HomeMy WebLinkAboutPermit B95-0372 - CITY OF TUKWILA - DEMOLITION (BUILDING 3) City ty of Tukwila ... (206) 431 -3670
Community Development / Public Works e 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
DEMOLITION PERMIT
Permit No: B95 -0372 Status: ISSUED
Type: B- DEMOLI Issued: 12/06/1995
Category: RES Expires: 06/03/1996
Address: 4204 S 116 ST
Location: BUILDING #3
Parcel #: 335140 -0825
Wetlands: Slopes: N
Water Dist: TUKWILA Sewer Dist: SEATTLE
Units: 001 Buildings: 001
Contractor License No:FTENTI *055MC
TENANT CITY OF TUKWILA
4204 S 116 ST, TUKWILA, WA 98168.
OWNER CITY OF TUKWILA .
6200 SOUTHCENTER BLVD, TUKWILA WA 98188„
CONTACT RANDY BERG ;'Phone: 206 433 -0179
6300:;SOUTHCENTER BLVD #100, TUKWILA, WA 981.88
CONTRACTOR F T ENTERPRISES INC Phone: 206 874 -2525
34820 13TH CT SW, FEDERAL WAY, W 98023
*** * ** * * ** *, * * * *•k ** *•k * * ** *•k *** qtr *** ** ****•k* * * *•k * sir * ** * ***** *** k* *** * *•k ** ****
Permit Description: Valuation 5,000.00
DEMOLITION OF BUILDING #3
Demolition Fee: 42.00 s Investigation Fee .00
Cash Bond: .00: Total Permit Fee: 42.00
Bond Number: GE 5713373
* * * * *•k'k* * * * * ** k* k'** * * * * ** * * * * ** * * * * ** * * * * * * * * *** k * * * * * * * * * * * ** **4*; * * * * * * **
Permit - Center Authorized.Signatur.e Date
I hereby 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 t o 'sign for an
obtain this building permit.
Signature: Date: / t�. e Z
Print Name: •(f2 s-i � 1 = v Ti t I e : ?�12 1r!l'YDrtt .
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or
abandoned for a period of 180 days from the last inspection.
ALL PERMITS FOR DEMOLITION PROJECTS REQUIRE CONSTRUCTION, DEMOLITION AND
LANDCLEARING WASTE MATERIAL FROM THESE PROJECTS TO BE RECYCLED AT A KING
COUNTY LICENSED OR APPROVED FACILITY, OR TAKEN TO REGIONAL DISPOSAL
FACILITIES.
�° w'' CITY OFTUKWII d
!t y
i ; gl, i Department of Community Development — Permit Cente
N
•
it - ' 6300 Southcenter Boulevard #100, Tukwila, WA 98188
rive (206) 431 -3670
Building Permit Application Tracking
PLAN CHECK PROJECT NAME
NUMBER ■t • --CU K ( la`
i 0.
SITE ADDRESS 14P SUITE'"rO.
6 03 u aoW 5 l RD 5 - _______
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in writing by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to the next department.
• Any conditions or requirements for the permit shall be noted in the Sierra system or summarized
concisely in the form of a formal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review the project.
DATE : ,
DEPARTMENT DATE IN • REQUIREMENTS / COMMENTS
APPROVED
0 BUILDING - 11 -3� q6 CONSULTANT: Date Sent - Date Approved -
initial review I (-�
ROUTED _
i'
-IRE FIRE PROTECTION: • Detectors NIA
II (� 9.c N FIRE DEPT. LETTER DATED: INSPECTOR:
INIT: ) ' 'l'
O PLANNING n ZONING: (BAR/LAND USE CONDITIONS? °Yes Li
�,/ � REFERENCE FILE NOS.:
i INIT: MINIMUM SETBACKS: N- S. E- W.
PUBLIC 1,',. pc UTILITY PERMITS REQUIRED? Yes No
,�� , PUBLIC WORKS LETTER DATED:
WORKS INIT: f',OU eol WA to f 11(3/ .45 - P
O OTHER
INIT:
BUILDING - i (2- A -`p TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? UBC EDITION (year):
final review INIT OYes $ o 1995
•
m BUILDING J a _ /-- ?_
OFFICIAL INIT: •
REVIEW COMPLETED
AMOUNT CONTACTED Jr
OWING: MO L 0 v
DATE NOTIFIED -l aw BY: I •
IQ init. o. •
2nd NOTIFICATION BY:
(init.)
3RD NOTIFICATION BY:
$ 1, 1a.m (init.)
01/08/93
BUILDIN PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3x70 DESCRIPTION AMOUNT • RCPT :.# DATE
BUILDING PERMIT FEE ' a�
PLAN CHECK 110 . PLAN CHECK :FEE
C BUILDING SURCHARGE,'::::: :,
APPLICATION MUST BE OTHER.
. ; F I LL ED R ..COIVIPLE.TELY TOTAL`.3
SITE ADDRESS LA tai 5 t lV k SUITE# VALUE OF CONSTRUCTION - $
Co lek p; M0 _s. S . ) I57.,4 7 i ''=`
PROJECT NAME/TENAN ASSESSOR ACCOUNT #
TU KuJ t o- 3 - o- a4
TYPE OF • • w Building • Addition • Tenant Improvement (commercial) r'i emolition (building)
WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel (residential) ❑ Other:
DESCRIBE WORK TO BE DONE:
l EIvIDL -(T7 D/-) aui c,p / 3
BUILDING USE (office, warehouse, etc.)
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN USE? ❑ No ❑ Yes If Yes, new building requirements may need to be met. Please explain:
SQUARE FOOTAGE - Building: Tenant Space: Area of Construction:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
❑ No ❑ Yes IF YES, EXPLAIN:
FIRE PROTECTION FEATURES: 0 S•rinklers ❑ Automatic Fire Alarm S stem
PROPERTY OWNER _ K PHONE 4 3 _ / e
ADDRESS 6;19 50(177 - 5L-VP <1/< L /471c ZIP 8e
CONTRACTOR l PHONE
ADDRESS ZIP
WA. ST. CONTRACTOR'S LICENSE # EXP. DATE
ARCHITECT PHONE
ADDRESS ZIP
HEREBY ;CERTIFY;THATIHAVE • READ:: AND; ::EXAMINED:sTHIS::aPP.LICATION, AND ,KNOW. >'';i <;ii
BE TRU E: AND .CORRECT, :AND I AM AUTHORIZED TO:: APPLY FOR :THIS `
BUILDING OWNER SIG / � _ DATE �
OR
AUTHORIZED PRINT NAME ") -)1)Y , �� PH NE 433. 9 I -7 Cr l
AGENT ADDRESS G �m�f- ,��E3kfT� /13 CITY/ZIP' C0I -60hee
CONTACT PERSON PHONE
SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the
application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at
the Building counter which provide more detailed information on application and plan submittal requirements.
Application and plans must be complete in order to be accepted for plan review.
VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of
Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting
application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is
subject to possible revision by the Building Division to comply with current fee schedules.
BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor
licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this
permit application and obtain the permit will be required as part of this submittal.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition).
No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements, please
contact the Department of Community Development Building Division at 431 -3670.
DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES
t - q5
10/2'2,113
' :ti
SUBMITTAL C__
HECKLI
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• jubinittglf.!5 :::::: , :: - . ...:::;:: . : . ':::::• . :, . : . , . ' . ',. . ''..'.'': . • . '. . . ..... . .. , .. ... ::;::.,:::::v4i.t.::::::;::::!:"..i..:: ',...1_„_,:ijaaterfel..::!??...:7.i;;iii;liedorr9!....,..!? •fifa ,i,....!:„•:.:.,..,:.:::::::.:.:a......i..:',::::..:::::::,::::::::::.:.::::,::k:::.m::::::::.::-.:.:::.::: NOTE A certification letter RACK STORA :....:',.,::::::::.:',.:::.i:.,::::',..:.,•::,...,..•.'•.:..:•-pi iir..atipn.',...:::::,•.:...:.:.::.::::•:(:::::•:::::::::,,,.,.....:J:::::i...:::::::::,.i.::::::::•...:::::;o:::.: ::!.:!'..„.:::•.,..:•,.,:.:::..„:i.i...- : - .... . ...„....,...„....,•::,:x,:::::::::::::::::.-:.:::::•:::.::::',...:::::i::::::.:..m.':::.:.,, ..... ................................................................................
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—
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where r. ao.i:s,.,,,,,. 11. ,,,,,.. located ,:,,.,:...:.....::..,..:.:....,.................: , . , ..H .,,,,. ...::....•.,...... : ....„... „.f . pi 1 , ‘ •
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location finie Firia4
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floo lea's-9)4197 ...;•••••••:.':'•...'::•-' -•••• ...: ' ••••:-.::.:'-'.'.:::*".:.'"'::::: '' - Details . antenn ... .. -.., -..• • •:::•••••.: . Washington ttate
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Tenant 1.,
' . racks (he ight, wt ...... . . . . ..
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and exit ways I .
St ructural calculations. .
d over),.:i......,.,: ......
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r engineer (rack s
stamped by . i4 .: W s as . ., dis .... h ... 1111 ,... d :... .. '!!: :: ! 1 ''•• • •• • •‘.- licens
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ENTIAL .: . : .....:. 1 ........ . ‘ : . ... . • ..,"":"..,":":::..:•..:::::::::::.e.;:....,..:::::::::::::::,....
RESIDENTIAL ... . ..,- — .
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- Siata Energy Code
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heing installed ..,...., . .,
to final inspoo ....
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plan and utility
situ plan may submittalrequkem ,......,...‘ ..
140TE: A certification y .:::.:..:.. :•' ' ''.:,. • •
NOTE:. Building s
i g plic it a u ti p on and checklist for lion.
tilay be required ,i.f •orlictup..... :.• ;o off of th m
may bo combined...
utility perm . - t o p ogra p hical and soils ... .
di topogr.q.P : - .• ,. .. ::..... : ' '.. ..
A f i te di c ti o u n u ditions.:.,...i: . ..: ....
-- ``;1411 .1 City of Tukwila 3 C2..
-o �` '' 2 Central Permit System - Engineering Division
• Q i , I ; 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Phone: (206) 433 -0179
to; '" ' .... . _. . UTILITY PERMIT APPLICATION
PROJECT :;;'.:: SiteAddress :- -. - -- - - -. ICk- 4?- -?' :'
INFORMATION i
Name of Project: 4- i7C g FoWRE rke Z71' 1-r1&, -/ 43
Pros ert Owner: t uJ (...-- -- Phone No.: 3 3 - )rssi
Street Address: 6go0 .vrre - ..urw: j L. 0 Cit /State /Zip uKty t bA 9.6/6
Engineer: MeR RI - f - P h - g p t M r / c /r r ' " Phone No.: 3135- 87 CO
Street Address: 1 7O( (jet.-Ir17-1 p12G.e` City / State/Zip: Moo / - --
Contractor: Phone No.: i
Street Address: City /State/Zip:
King Cty Assessor Acct #: 355/y0.D925 Contractor's License #: Exp. Date:
PERMITS ,::.; : . ❑ Channelization /Striping /Signing 0 Sewer Main Extension ❑Private ❑ Public
REQUESTED.'.. ❑ Curb Cut/Access /Sidewalk 0 Storm Drainage
❑ Fire Loop /Hydr. (main to vault) - No.: Sizes: ❑ Street Use
1,:)C,' P U , c ,A ❑ Flood Zone Control ❑ Water Main Extension ❑Private C] Public
y)�,( "AA I ❑ Hauling 0 Water Meter / Exempt:- No.: _ Sizes:
t1 ,) 1S 0 Land Altering cubic yards Deduct ❑ Water Only ❑
❑ Landscape Irrigation 0 Water Meter / Permanent - No.: _____ Sizes
❑ Moving an Oversized Load 0 Water Meter / Temporary: - No.: — Sizes:
Est. start/end times: Estimated quantity:
Date: hedule:
❑ Sanitary Side Sewer - No.: then: ... 2 ,. ...._ j y/D G l 7` / a
WATER •:: Name: Phone No.:
DEPOSIT!
REFUND /BILLING:•: Street Address: City /State /Zip:
MONTHLY : : ; , . Name: Phone No.:
SERVICE : >;
BILLINGS TO: . Street Address: City /State /Zip:
❑ Water ❑ Sewer ❑ Metro ❑ Standby
DESCRIPTION OF : : ❑ Single - Family Residential
❑ Multiple - Family Dwelling ❑ Hotel ❑ Duplex ❑ Apartments ❑ Other:
No. of Units: ❑ Motel ❑ Triplex ❑ Condominiums
❑ CommerciaVlndustrial ❑ Office ❑ Warehouse ❑ Church ❑ School /College /University
❑ Retail ❑ Manufacturing ❑ Hospital ❑ Other:
❑ New Building
MISCELLANEOUS ❑Remodel/ Square footage of original buildin space:
INFORMATION q g building p
Square Addition
Footage: Square footage of additional building space:
King County Assessor's valuation of existing structures: $ Valuation of work to be done: $
I HEREBY >CERTIFY: :I: HAVE READ:; THIS APPLICATION :AND KNOW TO BETRUEAND ;CORRECT ;;
Applicant /Authoriz% ' Contact Person C'•
Aaent Signature: 7 (print name): c9e)`. m-e_
Print Name: ', .j.{ D Seg- 6t Address:
RECEIVED
Date: /( r" Phone: 4 44. IT`( OF TUKWILA Phone:
Date Application Accepted: 1, 13 I CI 5 Nov 0 3 sla Application Expires: 6- -.- 9 6,
PERMIT CENTER 04/22/92
•
.' d'.t .r..,' r ,R `.i?tet ^. C't.,';:!'; i ..lPA }1Vy + ji .X.! (tG:/.j :rf;.■ •:r•. lttii •k,. I, • M,.kx.i.u.4. . '�a..;,•'. • n ■.y J 7 ^ . s - ' • .. ,, e " i .
4'
N
• 0 . ". C
ti
•
. GENERA 42.00
k•A'k. *•A *•krt* *4 * *A ** 0r 14.A* k* h* *.•k•A ****M7t*k *�Fk•R•k.tkA * itk�t•k,t6•it�t•h•k•ktil••k•A*h* VOID
CITY OF TUKWILA. WA — ` � TRANSMIT GENERA -42.00
•hrth*14 ** *4*OikkhicAlk *A * *4it k A. A A *fr••1VicA tk *•htktt•ket *•h *•k *11A- 10• * *** CASH 0.00
TRANSMIT Number: 940103315 Amount: 4').00 12/06/94244/M9123 0602A000 16 :33
Payment Method: .TRANS Notation: CITY OF •1'UKWILFI Xriit: SLI3 .
Permit No: B95 -0372 Type: 0-•OE;MOLI DEMOLITION PERMIT '
Parcel' Nn: 335140••0E325
Site Hddrsu: 4204 S 11..2 f11'
Laca•tion: BUILDING 113
ratu1 Fee3: 42.010 . •
This Payment 42.00 Total FILL Pinta: 42.00 .
Balance: .00
+ 4k* k• t* k** k* M * * ** * * *••A**, * * * *A *krM * * *r1 ** *A.Avn* *•h *4.4k•k•h* ***A *A* ** .
Account Cade Description • Amount
000/322.100 BUILDING -• RES 42.00
».Q •5 ±an 4 65 30D.0•0.59u: 411a oo> .
,
•? ?,.i•,.. aL,l: i? .ts'.?t :24 . .,�_,, . ,• :,r .i,:.: • ;- ;, i ..._ :7ti s. �.i . .,t r.,.: ,i ' t:" ,'! „? � t .'. �, R, f k '' � i t i i . ,. ,!
.�� �.. },tl,��. �Fx r �.._i,. .t 1 �, - , ..:L t sr , t, �,.... t , r .'* , _r,_hru.ti�Ut._... 1- :nhr t�_ 1W '.. ++.
INSPECTION RECORD �: ��.,,
Retain a copy with permit .
INSPECTIO N PERMIT NO. •
CITY OF TUKWILA BUILDING DIVISION �I iI
6300 Southcenter Blvd., #100, Tukwila, WA 98 :: / / /t, 06) 431 -3670
/ V ,
crgs a 5 I!J 5't r: _ . _. — �,
Special instructions: Date wanted6.. 3 9
p,m•
Requester:
Phone No.:
Ig,s, Approved per applicable codes. I I Corrections required prior to approval. ''
x COMMENTS; .
0 C—r---4.6_..}7--;-7- .-:!''..
y
•;11
•
.,
:` i ft r
F.
I lr f ;, .
Inspector: fij Date: /1 "• ' r4 . '
■ Lam.. / L1s V
� ILL / � ;' r.
;1 i t om.
$42A I . REINSPECTION F_E REQUIRED. Prior to inspection, fee must ` r ' ' . ,
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. p '' i q ,,
Receipt No.: Date: v;,',,:. .,.•, ` ,x - io ?, :,; ;, '.
1 s t.. t p
G . . ,•.c � lte,: •t . 'a' '�a 1. S•'7K575��14ic�.7RYilZii, ti ' �itid►'Wwk,Yla"' ...eB �.'�'t. � —tAtu d* :..t...........1.. .Jf'ih _4r 1 . _ e c .. t , ' ,.
• C I .. 0.,
CITY OF TUKWILA
Address 4204 S 116 ST Permit No: B95-0372
Suite.:
Tenant: CITY OF TUKWILA :. -
IUEC�
• Type ::'B•- DEMOLI '`<, '' . ` . A Status: :�S
pplied :•'. 11/01/1995
Parcel,' #`: 3351`40'70625 `; `'' ' . . Issued: :12/06/.1995 ' ,
* •k •I °k •k k * •k' •k 'k *.I+ •k 'k •4 ii: . k : k * * * *, •k_ •k : k * •k''k. •k •k •k * A. *'•k lk * It It 'k •k *et,* * It ik •k 'k * It I. * It •k. II S. It *'k 4 * * *4 It •k* It * M •k •k •k
t. Permi Conditions: ._ ,..,:
1;. • Temp'orat y erosion the f i rat' order contr o J ` lost" 7 1 be,� imp 1 erne nted as '
r�d r � 1' ,� . =u
si e of ' ; � o 'prevent""°is i, 't :;t t to n Off . .
t.e 'pt� :into :0)i.s.0 t1' Iirar.r ,Srainag tad11 i1 . . 2. ALL CONSTRUCTI 40 41`IvI�T A AT. WITN HIS
1,' . ..SHALL',BE LIM ''g,11► 'TH 01.' ,F ' i,� UIL . U 1 i4 : .'
3 .Ha u l'.ing :o'v' '0, c� e• l erfu-ire a 1 ixtat ;fora: a,. ° : •
� , � Y� .�'r .�,�, r p `'� 9
.Permit' :prl `e to an � socit,t+ dg a8 €'i'v'it'vr'. '' i,
4 J' t � F
. 4. No than ,,; w 1 3'1 'b , e •' ade,.to th c pe of` w6)41- un1, a p p ) , , d
• "by, Tukw. ., Bu' ..dI cs4t '• 4 . ,, •
5. Al.l pets ' tt, • ins�i'aCt on et • n f r e •t'd , 'an' 9 appr rave d; 6'1;art ell .I
avail !e' • " , . the':xob.'sit ( i'i.psl or to ' lie start 'of nv ° c , '
• st'r urs t.i rid These d�a- uflents ,a • p b,e maintained a" t d v i�1
'ab1e ,t ro 4 i�na : i,n e ion a roya . .As gran , o. .
6. .Rein , ` ; , `cancs'r °er+rre ► ,a. ' ndations + {
cre e'' a ':co 1 ed 1 pat wa ,'"Oar:A , flat ee t1aor:. o*,,l '1've- • ways and .simi'lier : tructurres e d�. •. 1�: ose ml,s ce1laneo'us.
mate�ial .Pro e.r y.c•a l a'r ..•
' t�• iv, .p �y,• p.,.�� r}�i,�• y�. {�gw e� +��ter° c on n �c:;''.�� � : -
•
t i n4 Pilo ‘Pr , ...f i 1 1 'or 7 otli. i;. , 4i.3 he
e r s ect' Oil basemen, ." r
ce1 , .septic tan s,,UxweT` s a, c t�t'_..e''c'a . ;w�ie x,\ it'A
7. Valt %'d tvi, ��f Pei,rmit, :The, �uarioe Qfn,r,.�a;..per.mi t :or- .approval of i1,
p 1 e'1r spec) f 1Oat'1Ons ►',,,awn+'.rd�, "comp(! + ta,t i•a s i �ra-i l,.' no't be•,; oon'= �' 5,1,}i
atr e' to' a a'�per�mit,'for't or' anh a' pr�oval�.:of.,.:!, ■ny v iola4.i otit, ll.
of an o tit -prow i s ions of tie b i n code dr~ ,of, any ; " • �
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.give 'au� VS,: -to • .vi o`lata 'or, cancel "'the r« v i �'ians of 'h,is' ..,." .
code a'l 1 ' be valid d.a f % C +
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De(' -meat or Labor and Industries
J `L ,� 1 300 W.::ar isan Street • ...
•
CA Seale. WA 98119
Phone: (206) 281-5473
FAX To Re Of ices •
_ STS NOTICE ' IT ST BE RECEIVED NO LATER THAN 10 DAYS PRIOR TO THE START DATE
COMPLETE ALL APPLICABLE BOXES- LNCOMPLETE NOTICES WILL NOT BE ACCEPTED
ASBESTOS ABATEMENT PROJECT
Start Date: 9/25/95
Completion: 10/04/95 Work Shift:, M T W Th E Sa Su
7am --19nx 3: 3 0 X X X X IL, _
Amended? Yes 3 pm- 12an?
xxNo 11 pm -8arn
Emergency? _ Yes (other)
X> No
WORK Sw r AND PROJECT DATES MUST BE EXACT
On Hold? Yes
CONTRA CTOR LhTORNLATION PROPERTY OWNER INFORMATION •
COMPANY NAME Walker Specialty Const NAME ' City of Tukwi 1 a •
CONTRACTORCERT.# 01 198 ADDRESS 6300 S. Ctr. Blvd. ;#100 ,Tuk ila
SIGNITURE $ 1' f. .4) PHONE # • 433-0179
(PRINT NA ) Linda Walker I OWNER'S REP. Randy Berg _
+ ' t i O N T : : r (206) 1 61 — 91 2 ADDRESS SPP ahnv '
.,70B SITE C.A.S. Joe Baker PHONE #,
•
PROJECT INFORMATION
JOB S1l.± • . r FACILITY
ADDRESS South 115th St & 42n6 AvP s TYPE HotnGA
CITY Tukwila ,WA AGE _544. yearc
ZIP CODE 9 81 R 8 ST7.F, r
COUNTY Kin.sg vx INDOOP -7 x OuTD001RtECEI ED
OUANTITY OF ASBESTOS NOV 2 • 1995
TO XX REMOVED, OR ENCAPSULATED TUKWI
CONTROL MEASURES A.1 - D BRBLIC W IRKS
4 7 3 0 sq.ft. # 1 5.0 ln.ft.
❑ each box below El each box below El each box below El each box below
❑ fireproofing ❑ mag. pipe insulation neg. p. enclosure ❑ 1/2 rriPqk APR
❑ popcorn ceiling sj air cell pipe insulation El glove bag ❑ full face APR
❑ CAB ❑ =meat asbestos pipe ❑ mini enclosure ,:t PAPR
sheet vinyl I w i n claw Per t- t y ri2 wrap & cut ❑ Type C continuous flow
❑ boiler insulation ❑ ® wet methods • tig Type C pressure demand
❑ duct paper ❑ 1✓Tc.PA vacuum ❑
❑ duct tape ❑ BE barrier tare 0
❑ ❑ ❑
Oi � 8Gt'PY r yer ❑ ❑ • ❑
drywall
•
oject Case No. PUGEi "OUND AIR POLLUTION CONTROL AGE ?( ' Date Received
950203 I1 jnion Street, Suite 500, Seattle, Ff 4 98101 -2058 SEP 1 1 1995
NOTIFICATION 1SAPCA
A,r...e,• u..Onl
t_.I Asbestos Removal Only ■ Asbestos Removal & Demolition 0 Demolition, No Asbestos Removal
. Property Owner: City of Tukwila Phone: 433 -0179
Mailin Address: 6300 South Center Blve Suite 100 City: Tukwila State: • WA . Zi •: 98188
•
Asbestos P , Ii /W.7 C • ; T IS II IN RE IO k RET RN AL IIJNG • 61. •
Contractor: Walker Specialty Construction Inc. Owner /CEO: Bill Walker
Mailing Address: P. O. Box 469 Phone: (360) 805 -0354 Contractor's Job #:
City: Snohomish State: Wa Zip: 98291 Fax: (360) 805 -0422 A -008
Demolition PRINT NAME HERS, ENTER MAILING ADDRESS IN BOX I ON SACK.
Contractor: • (9 r A,e. gl'!'LiA; l / I :
Site Address: South 115th Street & 42nd Avenue South SEE ATTACHED SITE PLAN City: Tukwil (Zip: 98188
•
. Asbestos Survey Date Conducted: 7 -10 -95 Number of Structures Surveyed 9 Asbestos Found
■ Yes
AHERA Building Inspector Robin Burnham ❑ No
Certification No.: NJ 950530 -01 f I Ex •iration Date: 5 -30 -96 State: WA
a r
1. ❑ Demolition by Fire (attach training fire permit)
Demolition Start Date: Unknown No. of Structures: 9 2. ❑ Ordered Demolition (attach copy of Order)
Work Days: M T W Th F Sa Su
Asbestos Project Start Date: 9 -25 -95 Completion Date: 10 -4-95 Hours: 7 :00 -3:30
❑ Fireproofing • Vinyl Papa Back ❑ CAB ❑ P.C. Ceiling ❑ Boiler Insulation • Vinyl Asbestos Tile
Type of Material: ❑ Duct Papa ❑ Mag. Pipe Insulation i Air Cell ❑ CA Pipe • Other, Drywall , Plaster Wall Texture, Window Puny
Will all asbestos from the structure(s) be removed at
Total Qty, to be Removed: 4730 Square Ft. 150 Linear Ft. l completion of this .roject? 11 Yes ❑ No
Asbestos/Demolition Project Categories: Notification Project Fee
Requirements (Non - Refundable)
1. ❑ Owner- Occupied Residential Asbestos Removal Project
❑ Owner- Occupied Residential Asbestos Removal & Demolition Project
❑ Owner- Occupied Residential Demolition Project, No Asbestos Removal Priorlatice ,$, . $25 1::::) 2. ❑ All Other Demolitions With No Asbestos Removal Project 10; ays •' -. . $125
3. ❑ 10 - 259 Linear feet or z 48 - 159 s•uare feet (see back) 3 Days 11 116 $125
4. 1 260 - 999 linear feet or 160 - 4,999 square feet 14 -Dq,,s -.1 $250
5. ❑ 1.000 - 9,999 linear feet or 5,000 - 49,999 s•uare feet 1. 2r:.- No M;1fiL $500
6. ❑ 10,000+ linear feet or 50,000+ square feet 10 Days $1,000
7. ❑ Emergency Asbestos Project or ❑ Emergency Demolition Project Prior Notice Equal to Twice Project Fee
8. ❑ Alteriate Means of Compliance (friable materials) or ❑ Demolitions 10 -Day Review Period Equal to Twice Project Fee
9. ❑ Alternate Means of Compliance (nonfriable materials) Concurrent with Project Equal to Twice Project Fee
I do hereby certify that the information contained in this notification & supplemental data described herein is, to the PSAPCA
best of my k owledgg j urate & complete, 6LT1.1/61,1
,1!LIr_ LG %r(-1 4/ 1 (-N /�u t ✓L.2 c/J j / / /7 S —
Signature Representing Date Reviewed Bv! /
.1
PCA Form No,: 66-160 (Revised 7/95) TJH Revised 9/11/95
• Bond No. GE 5713373
Perfor4liance artd Payme gt Bond
KNOW ALL MEN BY THESE PRESENTS: that
(Here insert lull name and address or legal title of Contractor)
F.T. Enterprises , Inc.
P.O. Box 23460 WA
as rinc pa l, herei callecLontractor and, GULF INSURANCE COMPANY
(Here insert lull name and address or legal title of Surety)
155 N.E. 100TH STE. 303
• SEATTLE, WA. 98125
as Surety, hereinafter called Surety, are held and firmly bounE "unto
'City of Tukw i 1 a Here insert lull name and address or legal title of Owner)
6300 Southcehter Blvd.
Tukwila, WA 9818
as Obligee, hereinafter called Owner, in the amount of Twenty one thousand four hundred
and six dollars and 29/100 * * * * * * * * * * * * * * * * * * * *
• Dollars ($ 21,406.29 ),
for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS,
Contractor has by written agreement dated 11-22 19 entered into a contract with Owner for
Demolition of Structures at the Beaver Bend Property
•
In accordance with Drawings and Specifications prepared by
(Here insert lull name and address or legal title of Architect)
' which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION are such that, if the Principal shall
promptly and faithfully perform said Contract and make payment to all claimants, as hereinafter defined,
for all labor and material used in the performance of the Contract, then this obligation shall be null and
void; otherwise it shall remain in full force and effect, subject, however, to the following conditions:
A) Whenever Contractor shall be, and declared contract price; but not exceeding, including
by owner to be in default under the Contract, other costs and damages for which the
the Owner having performed Owner's cbli- Surety maybe liable hereunder, the amount
gations thereunder, the Surety may promptly set forth in the first paragraph hereof,
remedy the default, or shall either subject to the limitations in Paragraph D.
1) Complete the Contract in accordance with 3) The term "balance of the contract price,"
its terms and conditions; or as used in this paragraph, shall mean the
2) Obtain a bid or bids for completing the total amount payable by Owner to Con -
Contract in accordance with its terms and tractor under the Contract and any amend -
conditions, and upon determination by ments thereto, less the amount properly
Surety of the lowest responsible bidder, • paid by Owner to Contractor.
or, if the Owner elects, upon determination B) 1) A claimant is defined as one having a
by the Owner and the Surety jointly of the direct contract with the Principal or with a
lowest responsible bidder, arrange for a Subcontractor of the Principal for labor,
contract.between such bidder and Owner, material, or both, used or reasonably
and make available as Work progresses required for use in the performance of the
(even though there should be a default or Contract, labor and material being con -
asuccession of defaults under the contract strued to include that part of water, gas,
or contracts of completion arranged under power, light, heat, oil, gasoline, telephone
this paragraph) sufficient funds to pay the • service or rental of equipment directly
cost of completion less the balance of the applicable to the Contract. �.
•
r
2) The above named Principal and Surety ope addressed to the Principal, Owner or
hereby jointly and severally agree with Surety, at any place where an office is
the Owner that every claimant as herein regularly maintained for the transaction
defined, who has not been paid in full of business, or served in any manner in
before the expiration of a period of ninety which legal process may be served in the
(90) days after the date on which the last state in which the aforesaid project is
of such claimant's work or labor was done located, save that such service need not
or performed, or materials were furnished be made by a public officer,
bysuch claimant, may sue on this bond for 2) After the expiration of one (1) year fol-
the use of such claimant, prosecute the _lowing_ihe. date on which the Principal
suit to final judgment for such sum or - •• ceased Work on said Contract, it being
sums as may be justly due claimant, and understood, however, that if any limitation
have execution thereon. The Owner shall embodied in this bond is prohibited by
not be liable for the payment of any costs any law controlling the construction here -
or expenses of any such suit, of such limitation shall be deemed to be
C) No suit or action shall be commenced here- amended so as to be equal to the minimum
under by any claimant, period of limitation permitted by such law.
1) Unless claimant, other than one having a 3) Other than In a state court of competent
direct contract with the Principal, shall jurisdiction in and for the county or other
have given written notice to the following: political subdivision of the state in which
the Principal, the Owner, and the Surety the Project, or any part thereof, is situated,
above named, within ninety (90) days after or in the United States District Court for
such claimant did or performed the last of the district in which the Project, or any
the work or labor, or furnished the last of part thereof, is situated, and not elsewhere.
the materials forwhich.said claim is made, D) The amount of this bond shall be reduced by
stating with substantial accuracy the and to the extent of any pyji,entor payments
amount claimed and the name of the party made in good faith hereunder, inclusive of the
to whom the materials were furnished, or payment by Surety of mechanics' liens which
for whom the work or labor was done or may be filed of record against said impro• • •
performed. Such notice shall be served by ment, whether or not claim for the amount of
mailing the same by registered mail or such lien be presented underand against this
certified mall, postage prepaid, in an envel- bond.
Signed and sealed this 28th day of November 19 95
F.T. Enterprises, Inc.
• c 7%77 '' 4(4 ipal) (Seal)
i 4
(Title)
GULF INSURANCE COMPANY
(Surety) (Seal)
(Witness) •
,..
ATTORNEY IN )'ACT
MARY L. FAURE OR (Ittie)
ELLIOT . BRINK
w,. ao.,,AO
i :.� :�r :c _ - 5 ; 337
•
•
_ -,, ., . l l �. . - .._..__._ .
O):I ( ; , .. i:, :, ti! 1 i,;! t'• :. :
-,•.
ti'.\11i i',1: l..'it r. e'i'1 • i*:.. .
cON,l; :r ; \srri, 'FCC: • Wt ;!'
I:`c • . +.i.l '•il.. P. .1E. t F.T. Enterprises, Inc.
i, „1,, • a s,,ri', a ;,1;,, ' dui , .),,...:1,,,, ..,(,',..... 1:., . . • • , .. ... ,,.... P.O. Box 23460
it, grin• ln.,: . , fll: r .:ilc : c , • t , i :.. , , .. • . , .. .. .
'ldnpled by 1:;',' l ::... '. .
i ,..... . .. Federal Way, WA 9
cotnpa nn Ito' ileit .. :. o n; . , .. : : 1• , . .
” RESO l.\ I. ii >.1'1,1: the President .l ;\clout .., ., .. ., • .
President of the ( ;t.,u sfa,l, ha,:c atnn:,rit, ' rr..,t,.... ,,a,' ..u,..,. •, . • •
or AUOrncs con,tliull:tl. :is .:, :ornC -iti•i;iCt.sl1 :f' •.• :. ; . , t, ■ . ,
may be selected fine, time i• : tam and : u
• ,..1. :::-:•::::-•
.... ' • . •• /•• - .___._._._._._..___�_ ..�._ _
anti the authority gratite,` le 1.e , by . f 1 ., _.. ...__._..__...__ _.._.___ _ ,._�
President, or any Seim ; P:e:,t,icn :,'o, h. i ,;•,:,•,, t•. 11-28-95
Finance and Executive Crn'.•:tietee of chi L• : : ; rt : . ;):r,.,.l:'::. •
RESOi_1'E1), that noil n: thi.• tot' :' o'' P,a :•.,, sitar' h.- :,e,•.l: t,:',. - :. _� ____. _ _�_..._ — ` • of authority to the attorney t•) -it•- :act ht sif•n. executt., a.:13,- i.,.i,! :, v_• `er ; ',It:: •,;:.);i :1. r_ Air Ar.ZUNT `
\\11C issue a policy or il;!i l: le l,'. li, ll!' ;U nit h;• t ' ;1 :G: , tt : . _ —• .—• -- -.. _. .._..._. • RESOL\'ED. that the si ;:naw-c of the lie. ;i :...,.. 1 " ::a.i . 'r.. re:. " 21 , 406 . 29
ally Senior Vice President, ('! Inc Sea; of me Con:'', . 1a f.,•,1 • Pl'R'er Of Attorney ni lips' : brie e :' 1:11.:1:':. till... .. - ...I .. ..._. «.___. �_ _____.__..__ _. -
puss ers so c \ccUIL anand cel' :i,': c\i ray .:Il',liltlu' • 'tl, .. •
,.. • . __
.. . -__.____ ._.__ _.. � It Y
:, .
valid and bin ding neon the Cuutha:ns in the n •. 21 4 0 6 . 2 9 Per f . / $ 21 406.29 Pa
documents relating to such bonds to \, alai they :n, a m,. - - r r Pay
Gulf Insurance Company does hereby make. constitutc am; ..ir h, `.. J
•
Mary L. Faure' Attorney in fact
its true and lawful utwrnev(si•in- aci. \shit full poser and authority il:'reh; .•'nferre;: in it nano', i'kice am! Stead. to sign, execute. a :knowledge and deliver in its
behalf, as surely, any and all boa:c, and undertakings of aurcty,hii:, tu,, :h• „u„: Gulf in,urunre Coliio.uu' thereby as fulls and to the -ante extent its if any bonds.
undertakings and documents relating to such bonds and /or underulkitt :;> ■.• :•tea :d by t h e obis authnri.'cef o of the Gulf Insurance Company and all the acts of
said attorney(s) in•Ihet. pursuant to the authority herein given. arc h•n.:'.• ,,•,,ilea and confirmed.
The obligation of the Company shal: not exceed one million If. t.0I , ' ...i.
iN WITNESS 11'FI E1(101 . the C;ult' Insurance Complllr! has c..a . t11e.e present, to I,c si;e;r: by any officer of the Company and Its Corporate Seal to
he hereto affixed,
.,- • n G ^\ GU1,F INSC'l ;- 'Y \CI: (,'s t',`. \1'
' e: cELa ' i ; ; it f^ -4i fi
I
STATE OF NEW 1'01:1: ) - / Christopher E. Watson
1 SS +�` President
COUNTY OF NEW 1'ORI: 1
On this 1st day of February, 1994 A.D„ before nu came Christopher E. Watson, I;nossn to me personally it ho being by me duly sworn, did depose and
say; that he resides in the County 01 N'esteliester. Stt.I'. of 'sett "nri.; that nc Is the President of the Cult Insurance Company. the corporation described in
and which executed the above Instrument; that he knows the seal o, said corporation; that toe seal affixed to the said instruments is such corporate sell: that
it was so affixed by order of the Iftafd of Directors of si it cori,or,,,, •a tau, rlu.: Ile r,i;:nec: his name. thereto by like order.
/ /, % ,i, „....-,' ' _.:;..,. \ U 0 \ d/1/1/.,„____......-- -"--
; 1
is i -- urn . ' / ' David Jaffa " - / •• j' No. 2.1-4958634
STATE OF NEW \'ORI: i Dr I ;1= Qualified in King:. County
1 SS Comm. 1 :spires November 13, 1995
COUNTY OF' NEW' YOI {G 1
1, the undersigned, Senior Vice President of the Gulf' Inst ;t' aI..e C nnli'an'„ t, Missouri (:u:•pnratItta. i)!) }-tEREI3V CERTIFY that the foregoing and.
attached POWER OF ATTORNEY renu :ias in toll force. '
.- ...
.C. :1-.1, • \ .
Signed and Sealed at the City of Ness Pori., r , , : ,, s •
t e, r / ., itat. lathe 28th day of November .19 9
i.nitrence P, !siiniter
• '+s'uior \'ice President .
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j DETACH TO uisPLAY CERTIFICATE 1
•
DEPARTMENT OF LABOR AND INDUSTRIES 1
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A ' • ii_C, IN.RT •.fiA'N7 'GENERAL :' ••,•••;.• •. 4 0.::. :
$ ti;o,'1 %
'»'•` :.��REGISTRATION NUMBER': !:r.; >;i:' i: :.EXPIfU%lti:4Th:' • •
I: ,•.... � T .' , 111 t �• •! It)It {
:4' , 0I " ;' • •P . ier jT
FTEN\ pilt u Q.5 116 ..i..41.:,.., STATE OF WASHINGTON r <.. .1C Y; :=. :!.. 'F Ff;c1' � P1.114,13P:4:20.. 0 '7:1.'IZ`3"Xeci5:;.r.1.,•:rl. •
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L DETACH Tr` p1Sa, "" CERTIFICATE,_..!'
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RECEIVED
CITY OF TUKWILA
0EC 061995
PERMIT CENTER
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\ p / [arf3 + - \ 1 I 0 15 JO 6 0
z \ \ 1 � L 20' Growl Road d- 51 . LILpIl # 6�
2'j \ Cone.to Park /ng Lot \ \ \ \\ \z_ Cherry 1 \ \ .nwoo T- �:, oo! \\ / �� BUILDIF, 1 To [35 DEMoLIsF�EJ
•
t ■ — \ `\ \ %).,.....-.04) / \ \\ % / \ / - 200.lz•
\(.6 t✓ \ Ili Rv 17188.74 P Mailbox
\ ■
\
\ \ \ \ J} 0 20 Tree \\ :•+ 0 \ / L= 601.04 - !
�, \ . `20 ae a \ /, , ' r' ' O \ a Found Iron Pipe or R.. le Cop, as noted - h
15' Gavel Road \ A+
\ \ 3 : • Tree, 1 •" A' - \ \ \ • Set Rod \ \ ! / - _ k Cap
\\ \ \� h, 6•.Tree 1 .. L. \ / �• OW Watermeter
J F "Trees 0 1 0' 2 6 \ .• O 1 i rJFH Fire Hydrant
4 ♦ J Cottonwood : \ \\ \ \ . F
V, '.\ \ CITY Of TUftWILA
18 Th \ 'r ` 2 70 ' IEncroachment - •',P` 4 P ower Pole APPROVED
-- 2 6 Thee 1 2 ' 2eCotto ood \ 1
\ AO p 0 ' . p. - E1 Power Pole with Transformer DECD 4 1995
No I I,I Ii " '. 1 \
? ?' - - I Anchor AS ,° D ,
I M �II II A - 7 1,6T Encroachment -
.P \ 16' \ East End of 18" � f.., BUILDING D7F3 e.a V
s 'p V . \ / \ Concrete Pipe ,+• ' W Water Meter
2 ',d \ 4 3 1 gnolra Trees \ �G( \ Could Not Find Outlay �' ..,
\ Nt. 0 � Wetlands Flog c
., leant o mn
c n TNI_• MAP DOES NOT REPRESENT
\ A RECORDED BOU N P • BtRYSURVEY •
• Magnolia . roes \ \ \ \ Lots 1 to 15 Inclusive. Block 26; a Catch Boaln ; .
Z \ \ / Dit d Lots 1 to 12, Inclusive Block 27; - MAP.
i
Lots to 1d, Inclusive, Block All In Meadow - \
- \ \ \ • - - Gardens of C.D. s Addition to the City of Seattle, DINafan lan N No.o. 1 So L og 3, According
F to the Plat thereof, Recorded in Volume 12 or Plate, Pope 86;' In 1
\ \,. N L11 King County. Waehln9ton. { Trees '
- 12 \ 2'n \ / � J.11' Encroachment r .__... _ - - . _...... Also TOGETHER /y /p/I 1
with South 114th Street; Also TOGETHER with South 115th Street, RECErveO :/ I Y r .
\ ` 365' Encroachment Lying within sold Plat: - cin aP YA1tA ,I :RECEIVED '+
- � 1
\ Cyclone once - I % - - NOV 011995 \ ,
PERMIT CENTER N�1Lp,
•
_ PUBLIC WORKS 7
f \ DESIGNED B „ bB NUMBER IRWIN ENGINEERING Boundar k To pographic DRAVANG NUMBER
■
; ® 10193 Mill ENGINEERING Sur vey o/ C.D. Hillman' — 0 3.85 Encroach e nZ - -PRAWN NOR: - - I
From Fence. to - V ER I: SCA 4.3 AND LAND ENGINEER DIG Mead Gardena llman' f3 D101B3TP ,
Plat Lice \ e __ CHECKED FIELD • DATE T C 07l.� A e e � Ml
'APPROVED BOOK 1 119 PG. I ' 2 -7 -95 Phoae 206 272 -7881 For The City of Tukwila SHEET 1,' OF 1
315 03