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Permit D19-0382 - SAROYA DEMOLITION - DEMO SINGLE FAMILY RESIDNECE
SAROYA DEMOLITION 4626 S 164 ST D19-0382 Parcel No: Address: 0 �"^�«x °~� Tukwila v~Uu� v�n n ��nv���oa Department of Community t B00SwuthcenterBoulevard, Suite#1OU Tukwila, Washington 9D18Q Phone:2Q6'431'3G7U Inspection Request Line: %UG~430'935V Web site: http://www.TukwilaVJA.gov DEVELOPMENT PERMIT 5379800500 Permit Number: D19-0382 Project Name: SAROYA DEMOLITION Issue Date: 2/14/2020 Permit Expires On: 8/12/2020 Owner: Name: 46Z6S164THST,TUKN/|U\WA, 98188 Contact Person: Name; CRA|G PRETTY Phone: (206)247-3532 Address: 18645 RENTON MAPLE VALLEY RU SE, MAPLE VALLEY, WA, 98038 Contractor: Name: VVYNDMAMDESIGN, INC License No: VVYNDHD|028QVV Expiration Date: 9/26/2020 Lender: Name: OWNER FUNDED ''' DESCRIPTION OF WORK: DEMOLISH HOUSE AND REMOVE DEBRIS FROM SITE. HOUSE ONH|GHUNEWATER AND VALLEY VIEW SEWER DISTRICT. PUBLIC WORKS ACTIVITIES INCLUDE EROSION CONTROL AND SETIC SYSTEM ABANDONMENT. Project Valuation: $1I000.08 Type ofFire Protection: Sprinklers: Fire Alarm: Type ofConstruction: V8 Electrical Service Provided by: TUKWILA Fees Collected: $808.61 Occupancy per IBC: R'3 Water District: H|GHLINE 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: VVACities Electrical Code: VV4[Z96~466: Code: ublic Works Activities: Chan ne|izabon/Sthping: CurbCut/Acceo/5|dewa|k: Fire Loop Hydrant: Flood Control Zone: HauUnB/OversioeLoad: Land Altering: Landscape Irrigation: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Volumes: Cut: O Fill: O Number: O Permit Center Authorized Signature: � Date: c7, |hoarbycertify that I have read and examined this permit and know the same to be true and correct. All provisions of law and orcHnances 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 orlocal laws regulating construction orthe performance ofwork. |amauthorized 0osign and obtain this development permit and agree tothe conditions attached tothis permit. Signature: Print Na This permit shall become null and void if the work bnot commenced within I80days for the date nfissuance, or|f the work is suspended or, abandoned for aperiod ofl8Odays from the last inspection. PERMIT CONDITIONS: 1: 'PUBLIC WORKS PERPW|TCOND[O0N5*** I: Call to schedule mandatory pre -construction meeting with the Public Works Inspector, (206) 438-9350. 13: PER H|GHL|NEWATER DISTRICT @>(Z06)8l4'O375WATER SERVICE SHALL BEDISCONNECTED ATTHE WATER METER. 3: Schedule and attend a Preconstruction Meeting with the Public Works Department prior to start of work under this permit. Toschedule, call Public Works at(2O6)43D'9350. 4: The applicant or contractor must notify the Public Works Inspector at (206) 438-9350 upon commencement and completion ofwork atleast Z4hours inadvance. All inspection requests for utility work must also be made Z4hours inadvance. 5: Permit isvalid between the weekday hours of7:00a.m.and Si0p.m.only. Coordinate with the Public Works Inspector for any work after 5:O0p.m.and weekends. 6: No work under this permit during weekend hours without prior approval by Public Works. Coordinate with the Public Works Inspector. 7: Work affecting traffic flows shall be closely coordinated with the Public Works Inspector. Traffic Control Plans shall besubmitted tothe Inspector for prior approval. 8: Any material spilled onto any street shall becleaned upimmediately. 9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off -site orinto existing drainage facilities. 10: The site shall have permanent erosion control measures in place essoon aspossible after final grading has been completed and prior tothe Final Inspection. 11: From October I through April 30, cover anyslopes and stockpiles that are 3H:1V or steeper and have a vertical rise of lUheet ormore and will be unwo/kedfor 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 hestockpiled nnsite atthe beginning ofthis period, Inspect and maintain this stabilization weekly and immediately before, during and following storms. 12: From May I through September 30, inspectand maintain temporary erosion prevention and sediment at least monthly. All disturbed areas of the site! shall be permanently stabilized prior to final construction approval, 14: Any septic tanks inthe area shall bepumped empty and removed urfilled with sand. Acopy of the documentation from the business that performed the pumping shall be provided to the Public Works Inspector. 15: Work shall be installed in accordance with theapproved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 16: 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. 17: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill orotherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based onsatisfactory completion ofthis requirement. 18: All construction noise to be in compliance with Chapter 8.22 of the City of Tukwila Municipal Code. Acnpy can beobtained atCity Hall inthe office cf the City Clerk. 19: VALIDITY OFPERMIT: The issuance orgranting ofapermit shall not beconstrued tobeapermit for, oran approval of, any violation of any of the provisions of the building code or of any otheir ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances ofthe City ofTukwila shall not bevalid. The issuance o[apermit based onconstruction 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: (2O6) 438-E350 1700 8U|LD|NGF|NAL~~ 5200 EROSION MEASURES 5210 EROSION MEASURES FI\IL 1600 PUBLIC WORKS FINAL 5160 PUBLIC WORKS PRE -CON 0 CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wvvw.TukwilaWA.gov Building Permit No. � ` V 31 2 Project No. Date Application Accepted- 1)--37 q Date Application Expires: 3 " _0 For o ice use onl 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. **Please Print** SITE INFORMATION Site Address: 96 2- (p ,) . C �q 4 Tff Sr. 764 601Gtq Suite Number: Floor: Tenant Name: New Tenant: ❑ . Yes ❑ ..No PROPERTY OWNER Name: c tiA 7/141) /\ J 5°`Iq R.0ypil Address: c.// Z 4 5, 1/ �O y—•N S .1- City: / o f W U-Pq State: cv0 . Zip: CONTACT PERSON—�perssoon receivingviall project communication Name: c 12.444 (�� p ii .�7/ , % gyp^ Address: I U t!1 L `- j2 vzU,i' �i/tcr V I/�i`t,. City: 1414 p L State: t j , Zip: f Phone:. -at t•_ _ 2A .-7 ' S 3 -2_ Email: i (4 . Pae-7X, AA % 1C06t/✓I DESIGN PROFESSIONAL IN RESPONSIBLE CHARGE Name: Address: City: State: Zip: Phone: Email: GENERAL CONTRACTOR INFORMATION Company Name: / y y� /� /� ` Address: City: State: Zip: Phone: St Contr Reg No.: Exp Date: Tukwila Business License No.: King Co Assessor's Tax No.: ARCHITECT OF RECORD Company Name: Address: City: State: Zip: Phone: Email: ENGINEER OF RECORD Company Name: Address: City: State: Zip: Phone: Email: LENDER — WHO IS FUNDING THE PROJECT (required for projects $5,000 or greater per RCW 19.27.095) Name: 0 / _) A' /,- 5`d_i'/ I%/vi (5,1 Address: P o yel City: State: Zip: MONTHLY SERVICE BILLING -or- WATER METER REFUND/BILLING Name: Address: City: State: Zip: Phone: W:Permit Center (Rachelle)\Applications\Word \Construction Permit Application Revised 6-2019.docx Revised: June 2019 Page 1 of 3 BUILDING DIVISION INFORMATION — 206-431-3670 Valuation of Project (contractor's bid price): $ 000 g 00 Existing Building Valuation: $ Describe the scope of work (please provide detailed information): 0 L I .5 it/ /4/0 v 56r 4 p 677--to 04c73 /2_ (.5 (;2.42,47 Si'7c Will there be new rack storage? El.. Yes Ej.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC PtFloor 1 0 q 5ar 2"4 Floor , 3rd Floor Floors thru Basement Accessory Structure* D cfc i 3 I Garage 0 Attached EI Detached Carport 0 Attached El Detached Deck Covered Deck Uncovered Deck r ( 7)(Z. 7-22-‘1 14Fr PLANNING DIVISION INFORMATION — 206-431-3670 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 fl):24_620_ Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentat on that shows that the principal owner lives in one o e dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Will there be a change in use? 0„„... Yes Handicap: If "yes", explain: FIRE PROTECTION/HAZARDOUS MATERIALS — 206-575-4407 El Sprinklers 0 --Automatic Fire Alarm 0 .......None El 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, PUBLIC WORKS INFORMATION — 206-433-0179 0 ...Permanent Water Meter Size (1). WO # (2) " WO # (3) " WO # 0 ...Temporary Water Meter Size (1). " WO # (2) " WO # (3) " WO # 0 ...Water Only Meter Size " WO # 0 ........Deduct Water Meter Size 0 ,.,Sewer Main Extension Public 0 Private 0 0 ...Water Main Extension Public 0 Private 0 WAPermit Center (Rachelle) \ Applications\ WorMConstruction Permit Application Revised 6-2019.doca Revise* June 2019 Page 2 of 3 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 OWNER OR : THORIZED AGENT: Signature: Print Name. C4f //1 /c Ttv Mailing Address: / gb qc ,eivw/HO Date: Day Telephone: Z0 & — 2.y 7 3S3 2-- Afree- 4/4 4//, n City State Zip W:\Permit Center (Rachcllc)\Applications\Word \Construction Permit Application Revised 6-2019.doca Revised: June 2019 Page 3 of 3 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS 1 ACCOUNT QUANTITY PermitTRAK PAID $613.11 D19-0382 Address: 4626 S 164TH ST Apn: 5379800500 $613.11 DEVELOPMENT 51 PERMIT FEE R000.322.100.00.00 0.00 $292.01 WASHINGTON STATE SURCHARGE B640.237.114 0.00 $6.50 PW PERMIT ISSUANCE/INSPECTION FEE R000.342.400.00.00 0.00 $25.00 PW CONSTRUCTION PLAN REVIEW R000.345.830.00.00 0.00 $25.00 PUBLIC WORKS $250.00 BASE APPLICATION FEE R000. 22.100.00.00 0.00 $250,00 TECHNOLOGY FEE $14.60 TECHNOLOGY FEE , TOTAL FEES PAID BY RECEIPT: R19662 R000.322.900.04.00 0.00 1 $14.60 $613.11 Date Paid: Monday, January 13, 2020 Paid By: JAGTAR SAROYA Pay Method: CHECK 199 Printed: Monday, January 13, 2020 11:38 AM 1 of 1 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $195.50 D19-0382 Address: 4626 S 164TH ST Apn: 5379800500 $195.50 Credit Card Fee $5.69 Credit Card Fee R000.369.908.00.00 0.00 DEVELOPMENT $189.81 PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R19217 R000.345.830.00.00 0.00 $189.81 $195.50 Date Paid: Thursday, December 05, 2019 Paid By: JESUS VALENCIA Pay Method: CREDIT CARD 011016 Printed: Friday, December 06, 2019 12:20 PM 1 of 1 CRW SYSTEMS CO TUKWILA ETRAKIT 6200 S0VTH[ENTEK BLVD TUKWILA, WA 98188 206-433'1870 CITY Of TUKWILu 0017340000802374464500 Date: 12/05/2019 0I:10:31 PM CREDIT CARD SALE VISA [xKD NUMBER: TxxN AMOUNT: $195.50 APPROVAL [D: 011016 RECORD #: 008 cLsnn ID: Bill {CARDHOLDER'S SIGNATUREJ I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 Permit Inspection Request Line (206) 438-9350 670 Project: s M 0Yi9 Pe / Type of Inspection: Rw-©ilk /1I4Z - Address: ,, ,// Date Called: Special Instructions: Date Wanted: •�-� - a.rra. p.m. Requester: Phone No: jklApproved per applicable codes. COMMENTS: Corrections required prior to approval. PP/tot/4 -- 2 ?c ' f7, -- Ilns pector: Date: 26 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectionn. SNaNM nu �I��Nfll These Plans have been reviewed by the Public Works Department for conformance with current City standards, Acceptance is suhicct 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, Dote: ' BY: 121�oj ,� NOISIAIa ONIa1If1 el! rlldo,4! C 0/0/ z0 Ndf 03AO ddv 30NVI1dW00 3000 NOd 03M3IA3a 'moral uela euo pppe apnlaul A¢w pue I¢giwgns ueld Mau E all oal IlIM su0ISIOaa :3i0N volsIAIC burping epMynl auj 10IEnO!CCE :Cod fl000 MJ0M lC e003S au; of aL E aq deus sK,J?:.;o oN SNOISIM3a NOISING ONI011f1E wIMHn1 J 02 02,6z h/ Ag :Da6paiMouwuef+a6 iu pp! Woo 0I' ;Allude to ialaoay aaueulpJ io apoo people 41e to umeiom aut azure lOc saop sluawroap u000rulsuoo to ieaaddy suoissiwo Due sraJa 0110000s Si le0oidde MOIAal ueld '0N *wed d0O 3113 NOISIAIO 9NI011119 emnip4O buldld seD pulgwn(d 110PI3 IOW :aod min 3» I wonal._—��---� Puget Sound r Agency Single -Family Notification Case #: 201905967 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 Credit Card Transaction Transaction Date Owner's Name Project Street Address City Contact Person Mailing Address $25.00 # AA1A3BEB71A9 11/26/19 Sukhvinder Saroya 4626 S 164 Street tukwila WA. Alfonso Gracia Phone Zip Phone (778) 996-7710 98188 (253) 263-3243 This project includes asbestos removal. Project Size linear feet / 550 square feet Project Start Date 12/05/19 Completion Date 12/06/19 Asbestos will be removed by a licensed asbestos abatement contractor I certify that: (1) This is a single-family residence project. The structure is used by one family who owns the property as their domicile. (2) The information I have provided is to the best of my knowledge accurate and complete. (3) I understand the fee for this Notification is nonrefundable. Create Another Notification View History If you have questions, contact us at asbestos@pscleanalrorg or 206.689.4058. REVgE FOR CODE COMPLIANCE APPROVED JAN 02 2020 City of Tukwila BUILDING DIVISION Loa Out RECEIVED CITY OF TUKWILA DEC 0 5 2019 PERMIT CENTER Washington State Department of lab©r & Industries Asbestos Project Notification Form Form ID: 152438#1176576436 Submitted: 11/26/2019 at 7:42pm Project dates and notice type Notice date: 11/26/2019 Notice type: Amended Project dates:12/05/2019 to 12/06/2019 Job site location Address: 4626 S 164 street tukwila, WA 98188 County: King Property owner Name: Sukhvinder Saroya ; Phone: 778-996-7710 Address: 4626 S 164 street Tukwila, WA 98188 Completed by: Alfonso Garcia Work hours You will work these times: 8:00am to 5:00pm ...on these dates: Thursday and Friday from 12/5/2019 to 12/6/2019 Contractor GREEN RIVER ASBSTS ABTMNT LLC (AUBURN UBI: 604392579 Certification: ABCN00001691 Phone: 253-263-3243 Contact Email: greenriverasbestos@gmail.com Supervisor: Ernesto coronilla Certification: ABA500036540 Phone: 206-293-2738 Facility details Facility type: Residential Construction year: 1943 Size: 910 sq. feet Prior use: residential Construction type: maintenance REVIEWEDr-vi CODE COMPLIANCE APPROVED JAN 02 2020 City of Tukwila BUILDING DIVISION C CE!VED TUKWILA DEC 0 5 2019 RMIr CENTER D/9os82 Washington State Department of - Form, ID: 152438#1176G76436 'Completed, by: Alfonso Garcia Submitted: 11/26/2U19at7:42pm � Project details Popcorn Ceiling 'S8Vsquare feet Indoors Removed Control measures. Critical Barriers HepaVacuunl Manual Methods / Negative pressure enclosure Wet methods Respiratory protection: Type C continuous flow supplied air Cement Asbestos Board (CAB)'1sosquare feet /Outdoors Removed Control measures: HepaVacuurn Manual Methods Wet methods Respiratory protection: � 1/2 mask-Airpuhfying respirator Public Health • Seattle & King Count FILE REPORT OF WASTEWIATER TANK. ABANDONMENT Return completed form to Public Health — Seattle & King County, Environmental Health Division, 14350 SE Eastgate Way, Bellevue, W DATE: / / PARCEL (APN): Instructions for completing form: This form is to be completed by any persons permanently removing a septic tank, seepage pit, cesspool, or other on -site sewage system wastewater tanks from service. Complete and submit this report to the health officer within thirty (30) days of the abandonment. Authority: Chapter 13.04.054, the Code of King County Board of Health, Title 13. General Information (Please print): Name of Owner/Occupant of Property: Address: 4' 2 6 5 (6 L7/ %, 7 G�'KGoR-14 Wastewater Tank Data: Type of Sewage Tank: Septic Tank Pump Tank Holding Tank Other: Number of Compartments Pumped: Not Applicable Comments Number of Gallons Pumped: Checklist Item Yes No Septage removed by an approved pumper?* Tank lid removed or destroyed? Tank void filled with compacted soil or gravel? 'TOSS Pumper Name: King County Certification Number: Reason for wastewater tank abandonment: Property being served by public sewers Property being served by replacement tank Structure being demolished REVIEWED FOR CODE COMPLIANCE Comments: . APPROVED JAN 02 2020 v�ty VI 1 unwrla BUILDING DIVISION Report of Wastewater Tank Abandonment Revised 11/9/2012 Cl'ERM!T COORD COPY C5 PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D19-0382 DATE: 12/6/2019 PROJECT NAME: SAROYA RESIDENCE SITE ADDRESS: 4626 S 164TH ST. X Original Plan Submittal Revision # before Permit Issued Response to Correction Letter # Revision # after Permit Issued DEPARTMENTS: Building Division us Public WINQ Wt W 4° Fire Prevention Structural Mote13, Al 1)-1131 Planning Division Permit Coordinator IIII PRELIMINARY REVIEW: DATE: 12/10/19 Not Applicable El Structural Review Required (no approval/review required) REVIEWER'S INITIALS: DATE: El APPROVALS OR CORRECTIONS: DUE DATE: 1/7/2020 Approved Corrections Required Approved with Conditions Denied (corrections entered in Reviews) (ie: Zoning Issues) El r- Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg El Fire 0 Ping 0 PW 0 Staff Initials: 12/18/2013 C:1111 Labor Industries (htt ps://lnima.qav) Contractors WYNDHAM DESIGN INC Owner or tradesperson Principals PRETTY, CFtAIG ARTHUR, PRESIDENT PRETTY, ANGELINA (End: 07/13/2010) Doing business as WYNDHAM DESIGN INC 18645 RENTON MAPLE VALLEY RD SE MAPLE VALLEY, WA 98038 206-947-0066 KING County WA UBI No. Business type 601 898 723 Corporation ILicense Verify the contractor's active registration / license 1 certification (depending on trade) and any past violations. . on ... ,,,,,, Contractor Active Meets current requirements. License specialties GENERAL License no. VVYNDHDI0280W Effective — expiration 11/16/1998-- 09/26/2020 Bond Western Surety Co Bond account no. 62714285 $12,000 00 Received by L&I Effective date 03/31/2016 03/17/2016 Expiration date Until Canceled Bond history Insurance Ohio Security Ins Co $1 ,000,000,00 Policy no. BKS59711618 Received by L&I Effective date 04/01/2019 03/29/2019 Expiration date 03129/2020 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I 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. Certifications Endorsements