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Home My WebLink AboutPermit D07-391 - FARWEST TIRE DEMOLITION - BUILDING DEMOLITIONFARWEST TIRE DEMOLITION 3417 S 150 ST D07.391 Parcel No.: 0041000515 Address: 3417 S 150 ST TUKW Suite No: Tenant: Name: FARWEST TIRE DEMOLITION Address: 3417 S 150 ST , TUKWILA WA Owner: Name: BANWAIT SUKHCHAIN Address: 21639 104TH PL SE , KENT WA 98031 Phone: Contact Person: Name: CHARLES SHARPE Address: 2254 NICKERSON , SEATTLE WA 98109 Phone: 206 -283 -7121 Contractor: Name: MCBRIDE CONST RESOURCES INC Address: 224 NICKERSON ST , SEATTLE WA . 98109 Phone: Contractor License No: MCBRICR099JZ Value of Construction: $30,388.28 Type of Fire Protection: Type of Construction: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Cityf Tukwila doc: IBC-10/06 DEVELOPMENT PERMIT DESCRIPTION OF WORK: DEMOLISH FIRE DAMAGED COMMERCIAL BUILDING TO SLAB. EVALUATE SLAB. IF SLAB IS DAMAGED THEN DEMOLISH SLAB Fees Collected: $928.67 International Building Code Edition: 2006 Occupancy per IBC: 0019 * *continued on next page ** Permit Number: D07 -391 Issue Date: 01/08/2008 Permit Expires On: 07/06/2008 Expiration Date: 03/25/2009 007 -391 Printed: 01 -08 -2008 Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Permit Center Authorized Signature: Print Name: doc: IBC -10/06 City G. Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Fire Loop Hydrant: N Number: 0 Size (Inches): 0 Flood Control Zone: Hauling: N Start Time: End Time: Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y. Landscape Irrigation: Moving Oversize Load: Start Time: End Time: Sanitary Side Sewer: Sewer Main Extension: Private: Storm Drainage: Street Use: Profit: N Water Main Extension: Private: Water Meter: N w�Q Permit Number: D07 -391 Issue Date: 01/08/2008 Permit Expires On: 07/06/2008 Date: Public: Non - Profit: N Public: 1 -8-0g 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o � � perfo ce of work. Lam authorized to sign and obtain this development permit. Signature: ! //� /c 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. D07 -391 Printed: 01 -08 -2008 Parcel No.: 0041000515 Address: Suite No: Tenant: 3417S150ST FARWEST TIRE DEMOLITION 1: ** *BUILDING DEPARTMENT CONDMONS * ** doc: Cond -10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS * *continued on next page ** Permit Number: Status: Applied Date: Issue Date: D07 -391 ISSUED 10/17/2007 01/08/2008 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 5: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. 6: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 - 431 - 3670). 7: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. D07 -391 Printed: 01 -08 -2008 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: htq,://www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: doc: Cond -10/06 Date: /��g D07 -391 Printed: 01 -08 -2008 CITY OF TUKWIL( Community DevelopmenTbepartment Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htip://www.citukwila.wa.us Site Address:, .34-17 5. /5o r Tenant Name: Fif(Z1.051 - r/Re_ Property Owners Name: ,50/4/406¢/X/ telat.titrr Mailing Address: 2/4,37 /04- " ,oz_ SE Name: e/i4/ Mailing Address: 2 24- IV le..ke4Z5o E-Mail Address: Company Name: 11423g/ 06- C-O/)ST. f5 //VG Mailing Address: Z. 24-AlOg.c....g....eintl Contact Person: 69-Aegt_4' eibticzm E-Mail Address: 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** Contractor Registration Number: frie..4512..e.42..c>39J2- Company Name: Mailing Address: Contact Person: PIA Company Name: ky4 Mailing Address: Contact Person: E-Mail Address: QAApplicationfforma-Applications On Line\3-2006 -Permit Application.doc Revised: 9-2006 bh King Co Assessor's Tax No.: CC4400 —0515 Suite Number: City Day Telephone: City Fax Number: New Tenant: .... Yes f ..No State Floor: 7a0k3/ Zip CONTACT PERSON who do we contact when your permit is ready to be issued Zoco- Z53 —7/2/ qcS3/ State Zip GENERAL CONTRACTOR INFORMATION - (Contractor Information for Mechanical 4) f o r Plumbing and Gas Piping (pg 5)) - c104772,e-- 96/07 City State Zip Day Telephone: Za.o— 2S35-7/2/ Fax Number: jac, — 5670 Expiration Date: c_3/26/07 ARCIIITECT OF RECORD plans must be wet stamped b y Architect of Recor City Day Telephone: E-Mail Address: Fax Number: State Zip ENGINEER OF RECORD -All plans must be *wet stamped by Engineerof ecard City Day Telephone: Fax Number: State Zip Page 1 of 6 Valuation of Project (contractor's bid price): $ �t� A QEj . 2 Existing Building Valuation: $ Scope of Work (please provide detailed information): d WOL t ii — A I - 0,444/1660 a Ad /. Al . cL L— /6 044/4 0E-MO c-1/-#413 Will there be new rack storage? ❑.... Yes 0.. No If yes, a separate permit and plan submittal will be required. 'de All Buildin easrtifs 'Ate Footag -Beta% 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 ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ 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. Q:1Applications\Fonns- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Page 2 of 6 PUBLIC WORKS PERMIT Il))RMATION - 206-433-0179 Scope of Work (please provide detailed information): ❑ ...Total Cut ❑ ...Total Fill Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila [.. Water District #125 ❑ ...Water Availability Provided' Sewer District ❑ ...Tukwila ... ValVue ❑ .. Renton ❑ ...Sewer Use Certificate 0... Sewer Availability Provided ❑ .. Highline ❑ ...Renton ❑ ...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") ❑ ...Technical Information Report (Storm Drainage) ❑ .. Geotechnical Report 0... Traffic Impact Analysis ❑ ...Bond ❑ .. 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 Non Right -of -way cubic yards cubic yards ❑ ...Permanent Water Meter Size... 2, WO # ❑ ...Temporary Water Meter Size.. 2 > WO # ❑ ...Water Only Meter Size 1> WO # ❑...Deduct Water Meter Size ❑ ...Sewer Main Extension Public _ Private ❑ ...Water Main Extension Public _ Private FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: Water Meter Refund/Billing: Name: Mailing Address: City State Zip Day Telephone: City State Zip ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ .. Right -of -way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer ❑ .. Abandon Septic Tank ❑ .. Grease Interceptor Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Channelization ...Frontage Improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection " Irrigation " Domestic Water Q: ApplicationsWorms- Applications On Line13 -2006 - Permit Application.doc Revised: 9-2006 bh Page 3 of 6 Unit Type: Qty : Unit Type: Qty. Unit Type:. ;Qty - Boiler /Compressor.. Qty Furnace<100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Fumace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected to Single Duct Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood/Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent Hood and Duct Emergency Generator 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System Incinerator - Domestic Other Mechanical Equipment _ Air Handling Unit <10,000 CFM Incinerator — Comm/Ind MECHANICAL CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Day Telephone: Fax Number: Contact Person: E -Mail Address: Contractor Registration Number: Valuation of Mechanical work (contractor's bid price): $ Scope of Work (please provide detailed information): Use: Residential: New .... ❑ Replacement .... 0 Commercial: New .... Replacement .... 0 Fuel Type: Electric D G ...❑ Other: Indicate type of mechanical work being installed and the quantity below: Q: Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bh Expiration Date: Page 4 of 6 Fixture Type: ° = , Qty Fixture Ty pe: Qty Fixture Type: Qty . Fixture Type: Qty Bathtub or combination bath/shower Drinking fountain or water cooler (per head) Wash fountain Gas piping outlets Bidet Food -waste grinder, commercial Receptor, indirect waste Clothes washer, domestic Floor drain Sinks Dental unit, cuspidor Shower, single head trap Urinals Dishwasher, domestic, with independent drain Lavatory . Water Closet Building sewer or trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Additional medical gas inlets/outlets — six or more Industrial waste pretreatment interceptor, including its trap and vent, except for kitchen type grease interceptors Repair or alteration of water piping and/or water treating equipment Repair or alteration of drainage or vent piping Medical gas piping system serving one to five inlets/outlets for specific gas PLUMBING AND GAS PIPIN ERMIT INFORMATION -- 206-45. ;670 PLUMBING AND GAS PIPING CONTRACTOR INFORMATION Company Name: Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: Valuation of Plumbing work (contractor's bid price): $ Valuation of Gas Piping work (contractor's bid price): $ Scope of Work (please provide detailed information): Building Use (per Intl Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Q:\Applications\Forms- Applications On LineO -2006 - Permit Application.doc Revised: 9 -2006 bh Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Page 5 of 6 CATION NO- Appiicab1e5 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. Building and Mechanical Permit 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). Plumbing Permit The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing 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. Signature: BUILDING OW :42 0 j AUTHO 4/ .��. Print Name: Mailing Address: 224- Dice....6Q5,0A/ City Date Application Accepted: D AGENT: Q:\Applications\Forms- Applications On Line\3 -2006 - Permit Application.doc Revised: 9 -2006 bit Date: ,b/ /7/0 Day Telephone: AZ42. Zc53 State Date Application Expires: Lt -i1 -d8 Staff Initials: 93/ Zip [ILL Page 6 of 6 Parcel No.: 0041000515 Permit Number: D07 -391 Address: 3417 S 150 ST TUKW Status: PENDING Suite No: Applied Date: 10/17/2007 Applicant: FARWEST TIRE DEMOLITION Issue Date: Receipt No.: R07 -02269 Initials: WER Payment Date: 10/17/2007 10:46 AM User ID: 1655 Balance: $0.00 Payee: MCBRIDE CONSTRUCTION SERVICES TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Payment Check 1955 928.67 Account Code Current Pmts 000/322.100 000/345.830 000/386.904 RECEIPT Amount 560.10 364.07 4.50 Total: $928.67 Payment Amount: $928.67 404.'75 1011.5 TriTAL doc: Receiot -06 Printed: 10 -17 -2007 COMMENTS: Type of Inspection: _ j A__4 \J pi - Oek) /to e" ,, keA , (.0 L. Special Instructions: , DeiA.OUSti .3u : Id- euA- Si AA ;5 bA I- 41.0 1 7 kedt SlAt„ iD Sbt&,. ,st if-44 Date Wanted: I - Il — O ((') c...ri" 0 5 (..- A c frA - Ph one No: 1.4(4 -36 9 - 623 z - Project: , , Wti..k.5 I • re &Ad I: nal Type of Inspection: _ j A__4 \J Address: - 7 - . %-r-- 341 S S ( - Date Called: Special Instructions: , DeiA.OUSti .3u : Id- euA- Si AA ;5 bA I- 41.0 1 7 kedt SlAt„ iD Sbt&,. ,st if-44 Date Wanted: I - Il — O "-- a.m., - p. Requester: Ph one No: 1.4(4 -36 9 - 623 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3 7 L7t pproved per applicable codes. I lnspectcO s 'Date: .0 Corrections required prior to approval. El $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: W/0 G , s HAK -M. M c_SR I DE- C 0/J517 14,55 er--- TT w!4 . 4 781 a7 2-6X°- 2 3 -711) /0/17/07 3. I S c. S IT E 'i I il 3o ► DEr4oLtTlo 11 ,4 C F. 426,4 5 Q ID ows Ft t5 >u 1 L.-oinlG 1 SEwErZ L1 NE- 2- 'cr , E 2t v w *T METE E LEc a IC/ L M ETEfL Dater 34 5. 16c. 't T- 4,2- 4- 3 . FEET aMo1.1s FI E. . D DU1Loini& "TO CL *C . 104/00 ,5 4 S au.) I:>� 1 s c u-r 4-1°P �D £L -ECnz tcif t- IS G u i LA)*T C 5 FJ-U'r D * E. GUT FILE COPY Permit Flo., �Oi3q1 • Plar review approval is subject to errors and omissions. Approval of constnxxion documents does not authorize the violation of any adopted code or ordnance. Receipt of approver PY an • admowledged: By � . __ !�,, , �7qb 391 &leg City of Tukwila BUILDING DIVISION REVISIONS No changes shall be made to the of scope of work without P rior approval p ;vision. Tukwila Building t±al NOTE Revisions will require a e re plan f lan submibmi and may include additional p RECEIVE' OCT 17 2007 PERMIT CENTE Send to: McBride Construction From: Jennifer Dios Attention: Charlie Sharp Date: 10/16/07 Office Location: Office Location: Tacoma Fax Number. Phone Number: (253) 572 -7175 10/16/2007 11:32 Thank you. 2537794020 CI Urgent ❑ Reply ASAP ❑ Please comment ❑ Please Review ❑ For your information Total pages. including cover: 2702 A Street Tacoma WA 98402 253- 572 -7175 Fax number 253- 779 -4020 ASSURED QUALITY Assured Quality Environmenta nc. D07 -391 PAGE 01/02 FILE COPY ft No. fir vleW a la review Is g Polar r r e subject t t 1 0/ 0 Ct=n tri ''fli, �q 0erre anti ,'�f; r -;r� _, G C "1 J C.L1 IJ •r :• Q,s^ ...� r ,� � L ^ . ; i ty . e V _ Cc)-y" �, _� or C': � .., n "fi'' .' f REVIEWED FOR CODE COMPLIANCE APPROVED OCT 2 4 2007 Of Tukwila B ILDIN DIVISION RECEIVED OCT 17 2007 PERMIT CENTER 10/16/2007 TUE 11:26 [TI /RI NO 6568] a001 " 10/16/2007 11:32 pscfeanair'.org Puget Sound Clean Air Agency 2537794020 Notification Case #: 200703689 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.O3(a)(6)). Fee Amount Paid 50.00 Credit Card Transaction # vRFF1D3E8085 Transaction Date 10/11/07 Owner's Name Site Address Site City Contact Person Malting Address Riverton Business Renton LLC Phone (206) 283 -7121 3417 S. 150th St. Tukwila Zip 98188 Tom Gibbons Phone • (206) 283 - 7121 224 Nickerson St. Seattle, WA 98109 This project includes a demolition. Demolition Start Date 10/21/07 Completion Date 11 /15/07 Demolition will be completed by a demolition contractor Demo Contractor Assured Quality Environmental Inc. Contact Jennifer Dias Mailing Address 2702 A St. Tacoma, WA 98402 ASSURED QUALITY (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. Contractor Job # Phone (253) 572 (3) >i understand that the project's site address cannot be modified and additional structures may not be added to a notification by Amendment. (4) I understand the fees for this Notification are nonrefundable. Create Another.rrgtjfggtlan Yew j♦lstoly i, 41.0ut If you have questions, contact us at esbeslusepscieanair.org or 206.689.4058, https: / /secure.psclean alt .org /,A,sbestos/Arnroved.asnx PAGE 02/02 Page 1 of 1 1 n!1 1 I 'Inn-r 1n /1R /911117 PflP 11 .98 fTY /AY Nn RRRR1 ITh I Site Information • Name 4e 1 U tt AO Y) a • t S Gt , ; S Street Address 3 ' t i S, ; S . c5 ��' 5 4.• Phone (H) City, State and ZIP / v / •-• , • / i!, ( --> ( r% Z , no dpits) Phones (W) (Cell) Fax (10 its) (10 digits) , . ( *As) 1' Contact D tti '" '' r • 6 r C r L Tale .- ./ 1.4... t ' r Phone (10 mom) Job Site Ph # Notes 4 & 5 • 7 7 ' 9s G 3 (10 digits) uoijezuoyind **'CHECK ONE: • Work Auth • 3rd Party Work Auth • Auth To Proceed • Contract:!ii,Verbat Send to: Name Street Address Phone (H) City, State and ZIP (10 ) Phones (W) (Cell) Fax (10 digits) (1o agits) podof) 1 Source Information ) ) * *CHECK ONE: • Private • Property Mgr. (Co. Mgr. nsurance (Co. R `!. w '. q r ,n".., i R., he Adjuster - 1c . / t . .3 N. .t \ � .C• 1.‘'‘..x ( Phone tl 1 ; - 1 S 1.- ! a 2 / Ded. $ Claim # C r' $ o7 3 g 4 Policy# (10d 7s it Mortgage Co. Notes: i 4 M a4•try, ('c. Arr< ..6S5 - . . 4 1 e . ci. 4-r - . / " _( /c/ -- . 3 ' , au11118 Name >4, f; I % 'L,Y 1 ` 't .r ( f _), ::.� I A ddr es s Phone X City, State, ZIP no des) Notes: R' V iz,DA/ eus / mss JOB START // g / i D,gte 67 Job No. iJ� -, 1 �- r-V %T') he Work Descript on F / f n S 4 ' 'In Q Storm File Nam * *CHECK ONE: E5 Temp. ❑ T&M / epprox $ ❑ Bld / $ Start Date Estimator " t-- • Production Supr Field Supr Scope of work 1' ° W V t r c /J! ! G l 116 2) r1-is 4(.0 1< 1,,,, p I a 1 C c J r r C ( v,. it 4 v1 1 Subs: 6 i d (00 . ,C -) C. ! f .' I JOB NOTES PRODUCTION COPY 1' r 11 4 /-6 Vendors: TOOIj ` 959 °, sur U u° iiTy tnvironmontai, inc. Send to: McBride Construction Attention: Charlie Sharp Office Location: ax Number: ❑ Urgent Reply ASAP O Please comment ❑ Please Review ❑ For your Information Total pages, including coven Thank you. 2702 A Street Tacoma WA 98402 253 - 572 -7175 Fax number 253 -779 -4020 From Jennifer Dias Date: 10/16/07 Office Location: Tacoma Phone Number; (253) 572 -7175 Z00Ij [6999 ON IH / %Z] MOT HIL LOOZ /975/OT SSURED U.ALITY Er)VM01111E1ITAL INC. General Contractors Specializing in Asbestos/Lead 2702 "A" St. ■ Tacoma, WA 98402 Removal. Interior Demolition and Mold Remediation Tacoma (253) 572 -7175 Seattle (206) 763 - 7177 ASSURED QUALITY ENVIRONMENTAL INC. Port Orchard (360) 769 -7175 Fax (253) 779 -4020 • C000 [t;9S9 ON 1)1/ %Z] MOT aiu LOOZ /9T /OT Good Faith Asbestos Survey SCOPE OF WORK On May 17, 2007 Assured Quality personnel conducted a "Good Faith" asbestos survey (per U.S.E.P.A. /A.H.F.R.A. guidelines as designated and specified by Puget Sound Clean Air Agency and Washington State Labor & Industries) of the structure located at 3417 South 154 Street in Tukwila, Washington. Field inspection, data collection and report generation were based on the following Scope of Work: • Perform visual inspection to identify and inventory all accessible suspect - asbestos containing materials. • Bulk sampling and analysis of all identified suspect asbestos- containing materials. • Provide written report. BASIC CONSTRUCTION The structure is a single story commercial structure, The roof of the structure is built up roofing. HEATING AND VENTILATION SYSTEM A forced air system provides the heat in this structure. )PLUMBING SYSTEM The plumbing is metal piping. INTERIOR CONSTRUCTION, FINISHES AND FLOORING The interior finishing of the structure is wallboard and vinyl tile. SAMPLE METHODS AND LABORATORY INFORMATION A walk through inspection of all areas was performed to identify which building materials may have the potential for containing asbestos. After identifying the suspect asbestos - containing materials, bulk samples were collected, placed in plastic bags, numbered and recorded. Care was taken to clean all tools between sampling in order to avoid cross - contamination. The samples and appropriate chain of custody forms were then sent to IATL Laboratories to be analyzed for the type and content of asbestos, if any. The samples were analyzed using Polarized Light Microscopy (PLM) Stain Dispersion Technique in accordance with EPA Methods 600/R- 93/116. The following section contains tables listing all materials sampled by location, description, type, asbestos percentage (if any) category, and results of materials sampled. Assured Quality Environmental Inc. May 17, 2007 Good Faith Asbestos Survey ASBESTOS SAMPLE DATA Project: 3417 South 150"' Street in Tukwila, Washington Assured Quality Environmental Inc. May 17, 2007 Sample # Location Category Description Asbestos Type % Quantity 01 Roof Non Friable Built Up Roofing with Associated Silver Coat Non Detect 02 Exterior I Non Friable Window Putty 6% Chrysotile 25 Windows 03 Throughout Friable Wallboard Non Detect 04 Throughout Friable Wallboard Non Detect 05 Throughout Friable Wallboard Non Detect 06 Store Front and Auto Shop Non Friable Dark Red Vinyl Tile with Associated Mastic 3% Chrysotile in Tile 4% Chrysotile in Mastic 5,544 SF Good Faith Asbestos Survey ASBESTOS SAMPLE DATA Project: 3417 South 150"' Street in Tukwila, Washington Assured Quality Environmental Inc. May 17, 2007 S000 . (t999 ON %2I /xL] MOT MfLL LOOZ /9T /OT Good Faith Asbestos Survey DEFINITIONS Asbestos means the asbestiform varieties of Actinolite, Amosite (Cummintonite- grunerite), Tremolite, Chrysotile (Serpentinitc), Crocidolite (Riebeckite), or Anthophyllite. Asbestos - Containing Material means any material containing more than one percent (1 %) asbestos as determined using the method specified in EGA regulations (Polarized Light Microscopy). Friable means materials that can be crumbled or reduced to powder by hand pressure. Homogeneous Areas means an area which appears similar throughout in terms of color, texture, and date of materials application. 1VYiscellancous Materials means interior building material on structural components, structural members of fixtures, such as floor and ceiling , tiles, and does not include surfacing material or thermal system insulation (AHERA definition). Surfacing Material means material that is sprayed -on, troweled -on, or otherwise applied to surfaces, such as acoustical plaster on ceilings, and fireproofing materials on structural members, or other materials on surfaces for acoustical, fireproofing, or other purposes (AHERA definition). Thermal System Insulation means material applied to pipes, fittings, boilers, breeching, tanks, ducts or other interior structural components to prevent heat loss or gain, or water condensation, or for other purposes. Assured Quality Environmental Inc. May 17, 2007 900Q11 [1 ON %2I /LLJ ££ :OT HILL LOOZ /9T /OT Good Faith Asbestos Survey CONCLUSION Abatement and disposal of asbestos - containing materials must be conducted by a Washington State Licensed Asbestos Abatement Contractor using Washington State Certified Asbestos Abatement Workers. Should employees or contract personnel encounter any suspect asbestos - containing materials, it is their responsibility to: • Contact a representative of the owners. • Consult the inspection report to determine whether or not the suspect material contains asbestos. • Ensure that all employees and contractors are informed and advised of the location and type of materials that contain asbestos, Any additional hidden or covered suspect materials, discovered during demolition or renovation, that are similar to those identified in this survey must be treated as asbestos - containing materials unless determined otherwise by laboratory analysis. Note: Assured Quality Environmental does not guarantee approximations of quantities of ACM, which may be listed with the analysis. It is therefore recommended professional abatement price and/or disposal quotes be obtained by inquiring as to fees per area of specific ACM material (i.e. square or linear foot, etc), or by site assessment. Any and all materials identified as ACM in this report must be abated prior to ACM disturbance, renovation, or demolition. All materials identified as ACM must be professionally abated by a licensed asbestos abatement contractor prior to any disturbance. A copy of this report should be kept on site during any asbestos abatement, renovation, or demolition. Please contact the undersigned for any further assistance or if any questions or concerns arise relative to this report. Expiration Date July 20, 2008 Assured Quality Environmental Inc. May 17, 2007 L00J [1959 ON D.1 /%Z] ££ :OT al1L LOOZ /9T /OT Good Faith Asbestos Survey Appendix #A INSPECTOR'S CERTIFICATION Assured Quality Environmental Inc. May 17, 2007 PRESENTED BY COLE AND ASSOCIATES, TRAINING AND CONSULTING, INC. mIs IS TO CERTIFY THAT HAS SUCCESSFULLY COMPLETED THE STATE OF FLORIDA APPROVED ASBESTOS BUILDING INSPECTOR REFRESHER TRAINING COURSE as required by 40 CFR 763, Subpart E, Appendix C PROVIDER NUMBER 0003574 STARTING ON FRIDAY, JULY 20, 2007, AND DIN FRIDAY, JULY 20, 2007 i N , WA. 1 MI WA I I I I I MC/ P A FP Cot, & Associates, 7llainiag dt Consultisg, Inc., 18000 72nd Ave-sae S, Saito 160 Kent, WA 98032 (425) 793 -5505 Fax (425) 793 -5552 1-877-455-BEAR & 1- 888.414 -8008 vrww ctcbeas. com 60010, [17959 ON %2I / %1,] ££ :OT LOOZ /9T /OT Good Faith Asbestos Survey Appendix #B FIELD DATA / LABORATORY RESULTS Assured Quality Environmental Inc. May 17, 2007 OTO E. [ 1 959 ON III/XI] ££ :OT afl.L LOOZ /9T /OT Project Number Project Name RION An Environmental Compliance Consulting Firm Client Assured Quality Environmental, Inc. 2702 "A" Street Tacoma, WA 98402 Ola 70517 -36a 0lb 70517 -36b Olc 70517 -36c 02 705,17-37 03 . 70517 -38 04 70517 -39 05 70517 -40 06a 70517 -41a 06b 70517 -41b Dark Mastic Assoc. w/ 06a Environmental Services Polarized Light Microscopy Test Report EPA Method 600/R- 98/116 N/A McBride 150 — Auburn, Washington Client Orion Number dumber Stereo Scope Exam Silver Coat Assoc. w/ 0 l Built Up Roofing Homogeneous Built Up Roofing Assoc. w/ Olb Window Putty Homogeneous Gypsum Wallboard Homogeneous Gypsum Wallboard Homogeneous Joint Compound Homogeneous Sample Treatment Chloroform Ash Ash Dark Red Vinyl Tile Ask Homogeneous • Chloroform • WltE' W2F9219763 Date Page Invoice Date Received Asbestos Other Percent T e Fibers Cellulose ND ND ND 6 • ND ND ND 3 4 May 17, 2007 Page 1 of 2 072081 May 17, 2007 Cellulose Fiberglass Cellulose Fiberglass Chrysotile Cellulose Cellulose Cellulose Cellulose Chrysotile Cellulose Clbrysotile Cellulose • 34004 - 9th Avenue South • Suite 5 4 Federal Way. Washington 98003 - 6740 ♦ Tacorne.(253) 952 -6717 +. Seattle (253) 874 - 8118 •o Facsimile (253) 927 -4714 4 Email . info ®OrionES.net TTOIj [1 ON %2I /xL1 ££ :OT HfLL LOOZ /9T /OT ORION Environmental Services An Environmental Com 1 Hance Consultin Firm Client Assured Quality Environmental, Inc. • 2702 "A" Street Tacoma, WA 98402 Polarized Light Microscopy Test Report EPA Method 600/R- 98/116 Project Number • N/A Project. Name . McBride • 150 — Auburn, Washington Client Orion Sample Asbestos Other Number Number Stereo Scope Exam Treatment atment Pe_ nt Tyne Fibers Analyzed By Dap: Laboratory QA/QC Duplicate; M; Mastic [(a), (b), (c), etc.]: Sample layers numbered from front to back. Comments: For layered samples, each component has been analyzed separately. ND means non - detect for asbestos fibers by EPA Method 600/R-98/1 16.Disclaimers: PLM has been known to miss asbestos in a small percentage of samples that contain asbestos. Thus, these laboratory results represent due diligence , however negative or <1 % PLM results can not be guaranteed. Per EPA guidelines samples will be archived for 30 days then will be disposed of This report may only be reproduced in full with written approval of ORION Environmental Services. Laboratory Director, CEO Reviewed By Date May 17, 2007 Page Page 2 of 2 Invoice 072081 Data Received May 17, 2007 onna McNeal AITen Clark Laboratory Analyst Lettering Owl: nmentdCompfance Consuirti7g Into Ow 22n Century 34004 - 9 Avenue South o Suite 5 ♦ Federal Way, Washington 98003 -6740 ♦ Tacoma (253) 952 - 671 7 • Seattle (253) 874 -8118 • Facsimile (253) 927.4714 + Email Info @OriOnES.net WBE W2F9219763 ACTIVITY NUMBER: D07 -391 DATE: 10 -17 -07 PROJECT NAME: FARWEST TIRE DEMOLITION SITE ADDRESS: 3417 S 150 ST X Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Issued DEPARTMENTS: Building Division P Work Structural nO IAPP-01 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete Comments: TUES/THURS ROy'I'ING: Please Route APPROVALS OR CORRECTIONS: Documents/routing slip.doc 2 -28-02 ris PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP 611 hia- 1 1% Fire Prevention d Incomplete ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Structural Review Required 4p 10 -r1�1 PI gg Division Permit Coordinator DUE DATE: 10 -18-07 Not Applicable ❑ ❑ No further Review Required REVIEWER'S INITIALS: DATE: DUE DATE: 11- 1 Approved ❑ Approved with Conditions Not Approved (attach comments) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: License Information License MCBRICR099JZ Licensee Name MCBRIDE CONST RESOURCES INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600524476 Ind. Ins. Account Id Business Type CORPORATION Address 1 224 NICKERSON ST Address 2 City SEATTLE County KING State WA Zip 98109 Phone 2062837121 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/9/1991 Expiration Date 3/25/2009 Suspend Date Separation Date Parent Company Previous License MCBRICI 164D8 Next License Associated License Business Owner Information Name Role Effective Date Expiration Date MCBRIDE, KENNETH W 01/01/1980 EDWARDS, DENNIS J 01/01/1980 MCBRIDE, PATRICIA 01/01/1980 GIBBONS, FRANCESS J 01/01/1980 WITTE, RICHARD A 01/01/1980 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= MCBRICR099JZ 01/08/2008