 98005 Phone: (425) 968-5115 Phone: (253) 753-8100 Expiration Date: 2/18/2020 DESCRIPTION OF WORK: DEMOLITION OF VACANT OFFICE BUILDING IN TUKWILA. PROPERTY IS BEING REDEVELOPED BY THE USER, MUTUAL MATERIALS, UNDER SEPARATE PERMIT SUBMITTALS CURRENTLY SUBMITTED TO THE CITY. Project Valuation: $39,750.00 Type of Fire Protection: Sprinklers: Fire Alarm: Type of Construction: VB Electrical Service Provided by: TUKWILA Fees Collected: $1,464.15 Occupancy per IBC: U 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: 2017 2017 2017 2015 Public Works Activities: Ch annelization/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: 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. Date: r�/3/ //r- The /r 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 a:ree to the conditions attached to this permit. Signature: Print Name: Date: 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: Call to schedule mandatory pre -construction meeting with Dave Stuckle, Public Works Inspector, (206) 433- 0179. 9: 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. 10: Prior to construction, all utilities in the vicinity shall be field located. NOTE: For City of Tukwila utility locates, call 811 or 1-800-424-5555. 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: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off-site or into existing drainage facilities. 14: 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. 15: 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. 16: 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. 17: Call to schedule mandatory pre -construction meeting with Dave Stuckle, Public Works Inspector, (206) 433- 0179. 18: Prior to construction, all utilities in the vicinity shall be field located. NOTE: For City of Tukwila utility locates, call 811 or 1-800-424-5555. 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 4 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: `,1— le 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: 1130. King Co Assessor's Tax No.: 4 -3.00 -South 104th Place, Tukwila, WA 98178 Tenant Name: Mutual Materials (Owner and User) OFFICE DErtio A?? PROPERTY OWNER Name: Tyler Litzenberger Name: Mutual Materials City: Kirkland State: WA Zip: 98034 Address: 605 119th Ave NE Email: TLITZ@VECTORreCORP.COM City: Bellevue State: WA Zip: 98005 CONTACT PERSON — person receiving all project communication Name: Tyler Litzenberger Address: 11335 NE 122nd Way, Suite 105 City: Kirkland State: WA Zip: 98034 Phone: (425) 968-5115 Fax: Email: TLITZ@VECTORreCORP.COM GENERAL CONTRACTOR INFORMATION Company Name: Address: 605 119th Ave NE Company Name: Address: Architect Name: City: State: Zip: Phone: Fax: Phone: Fax: Contr Reg No.: Email: Exp Date: Tukwila Business License No.: H:Wpplications\Forms-Applications On Line \2011 Applications'Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Suite Number: Floor: New Tenant: ❑ Yes ..No ARCHITECT OF RECORD Name: Mutual Materials Address: 605 119th Ave NE Company Name: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Name: Mutual Materials Address: 605 119th Ave NE 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: Mutual Materials Address: 605 119th Ave NE City: Bellevue State: WA Zip: 98005 Page 1 of 4 BUILDING PERMIT INFORMAT? N — 206-431-3670 Valuation of Project (contractor's bid price): $ 39,750 Existing Building Valuation: $ 1,500,000 Describe the scope of work (please provide detailed information): Demolition of vacant office building in Tukwila. Property is being redeveloped by the user, Mutual Materials, under separate permit submittals currently submitted to the city. 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 ❑ Automatic Fire Alarm 0 None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? D Yes No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1s` Floor 2nd Floor 3rd Floor pp Floors t thru :1\ 1 \ 1 Lleji � Basement ` Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes ❑ No If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm 0 None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? D Yes No If `yes', attach list of materials and storage locations on a separate 8-1/2" x 11 " paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:\Applications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of 4 PUBLIC WORKS PERMIT INFORMATION — 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑...Water District #125 ❑ ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0 .. Highline ❑...Valley View ❑ .. Renton ❑...Sewer Availability Provided 0 .. Renton 0 .. Seattle Septic System: ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") 0 ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report ❑ ... Traffic Impact Analysis ❑ ...Bond 0 .. Insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) 0.. 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 ❑ ❑ ...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 ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line Domestic Water 0 ...Permanent Water Meter Size... ❑ ...Temporary Water Meter Size .. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public ❑ ❑ ...Water Main Extension Public 0 11 WO # WO # WO # Private 0 Private 0 0 .. Grease Interceptor ❑ .. Channelization ❑ .. Trench Excavation ❑ .. Utility Undergrounding ❑...Deduct Water Meter Size FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) 0 ...Water 0 ...Sewer 0 ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: c Ty State Zip Day Telephone: c tY State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 PERMIT APPLICATION NOTES — Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINGG OWNER 0 Signature: IZED AGENT: Print Name: TYLER LIT.40.: ERGER Mailing Address: 11335 NE 122ND WAY, SUITE 105 Date: 10/15/2018 Day Telephone: (425) 968-5115 KIRKLAND WA 98034 H:Wpplications\Forms-Applications On Line\2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh City State Zip Page 4 of 4 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT PermitTRAK QUANTITY PAID $1,464.15 D18-0356 Address: 4302 S 104TH PL Apn: 0323049213 $1,464.15 DEVELOPMENT $1,421.82 PERMIT FEE R000.322.100.00.00 0.00 $846.56 PLAN CHECK FEE R000.345.830.00.00 0.00 $550.26 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $25.00 TECHNOLOGY FEE $42.33 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15781 R000.322.900.04.00 0.00 $42.33 $1,464.15 Date Paid: Tuesday, November 06, 2018 Paid By: MUTUAL MATERIALS COMPANY Pay Method: CHECK 438847 Printed: Tuesday, November 06, 2018 2:24 PM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 0 Permit Inspection Request Line (206) 438-9350 DIS' -63.51, Project: i UN %/ 7�/Y � Type of Inspection: � VO LDI N& 6 L Address:`�'ir�n ��,� Y3©� Q5'0 Date Called: Special Instructions: df', Cx Derv., prA Date Wanted: 9 -5 -Ft a.m. p.m. Requester: Phone No: 3 _ Chi 3 Approved per applicable codes. Corrections required prior to approval. COMMENTS: k'PRbv,D c -f; -L j)4 AA Inspector: Date: q =/ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. a 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 fl18-0356 Proj 1 - oAve- .g.r� T}-���n_ spgc1 on: rit �' Address: ii. z/Qy 6 P• Date}Called: Special Instructions: dp,C/cE cD Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: arC C -A1 (4ppVIA>* ,r2us� /27z?I5 3‘46I4 /IJr4�i (liti€e/ cd Inspector: Date: g 26 zo( E REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INS C •N N0. flit east 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: Mirrifn'IR.<s Type of Inspection: c Address: 430L 3 jolt' P L - Date Called: Special Instructions: Date Wanted: 2^2-Z "IC7 41..ir.„ p.m. Requester: _ Phone No: Zi'"3 293 7993 ❑ Approved per applicable codes. L3 Corrections required prior to approval. COMMENTS: I.� Inspector: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. r -2o' 0 10 20 s0 Know what's below. Call before you dig. SF A ',' i L F`r MIT i RI:OUIRE:0 FOR: 1L4f echanicai 'Electrical IPlumbing Midas Piping Oily of Tukwila PLi i_FI'FNG DIVISION FILE Copy Penn It No. Plan review approval is subject to errors and omissio Approval of consiru' <ion docum ns is the violation of cny adopted coda do®s not authorize of approved Field ordinance. Receipt Copy and difio is acknowledged: Ey' Date: C1WNL01K rcucO 2.4' W. OF LINE DEMOLITION PLAN FOR MUTUAL MATERIALS - TUKWLA WA. A PORTION OF THE NE 1/4 OF OF THE SW 1/4 OF SECTION 3, AND A PORTION THE SE 1/4 OF OF THE NW 1/4 OF SECTION 3, TOWNSHIP 23N, RANGE 4E, W. CITY OF TUKWILA, KING COUNTY WASHINGTON .._i.! N. 00 980 1 nese 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 OFadopted standards or ordinances. The responsibility Mfor 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 se u ., ig. -e 15 ubj EQfied inspection byN'O /01RBDt . s!etor. y 777 777777V.1 - s,0Ftwe. :6 int Cfi (LnR e • 'PC STORM 110 (SOUARE) .UNOEL' 9171 ON GNC PAD O® Ol 12' GOLUYN FENCE POST 1 m 1 �/ sek \\\ \ £ \\�raR TION vaz \\ h1 \\ \1\ 13' DEEv) ) \ LE1719(30 \%\ \\ ' 0;7;4°41°12 \\\ / \\ ` \ \o \ / I O3X6i10LE 10'01 108CNC QRV 1.1 0.13,10 016±00NK FENCE 2.2' W. OF LINE 60 DRAIN 1411.21.49 4' RC I.E. S.20.99' ALL OFFSITE SCALDING 001110196± FENCE 0.8' 0. OF 191E CURB 1.7' E. OF UNE CHAINUNK FENCE 2.3' w. Or LINE p5 9026 CB STD GRATE RW=21.29 4' PJC I.E. 9.20.09' 4' PVC I.E. 9.19.69' baubete 018-036i 0006444 0 37235• WATER 8/H City of Tukwila BUILDING DIVISION pedOLR1ON KEYNOTES 0 0 0 0 0 0 0 O 0 REMOVE EX. BUILDING/COLUMNS/DECK/STAIRS. REMOVE EX. EXTRUDED CURBS. REMOVE EX. TREES. EX. ASPHALT TO REMAIN. REMOVE EX. CONCRETE SIOEWALK/PAD. EX. POWER VAULT/METER/JUNCTION BOX/ TELEPHONE BOX AND ASSOCIATED CONDUIT. TO BE ABANDONED IN PLACE. REMOVE EX. HEAT PUMP. REMOVE EX. LOT UGHT. REMOVE EX. FIRE HYDRANT/WATER VALVE/WATER METER/IRRIGATION BOX. 10 REMOVE EX. ASPHALT PAVEMENT. 11 REMOVE EX. ROCKERY. 12 REMOVE EX. SIGN. No ch 13 REMOVE EX. SSCO/SDCO AND PIPES. of v 14 REMOVE EX. BENCH. IS REMOVE EX. WHEEL STOPS. 0 REMOVE EX. PAVEMENT MARKINGS. 17 REMOVE EX. FENCE/GATE 18 REMOVE EX. LANDSCAPE ROCKS AND FILL EXISTING POOL. R `VIEWED FOR COCOMPLIANCE E PROVED NV72018 sty of Tukwila BUILDING DIVISION 6' I.E. 0.1 ue. WATER METER / A1ER ER VALVE 09 50' WIDE ACCESS EASEMENT PER 20000921001130 50' WIDE WATERMAIN EASEMENT PER 7109010505 50' WIDE ELECTRICAL EASEMENT PER 7109270433 51pQTN\Akre 'LINDEL' SIGN CB STD GRATE 611.21.06 6' CNC I.E. 0.19.16' STEPS TRENCH OREM •M,4.••LE.,E 29 REVISIONS 6' .RC ages shall be made to the scoo€ 0.6 3° rk withotit po'ot approval of Tr)*kwifa Building Division NOTE: Revisi its will require a nevi plan submittal and may inc de additional plan review fees. 1-.- � IU HLMAIN ROOKERY /C �` 4�'�!� /DECK jam/ \\__\\\ \\---EA \\ \ BOLLARDS STEPS 90k 06000 FENCE 0.8' N'LY Or UNE 0X168000 0800 Cm) 14'I4APLE 15'01 12416010 12'DL WOOD FENCE 0.6' 5E OF LINE — 6' PVC I.E. 0.15.58 GATE 14145 3' W. 00 PROPERFT UNE 17 0 Ps4" 6� pN 2'PEie 7z2 PwIE - DIP$' fine e �cPe e\c Srre WDRk f tar/dims Df,�'soygmovtL FOUND X 4' CONCRETE R/W MCI ±ENT AT CORNER JJs RECEIVED NOV 0 8 2018 TUKWILA PUBLIC WORKS RECEIVED CITY OF TUKWILA NUV062018 PERMIT CENTER n. 0 0 2 3 8 2 LL 01 M E o s s $ § 7 N CV CV cr. tO CO Q I I ^ 3 17 M7 N � in iA .- Y vv JPULDCINU Xrel coco Approved Transaction https://secure.pscleanair.org/Asbestos/Approved.aspx psc.leanair.org Puget Sound Clean Air Agency Notification Case #: 201805004 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 # APOFF93771AA Transaction Date 10/30/18 Owner's Name Project Street Address City Contact Person Mailing Address Mutual Materials 4300 S. 104th Place Tukwila Tyler Litzenberger 11335 NE 122nd Way, Suite 105 Kirkland, WA 98034 Phone Zip Phone (425) 968-5115 98178 (425) 968-5115 This project includes a demolition. Demolition Start Date 01/02/19 Completion Date 08/01/19 Demolition will be completed by a demolition contractor Demo Contractor Property Owner Contractor Job # Contact Phone Mailing Address n cn om Dmc Zo •c •0nm 0 c • <- 0l r Fn" it c' _ZO O m z (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 project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single - residence that includes multiple ancillary structures, such as a detached garage or other outbuildings 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. RECEIVED NOV 0 8 2018 TUKWILA PUBLIC WORKS family having the Create Another Notification View History Loa Out If you have questions, contact us at asbestos@pscleanair.org or 206.689.4058. 1 of 1 tIBO35 6 RECEIVED CITY OF TIU KW ILA NUV 0 6 2E8 PERMIT CENTER 10/30/2018, 10:20 AM _Approved Transaction https://secure.pscleanair.org/Asbestos/Approved.aspx pscleanair.org Puget Sound Clean Air Agency Notification Case #: 201805005 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 $275.00 Credit Card Transaction # APOFF9377AC2 Transaction Date 10/30/18 Owner's Name Mutual Materials Project Street Address 4300 S. 104th Place City Tukwila Contact Person Tyler Litzenberger Mailing Address 11335 NE 122nd Way, Suite 105 AK Phone (425) 968-5115 Zip 98178 Phone (425) 968-5115 This project includes asbestos removal. Project Size linear feet / 500 square feet Project Start Date 12/01/18 Completion Date 08/01/19 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Property Owner Contact Mailing Address Contractor Job # Phone This project includes a demolition. Demolition Start Date 01/01/19 Completion Date 08/01/19 Demolition will be completed by a demolition contractor Demo Contractor Contact Mailing Address Property Owner Contractor Job # 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 project's 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 1 of 2 10/30/2018, 10:26 AM '8SOV689'90Z .io 6ao uieueapsdpo so;sagse;e sn ;De;uoa 'suol;sanb anal noA dI WV 9E:01 `8102/0£/01 d (D ..-.O Q C (D O rt n (D (CI (DD a) , (D rt rt rt rt -ns a) rt 0 a n r.r O - n ? () C (D(.1)a CD CCDV)) (D -"' (r)rt 3 -th (-D C O (0 -. rt —i '3 '( (D � n cu Z O n O (n n. rt rt — =v) a) an) rOt `G CT O Q C a) (DD rt (D A • (7D O (n D : u (DD a) C -n < n C (D 3 a C Cu - a) In to O Cr a CU O (D 01 a (D C Cli r) aa. -• ( D n n. to in n a) c n) Q (D (D o 0 ✓ ). 3 (D O C 0rt C a n to u) D. - a) n to rr (D uopesueaL panolddy. xdswpano.iddd/solsagswato aieuealasd•a moan//:sd;ay F.S. o GS. SERVICES INC. 1 INTERIOR DEMOLITION ASBESTOS REMOVAL. MOLD REMEDIATION riLa 16214 57TH Avenue East Suite A, Puyallup, WA 98375 253-548-1011 Fax: 253-536-8488 RECEIVED NOV 0 8 2018 TUJKWILA PUBLIC WORKS GOOD FAITH ASBESTOS SURVEY Date Performed: 09/11/2018 18231 Projec Office Demolition 4300 South 104th Place Seattle, WA 98178 REVIEWED FOR CODE COMPLIANCE APPROVED Prepared for: Mutual Materials Company P.O. Box 2009 Bellevue, WA 98009 ■ Charles Jobe j AHERA Certified Building Inspector #166764 i3•• 0 3 sc, RECEIVED CITY OF TUMALA NO 062018 PERMIT CENTER TABLE OF CONTENTS: 1.0 ASBESTOS SUMMARY 2.0 INDUSTRY ABSTRACTS 3.0 INSPECTION REPORT 4.0 CHAIN OF CUSTODY/LABORATORY REPORT 5.0 PHOTOS 6.0 SAMPLE LOCATION PLAN Project Address: 4300 South 104th Place, Seattle, WA 98178 1.0 ASBESTOS SUMMARY The AHERA regulation, 40 Code of Federal Regulations (CFR) 763, is the primary governing regulation when performing asbestos surveys. This regulation was originally enacted for school buildings, but has since been applied to public and commercial buildings. AHERA Protocol determines the number of samples of each material to be collected, depending on its category and amount of material present. The goal of AHERA is to ensure statistically reliable data and it accomplishes this by requiring or suggesting a minimum number of samples to be collected, and in some cases, by using random sampling techniques to determine sampling locations. However, in every case, AHERA relies on the judgment of the inspectors who are experienced in AHERA methodology and the type of facilities being inspected. Although extreme thoroughness and expertise were exercised to ensure the completeness of this survey, existing conditions may have prevented the discovery of other suspect asbestos containing material. F.S. & GS. Services, Inc. is not responsible for materials that are hidden from sight and cannot be discovered with reasonable diligence. Any suspect material not covered in this survey that is encountered during the renovation or demolition procedure should be verified by analysis prior to disturbance. AHERA regulations segregate suspect materials into three categories: • Surfacing Materials: A sprayed or troweled on texture applied to walls, ceilings, wall cavities and structural members for acoustical, decorative or fireproofing purposes. AHERA requires collection of a minimum of 3 to 7 samples per homogenous material depending on the quantity of material. ❖ Thermal System Insulation: Insulation used to inhibit heat transfer or prevent condensation on pipes, boilers, tanks, ducting, fumaces and other components of hot and cold water systems and heating, ventilation, and air conditioning systems. AHERA requires collection of at least 3 samples of each homogenous material. ❖ Miscellaneous Materials: Other, largely non -friable products and materials such as floor coverings, ceiling tile, roofing, outdoor siding, concrete pipe, silver coatings and many others building materials. AHERA requires the collection of at least one sample per homogenous material. After identifying the suspect materials, bulk samples were collected and taken to an independent accredited laboratory to be analyzed for the amount and type of asbestos, if any. The bulk samples were analyzed using Polarized Light Microscopy (PLM) stain dispersion staining techniques in accordance with the EPA Method 600/R-93/166, which has a reliable limit of quantification of one percent asbestos by volume. All suspect materials were analyzed by Schneider Laboratories, Inc. in accordance with 40 Code of Federal Register Chapter 1, Part 763, Sub part F. AIHA Bulk Asbestos Analytical Testing Program (101150-0). F.S. & GS. Services, Inc. is not responsible for variations in analytical results or inaccuracies resulting from laboratory analysis. It should be noted that this survey was conducted only to ascertain the presence of asbestos containing materials. There was no survey conducted by F.S. & GS. Services, Inc. to determine the presence of PCB material (ballast, etc.), UST's, radon gas or any other hazardous material that may be present onsite. Project Address: 4300 South 104th Place, Seattle, WA 98178 2.0 INDUSTRY ABSTRACTS A Puget Sound Clean Air Agency notification is required to obtain a demolition permit. Prior to any demolition or renovation, all friable and non -friable asbestos containing materials (ACM) are to be removed and disposed of in accordance with applicable Federal, State and Local regulations. If there are any asbestos containing materials left on site that will not be disturbed during the renovation or demolition process, we recommend an Asbestos Operational and Maintenance Program (OM) be developed and implemented to monitor the remaining ACM. In the event any suspect materials are detected during the demolition of this structure, you will need to cease all demolition activities and have these materials sampled for asbestos. EPA AND LABOR & INDUSTRY EXTRACTS Current federal regulations (NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS, NESHAPS, CFR 40, PART; 61, SUBPART M [REVISED SUBPART B]) require that no renovation or demolition activity release asbestos fibers to the environment. Therefore, all affected asbestos containing materials must be removed by a certified asbestos contractor prior to remodel or demolition. WAC 296-62-07707, Identification, requires an owner to perform a good faith inspection to determine whether materials to be worked on or removed contain asbestos. LIMITATIONS In accordance with your request, F.S. & GS. Services, Inc. has conducted an A.H.E.R.A. type survey. F.S. & GS. Services, Inc. warrants that the survey was performed with the usual thoroughness and competence of this profession, and within the limits of accessibility to materials. The survey was conducted within the guidance provided by 40 CFR Part 763, Subpart E, Appendix C. F.S. & GS. Services, Inc. is not responsible for materials, hidden from sight that cannot be found with reasonable diligence, such as materials in foundations or slab floors. We are providing this information for the express use of Mutual Materials Company and we make no warranty of sufficiency of data to any other parties. This survey and a demolition intent will need to be submitted to the Puget Sound Clean Air Agency prior to renovation or demolition activity. Project Address: 4300 South 104th Place, Seattle, WA 98178 3.0 INSPECTION REPORT Type of Survey Good Faith Asbestos Survey # of Structures 1 General Building Type Occupied office building scheduled for demolition Exterior Finishes Wood siding with a cedar roof Floor Finishes Carpet, sheet vinyl and floor tile Wall & ceiling Finishes Combination of wood and textured gypsum wallboard Heat Source Forced air furnace Insulation Type Fiberglass Exclusions None Address: 4300 South 104th Place (Office Building), Bellevue There were a total of 11 suspect building materials (bulk samples) removed from this structure during this survey. Based on the lab analysis, 4 of the 11 samples tested positive for greater than 1% asbestos. Asbestos Containing Materials: • The cream floor tile located in the downstairs hallway and possibly in the office areas (Sample # CJ -01). • The yellow sheet vinyl located under the floor tile in the lunch break area. This sheet vinyl could run under other areas of the building (Sample # CJ -04). • The gold sheet vinyl located in all of the restrooms. This sheet vinyl could run under the carpet in other areas of the building (Sample #'s CJ -06 & 10). Project Address: 4300 South 104th Place, Seattle, WA 98178 F.S.✓GS. SERVICES INC. 4.0 INTERIOR DBIDIIncN F.S. & GS. SERVICES INC. 16214-57T" Ave. East Suite A TEL# 253-548-1011 PUYALLUP WA 98375 FAX# 253-536-8488 Asbestos Bulk Samples Chain of Custody Project # 18231 Client Name: Mutual Materials Company Project Name: Office Building Billing Address: P.O. Box 2009 Bellevue, WA 98009 Project Address: 4300 South 104th Place Seattle, WA 98178 Owner Name & Address: Same as above SAMPLE # FLOOR PHOTO# AREA TYPE OF MATERIAL CJOI BSMT I HALLWAY CREAM FLOOR TILE & YELLOW MASTIC CJO2 BSMT 2 TELEPHONE ROOM OFF WHITE FLOOR TILE & MASTIC CJ03 BSMT 3 LUNCH ROOM WHITE SPECKLED FLOOR TILE & MASTIC CJ04 BSMT 4 LUNCH ROOM YELLOW MARBLE PATTERNED SHEET VINYL CJO5 BSMT 5 TELEPHONE ROOM OFF WHITE CEILING TILE 006 BSMT 6 WOMANS RESTROOM GOLD SPECKLED SHEET VINYL CJO7 BSMT 7 HALLWAY JOINT COMPOUND & DRYWALL CJO8 MAIN 8 HALLWAY JOINT COMPOUND & DRYWALL CJO9 MAIN 9 BATHROOM JOINT COMPOUND CJ10 MAIN 10 MENS BATHROOM GOLD PEBBLE PATTERNED SHEET VINYL C711 MAIN 11 MENS BATHROOM YELLOW COVE BASE MASTIC Date Samples Taken: 09-11-2018 Sampled by: Charles Inspector Signature: Turn around time: ❑ Same Day ® 2-3 days ❑ 5 days Customer: Address: Attn: Project: Location: Number: Analysis Report F.S. & G.S. SERVICES INC. (2269) 16214 57TH AVE EAST STE A PUYALLUP, WA 98375 Office Building 4300 South 104 PL Seattle, WA 18231 Method: EPA 600/R-93/116 & 600/M4-82-020 Schneider Laboratories Global, Inc 2512 W. Cary Street • Richmond, Virginia • 23220-5117 804-353-6778. 800 -785 -LABS (5227) • Fax 804-359-1475 Order #: 279292 Received Analyzed Reported 09/14/18 09/14/18 09/14/18 PO Number: 18231 PLM Analysis Sample ID Collected Gust. ID 279292-001 09/13/18 CJO1 Location Bsmt Hallway Asbestos Fibers Other Materials Layer 1: Floor Tile Cream, Organically Bound Layer 2: Mastic Yellow, Brittle 2% CHRYSOTILE None Detected 98% NON FIBROUS MATERIAL 2% CELLULOSE FIBER 98% NON FIBROUS MATERIAL 279292-002 09/13/18 CJO2 Bsmt Telephone Room Layer 1: Floor Tile Off White, Organically Bound Layer 2: Mastic Yellow, Brittle 279292-003 09/13/18 CJO3 Layer 1: Floor Tile White, Organically Bound Layer 2: Mastic Yellow, Brittle 279292.004 09/13/18 CJO4 Layer 1: Sheet Vinyl Yellow, Org.Bound/Fibrous Bsmt Lunch Room Bsmt Lunch Room None Detected None Detected None Detected None Detected 100% NON FIBROUS MATERIAL 2% CELLULOSE FIBER 98% NON FIBROUS MATERIAL 100% NON FIBROUS MATERIAL 2% CELLULOSE FIBER 98% NON FIBROUS MATERIAL 20% CHRYSOTILE 80% NON FIBROUS MATERIAL Sample was inhomogenous, subsamples of each component were analyzed separately. 279292-005 09/13/18 CJO5 Bsmt Telephone Room Layer 1: Fibrous Material None Detected Off White/Gray, Fibrous 65% CELLULOSE FIBER 5% FOAMED GLASS 20% tv1INERAL/GLASS WOOL 10% NON FIBROUS MATERIAL Reporting Limit: 1% Gravimetrically Reduced Reporting Limit: 0.01% PLM analysis is based on Visual Estimation and NESHAP recommends that any asbestos content less than 10 percent be verified by PLM Point Count or TEM Analysis. The EPA recommends that any vermiculite should be treated as Asbestos Containing Material (ACM). This report must not be reproduced except in full with the approval of the laboratory. The test results reported relate only to the samples submitted. Page 1 of 2 Project: Location: Number: Office Building 4300 South 104 PL Seattle, WA 18231 Method: EPA 600/R-93/116 & 600/M4-82-020 PO Number: 18231 PLM Analysis Sample ID Collected Cust. ID Location Asbestos Fibers 279292-006 09/13/18 CJO6 Bsmt Womans Restroom Other Materials Layer 1: Sheet Vinyl 20% CHRYSOTILE Gold, Org.Bound/Fibrous Sample was inhomogenous, subsamples of each component were analyzed separately. 279292-007 09/13/18 CJO7 Bsmt Hallway Layer 1: Drywall None Detected White, Powdery Layer 2: Joint Compound White, Granular 279292-008 09/13/18 CJO8 Layer 1: Drywall White, Powdery 279292-009 09/13/18 CJO9 Layer 1: Joint Compound White, Granular Main Hallway Main Bathroom None Detected None Detected None Detected 80% NON FIBROUS MATERIAL 10% CELLULOSE FIBER 90% NON FIBROUS MATERIAL 100% NON FIBROUS MATERIAL 10% CELLULOSE FIBER 90% NON FIBROUS MATERIAL 100% NON FIBROUS MATERIAL 279292-010 09/13/18 CJ10 Main Mens Bathroom Layer 1: Sheet Vinyl Gold, Org.Bound/Fibrous 20% CHRYSOTILE Sample was inhomogenous, subsamples of each component were analyzed separately. 80% NON FIBROUS MATERIAL 279292-011 09/13/18 CJ11 Main Mens Bathroom Layer 1: Cove Base Mastic Yellow, Fibrous EPA Regulatory Limit: 1% Total layers analyzed on order: 15 %t aau.t naa J ! Analyst Virginia Jones None Detected 80% CELLULOSE FIBER 20% NON FIBROUS MATERIAL 279292-09/14/18 01:22 PM Reviewed By: Hind Eldanaf Microscopy Supervisor Reporting Limit: 1% Gravimetrically Reduced Reporting Limit: 0.01% PLM analysis is based on Visual Estimation and NESHAP recommends that any asbestos content less than 10 percent be verified by PLM Point Count or TEM Analysis. The EPA recommends that any vermiculite should be treated as Asbestos Containing Material (ACM). This report must not be reproduced except in full with the approval of the laboratory. The test results reported relate only to the samples submitted. Page 2 of 2 5.0 PHOTOS Photo 1: Cream Fear Tile & Yellow Mastic Photo 2: Off White Floor Tile & Mastic Project Address: 4300 South 104th Place, Seattle, WA 98178 Photo 3: White Speckled Floor Tile & Mastic Photo 4: Yellow Ma eP to Sheet vinyl Project Address: 4300 South 104th Place, Seattle, WA 98178 Photo 5: Off White Ceiling Tile Photo 6: Gold Speckled Sheet Viny_I. Project Address: 4300 South 104th Place, Seattle, WA 98178 Photo 7: Joint Compound & Drywall Photo 8: Joint Compound & Drywall Project Address: 4300 South 104th Place, Seattle, WA 98178 Photo 9: Joint Compound & Drywall Photo 10: %old Pebble Patterned Sheet Vinyl Project Address: 4300 South 104th Place, Seattle, WA 98178 Photo 11: Yellow Cove Base Mastic Project Address: 4300 South 104th Place, Seattle, WA 98178 6.0 SAMPLE LOCATION PLAN ±1sitzt4, Project Address: 4300 South 104th Place, Seattle, WA 98178 • Um I 42:42> s O• • e.•., • •41-.;-!- s• -aft! 5.4V , I 1 1 I - I 1 "1 .1 '•! -- N.* • • ‘11 Ba.L • 1 • 11- "7—cr51,4114.1 r.t..5 c 4. .1 ,• 5 • 0.. 's• I I 1 I /. 4 0'2 • -1.4 _ ILL vai 1 /NM Wt. g r"". 47:" • •ogis • L.....v. Se I) P.M: '41 66, .1,773.726, If I: I. ; • t—Ill•........17. 1 '..- OV ..• •• v. C.a.; 1.f .„ P. - 1. T.. or.. 1 •' Ji O. k". %CZ V•s?...14 3G 1•• 1. E. )'f • • • Project Address: 4300 South 104th Place, Seattle, WA 98178 6/28/2019 City of Tukwila Department of Community Development TYLER LITZENBERGER 11335 NE 122ND WAY - SUITE 105 KIRKLAND, WA 98034 RE: Permit No. D18-0356 MUTUAL MATERIALS - OFFICE DEMOLITION 4302 S 104 PL 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 8/25/2019. 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 8/25/2019, 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. Sin rely, l Kandace Nichols Permit Technician File No: D18-0356 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 c PERMIT COTT PLAN REVIEW/ROUTING SLIT' PERMIT NUMBER: D18-0356 DATE: 11/06/18 PROJECT NAME: MUTUAL MATERIALS OFFICE DEMO SITE ADDRESS: 4302 S 104 PL X Original Plan Submittal Response to Correction Letter # Revision # before Permit 'ssued Revision # after Permit I: ued DEPARTMENTS: hvgi Building Division X15 AwC, VS19 Tblic Works ptnn \IN Fire Prevention Structural 1-4 S M/1— W)7 - Planning Divis 101 ❑ Permit CoordiCitor -'RELIMINARY REVIEW: lot Applicable ;:no approval/review required) DATE: 11/0= ,/18 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved n Approved with Conditions Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) DUE DATE: 12/0(Z18 18 Notation: REVIEWER'S INITIALS: DATE: l'ermit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: // 12/18/2013 NORTHWAY CONSTRUCTION C L-{orne Espanol Contact Safety & Health illaikk Washington State Department of Labor & industries Claims & Insurance Page 1 of 3 Search L&I A -Z Index Workplace Rights NORTHWAY CONSTRUCTION INC Owner or tradesperson Principals FRY, KYLE RAY, PRESIDENT FRY, SONYA LEIGH, SECRETARY (End: 01/29/2016) Doing business as NORTHWAY CONSTRUCTION INC WA UBI No. 602 977 633 1433 VALENTINE AVE SE SUITE 102 PACIFIC, WA 98047 253-735-8100 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. NORTHCI905CQ Effective — expiration 02/18/2010— 02/18/2020 Bond DEVELOPERS SURETY & INDEM CO Bond account no. 250161C Received by L&I 01/24/2011 Active. Meets current requirements. $12,000.00 Effective date 02/01/2011 Expiration date Until Canceled' Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602977633&LIC==NORTHCI905CQ&SAW= 12/31/2018