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HomeMy WebLinkAboutPermit D05-010 - CARIBBEAN DREAMS ESPRESSO & MORECARRIBEAN DREAMS ESPRESSO & MORE 14800 INTERURBAN AV S D05 -010 reQ W J V 0 0; to 0 uW) W;. W0 gQ I- _ dr— id- .zo W • W; 0. o N O I-; W W'• ; tL U O f- Z h A .e Cit �.t Tukwila Steven M. Mullet, Mayor Department of Conies :unity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: cOulcwila.wa.us DEVELOPMENT PERMIT Parcel No.: 3597000006 Permit Number: Address: 14900 INTERURBAN " S TUKW Issue Date: Suite No: Permit Expires On: Steve Lancaster, Director DOS -010 01/31/2005 07/30/2005 Tenant: Name: CARIBBEAN DREAMS ESPRESSO & MORE Address: 14800 INTERURBAN AV S, TUKWILA WA Owner: Name: KRUSSEL ROBERT H +ARLENE C Phone: Address: 6330 52ND AVE S, SEATTLE WA Contact Person: Name: JOHN CAMBROTO Phone: 206 459 -5774 Address: 3701 NE 10TH ST, RENTON, WA Contractor: Name: LEE CONSTRUCTION INC Phone: Address: 11613 227 AV SE, MONROE WA Contractor License No: LEECOI *991M4 Expiration Date: 12/23/2005 DESCRIPTION OF WORK: CONSTRUCTION /PLACEMENT OF A TWO SIDED DRIVE -THRU ESPRESSO STAND - 8'X 16' BUILDING SITTING ON NEW PAVEMENT; TIED DOWN WITH SIMPSON TIE DOWNS. PUBLIC WORKS ACTIVITIES INCLUDE NEW WATER SERVICE TAP AND 3/4" METER WITH AN RPPA, NEW 6" SANITARY SIDE SEWER, STORM DRAINAGE AND EROSION CONTROL. Value of Construction: $8,520.40 Type of Fire Protection: NO ' Type of Construction: VB i ' Public Works Activities: Channelization / Striping: N Curb Cut / Access / Sidewalk / CSS: N Fire Loop Hydrant: N Flood Control Zone: N Hauling: N Land Altering: Y Landscape Irrigation: N Moving Oversize Load: N Sanitary Side Sewer: Y Sewer Main Extension: N Storm Drainage: Y Street Use: N Fees Collected: $3,978.91 International Building Code Edition: 2003 Occupancy per IBC: 19 Number: 0 Start Time: Volumes: Cut 100 c.y. Start Time: Private: Profit: N Size (Inches): 0 End Time: Fill 100 c.y. End Time: Public: Non - Profit: N 0 Z I Z 00 �o W= CO U- w 0 J LL Q: c �. = d, �w Z Z �- w Lu �o U 0 � Q w W. U � F' LU U CO); z doc: IBC-Permit D05 -010 Printed: 01 -31 -2005 Water Main Extension: Water Meter: city 6., Tukwila Steven M. Mullet, Mayor Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: ci.tukwila.wa.us N Private: Y * *continued on next page ** Public: Steve Lancaster, Director f City el ' Tukwila Department of Coma :in:ity Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206- 431 -3665 Web site: ci. tukwila. wa. us Permit Number: Issue Date: Permit Expires On: Steven M. Mullet, Mayor- Steve Lancaster, Director D05 -010 01/31/2005 07/30/2005 Permit Center Authorized Signature: "�✓Lrui� �'`- 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 c or a o t ion performance of work. I am authorized to sign and obtain this development p 1 05_ rmit. Signature: Date: 31 Print Name: . )QjL1 0j�CA, ,,ntn (CJ 1 - 0 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. doc: IBC- Permit D05 -010 Printed: 01 -31 -2005 Z dQQ:g ' UO Co o. W LLI J � CO) LLi LL Q.. co d UJ H= Z �.. �o Z W w` �o ON C3 WW liJ Z O ~ Z City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No.: 3597000006 Permit Number DOS-010 Address: 14900 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 01/11/2005 Tenant: CARIBBEAN DREAMS ESPRESSO & MORE Issue Date: 01/31/2005 1: ** *BUILDING DEPARTMENT CONDITIONS * ** 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 mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: 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. 5: Truss shop drawings shall be provided with the shipment of trusses delivered to the job site. Truss shop drawings shall bear the seal and signature of a Washington State Professional Engineer. Shop drawings shall be maintained on the site and available to the building inspector for inspection purposes. 6: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 7: All food preparation establishments must have Seattle /King County Department of Public Health sign -off prior to opening or doing any food processing. Arrangements for final Health Department inspection shall be made by calling Seattle /King County Department of Public Health, (206/296- 4928), at least three working days prior to desired inspection date. On work requiring Health Department approval, it is the contractor's responsibility to have a set of plans approved by the agency on the job site. 8: All wood to remain in placed concrete shall be treated good. 9: There shall be no occupancy of a building until final inspection has been completed and approved by Tukwila building inspector. No exception. 10: A Certif=icate of Occupancy shall be issued for this building upon final inspection approval by Tukwila building inspector. 11: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Department of Public Health - Seattle and King County (206/296 - 4932). 12: All electrical work shall be inspected and approved under a separate permit issued by the Washington State Department of Labor and Industries (206/248- 6630). 13: 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. doc: Conditions 005 -010 Printed: 01 -31 -2005 z W UO w =. U) U . W O J U_ Q N =d �W ?� t~ O z ir- 5. ON :13 �. WW HF u. O w z , U= O z 19Q6 f City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 14: ** *PUBLIC WORKS DEPARTMENT CONDITIONS * ** Z 15: Contractor shall notify Public Works Utility Inspector at (206)433 -0179 TO SCHEDULE A PRECONSTRUCTION MEETING AT +t W LEAST 2 48 HOURS IN ADVANCE. PUBLIC WORKS UTILITY INSPECTOR SHALL BE NOTIFIED OF commencement and completion of work at v least 00 24 hours in advance. NC3 J = 16: The applicant must notify the City Utility Inspector at (206)433 -0179 upon commencement and completion of work at least cn U 24 hours in advance. All inspection requests for utility work must also be made 24 hours in advance. w O 17: Work affecting traffic flows shall be closely coordinated with the City Utilities Inspector. J Q. LL 18: The City of Tukwila has an undergrounding ordinance requiring the power, telecommunications, and cable service lines be = w underground from the point of connection on the pole to the house. Z X 19: Any material spilled onto any street shall be cleaned up immediately. w O w 20: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation v o, co off -site or into existing drainage facilities. O o F- 21: From October 1 through April 30, cover any slopes and stockpiles that are 3H:1V or steeper and have a vertical rise of = w 10 feet or more and will be unworked for greater than 12 hours. During this time period, cover or mulch other disturbed areas, if they will be unworked more than 2 days. Covered material must be stockpiled on site at the beginning of this ? "—" z period. Inspect and maintain this stabilization weekly and immediately before, during and following storms. w rn' U= 22: From May 1 through September 30, inspect and maintain temporary erosion prevention and sediment at least monthly. All Z disturbed areas of the site shall be permanently stabilized prior to final construction approval. 23: The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and prior to the Final Inspection. 24: CONTRACTOR SHALL SUBMIT A CATALOG SHEET OF THE RPPA HE WILL BE INSTALLING TO ASSURE THAT THE DEVICE IS A WA STATE DEPARTMENT OF HEALTH APPROVEED RPPA. THE PROPOSED REDUCED PRESSURE PRIPCIPLE ASSEMBLY (RPPA) SHALL BE INSTALLED IN A HOT BOX OR EQUAL FREEZE PROTECTION ENCLOSURE. THE HOT BOX ENCLOSURE SHALL BE ANCHORED TO A CONCRETE PAD, MINIMUM 4" THICK. A POWER SUPPLY TO THE HOT BOX IS RECOMMENDED TO PREVENT FREEZING. LABOR AND INDUSTRIES PERMIT IS REQUIRED FOR THE POWER SOURCE TO THE HOT BOX. * *continued on next page ** doc: Conditions D05 -010 Printed: 01 -31 -2005 Aa- if City of Tukwila teas Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 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 erformance of work. Signature: Date: 3l O'So doc: Conditions D05 -010 Printed: 01 -31 -2005 i tl- A,�{�,gss► " O N 1908 Parcel No.: Address: Suite No: WATER METER INFORMATION Steven A7 3597000006 Permit Number: DOS-010 14900 INTERURBAN AV S TUKW Issue Date: 01/31/2005 Permit Expires On: 08/17/2005 DESCRIPTION OF WORK: CONSTRUCTION /PLACEMENT OF A TWO SIDED DRIVE -THRU ESPRESSO STAND - 8'X 16' BUILDING SITTING ON NEW PAVEMENT, TIED DOWN WITH SIMPSON TIE DOWNS. PUBLIC WORKS ACTIVITIES INCLUDE NEW WATER SERVICE TAP AND 3/4" METER WITH AN RPPA, NEW 6" SANITARY SIDE SEWER, STORM DRAINAGE AND EROSION CONTROL. METER #1 Water Meter Size: Quantity: Water Meter Type: Work Order Number: i j Connection Charge: Y Installation: Y Additional Install Deposit: Plan Check Fee: Y Inspection Fee: Y Turn On Fee: Y Subtotal: Cascade Water Alliance (RCFC): Y TOTAL WATER FEES: $2,822.00 $600.00 $2,222.00 $0.00 $0.00 $0.00 $0.00 doc: PWWATER D05 -010 Printed: 03 -01 -2005 Citv o.. Tukwila Department of Public Works James F. morrow, P.E., Director 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 433 -0179 Fax: 206 - 431 -3665 Web site: ci.tuhvila.wa.us 0.75 1 PERM 5104aO5 $60.00 $490.00 $0.00 $10.00 $15.00 $25.00 0 METER #3 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 METER #2 i z w tr � J U; UO Uo U w w= w O: Ei U. co �w Z 0: Dp ;O N: Q w w: .H U LL O Z U N O ~' z ttA w, CITY OF T UKWI L ? -1 Community Development _apartment o Public Works Department a Permit Center i908 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Page t Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print" SITE LOCATION , M oo King C Assessor's Tax No.: C) O 03 -Z O U d 4 5Got Site Address: -40(96 �y 1 C/'uPh�• /�yf . ,cr,E' ,, "le `. Suite Number: Floor: 0" E= Tenant Name: Z) ri 6 � New Tenant: 5 Yes ❑ ..No Property Owners Name: .J 01, r � r u S S e l a. ` n e. Mailing Address: 27a/ " -� 1 u r-► '7?d 6 City State Zip CONTACT PERSON Name: �a i. — b ro r e Day Telephone: D �, y5 c 1 ' 5771 Mailing Address: _�: 7o ! IV C—_ M TC)t . 7 - b City State / Zip E -Mail Address: ..J A&I" L aki4alczvv , Fax Number: S' " gb w 1 1 3 —2 GENERAL CONTRACTOR INFORMATION - (Mechanical 'Contractor information on back page) Company Name:_ Mailing Address: Building Perri.ivo. ©' Mechanical Permit No. Public -Works Permit No. Project No. 0 =l? >{p For o ►ce use onl 5 L City \ State Zip Contact Person: C CA �1 Day Telephone: E -Mail Address: Fax Number: �_ 3 ~ 4; Contractor Registration Number: 6 (D - 7 1 62 Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the time of permit issuance" ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: G w, G Mailing ,A 77 C a1QC•>7 9VI . ,O�oo 0R 5 70 S'b _ City State "Lip Contact Person: T G Lh Nau 4 Day Telephone: Ir i 3 1 ? E -Mail Address: r. t„ �,,�,r,�cl GC. D �. - C c> Fax Number: ENGINEER OF RECORD - All plans must be wet stamped by Engineer of Record Company Name: t G G2 -e Mailing Address: 1 t Z-7d- l I Contact 9 E -Mail s t \permits plus \icc changes \permit application (7.2004) Day Telephone: ( � /C J Fax Number: / a S7- �!T�10 • - r 0 Z H '~ W � JU UO W= H CO u-. W0 }} �J LL j co =w Z� 1= o W UJ �p U N OH wW �O tit Z CO 0 Z `BUILDING PERMIT INFORMATION - 206 - 431 -3670 ° mow c ' Valuation of Project (contractor's bid price): $ /Y, O 4 G — Existing Building Valuation: $— Z Scope of Work (please provide detailed information): / �w o� Will there be new rack storage? ❑ ..Yes [�rNo If "yes ", see Handout No. for requirements. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for 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 PROTECTIONIHAZARDOUS MATERIALS: ❑..Sprinklers ❑..Automatic Fire Alarm [I.. None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 99,. Yes No If "yes ", attach list of materials and storage locations on a separate 8 -1/2 x l l paper indicating quantities and Materi Sa ety Dat heels. \permits plus \icc changes \permit application (7.2004) Page 2 u Z Z . W J 0 N O to W J = CO W W O 9-1 LL a cf) = W H =. Z� F- O Z H. W 5. �O ON 0 H W W' U- O ..Z W U N' O Z Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC I` Floor 2" Floor 3 Floor Floors thru .Basement ' Accessory Structure* Attached Garage / Detached Garage Attached Carport / Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area for 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 PROTECTIONIHAZARDOUS MATERIALS: ❑..Sprinklers ❑..Automatic Fire Alarm [I.. None ❑ . Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 99,. Yes No If "yes ", attach list of materials and storage locations on a separate 8 -1/2 x l l paper indicating quantities and Materi Sa ety Dat heels. \permits plus \icc changes \permit application (7.2004) Page 2 u Z Z . W J 0 N O to W J = CO W W O 9-1 LL a cf) = W H =. Z� F- O Z H. W 5. �O ON 0 H W W' U- O ..Z W U N' O Z PUBLIC WORKS PERMIT INRMATION -- 206-433-0179 Scope of Work (please provide detailed information): Call before you Dig: 1- 800 - 424 -5555 Please refer to Public Works Bulletin 41 for fees and estimate sheet. Water District ..Tukwila ❑... Water District # 125 ❑ .. Highline ❑ ...Renton ❑ ... Water Availability Provided Sewer District ...Tukwila ❑... ValVue El.. Renton ❑ ...Seattle ❑ ...Sewer Use Certificate ❑ ... Sewer Availability Provided ❑ .. Approved Septic Plans Provided ❑ ...Septic System - For onsite septic system, provide 2 copies of a current septic design approval 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 ❑ ... Traffic Impact Analysis ❑ ...Bond ❑ .. insurance ❑ .. Easement(s) ❑ .. Maintenance Agreement(s) El ... Hold Harmless Proposed Activities (mark boxes that apply): ❑ ...Right -of -way Use - Nonprofit for less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way Non Right -of -way ❑ ...Total Cut cubic yards ❑ .. Work in Flood Zone / ... Total Fill cubic yards StormDrainage — A u h d ej. Sucw s8 Fr W Y ` ..Sanitary Side Sewer / El.. 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 K!..Backflow Prevention - Fire Protection It Irrigation 4) Domestic Water J �/� ...Permanent Water Meter Size..." WO# 5 ®r7 1-® ❑ ...Temporary Water Meter Size.. WO# ❑ ... Water Only Meter Size............ WO# ❑ ...Deduct Water Meter Size ........ ❑ ...Sewer Main Extension ............ Public Private ❑ ... Water Main Extension .............Public Private FINANCE INFORMATION Fire Line Size at Property Line _ 91 ... Water V...Sewer .r { Name: r.; Mailing Address: Name: �'` Mailing Address: ; r \permits pluskicc changes \permit application (7 -2004) Number of Public Fire Hydrant(s) ...Sewage Treatment o s Page 3 Telephone - ��-7 - s 7 96 State Zip i Teleplione - -20 City State ' — Zip I FA Z W UO CO) 0 W= J � W O � LL Q UI d = W I— _ Z I.-. H O Z F-- W �O O cn 0 E- WW H LL O Z U F= X O Z MECHANICAL PERMIT INFO MECHANICAL Company Name:_ Mailing Address:. t v t,rry write Zip Contact Person: �O �/� G.� In Day Telephone: 5 0 3 1 C) 4 5 E -Mail Address: "�d v% A t r- Cat e) C ;, ,r,,.� Fax Number: Contractor Registration Numbe Expiration Date: * *An original or notarized copy of current Washington State Contractor License must be presented at the tithe of permit issuance ** Valuation of Project (contractor's bid price): $ V o c Scope of Work (please provide detailed informatiop): -e IJ "I (C,\ L o,/ VA, v� '1� u, ,�, y. c'h�,. A TION — 206 -431 N Use: Residential: Commercial: Fuel Type Electric New .... ❑ New ....' Unit Type: Gas .. ❑ Replacement..... ❑ Replacement..... ❑ Other: Unit Type: Qty Unit Type: kQty J Unit Type: Qty Boiler/Compressor: Furnace <100K BTU Air Handling Unit >10,000 Fire Damper 0 -3 HP /100,000 BTU CFM Furnace>100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace Ventilation Fan Connected Thermostat 15 -30 HP /1,000,000 BTU to Single Duct Suspended/Wall/Floor Ventilation System Wood/Gas Stove 30 -50 14P /1,750,000 BTU Mounted Heater Appliance Vent Hood and Duct Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Incinerator - Domestic Emergency Heat /Refrig/Cooling Generator System Air Handling Unit Incinerator — Comm/Ind Other Mechanical <10,000 CFM I I Equipment PERMIT APPLICATION NOTES — Applicable to all permits in this application 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 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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. 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 E OR T ORIZED AGENT: Signature: Date: !� L n � 1 Print Name:, Mailing Address Date Application Accepted: Date Application Expires: Staff Initials: Indicate type of mechanical work being installed and the quantity below: \permits plus \icc changes \permit application (7.2004) Page 4 a 0 Z �W QQ JU UO Cl) LU J CO LL WO LL Q Co = �W Z H ZO W W U� O N o I— W ui H� !6 O •• Z W U Ito F— _ O Z City State Lip t .. City of Tukwila ce 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3597000006 Permit Number: D05 -010 Address: 14900 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 01/11/2005 Applicant: CARIBBEAN DREAMS ESPRESSO & MORE Issue Date: 01/31/2005 Receipt No.: R05 -00275 Initials: SB User ID: 1670 Payment Amount: 58.00 Payment Date: 02/23/2005 12:33 PM Balance: $0.00 Payee: CARIBBEAN DREAMS, LLC TRANSACTION LIST: Type Method Description Amount - - - - - -- -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Check 1067 58.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts BUILDING INVESTIGATION 000/322.800 58.00 Total: 58.00 { 0206 02/23 9716 TOTAL 58.00 i Printed: 02 -23 -2005 i doc: Receipt 1 R City of Tukwila 1908 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3597000006 Permit Number: D05 -010 Address: 14900 INTERURBAN AV S TUKW Status: ISSUED Suite No: Applied Date: 01/11/2005 Applicant: CARIBBEAN DREAMS ESPRESSO & MORE Issue Date: 01/31/2005 Receipt No.: R05 -00256 Payment Amount: 58.00 Initials: SKS Payment Date: 02/18/2005 02:38 PM User ID: 1165 Balance: $0.00 Payee: CARIBBEAN DREAMS, LLC TRANSACTION LIST: Type Method Description Amount ---- - - - - -- -- - - - - -- --------------------- - - - - -- ------ - - - - -- Payment Check 1062 58.00 ACCOUNT ITEM LIST: Description - Account Code Current Pmts -------- - ------ - - - - ----- - - - -- ------ - - - - --- - -- ------ - - - - -- 1 f PLAN CHECK - NONRES 000/345.830 58.00 Total: 58.00 t i 'i 0084 02/18 9716 TOTAL 58.00 i doc: Receipt Printed: 02 -18 -2005 I Cit y of Tukwila ryas 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No.: 3597000006 Permit Number DOS -010 Address: 14900 INTERURBAN AV S TUKW Status: APPROVED Suite No: Applied Date: 01/11/2005 Applicant: CARIBBEAN DREAMS ESPRESSO & MORE Issue Date: Receipt No.: R05 -00119 Payment Amount: Initials: SKS Payment Date: User ID: 1165 Balance: Payee: CARIBBEAN DREAMS, LLC TRANSACTION LIST: �,. Type - - - - -- Method -- Description --------- - - - - -- - - - - -- Amount Payment Check 1020 3,320.72 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - BUILDING - NONRES - -- ---------- - - - - 000/322.100 -- ------ - - - - -- 207.22 CASCADE WATER ALLIANCE 401/386.550 2,222.00 PLAN CHECK - WATER METER 000/345.830 10.00 PW LAND ALT PERMIT FEE 000/342.400 37.00 PW PERMIT /INSPECTION FEE 000/342.400 250.00 STATE BUILDING SURCHARGE 000/386.904 4.50 WATER CONNECTION 401/379.002 60.00 WATER INSPECTION FEE 401/342.400 15.00 WATER INSTALLATION (DEP) 401/386.520 490.00 WATER TURN -ON FEE 401/343.405 25.00 3,320.72 01/31/2005 04:34 PM $0.00 Total: 3,320.72 9506 02/02 9716 TOTAL 3320.72 doc: Receipt - Printed: 01 -31 -2005 z z Qr W 0 N o U) 9_5 LL <' � H LU _; z � �.- O. LLJ z F' UJ �O O co)` =U , L L .. z W I I . U N: z i City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 f RECEIPT Parcel No.: 3597000005 Address: 14800 INTERURBAN AV S TUKW Suite No: Applicant: CARIBBEAN DREAMS ESPRESSO & MORE Permit Number: D05 -010 Status: PENDING Applied Date: 01/11/2005 Issue Date: Receipt No.: R05 -00038 Initials: SKS User ID: 1165 Payment Amount: 658.19 Payment Date: 01/11/2005 01:51 PM Balance: $498.72 Payee: CARIBBEAN DREAMS, LLC TRANSACTION LIST: Type Method Description Amount Payment Check 1009 658.19 ACCOUNT ITEM LIST: Description Account Code Current Pmts ------------------------ - - - - -- ---------- - - - - -- ------ - - - - -- PLAN CHECK - NONRES 000/345.830 134.69 PW BASE APPLICATION FEE 000/322.100 250.00 PW LAND ALT PLAN REVIEW 000/345.830 23.50 PW PLAN REVIEW 000/345.830 250.00 Total: 658.19 doc: Receipt Printed: 01 -11 -2005 / II4S P CTION` RECORD Retai : a copy with permit u ri INSPECTION NO. PER CITY OF TUKWILA BUILDING DIVISION �j 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)4 11-6 70 Date: ,Approved per applicable codes. FI Corrections required prior to approval. all oject: ' � "m Type of Inspectn M, P"'A' Ad res I /aK D2 Date Called: 4 (015 Specibil Instructions: �} /) Date Wante a. M. m Requester: Pho , ^ [I .Q W c � G W =i UO CO 0 CO J H CO) u. .W O LL Q = v W Z F., H O' Z ir-: W. �p U O COY o H- = W. H LL O. lil Z . U O Z •,. , krL.i.� w. �,. , s,� .� e �. Y-y3 z��y r � �.� +i� �t e +� q y < r ,, � � 4{ t• tti+. ty+y�e',�(1j!(a�y�xvN"Cd'f,��3s �t : 1 It �r S i INSPECTION RECORD Retain a copy with permit 01-6 ' INSPECTION NO. P T NO I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2 6 }431 -3670 Pr 'ect: _ GGM G�� Type of Inspection:, � � �/ f /N �C, 7�✓7'/G Ad-dress: ate Called: 3 / 2 to > Special Instructions: Date Wanted: i a.m. 3 / 7 J p.m. Request Pho�No: a 026- - - 52 3 Appproved per applicable codes. F1 Corrections required prior to approval. Receipt No.: rte: I i Z Zi M W J U. c) O CO) W= J F. CO) LL w O Q � LLQ co H= ? F Z �: W �5 �p O C6 o� W w' IM U U. 0 Z. U CO); O Z DS ei INSPECTION RECORD Retain a copy with permit O/Z) INSPECTION NO. P ER CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 70 P 'ect: O fAy" yP f Inspection: OAF h �ve*-Vl lNuam a ik Ada ILI) DAte Called: Special Instructions: Date Wanted: __-a-. m. P.M. Requester: Phone No: 066- 2 Y,;' Approved per applicable codes. E] Corrections required prior to approval. 0✓ i spec I — /7 Date: 00 REINSPE60N 6E REQUIRED Prior to inspection, fee must be id at 6300 Southcenter Blvd., Suite IO Call to schedule reinspection. Receipt No.: I Date: M z Z UJI 65� 1 0 C.) 0 (00! CO) UJI W J Co LL 7 0 LL. co W 3: 0 Z F-:. W W 5 cr) 0 UJI w � 0: LL 0: Z. CO). .z 4 2 3 S Pro'ect: Type of Inspection: Add Date Called: Special Instructions: Date Wanted: a.m. p.m. RequeAter• _ Phone No: COMMENTS: 416 4 t b 1 � � Z W c . U O Co o. W =' J �.. S2 LL W O IL Q. N = W H =. Z� F.. O Z I•- W LU �p U O y; C) F- WW H LL 0 lil Z H � O Z 'ti+.r,�'�b9 �� ,�y?"�Q�? � r s {r e' ° . fv :. � ... } ' . INSPECTION RECORD Do�� �. Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 a Approved per applicable codes. Corrections required prior to approval. VIP Pro'ect Type of Inspection: Address;. Date Called: J Special Instructions: Date Wanted: a.m. 1f p.m. Requeste : r ''I/IJL Phone No: • i Inspector: Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee. must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectiol 41 r. ro I Z Z- W V U O r N CO) J F. �L W O u_ Q N� = F. W T ' z � HO Z 1•-, W 2j ON !0 H W UJ = V. U. 0 ' . — O• r .. Z W U= O Z , L",�.r..:_- ... -i�«'Y . b:^' z: n 'izs.'axa.:i�:ta..aslvt..uar.. .,�•.� _• �,� •_ � - ...a+nr�. - , -. .- -.. INSPECTION RECORD Retain a copy with permit (� INSPE NO. ,,//�� T CITY OF TUKWILA BUILDING DIVI:$.JON`M 6300 Southcenter Blvd., #100, Tukwila, WA 981 1 88 (206)431 -3670 Project Type of Ins pec io (4' Z. Address: 1 5pecM J 1 a Called: lnstr ctions: Date Wanted: p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. `i COMMENTS: c Receipt No.: Date: L Z il-- Z w V O: N 0 CO) W W =; CO) u- 0 �a U- N d = W f- _ H O: Z H-' �p W W O. tii Z W N:. z $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. `�+5' wS ifVM'y Vt6 � 'F�'r •k h n � .�: t' 4" i tk ¢� 't i , +d2 ��rt: • " i i ` INSPECTION RECORD Retain a copy with permit INSIMCTION NO. PER CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ; ,(201;)431 -3670 �l H w_ ID4 :�/5 _2W Approved per applicable codes. Corrections required prior to approval. COMMENTS:. P ' Type of Inspection: C d c Date a led: Soecial I structions: Date Wanted P .M. Requester: Ph ne No: Receipt No.: Date; Inspector: ! uate• $58.00 REINSPECTION FE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Z Z W W D U O N o : W J to U. W } O: _ LL � Z� ZO LLJ W: U O W W U. U N ` O Z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MI 'v CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 - � ,/ Qp� " P * M TyTf Inspection; I /)M I ess: D V 15pdtiM Date Called: A Z .Ae Instructions: Wanted: / M a L Requester: Ph ne No* I Receipt No.: I Date: I I Z W ! Zj C.) 01 rn C)� Uj W ILL Zo ILL ca Dt W, x Z !— 1 10 , - Z — UJI UJ D :0 W ILL 0 z IJU CO O Z L--J. Ipaid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectli INSPECTION RECORD Retain a copy with permit !� INSPEtTION NO. PER T CITY OF TUKWILA BUILDING DIVISION r' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206431 -3670 Mje - � Type of Inspection; ess: r Specral Instructions: DateW anted: a 05' p.m. Reques . l Phone No: \ . / � Receipt No.: Date: ML '1 S Z LU = Z, cc 0 0 X1 J � N LL W 0 � Q U. �D = I... W Z� Z !— LIJ 2 =: Dp 0 0 —: D H' W LL� — 0 W Z U� O� Z F. t� paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspectioi INSPECTION RECORD � Retain a copy with permit INSPECTION NO. P T CITY OF TUKWILA BUILDING DIVISION; r, 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (`20 31 -3670 P e ject: La LLA� Type of Inspec 'on: 0 Ad a s: .---- Date Called: .2 Sp cial Instructions: Date Wanted: a ' Requester: �fo `5 0V :70 Approved per applicable codes. Corrections required prior to approval. COMMENTS: l y Y l t a Inspec Date: 58.00 REINSPECTION FEE REQUIRE . Prior to inspection, fee must be 4' paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. eceipt No.: Date: Z i Z w UO cn o w= J CO) LL. w O U. Q . �W Z = Z 00 U O ' O H� WW W — O 111 Z U S2; P H: O Z .. ........ Ali INSPECTION RECORD Retain a copy with permit INSP EC NO. PE' O. CITY OF TUKWILA BUILDING DIVISION 6 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE R Type of p a lion: ( Ad I Date Called: % ructions: !d: m. -:? M. Requester: Pho e as o - (93og Approved per applicable codes. Co rrections required prior to approval. COMMENTS: 14 :2AJ Receipt No.: Date: 4�KLI 58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be -.-, -, f'Jf%f% C-4-k•4- 121-A C . . , #- - A AA r - i 1 4.. . - � k ^ A . . I ^ - I - � - 6..-- Z Z' W 2 D Jul L) O` Cj ) a w = C0 LL - 'W 0. LL CY LLJ z z W L U 5: :0 W U 0 : id Z: 0 z Project: Type of Inspection: A dr s: < X2 .5:• Date Called: �- � Spe ial Instructions: Date Wanted: a.m. p.m. Requester Phone No: WAIME MEN : d, of L' M;' ' A r Z . �Z �a LU J U' UO CO 0 W= NIL W O: J U. Q _ CY W Z� H O W 2 �; U O to ;D H W W . U W H. —O tll z U CO) O Z Pr ect: Type of Inspect* Address: Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: 77 D h r7 Phone No: * -s - 72 COMMENTS: Z j4of ,�,. L 4 vc r wt Jr 1 G.v s �•v l v Ch 1 S Z yy W UO W =. J � LL W O 9Q N d Z W' Z �. E- O Z 1—. j. � o U Ot A W W'. —O Z. 111 H O z ..: Project: rill A t "Qe4 4Ad Type of Inspection: 5a r s: Date Called: Special Instructions: Date Wanted. a.m. p.m. Requester: Phone No: I COMMENTS: I UMWA ff IF no MW I Z. LU U 0 (0 Q W w UJ J N U- LIJ 0, J . LL a =W Z +- 0, W F- W 5 U . M w 0 id z V) �O Z Project: l y Type of Inspection: Address: mo T' Date Called: Z IJ _ pecial Instructions: Date Wanted: ' i i ` a. m. p.m. Requ . Phone No: — COMMENTS: a CO-4 ,-� - L W �! 0 F Z Z W W= J U: U O �0 LU CO LL: WO J LL F=— _. ? Z O, W W U O— 0 F--. W W U ill z Z i �r'�'u:M4fr','_°"'+"'..r 1 " �,'+,," t Y��P<a,);C�w`•;, ;t i....y- 5rrr: `7v�., v - .7. ..'.:' INSPECTION RECORD Retain a copy with permit INSPECTION NO. PER T N CITY OF TUKWILA BUILDING DIVISION .6300 South center Blvd., #100, Tukwila, WA 98188 ( 0 431 -3670 Prioject: 0 Type o n: 1 � AEI 41 w Date Called: f Q / O Special Instructions: ��,,►► r+ /1 am { 00 I /y%•h'� � , (� Q Dat Wanted: `" a .,m. p.m. Requester: P e No: ' OU 5 > �1 i :j f ®Approved per applicable codes. ❑ Corrections required prior to approval. i COMMENTS: fr jo I s clot: Date: z $ 8. ftEINSPECTION FE REQUIRED. Prior to inspection, fee must be ai at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: N Z i� Z: C ..I J U. U O 0) o to =` J F.. CO) O W LL N d' Z F.. W LU U0 �0 H W W ". IL LLI Z 'U N �_- X O Z Project: Type f Inspection: �Q 1 l N . ,ss, r d regp� ,S�Z�,�j, Dat I ed: � 105 Special Instructio s: Date Wante : DJ a.m. ' A /yoc , Reques er: I YAv i e or P one o: COMMENTS: 1 2-2 L 'i �,� -� ,ss, /R/.. /yoc , Z Z" I LI QQ C. JU U O. N 0' CO) =: J N 0 W J u_ a _a H = Z� H O ZN III W' ,O tn: O H- W W LL _ O Z. w U CO) Z, `� 5 INSPECTION RECORD !�r Retain a copy with permit ��� J ��� S 3 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION ✓� /�'-�' 6300 Southcenter Blvd., *100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. 7t Type %;1W19AA oupa'n&-) E�hLw of I s 2ction: I V Addr ts s* 0 — I I Date Called: Special Instructions: DC AIVI Date Wanted: m. '�? / � ( 0 % !5 ,1 M , Requester. lid Pho e No: Receipt No.: (Date: Z Z LU: j �C.) 0: CO) co) F- CO) LL� W 0. –J� U. CO) �Z 0� ,z 5': 0 cr): 13 1.– W Uj cy JL 0' Z� CO) O Z. `•` r '�M r 4.� v f. 1Y 4v�.wyri.�Y.�.. Yid• �. t' tuiru.:. �y. JnFwt. 71f; �Mt/ tf .i.+..•F.�u.!.' /YJ+ \t'S'4'.}YI �a�,1 . . .. � -. ` .. INSPECTION RECORD 7 c� I Retain a copy with permit INSPECTION NO. PERM i CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 �. © Approved per applicable codes. Corrections required prior to approval. P oiect: Type of Inspection _S d aa A�! reams_ _ Date Ca led: a Special Instructions: Date Wante f a.m. �0 v '1 C�/' p. Requester Phone No: r J Z Z` W � . J U: 00 v� o: w 1: J �L W O LL N d. W �O: W U� , N W W U. 0'. WZ U COY O Z ��",�,%�aTi""1'iN.f; a "�d ,..9" 1. .'^ .. �, . �s'^." , i ••w.r r t .. _ t :•.ty � •'; } INSPECTION RECORD Retain a copy with permit 0 5 of S INSPE ION NO. PER .B CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 206)431 -3670 P * 41D M I �LAqAn pe o Inspecti Add R oo te Called: b Special Instructions: r j 0 /� /� () d,4-vi ate Wanted: ' Os, .m. .m Requester: Y D�u) - 7 Approved per applicable codes. Corrections required prior to approval. J_ I Z Z W UO CO o w =; J I— N LL WO 9a co d HW Z = O Z H- Lu U ,O co, � H u U. H: — O: 111 Z co 1-- H O Z INSPECTION RECORD Retain a copy ( with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION P ;M 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Project: Type of Inspection: r-or-) 4, Address: Date Called: Special Instructions: Date Wanted: m. 2 9 laf p.m. Requester: � &/; C/ Ph tie No: I v 1 ; Approved per applicable codes. Corrections required prior to approval. 3. r. a Z iY LU; _3 00: U 0. CO LU: W C0 LL 0 U. Q. LU 0 co): U . Q Z! CO. ! ro* INSPECTION RECORD Retain a copy with permit W2 06)431-36;70 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Proj ft: Type of section: Address: Date Called: Special Instructions: Date Wanted: ,... a.m. Requester: _ f � � 0 Phon"o: 7 ;7e/ Approved per applicable codes. Corrections required prior to approval. COMMENTS: i n T/ tv71/ /Avs 6 00 o �r'x �,lr 5 ,- J e Receipt No.: Date: nsp tor: Date: -- / o 58.00 REINSPECTI N FEE REQUeitte D. Prior tobspection, fee must be paid at 6300 Southcenter Blvd., S 100. Call to sechedule reinspection. .., Z Z Cr.Q W J U UO to 0 W =: CO) LL, W O LL Q N CI = W Z F.. HO Z F- U� O W W. H V li. Z. llf z It Z Z Cr.Q W J U UO to 0 W =: CO) LL, W O LL Q N CI = W Z F.. HO Z F- U� O W W. H V li. Z. llf z INSPECTION RECORD. -�� f � Retain a copy with permit INSPECTION NO. PERMIT NO. :CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Proj ; Type of Ins ection: Address: Date Called: Special Instructions: /. f Date Wanted: Requ t r: Phon o: Fl Approved per applicable codes. Corrections required prior to approval. COMMENTS: lid /,J) L& I/ mk Li&z7��.A - � C _1 5� �Gw, Inspector: Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must b Paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspecti r ceipt No.: Date: N Z W W =' UO Co i 10 W W = CO L W O LL N = �W �O z H W LLJ �p .O N, W lil. LL .. z W U� O z J PACIFIC NORTHWEST TITLE Company of Washington, Inc. , - �,.,. REVIEWED F pLI CODE COMANC FILE COPY 6 ?p05 JAN � �s �5 j Of u �vi`� la ANC DD /1510N Mr. Robert Krussel BUILD 6330 56th Avenue "South Seattle, Washington 98118 Order No.: 348582 Your Ref. Krussel F ?,v . y 4: n 1201 Third Avenue Suite 3800 A Seattle, OVA 98101 - 3055 (206) 622 - 1040 Fax: (206) 343 - 1358 http: / /pnwt.com Please.find enclosed a copy of a Commitment for Title Insurance on the V above referenced transaction, as requested. Thank you for the opportunity to serve you Pacific Northwest Title Company of Washington, Inc. takes great pride in the service and customer satisfaction we are able to provide our customers. If we can F answer any questions or provide further assistance, please feel free to call. t Julie Goodman s Senior Title Officer Unit 8 �l pro CRY OP VILA JAN f 1 2005 9 PERMIT CENTER F ?,v . y 4: n 1201 Third Avenue Suite 3800 A Seattle, OVA 98101 - 3055 (206) 622 - 1040 Fax: (206) 343 - 1358 http: / /pnwt.com COMMITMENT FOR TITLE INSURANCE ISSUED BY PACIFIC NORTHWEST TITLE INSURANCE COMPANY, INC., a Washington corporation, herein called the Company, for a valuable consideration, hereby commits to issue its policy or policies of title insurance, as identified in Schedule A, in favor of the proposed Insured named in Schedule A, as owner or mortgagee of the estate or interest covered hereby in the land described or referred to in Schedule A, upon payment of the premiums and charges therefor; all subject to the provisions of Schedules A and B and to the Conditions and Stipulations hereof. This Commitment is preliminary to the issuance of such policy or policies of title insurance and all liability and obligations hereunder shall cease and terminate six months after the effective date hereof or when the policy or policies committed for shall issue, whichever first occurs, provided that the failure to issue such policy or policies is not the fault of the Company. IN WITNESS WHEREOF, Pacific Northwest Title Insurance Company, Inc. has caused its corporate name and seal to be hereunto affixed by its duly authorized officers on the date shown in Schedule A. PACIFIC NORTHWEST TITLE Insurance Company, Inc. This Commitment shall be effective only when the identity of the proposed Insured and the amount of the policy or policies committed for have been inserted in Schedule A hereof by the Company, either at the time of the issuance of this Commitment or by subsequent endorsement. Signed under seal for the Company, but this Commitment shall not be valid or binding until it bears an authorized Countersignature. ,0 \%t.E �aa.. S�•. ••....... - •4 , % oRPORArF • : p. SEAL •••.,. 1926 ,,.•',�`�� 4 SHING�,.�u " ° � A7, President Countersigned b Authorized Signatory Company City, State American Land Title Association Commitment - 1966 (Rev. 3/78) 0 Z ,: Z Ix W QQ 2: JO U0 C') o W =: J H C0 LL W L L Z d H _. Z f... H 0. Z I-- U� 0 Co 3 F- WW W E.. - 0 iii Z ! co 2— F- H Z 1 3 A.L.T.A. COMMITMENT SCHEDULE A Page 2 Order No. 348582 The land referred to in this commitment is situated in the county of King, state of Washington, and described as follows: That portion of Tract 1, Interurban Addition to Seattle, according to the plat thereof recorded in Volume 10 of Plats, page 55, in King County, Washington, lying northerly of a line which extends northeasterly, perpendicular with the westerly line of said Tract, from a point on said westerly line which is 685 feet southeasterly from the northwest corner of said Tract. That portion of the following described parcel of land lying southerly of the south line of South 147th Street, as conveyed by } Puget Sound Power and Light Company to the City of Tukwila, by Deed dated October 25, 1965, recorded August 28, 1969, under Recording Number 6557639, and northerly of the north line of South 149th Street, as conveyed by said Deed: That certain piece of land 100 feet wide, being 50 feet in width on each side of the centerline of definite location on the Seattle- Tacoma Interurban Railway (now Puget Sound Electric Railway) across that portion of the William H. Gilliam Donation Claim No. 40 lying within the northeast quarter of Section 23, Township 23 North, f Range 4 East, W.M., in King County, Washington, the centerline of said strip of land being more particularly described as follows: Beginning at a point on the north boundary line of the William H. Gilliam Donation Claim No. 40 in Section 23, Township 23 North, Range 4 East, W.M., in King County, Washington, 230.7 feet from the northeast corner of said Donation Claim; I thence south 22 0 37' east 1,497.5 feet to a point; thence curving to the left with a spiral having 9 chords 21 feet long,.a distance of 189 feet, through 7 0 30' of curvature to a point; thence continuing to the left with an eight degree curve through 23 0 08' of curvature a distance of 289.2 feet; thence continuing curving to the left with a spiral having 9 chords 21 feet long, a distance of 189 feet through 7 0 30' of curvature to a point; (legal description, continued) Z J U' UO W =' J �.. CO) W O: IL Q N d' W H- O Z F- 5 ,U �s io W W: ~ F LL —0 tiW Z;. l � A.L.T.A. COMMITMENT SCHEDULE B Page 2 Order No, 348582 SPECIAL EXCEPTIONS: NOTE FOR INFORMATION PURPOSES ONLY: EFFECTIVE JANUARY 1, 1997, AND PURSUANT TO AMENDMENT OF WASHINGTON STATE STATUTES RELATING TO STANDARDIZATION OF RECORDED DOCUMENTS, THE FOLLOWING FORMAT AND CONTENT REQUIREMENTS MUST BE MET. FAILURE TO COMPLY MAY RESULT IN REJECTION OF THE DOCUMENT BY THE RECORDER. FORMAT MARGINS TO BE 3" ON TOP OF FIRST PAGE, 1 ON SIDES AND BOTTOM - 1 ON TOP, SIDES AND.BOTTOM OF EACH SUCCEEDING PAGE. RETURN ADDRESS IS ONLY ITEM ALLOWED WITHIN SAID 3" MARGIN. NOTHING WITHIN 1" MARGINS. FONT SIZE OF 8 POINTS OR LARGER AND PAPER SIZE OF NO MORE THAN 8 1/2" BY 14 ". NO ATTACHMENTS ON PAGES SUCH AS STAPLED OR TAPED NOTARY SEALS; PRESSURE SEALS MUST BE SMUDGED. - . -INFORMATION WHICH MUST APPEAR ON THE FIRST PAGE RETURN ADDRESS, WHICH MAY APPEAR WITHIN THE.UPPER LEFT HAND 3" MARGIN. TITLE OR TITLES OF DOCUMENT. IF ASSIGNMENT OR RECONVEYANCE, REFERENCE TO RECORDING NUMBER OF SUBJECT DEED OF TRUST. NAMES OF GRANTOR(S) AND GRANTEE(S) WITH REFERENCE TO ADDITIONAL NAMES ON FOLLOWING PAGES,.IF ANY. ABBREVIATED LEGAL DESCRIPTION (LOT, BLOCK, PLAT NAME, OR SECTION, i. TOWNSHIP, RANGE AND QUARTER QUARTER SECTION FOR UNPLATTED). ASSESSOR'S TAX PARCEL NUMBER(S). (continued) A.L.T.A. COMMITMENT SCHEDULE B Page 4 Order No. 348582 a 4. EASEMENT AND THE TERMS AND CONDITIONS REFERENCED THEREIN, INCLUDING, BUT.NOT LIMITED TO, THE FOLLOWING: GRANTEE: State of Washington PURPOSE: 4 Maintaining existing highway slopes in excavation and /or embankment, together with the right to maintain the drainage system and street lighting system, along with their necessary appurtenances AREA AFFECTED: The westerly portion of Parcel B RECORDED: December 14, 1972 RECORDING NUMBER: 7212140435 5. EASEMENT AND THE TERMS AND CONDITIONS REFERENCED THEREIN, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: GRANTEE: Puget Sound Power and Light Company PURPOSE: Underground electric system AREA AFFECTED: The westerly 15 feet of Parcel B RECORDED: September 27, 1973 RECORDING NUMBER: 7309270582 6. EASEMENT AND THE TERMS AND CONDITIONS THEREOF, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: CONDEMNED IN KING COUNTY SUPERIOR COURT CAUSE NUMBER: 713902 PURPOSE: Sewer connection AREA AFFECTED: Not disclosed 7. AGREEMENT AND THE TERMS AND CONDITIONS THEREOF: BY.AND BETWEEN: Frank Todd and Joan Todd, husband and wife and the city of Tukwila DATED: May 1, 1967 RECORDED: August 28, 1969 .,RECORDING NUMBER: 6557641 REGARDING: Sanitary sewer construction and connection and covenant not to protest LID AFFECTS: Parcel A (continued) N U A.L.T.A. COMMITMENT SCHEDULE B Page 5 Order No. 348582 Any question that may arise due to shifting and changing in course of Green River.. AFFECTS: Parcel A 9. The right of the State of Washington in and to that portion, if any, of the property which lies within the bed orthe former bed of the Green River. ..10. RIGHT TO MAKE NECESSARY•SLOPES FOR CUTS OR FILLS UPON PROPERTY 'HEREIN DESCRIBED AS GRANTED IN DEED: (continued) fS 12 RECORDING NUMBER: 6557639 A GRANTEE: City of Tukwila AFFECTS: Parcel B 11 GENERAL AND SPECIAL TAXES AND CHARGES: FIRST HALF DELINQUENT MAY 1, IF.UNPAID: SECOND HALF DELINQUENT NOVEMBER 1, IF UNPAID: YEAR: 1998 TAX ACCOUNT NUMBER: 359700-0005-08 LEVY CODE: 2380 AFFECTS: Parcel A "CURRENT ASSESSED VALUE: Land:. $800,200.00 Improvements: $717,500.00 GENERAL TAXES:. AMOUNT BILLED: $21,468.00 AMOUNT PAID: $10,734.00 AMOUNT DUE: $10,734.00 12 GENERAL AND SPECIAL TAXES AND CHARGES: FIRST HALF DELINQUENT MAY 1, IF UNPAID: SECOND HALF DELINQUENT NOVEMBER 1, IF UNPAID: YEAR. 1998 TAX ACCOUNT NUMBER: 000320-0006-07 LEVY CODE: 2380 .AFFECTS: Parcel B CURRENT ASSESSED VALUE: Land: $259,200.00 Improvements: $ 0.00 GENERAL TAXES: AMOUNT BILLED: $3,666.41 AMOUNT PAID: $1,833.21 AMOUNT DUE: $1,833.20 (continued) fS 12 A.L.T.A. COMMITMENT SCHEDULE B Page 6 Order No. 348582 13. DEED OF TRUST AND THE TERMS AND CONDITIONS THEREOF: i GRANTOR: Young I1 Kim and Jaekyung Kim, husband and wife f TRUSTEE: Stewart Title Company of Washington BENEFICIARY: The Money Store Investment Corporation AMOUNT: $995,000.00 DATED: November 20, 1992 RECORDED: November 24, 1992 RECORDING NUMBER: 9211241074 rj The amount.now secured by said Deed of Trust and the terms upon which the same can be discharged or assumed should be ascertained ...from the holder of �a the indebtedness secured. ASSIGNMENT OF SAID DEED OF TRUST: r ^! ASSIGNEE: Marine Midland Bank, N.A. DATED: Undisclosed a "t RECORDED: April 8, 1993 RECORDING NUMBER: 9304081927 14. ASSIGNMENT OF LEASE GIVEN FOR SECURITY, AND THE TERMS AND CONDITIONS THEREOF: j ASSIGNOR: Young I1 Kim and Jaekyung Kim ASSIGNEE: The Money Store Investment. Corporation DATED: November 20, 1992 a RECORDED: November 24, 1992 RECORDING NUMBER: 9211241075 15. UNRECORDED LEASE: l a LESSOR: Young I1 Kim and Jaekyung Kim LESSEE: Alleluia Corp., dba Towne & Country Suites r: :DISCLOSED BY: Assignment of Lease recorded under Recording Number 9211241075 �j :x i (continued) r 1 } A. L. T.A. COMMITMENT SCHEDULE B Page 7 Order No. 348582 16. MEMORANDUM OF LEASE: LESSOR: Alleluia Corporation LESSEE: Blackbourn Services Inc., a Washington corporation DATED: Undisclosed RECORDED: April 28, 1998 RECORDING NUMBER: 9804281227 17. Unrecorded leaseholds, if any; rights of vendors and holders of security interests on personal property installed upon said property I and rights of tenants to remove trade fixtures at the expiration of the term. 18: JUDGMENT: AGAINST: Young Kim and Jane Doe Kim, doing business as Ace Drycleaners IN FAVOR OF: Golden Realty, Inc. AMOUNT:.. $3,610.00 Plus interest and /or costs if any WARNING: THIS AMOUNT IS NOT TO BE USED AS A BASIS FOR CLOSING ANY SALE OR LOAN TRANSACTION. THE AMOUNT NOW OWING AND THE REQUIREMENTS TO OBTAIN A.SATISFACTION OR RELEASE OF SAID JUDGMENT MUST BE OBTAINED FROM THE JUDGMENT CREDITOR OR HIS ATTORNEY. ENTERED: April 26, 1994 KING COUNTY JUDGMENT NUMBER: 94 -9- 10255 -4 SUPERIOR COURT CAUSE NUMBER: 93 -2- 14597 -7 ATTORNEY FOR JUDGMENT CREDITOR: Gregory J. Lawless Telephone No.: 206- 789 -2511 NOTE: The lien of said judgment depends upon the identity of the judgment debtor with Young I1 Kim. (continued) a Order No. 348582 A.L.T.A. COMMITMENT SCHEDULE B Page 8 19. JUDGMENT: AGAINST: Young Kim IN FAVOR OF: Aetna Real Estate Investm., doing business as Heatherwood Apts. riw AMOUNT: $835.00, Plus interest and/or costs if any WARNING: h. THIS AMOUNT IS NOT TO BE USED AS A BASIS FOR CLOSING ANY ai SALE OR LOAN TRANSACTION. THE AMOUNT NOW OWING AND THE REQUIREMENTS TO OBTAIN A SATISFACTION OR RELEASE OF SAID JUDGMENT MUST BE OBTAINED FROM THE JUDGMENT CREDITOR OR HIS ATTORNEY- ,ENTERED: July 21, 1994 KING COUNTY JUDGMENT NUMBER: 94-9-17920-4 -SUPERIOR COURT CAUSE NUMBER: 94-2-18053-3 (continued) ATTORNEY FOR JUDGMENT CREDITOR: Richard C. Cohan Telephone No.: 206-244-4718 g NOTE: The lien of said judgment depends upon the identity of the judgment debtor with Young Il Kim. 20. Pay ment of Real Estate Excise Tax, if required. The property described her is situated within the boundaries of local taxing authority of City of Tukwila. ''Present Rate of Real Estate Excise Tax as of the date herein is 1.530. NOTE 1: A survey of the herein described property was recorded under King County Recording Number 9108309003, a copy of which is hereto attached. NOTE 1 ,2: All matters have been cleared for ALTA Extended Policy coverage and/or Homeowners Endorsement coverage. NOTE 3: The records of King County and/or our inspection indicate that the address of the improvement located on said land is: .14,800 Interurban Avenue South Seattle, Washington 98101. (continued) B 9 tlw#z M. W. 4dl d 22 V \� h M 1 V 23 •S o° ° so O A Y C ol . f7to.75 1 41- 01. ZI E )D '5-37 -SZ w 2\ )MV111 kr Wl lot —7 d BI- Vol #0 0 44 j/ZZO S- 149TH RT 10 4' V rp ai PACIFIC NORTHWEST COMPANY 1 `` -. ".x Order No. IMPORTANT This is not a Plat of Survey. It is furnished as a convenience to locate the land indicated hereon with reference to streets and other land. No liability is assumed by reason of reliance hereon. Z z D U 0 Cl) a U) W: ,��x CO) LL 0� U. C0 ! D —0, W Z o W LLj: 5' , 0 ca ' �ww ILL 0 Z w CO) Z 7 lGo4��oAr6I D� • \� P _ __ V 4' V rp ai PACIFIC NORTHWEST COMPANY 1 `` -. ".x Order No. IMPORTANT This is not a Plat of Survey. It is furnished as a convenience to locate the land indicated hereon with reference to streets and other land. No liability is assumed by reason of reliance hereon. Z z D U 0 Cl) a U) W: ,��x CO) LL 0� U. C0 ! D —0, W Z o W LLj: 5' , 0 ca ' �ww ILL 0 Z w CO) Z 9808101068 FILE COPY EXHIBIT "A" VS Tlieand.is situated in the county of King, ' ,.. - "'�,,:,. ,.6engtib6d as follows: - �- REVIEWED FOR CODE COMPLIANCE state of wasAtU 7 1QQ 5 :.r: A 10C ..... ...:, Ci Of T&wila : That �iortt'on ;*_ ' ,Tact' 1, InteruiL�an Addition o _ 4t OT�ON to: the:,plat thereof r esoirded,,.�4n :S VQ�ume 10 of d Kiriy County,,; Washitigcon; lyng Xlortherly of a line which extends nort'heastp.ky":" pexpendiculars' with-. - •the westerly line of said Tract, from a "point bn said w;esterryi ha which is 685 feet southeasterly from the northwest corner of:�sai'd Tract. PARCEL B: r ' That portion of the -- •f611owing ,leacribed parce�':::pf land lying southerly of the south Ii.ne:` of Sod 1i76i :Str0et, as conveyed by Puget Sound Power and Light Compapy the City of' by I,"&...Oated October 25, 1965, iecor .•Augitst.28; ?;.1969, under J :ftecorcfi�g N 6557639, and riortherl "y ,of the no'ietli`line• of Sough 149th StYeet, as conveyed by said "DA'ed: That :car Gin iece of land 100 feet widd - ,," bean 50 y feet•,: inr width !� p g;: one Ch ;Yde of the centerline of definite 1'4cat'ioii on: the t ." Tacoma Interurban Railway (now Puget ' Sound,• Eloctric Railway' a zose, that portion of the William H. Gilliam Ionation 0 C1-aim Ito, --' "40 lying within the northeast quarter of "''Sec,.£ion 23, T ownst ip • 23 J94rth, Range 4 East, W.M. , in King County;;-.-Washington, the ,cedterlln�' of .'said strip of land being more particularly : r4ed.,: as toll_bws.:• ...... •: Beginning':xe a point on:. " the .north boundary line of the William H. Gillian- Donatidr;;'Clgi.m lq o. ;40:'iri.•.Section 23, Township 23 North, Range 4 g t;' W.;M. , in Kisig County, • Washington, 230.7 feet from the northeast corner pf said :* Dofiatiozi":Claim; thence south 22 -..,37 1 'east, 1,,:497.:5 fiat .to : a, point; thence curving t&.the left,*with a;spiral:`having 9 chords 21 feet long, a distance 04' f.eet,: thrtougti 7.1.1 ' 30 1 •, 0 ,,ot-vurvature to a point; .... thence continuing to the left ,With "'..degree curve through 23 08' of curvature a distande''of.:289*.2 ; lee�-', thence continuing curving to the .;left with :a spiral haiving chords 21 feet long, a distance of i89`fee through 7' of'' curvature to a point; 0MY OF TU *ALA JA N t 1 2005 PERMIT CENTER thence south 60 45' east 509.5 feet to a point on .tl a 1¢ft` ; ;banl Qf White River, which bears south 29 58' east from Elie: notheitst corner of said William H. Gilliam Donation Claim No 46:,a : distance ,.•..,,: v of 2,443.2 feet, said strip of land in King Couaty,':Flashington. EXCEPT that portion conveyed to the State of Washington Fc� highway purposes, recorded under Recording Number 7212140434:: 5'• D05-o 1 b Z H W, W UQ W = H fA U. •W O L co) = a. W H =, F- O W ~ W 2D U (3 0 H WW F=- F W Z W H F' O Z 1 ,Y ,l EXHIBIT "B" SUBJECT TO!:• s' 1.''•,.E74SFWEN' At4b TIRE "' ?Y'ERMS T�tONS REFERENCED THEREIN, INCLlJDINa BUT NOT LIMITED TO ;< `FOLLOWING : GRANTEE•••.. ;' :`' :'Eity of Tukwila Q ,. PURPOSE: „ s . A' sewGx line AREA AFFECTED: '' ` X' strip off':: land'-.10 feet wide within : Parcel B and other property RECORDED: may 5, RE O)kDING NUMBER : 61116'96 �'•. :; , ".• 2. EASEMENT • 'AND THE TERMS AND CONDIT— :EONS' REFERENCi;D••Tii,ER�IN t ,t {' :'INCI��JDING,:- BUT NOT LIMITED TO, THE FOLLOWING:.' ,, GRANTE>r : City of Tukwi -a .. . PE7'RPO .; Sewer mains `:;.• ;: „' feet eI A AREA: AFFh'CT$D:t:,.,. The westerly 10 of .isar May 5 1967 RECORDtk NUMABFR: 6171897 3 . `tFwASEMENT AN D =E TERMS "AND CONDITIONS REFERENCED THEREIN, INCLUDING, Bii' NCIT LIMITED ' ;TO, THE FOLLOWING GRANTEE': i PLtget Sound Power & Light Company ":•.. "• and Pacific Northwest Hell Teleplior;e Company PURPOSE: To place, constru4. opera a ind mainta ii, �inapect, reconstruct, repair and replace ai{2l keep clear' buzigii c2ild1 :., t AREA AFFECTED: "L :• ��• "" The easterly 10 Feet of the'iigxth'67;5 f4 t of a••:priva;'te road in the development of Village Green: lyang "adj cer,�t tb ai'id e of an existing Puget Sound Electric Ralroadeas�me�lt logated in. Parcel A RECORDED: July 9, 1969 RECORDING NUMBER : 6187570 'r. ATV ty U Z . Z Qi W . U O. W =: J � CO) D_+ WO } J LL Q , N F_ Z ~~ �. Z 00,, U 0� , 0 Ni ;0 W WI H (2) ; W Z', U co): .O Z ; 1 N Vi i` 4. EASEMENT AND THE TERMS AND CONDITIONS REFERENCED THEREIN, i ,+' INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: State of Washington } i i i i : :' Maintain -Ing. exibbing highway- slppes in excavation and /or etnbahkmeat; tope }per w 27y, :the r gh.� to maintain the drainage system and scree luting s}rsetd', 'long with their necessary ,. appurtenance6i AREA AFFECTED:' t �`''. •;' Tt ie westerly portion of Parcel B RECORDED: `:. Dicej, r 14, 1974. RECORDING NUMBER: s. EASEMENT AND THE TERMS.:�AND CMD1TI(X1 -§ ': REFERENCE6 THEREIN, INCLUDING, BUT NOT LIMITED Tb, :'THE:•FOLIiQW =NG: r, jTEg Pugee: Po�ae ,- and bight Company 2URPOSE: Underg ouid electric system 1SREA AFFECTED: .Westerly 15,•• Eaet,. o,f Parcel B RECIP9bED: September 20, .1973 RECORDING - 'WL1,HSR: 730927058.2 6 F,ASEMENT AND THE TERMS AND CONDITIONS THEREOF :,.., INCLUDING; BITT NOT ;LIMITED Z`O, ' ,.'ItHB FOLLOAIING : " •ti •'' .� •,• ... CONDEM14EV IN ,KING , 'COUNTY SUPERI032 CgMT NUMBER: 713902 PURPOSE: Sewer connection AREA AFFECTED: s' Ict disclosed 7. AGREEMENT AND THE TERM$ AND..CON"ITIONS : _THEREOF: BY AND BETWEEN: :,: J Fr; ink •Todd ' zMd Joan Todd, husband a6a wife • city.. of Tukwila DATED: May:' 1,.: 190 7 " RECORDED: " Augurt 2.8 , 1,96 4..• RECORDING NUMBER: • •6:557.641,: REGARDING: Sanitary sewgr constructiop and connection axed .Coven.jln rit�t� ?to . protest LID' it AFFECTS: Parcel A J —_ arm Z ,= Z` Q: LU W� 00 CO) W' N LL W 0 . J LL. Q co) H =. Z �.. z � D Q: .0— W W h tJ. 0: W Z. U (/j, Z 4 r JV J:iy question that may arise due to shifting and changing in course N o Green River. AF'FEC'TS :r' , Parcel A :,. 9. :•7`he right''of: the SCe o in and to that portion, if any, :. of ;ihe propg which ,11es., within the bed or the former bed .of the oreon River 10. RIGHT; TO MAKL N:KCESSARY SLOPES 1 C[TI`S OR FILLS UPON PROPERTY ETFRFTN A:# GRANTED D. i Z Z' Z �W QQ �; .) O" W =' N LL. W O' J: LL Q: H W . Z O G ={ D p. O UY 0 H, W W; I-- V' O: L1J Z ` W N: Z RECORDING NUPMBER,;•• a' 65576,9 �(} GRANTEE: ;City of 'T•.ukwila," .: AFFECTS. Parcel B 16. MEMORANDUM OF LEASE: LE $O All'e -16ia gorporat,lon I;ESSEE : H1 °a kb'ougn S.ery ces, . , !;a washing�on 6or�ioration DITID: Undisclosed t' RECORDED: April 28, 199•., RECORDINd N[JMBER: 9804281227 t ; EI3IJ' "0 F SPECIAL.: : EXCEPTION$ J'* v' Al WOMMOMMAM i Z Z' Z �W QQ �; .) O" W =' N LL. W O' J: LL Q: H W . Z O G ={ D p. O UY 0 H, W W; I-- V' O: L1J Z ` W N: Z MSN Hotmail - Page l of 1 o 11'1sn Hatmail icarrrbruto @hotmaiLcom Printed: Monday, December 6, 2004 6:51 PM From : Joanna Spencer <jspencer @ci.tukwila.wa.us> Sent : Monday, December 6, 2004 5:13 PM To: <jcambroto @hotmail.com> Subject: Re: Caribbean dreams Espresso Ref your Nov 21, 2004 letter addressed to Mr Jim Morrow, PW Director, requesting an exemption to the code, PW would like to inform you that your development does not need to instal frontal improvements along Interurban Ave. O http: / /by 102fd.bay 102.hotlnail.msn.com/cgi- bin /getmsg ?curmbox =l CAD29AF %2dB797 %2d4C52 %2... 12/6/2004 AL F FILE COPY as �-- C0 0fi .. JA IV h*14A TIE DOWN R /NG, lnc: p 2005 Ground A c o t Testing Results CODE c R { . Model �s� �T'a'rJ n ' Working 'N' {(..,�Fn�� Test a No. Description of Test ; „ Load " , Date ~ Z w M12H Vertical pullout in mo t silty clay - { 4,109# 9/15/92 P/N 59080 Test probe torque val between . "' 0 o pounds. P/N 59085 200 -349 inch -- wi +,!� �� n w p City , i;,� _ J = M122 Vertical pullout in silty a raveI �' - ~; +t 3,841# - i, i � 'I 9/15/92 0 ma l� i P/N 59090 probe torque value•500 inch pounds and more. � • , � � LL P/N 59095 h �4j1 MRA Vertical pullout in laboratory fixtures for �1 , 3,733# 'j l �� ; i1a�l'N 3/2/93 = w P/N 59110 simulation, unconfirmed rock was not available. F Y h��';�ttl i'. Z = VIII 51�;l1; V •11� AII ' 0 p ullout n 2I cured concrete.' 3,484# ; "" +id's' 3/24/94 w MICS2 Vertical ll i400 PS ~ p I � �1,r�� ' � w P/N 59125 Test stopped at 5,200 pounds. � � � I •I• iii .ill „,lY „Ii^ 1 11 i ,t'n�,: ♦ /13 �,>+ "� 0 MIJ2 Vertical pullout in 2400 PSI cured concrete. �'; "'{ 4 3,484# �tr�,� 3/30/94 0 P/N 59120 Test stopped at 5,200 pounds. !' „ r .;il ,I � n► ` �L ' � n = w J�7f'i5 "'1'�f i U 111 r Ill. u- I-- MIT2 Vertical pullout In 2,500 PSI cured concrete. 3,484# E� 1 `' �t 3/30/94 — 0 P/N 59115 Test stopped at 5,200 pounds, r�!� N E ' ' 1 '��1' V Z 1 I. ' � � 9 I , 1 .�{ r y e + � i t �� � 0 • I /pry 1 � I�. .II.I Cllllu { l L� M12H64 Vertical pullout in silty clay. Test probe torque { 3,484# 10/6/93 Z 1 u ~ +r Aa i, P/N 59250 value between 200 -340 inch pounds. , ML 45 degree pull on stabilizer plate in silty clay. ' :% r �} 3,484 #'yY 8/5/92 P/N 59292 Test probe torque value between 200 -349 inch pounds. H607 Vertical pullout in silty sand. Test probe torque � 4,444 #N; 5/22/95 ll {MI l P/N 59099 between 175 -275 inch pounds. NOTE: Minimum Factored Load (Ultimate Strength) is 4,725 lbs. Minimum Nominal Load (Working Load) is 3,150 lbs. Nominal Load: load specified by code or standard; usually defined with reference to some possibility of being excebded, Factored Load the product of the nominal load and a load factor. Load Factor. A factor that accounts for unavoidable deviations of the actual load from the nominal value and the uncertainties In the analysis that transforms the load into a load effect. NOTE: All above test were conducted at Atec Associates, Product Testing, Inc. and Gallet & Associates. The individual test results will be made available upon request. Please forward your request for this information to: TIE DOWN ENGINEERING. 5901 Wheaton Drive, Atlanta, GA 30336. T1fE DOWN (A16 1fifftf C; 0 FA^21 k;'�5y»t `Y+! °, ..e::.l.,x{r,:i >:rt< d}• J^ r' n; M. lrir'{ Ie"L: t' b`.+ J' is. �i' id?✓ ;,.Y!+tt�p![Mf:2ipf1+!i'r'1;kw.. .�, ___. _ � �—. .- a....,.d++:.., .Iron Root Earth Anchors Products By Tie Down Engineering (bulk) @ 1130 lbs Page 2 of 3 M1223/4 is suggested for hard density soils where the installation of the MI225/8 is not possible.30" Double Head Earth Anchors 3/4" with twin 4" helix Galvanized: Part #59079 Package Qty.: 8 per bundle @ 41 lbs. 256 per pallet (bulk) @ 1310 lbs MI2111164 has a 3/4" rod, 36" long, with 4 "& 6" helixs. Black Paint: Part #59250 Package Qty.: 6 per bundle @ 28 lbs. 300 per pallet (bulk) @ 1450 lbs. Eye Anchors Ideal for many anchoring situations such as storage sheds, and guying applications. These anchors are designed for easy installations with cables. Model #MTE15B Part #59050 15" long with 1/2" rod and 4" helix - 12 per carton @19 lbs. Model #MTE30B Part #59055 30" long with 1/2" rod and 4" helix 12 per carton @ 29 lbs. Model #MTE40B Part #59060 40" long with 5/8" rod and 6" helix 6 per carton @ 30 lbs. Model #MTE48B Part #59065 48" long with 5/8" rod and 6" helix 6 per carton @ 35 lbs. Welded eye, Double Welded Helix, and galvanized coating are available. Class 413 Stabilizer Plate This new plate is now required in Florida for installation in Class 413 soils. The plate measures 17.5" x 13.5" and weighs almost 10 lbs. This new stabilizer plate comes packed 4 to a box. Galvanized: Part # 59286 http:/ /www.tiedown.com /deanchors.html 10/21/2004 r- 9 � W : QQ 2: JU v O N 0 LU J CO LL. WO wd �o z ►- 25 Dp : o� .W W' LY LL Z' v CO)" O Z 'Iron Root Earth Anchors Products By Tie Down Engineering Page 1 of 3 4 TIE DOWN ENGINEERING Support Site Map Manufactured Housing t Marine t Custom Trailer a Roothig Cable �r Deep Set Earth Anchor MI2H5 /8 has a 5/8" rod, 48" long w /6" helix and is suggested for light density soil. Black Paint: Part #59080 Galvanized: Part #59081 Iron Root Double Head Earth Anchors with 6" or 7" helix, engineered for installation in light to medium density soil conditions. Available in black paint or galvanized coatings. Package Qty.: 6 per bundle @ 60 lbs. 240 per pallet (bulk) @ 2400 lbs. Iron Root Double Head, Double Helix 411 6 Earth Anchors Uv) MP, " �`✓ "� 30" Double Head Earth Anchors with twin 4" helix, engineered for installation in medium to hard density 1 'CI Q 1 0 I DS' soil conditions. w MI225/8 is suggested for medium density soils. 30" Double Head Earth Anchors 5/8" with twin 4" helix Black Paint Part #59090 Package Qty.: 8 per bundle @ 35.5 lbs. 256 per pallet http:/ /www.tiedown.com/deanchors.html 10/21/2004 Earth Anchors Quik -Set Stabilization Plate Iron Root Double Head Earth Anchors Package Qty.: 6 per bundle @ 32 lbs. 300 per pallet (bulk) @ 1647 lbs MI211113 /4 has a 3/4" rod. 48" long w /6" helix and is suggested for light to medium density soils. Black Paint: Part #59085 Galvanized: Part #59094 Package Qty.: 6 per bundle @ 42 lbs. 300 per pallet (bulk) @ 2148 lbs M607 has a 3/4" rod, 60" long, 7" helix. Galvanized: Part #59099 t �i Z w J U. UO N 0 W= J� c LL w O �a:3 U. ¢ CO)� = W. Z H O z�_ w �o U O N off w HH —0 ui Z UCf) O Z �' SS Manufactured Housing Anchor Installation Information (Updated: 8125103) Provided by TIE DOWN ENGINEERING pP WA 3 `' •� 7 L� � NAL t ►rJJ .�i t i � LU W C ' . U O' co)� CO) W W =, J � W0 U. C0 :3 =a z 0�. :0 Ni O F- W �o w U Z Anchor Installation 1. Position anchor at a slight back angle (10 °) so that when fully installed, the anchor head will be inside any skirting or side wall. 2. Install anchor to +/- 2/3 depth, then install stabilizer vertically, within 3 " -4" of anchor shaft, parallel to wall of home. 3. Fully drive anchor, attach strap (see proper strap tensioning), and pretension strap to pull anchor rod against the stabilizer plate. Angle Frame Bracket #59009 1. Determine anchor /stabilizer plate location and bracket location on I -beam to insure a 45° or lower strap angle . 2. Drill a 1/2" hole, centered in the I -beam as shown. Hole must be a minimum of 4" from any edge of the I -beam. 3. Connect the two Frame Brackets (R & Q with a 1/2" Grade 5 bolt and nut. 4. Attach swivel connector and strap to Angle Frame Brackets with 1/2" Grade 5 bolts and nuts. Tighten all bolts. Gator Beam Clamp #59011 a 0 1. Determine anchor /stabilizer plate location and bracket loca- tion on I -beam to insure a 45° or lower strap angle. 2. Attach beam clamp with 1/2" Grade 5 bolts and nuts as shown. 3. Connect swivel connector and strap to bolt nearest to anchor with a 1/2" Grade 5 bolt and nut. Electric Drive Machine Installation 1. Installation with a power drive machine is always a two person operation. 2. Never wedge drive machine against home or other immovable object. 3. Always use proper electrical cords & power supply (see drive machine instructions). 4. Attach anchor head to adapter on drive machine. 5.Place anchor in proper position using power drive to turn anchor into the ground. Manual Anchor Installation 1. Dig holes to a depth of 2/3 of the anchor length. Install anchor with rod or length of pipe for leverage. 2. Replace earth in hole after anchor /plate is installed at full depth. Pack dirt with a tamping rod every 6 inches of fill. 3. Testing may be required in loose soil conditions to check that anchor has proper holding power. Important: Anchor must be installed to full depth. Anchor head must be at ground level or at the top of the stabilizer plate which is fully installed to ground level. Stabilization Plates Class 40 Stabilizer Plate 17-1/2" x 13-1/2" Galvanized: Part # 59286 12" wide Stabilizer Plate Black Paint: Part #59292 Quik -Set Stabilizer Plate Part # 59291 ABS Stabilizer Plate Part # 59293 _N 0 0 I Z 1~ w o 2 JU UO N W= J H' S2 LL W O 9 :. LL ¢ cl) a =w z� �O z�_ w 2 �. U� O N o H. W � �. w ui O ff. Z A\ A WAr r [• Certified Galvanized Strapping* The HUD Code requires that certified strapping must meet ASTM specifications, have a minimum (0.30 oz. per square foot) galvanized coating and must be marked every 5 ft.. Tie Down strapping is marked every 12 in. * Available with G60 or G120 galvanized coatings. LE THICK G•60 TIE DOWN F E NGINE E RING ED PROTECTION ANSI A225.1 ASTM D3953 -91 TIE DOWN ENGINEERING CERTIFIED TO ANSI A225.1 ASTM 03953 -91 DOUBLE THICK G -60 GALVANIZED PROTECTION Anchor Stabilizer In order to prevent lateral movement of manufactured homes subjected to high wind loads and to comply with HUD's Wind Zone I, II, & III requirements, all lateral frame ties must be attached to a properly stabilized ground anchor. (Two approved methods illustrated below.) o Ground Level "In Line" Installed: MlnIMUM anchor length of 48" Stabilizer Plate Installation 1. Refer to any and all local, state and federal regulations. 2. Use the Soil Test Probe at the anchor location in order to match soil class with the anchor /stabilizer. 3. Partially install anchor to allow 14" to 16" remaining above ground level. 4. Utilizing oversized hammer, vertically install stabilizer plate, nesting anchor rod in between formed channels on outside of stabilizer plate (between anchor and frame). 5. Fully install anchor so that head is at the surface of the soil (1" tolerance, if necessary) and pretension anchor until touching stabilizer plate. 0 •l: .1 ►TJ /" is Strap Attachment One crimp seal is used when strap is attached to a sidewall bracket or a strap connector. If the bracket does not have a radius edge, a radius clip (short "U" shaped piece of strap) must be placed between the strap and contact point to protect the strap from sharp edges. Verify state requirements for number of crimp seals required. Strap Splice TIF * a ::::: 2 Seals - 2 Crimps per seal To lengthen strap in the field, a double crimp seal splice is required. Overlap strap approximately 12 inches and use two crimp seals evenly spaced, with 2 crimps per seal. Proper Strap Tensioning 12 -15 Inches Cut 1. Insert slotted bolt into anchor head, attach loosely. Pull strap past bolt head and cut strap so that 12 -15 inches of strap are available to wrap onto the slotted bolt. 3. Using 15/16" wrench or socket, turn the bolt, winding the strap so that a minimum of four to five complete turns are made, and the strap is adequately tensioned. 2. Insert the strap end into the slot in bolt until flush with opposite side of bolt. 4. Hold the bolt under tension while tightening the nut, drawing the head of the bolt into the recess. After the bolt is within the recess, continue to tighten the nut until securely fastened. Tip: TIE DOWN'S SPEED WRENCH cuts time N required to tension strap In halfl o Z � W J U. UO J = F- N LL W O U- D = d. f- _ f- O Z �- W U O N D F-. W W. h=- V LL Z U CO) O Z Cross Drive Rock Anchor - MRA Engineered for installation into solid rock within 1 in. from bottom of the anchor base. Exact alignment is achieved with the swivel tensioning head. • Drill 5/8" diameter hole 5 -1/2" deep in center of anchor location. Insert pilot stud into hole. • Drill two 3/4" diameter holes, (the length of the rods) into the rock at 45 angles, using the anchor head as a locating guide. • Place rod through top and corresponding bottom web flange and into 45 hole. Drive rod into rock. Rod must be driven into rock at least 80% of it's length to achieve minimum allowable pullout resistance. Repeat using 2nd rod. • Maximum pullout resistance is developed when ground surface is solid rock. Maximum distance from lowest edge of anchor flange to rock surface is 1 in. Strap Buckle - MBU • Thread length of frame tie strap through strap buckle as shown. • Next, thread long end of strap between frame and floor of home. Bring strap through buckle as shown in diagram and fasten to anchor head. .:. • Diagram shows strap in position around frame and through buckle. It is important to remove all slack from system. X -Plate Anchor X -Plate for Soil Class 2 2-23/32 it x 30" rods included. Part # 59118 Frame Clamp with Strap / "1" Beam Frame �.r ' If this angle exceeds 45 an additional ' �` frame clamp (hook) must be attached to 0 O 45° + the opposite beam as Indicated by the dotted line. Ground Level A Stabilizer Plate must be Installed on all frame Ties. (or alternate method of stabilizing ground anchor.) Frame Tie to Anchor If the angle of the frame tie connection is greater than 45 (as indicated at left), an additional frame tie must be attached to the opposite "I" beam frame member. N O O El Z Z 00 CO) 0: CO W J �. CO) LL w O. U . CO) �. w z� Z OI-. W U 0. CO w H w Z to o� Z 1. Refer to local, State, and Federal regulations prior to installation in order to assure compliance. 2. Soil Test Probe the anchor location prior to installation in order to match the soil classification with the proper anchor /stabilizer combination. 3. Install tested and approved Tie Down Engineering anchor products. Swivel Strap Connector (Best Option) 1. Frame ties attach to the beam with a swivel frame connector. This method provides the strongest and safest connection. 2. Attach the swivel frame connector beam hook to the top of the I -beam from either the front or the back side. The angled or hook end of the beam hook should be snug against the inside top I -beam flange. / I Beam .1� 3. Attach the swivel connector to the underside of the flange and frame hook with a 1/2" grade 5 bolt and nut. This allows the swivel connector to pivot and lock onto the I -beam. 4. Pull strap past anchor head 12 to 15 inches and cut strap. Insert strap into slotted bolt flush with the opposite side of the slotted bolt. Tighten slotted tensioning bolt (4 to 5 full turns minimum) until all slack in strap is removed. (Correct anchor must be installed as per ground anchor manufacturer's installation instructions). Frame Tie with Hook Frame Tie with Buckle 1. Attach frame hook to top inboard location of "I" beam. 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3.Thread loose end of strap through { slotted tensioning bolt attached to tension head of anchor.(Anchor must be properly installed into the ground before proceeding with step #4.) N O O � •. , , . rw��a+ �: u+ .zu;FixtLL;.mE�is�,:3�;xS,:id:& 1.Install strap by pushing the end between the inside of the frame "I" beam and the floor. 2. Position the buckle at upper end of the "I" beam frame. Wrap the end of the strap around the "I" beam. Thread the end of the strap through the slot in the buckle as shown. Push the end of strap in- between "I" beam and floor. 3. Pull the strap, making certain the buckle stays in position. Thread loose end of strap thru slotted tensioning bolt attached to tension head of anchor. Tighten slotted o tensioning bolt a mini- mum of 4 to 5 full turns until all slack in strap is removed. z �w Q D JU UO N o. w= J H CO) U_ w O. 2� U.Q �o = a. �w Z Z o. w w U� o _ o �— w w - o. ..z w U= ~O H z Patio Slab Anchor This anchor is designed to be inserted through a 3/4" hole drilled or formed into an existing concrete slab. • Concrete must be a 2500 PSI minimum slab with 4" minimum thickness and 6/6 x 10/10 wire mesh or fiber mesh installed. • Concrete slab must allow 4725 Ibs of vertical tension on anchor without lifting. This assumes that the concrete weighs 150 Ibs per cu. ft. • Minimum distance from the anchor shaft to one edge of the slab is 4 in. from one edge and 2 ft. from any other edge. • If installed in a 4" slab at minimum dis- tances from edges, an additional layer of 6/6 x 10/10 mesh is recommended. Concrete Anchor The MIJ2 is designed to be installed into a concrete slab at the time the concrete is being poured. • Concrete must be a 2500 PSI minimum slab with 4" minimum thickness. • Concrete slab must allow 4725 Ibs of vertical tension on anchor without lifting. This assumes that the concrete weighs 150 lbs per cu. ft. • Minimum distance from the anchor shaft to one edge of the slab is 4 in. from one edge. • If installed in a 4" slab at minimum distances from edges, an additional layer of 6/6 or 10/10 mesh is recommended. • Slab must be 8 in. minimum thickness at location under any anchor to allow 5 in. embedment of anchor "J" rod. Concrete Slab Anchor This anchor is designed to be bolted to an expansion sleeve in an existing concrete slab. fM • After reviewing restrictions listed to the right, drill a 4=0 5/8 in x 3 in. hole in the slab where the anchor head is to be located. • Place steel expansion sleeve over bolt and place into '4" the drilled hole. ; Q(� • Place the washer onto the expansion bolt. 11U • Thread nut onto expansion bolt and tighten until maximum expansion of steel expansion sleeve has been achieved. • Remove nut and washer and place anchor head over exposed bolt. • Place washer and nut onto bolt to attach anchor head, tighten nut. • Concrete must be a 2500 PSI minimum slab with 4" minimum thickness. • Concrete slab must allow 4725 Ibs of vertical tension on anchor without lifting. This assumes that the concrete weighs 150 Ibs per cu. ft. • Minimum distance from the anchor shaft to one edge of the slab is 4 in. from one edge and 6" from any other edge. • If installed in a 4" slab at minimum distances from edges, an additional layer of 6/6 or 10/10 wire mesh or fiber mesh is recommended. N 0 0 z w` JU 0 ' CO) 0 . CO W Ui �LL w O 2� 9 _0 LL Q N � = d W z� O . z L— D0 U O N o�_ W W U . Z U= O Z Ground anchors are designed for different soil classifications: longer models for loose soils, shorter models for harder soils. Prior to installing any ground anchor model, the soil must be tested (with a Soil Test Probe) in order to match approved ground anchor model with site soil class. WARNING: Before ground anchor installation, determine that the anchor locations around home will not be close to any underground electrical cables, water lines or sewer piping. Failure to determine the location of electrical cables may result in serious personal injury. Soil Test Probe The Soil Test Probe is used to determine the soil conditions below the surface near the anchor's helix. Using the Soil Test Probe will ensure maximum anchor holding strength by indicating the proper anchor model for each soil condition. Using the chart provided, a probe reading can be converted to the recommended anchor for every soil condition. Instructions 1. Place probe tip into ground where you intend to place the anchor. Using a 15/16" hex socket with a ratchet or breaker bar, rotate the probe in a clockwise direction. (An electric drive machine with an adaptor head may also be used) 2. Drive (rotate) the torque probe into the soil until reaching a depth equal to the length of the anchor being installed. 3. To determine the soil classification: • Place wrench adaptor onto torque wrench. • Insert hex portion of wrench adaptor onto the earth probe. • Support probe shaft with one hand, while rotating probe steadily with the wrench. (Do not exceed 600 in. lbs.) • Read the torque wrench while rotating probe clockwise. • Use the soil classification chart to cross reference probe readings. Color codes match those printed on Tie Down's torque probe. 4. If probe reading does not match the anchor for that depth, rotate probe to next anchor depth and check reading. Continue until reading on probe matches anchor length for depth of reading. 5. To remove probe, use wrench or electric drive machine in reverse (counter clockwise). Soil Test Value 5011 Class (in. 1105.) Description 1 N/A Sound hard rock. 550+ Very dense and /or cemented sands, coarse gravel, cobbles, preloaded silts, clays and coral. 350 to 550 Medium dense coarse sands sandy gravels very stiff silts s. and clays. _ Y 275 to 350 Loose to medium dense sands, firm to stiff clays and silts, alluvial fill. 175" to 275 Loose sands, firm clays and silts, alluvial fill. " Below 175 in. /Po., a professlonal engineer Should be consulted NOTE: Each State, County or Municipality may require a specific anchor from the groups shown for each soil classification. Check local and State regulations first. 600 fn. lbs. Torque Wrench 5' Earth Probe Wrench Adaptor � O O N 0 0 R 0 z W D v0 u� o J = � ur W u_ N co =w z H- O z E- 25 U O co o f— ww H U w0 ui O ~. z Anc Soil Test Value Recommended TDE Part Class (in. lbs.) Anchor / Stabilizers Number 1 N/A Cross Drive Rock Anchor 59110 & 59111 30" X 5/8" rod / 2 - 4" helix 59090 30" X 3/4" rod / 2 - 4" helix 59095 & 59079 550 Ibs + All anchors above must use one of the following: 12" Stabilizer Plate 59292 Blue Quik -Set Stabilization Plate 59291 48" X 5/8" rod / 1 - 6" helix 59080 & 59081 48" X 3/4" rod / 1 - 6" helix 59085 & 59094 - = - 36" X 3/4" rod / 1 - 6" helix & 1 - 4" helix 59250 350 to The anchors above must use one of the following: 12 Stabilizer Plate 59292 550 lbs. Yellow` Quik -Set Stabilization Plate 59291 30" X 5/8" rod / 2 - 4" helix Deepset 59091 36" X 3/4" rod / 4" & 6" helix Deepset 59092 48" X 5/8" rod / 1 - 6" helix 59080 & 59081 48" X 3/4" rod / 1 - 6" helix 59085 & 59094 36" X 3/4" rod / 1 - 6" helix & 1 - 4" helix 59250 The anchors above must use one of the following: 275 to 12" Stabilizer Plate 59292 M 350 lbs. Quik -Set Stabilization Plate 59291 Green ABS Stabilization Plate (Florida o nly) 59293 36" X 3/4" rod / 4" & 6" helix Deepset 59092 50" X 3/4" rod / 4" & 6" helix Deepset 59093 60" X 3/4" rod / 1 - 7" helix 59099 175 to The anchor above must use one of the following: M 275 lbs. 17 -1/2" Stabilizer Plate 59286 Red A55 Stabilization Plate 59293 NOTE: Each State, County or Municipality may require a specific anchor from the groups shown for each soil classification. Check local and State regulations first. LO N TIE 0 N • WN E - 5901 Wheaton Drive Atlanta GA 30336 O i 0 www.tie down . com I 344-0000 I 349 I/ 1 0 Z Z LU 3 UO CO 0 co LU W= Co� w u. a �d o. z�- D 0. U D H w uj U . w z. U= o� Z a a . Public Health S & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. Alonzo L. Plough, Ph.D., MPH, Director and Health Officer January 7, 2005 Caribbean Dreams Espresso & More 14800 Interurban Ave Tukwila, WA 98168 RE: Caribbean Dreams Espresso & More 14800 Interurban Ave Tukwila, WA 98168 Dear Mr. Cambroto: mecopy We have approved the plans for your food service establishment. Your establishment has been assigned the following business identification number (SR# 1092527). Please use this SR# in all future contact with us. �5 Cn 'Y a pF r� 2 005 , JA Af PERM /T CZj Ire, Before you open for business, you must complete the enclosed application for a permit and return with the correct fee of ($486.60) for a (63 l 5) permit. If you open before you obtain your permit, your permit fee will be double. -43-10 L^��. Before you open you need to schedule a pre - operational inspection by the Health Department. Although your application for a food service establishment permit from Public Health Seattle and King County will be approved during this inspection, you may need to obtain additional permits or approvals from other agencies. It is the responsibility of the food service establishment operator /owner to obtain all necessary permits and approvals. Operating the establishment without these required permits or approvals may subject you to legal action by the appropriate agencies. If you open without health inspection, you may be closed. Once your plumbing permit has been finalized, contact me at (206) 205 -1903 to schedule the pre- operational inspection. i Failed pre - operational inspections will require a $100.00 fee for a repeat inspection. Be sure all other business inspections are done (plumbing, building, etc.) before you call for your Health s Department inspection. ` Should you have any questions or need additional information, please give me a call. Sincerely, , ike Mllbach, �lans Examiner J MM:dc Enclosure Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 • Kent, WA 98032 T (206) 296 -4708 F (206) 296 -0163 • www.metrokc.gov /health G G City of Seattle O King County ` # Gregory J. Nickels, Mdynr Ron Sins, Executive Z i Z � W UO CO) o J = H C0 L W q J LL � =W Z 1,- 0 : H-. �p LLJ U O D F- W W. LL — O: Z Iii O Z , ' Public Health — Seattle & King County ; Environmental Health Division- Licenses and Permits 2124 Ave, 4th Floor, Seattle; WA 98121 (206)2964632 APPLICATION TO OPERATE.A PERMANENT FOOD SERVICE ESTABLISHMENT - 2004 BUSINESS NAME AND ADDRESS OFFICE USE ONLY PERMIT RECORD ID (PRO) FACILITY NUMBER OWNER NUMBER PROGRAM ELEMENT (PE #) PLAN REVIEW SERVICEREQUEST VARIANCE SERVICE REQUEST SR # PARCELNUMBER APN# ON SITE NUMBER ON# WELL NUMBER WA# APPROVED. ❑ DISAPPROVED ❑ SIGNED DATE MAILING ADDRESS (if different from above) N FEESCHEDULE (See reverse side of this form.) S ,: I FEE... {1 / `� �s V PRORATION PERIOD (10 /1 thru 3/31 =1/2 annual•fee) ............... S PENALTY ... ............................... S TOTAL FEE DUE .................... ..........S PLEA CH ECK ALL BOXES THAT APPLY. WATER SOtAtCE 0 Public Water Group A -•more than 15 connections ❑ Permit Renewal ❑ Change of Classification ❑ Public Water Group B - less than 15 connections ❑ New Operation ❑ Sole Owner ❑ Individual Private Well ❑ Change of Name* ❑ Corporation SEWAGE 7REA9MENT ❑ Sewer District - ❑ Change of Ownership' ❑ Partnership ❑ On -site Septic System *If name change, what was previous name? WHAT CLASSIFICATION ARE YOU APPLYING FOR? (Seo.reverse) 3 I If mobile vehicle, provide license number If a restaurant or tavern, what is seating capacity? If a restaurant, is establishment 100' /. non-smoking? ❑ Yes ❑ No If a grocery store, # of checkout stands? If demonstrator, indicate product and demonstration location If seasonal, list months of operation. From To OWNERSHIP INFORMATION NAME OF OWNER (If partnership, list names of all partners. Attach additional sheets if necessary.) Name Address Phone • T 1. 2. MANAGER/OPERATORNRME EffORTANT MESSAGE TO APPLICANT: ' Please•complete all information requested above and return this form and your check trade out to SKCDPH to the address at the top of this form. Failure to fully complete form may result in it being returned for completion. AU'permanent food establishment pehnits'oxpire on March 31st of the permit year. Renewal applications are mailed each year in late February. This office should be notified of any change In yoir mailing address. If you do not receive a renewal application by February 28th, please notify this office at the phone number listed above. Late fees are charged if permits are not renewed prior to expiration. — Signed Date n Z ;3: Z �W aa� JU UO CO) 0. co t1j J � NLL .W O J LL Q N� = W Z 1 E- O Z H 2 = 00 O � 0 H- WW H �. LL O LL{ Z co H Z i C i ( 1 1 i FOOD SERVICE FEE SCiIEDULE — 2004 CLASS CODE RESTAURANTS 6301 Seating Capacity 1- 75 ......................................................................................................................... ............................... ...........................$561 6302 Seating Capacity 76- 150 ..................................................................................................................... ............................... ...........................$617 6303 Seating Capacity 151- 250 ................................................................................................................... ............................... ...........................$712 6304 Seating Capacity over 250 .................................................................................................................. ............................... ...........................$736 CATERERS (if not part of another food service establishment) 6310 ......................................:..................................................................................................................... ............................... ...........................$502 FOOD - PROCESSOR (5.37) 6314 ................................................................................................................................. ............................... ...................... ...........................$486 FOOD - PROCESSING ESTABLISHMENTS 6315 ........................................................................................................................... ............................... ...........................$486 SNACK BARS (no food preparation) 6316 ...................................................................................................................................... ...........................$372 ............................... . ..... ........... ...... MOBILE FOOD SERVICE UNITS 6320 Mobile Food Carts, base fee ............................................................:.................................................. ............................... ...........................$392 6325 Additional locations, each .................. ............................... ...............$251 ............................................................................. ............................... 6326 Restricted Mobile Food Vehicles, base fee ........................................................................................ ............................... ...........................$375 6330 Additional vehicles, each ................................................................................................................... ............................... ...........................$338 6331 Unrestricted Mobile Food Vehicle, base fee ... ............................... ............ ...........................$454 TEMPORARY FOOD SERVICE ESTABLISHMENTS - Food service establishment operating at a fixed location for not more than twenty -one (2 1) consecutive days in conjunction wiih a single event or celebration. (See fee schedule on Temporary Food Service Application) FOOD DEMONSTRATORS 6340 ........................................................................................................................................................................................ ..............................$ 166 FOOD PROMOTERS 6341 .......................................................................... ............................... .............................................. ............................... ........................... $307 TAVERNS (no food preparation) 6342 ............................................................................................................................................................ ............................... ...........................$319 GROCERY STORES 6350 Less than 4 checkout devices .............................................................................................................. ...:........................... ...........................$179 6351 4 or more checkout devices ........................................................................................................................................... ............................... $233 BED AND BREAKFAST 6370 Continental Breakfast .................................................................................................................................................... ............................... $222 6371 Full Service Breakfast ................................... ............................... ...$394 ............................................................................... ............................... RETAIL BAKERIES 6380 ....................................................................................................................................................................................... ............................... $357 REDUCED FEE ESTABLISHMENTS - Religious, charitable, or educational organization or institution with an Internal Revenue Service 501(C)(3) nonprofit tax- exempt status operating a food service, establishment. 6390 .................................................................................................................................................................................... ..............................$ 113 School luncheon ...................................................................... ........................................... .............................. ...... ............................' /: fee for applicable . category above Vending facility under the supervision of the Washington State Commission for the Blind .................... 'V2 fee for applicable category above PLAN REVIEIV AND REINSPECTION FEES New construction ........................................................................ ............................... ............ ............................... $277 ................................. ............................... Remodel ............................................................................. ............................... ............ $211 .............................................................. ............................... Multiple permits in one facility (2 +) (each) ...................................................................:........................................... ............................... ...........................$139 Resubmittal(per hour) ......................................................................................................................... ............................... ...........................Cost of Service Subsequent pre - occupancies, on -site inspection prior to plan submittal, or on -site inspection when no plan review required ............................................................................................................................................................................... ............................... $100 Temporary establishment (see Temporary Application Form) ........................ Second reinspection ...................................................................................................................... ............................... V2 fee for applicable category above Permit reinstatement fee following permit suspension .................... ............................... ...........................Full annual permit fee for applicable category LATE FEES Annualpermits, 10 -30 days ....................................................................................................................................................................... ............................ Annual permits, more than 30 days .............................................. ............................... ............... ............................50% ................................ ............................... Schoollunchroom ................................................................................................................................................................................................................... Seasonalpermit ............................................................................................................................................:.......................................... ............................... $ 25 WSCELLANEOUS FEES Duplicatepermit ..................................................................................................................................................................................... . ............................... $ 25 Changeof name, no other change ............................................................................................................................................................ ..............................$ 25 Requestfor variance ....................................................................................... ............................... ....................................... ............................... $1 Check returned by the bank ................................................................. ................................................. .................................................. ............................... $ 25 Processing of a refund ................................................................ ............................... ......... $ 2.) .................................................................... ............................... Aft er hours inspections requested by food establishment owner ......................................................... ............................... ...........................Cost of Service Provided, that if the application pertains to a seasonal food service establishment or a food service establishment that is to be operated only after October 1st, in any year, the applicable permit fee shall be one -half (1/2) the annual fee specified above. l/Ehshare/Techdata/Food Forms /Application to Operate a Permanent Food Service Establishment - 1/5/04 Available in alternative format upon request pursuant to ADA 0 ZZ 2Z W UO N 0 W= -J I— �LL WOO } 0 J co LU Z l.. 0 F- 5 : U� .O N. 0 F-: WW Li O ll! Z. U= O ~' Z a am •r airx S d - 3115 - l-WM0 Lfl 5 AMN is ss3, is „r. N! Eft 5J0 M N -V 1S K !0 Nl g t l 53oWY3 �±a1t! 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I _ � I , ESPRESSO STAND �3 FOR . - er \ JOHN CAMBROTO SOUTH 147TH ST. 0 ol _ STING TUKWILA WASHINGTON HALT �� _ N 89' 00' 52 W 219.05' S LN OF S 147 TH ST t N LN OFS 149 ST LESS ST HWY ESPRESSO STAND- / EMPLOYEE PARKING nP E)OSTING (3 SPACES) ASPHALT ALTERNATIVE LOCATION PARCEL "A' 359700005 NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. 14900 URBAN AVE SOUTH ol TUKVALA. WASHINGTON (TOWNE HOTEL) AND COUNTRY SUITES HOTEL) TAY PARCEL: 0003200005 ti SECTION /TOWNSHIP /RAN f NE 23 23 4 70NING! n' RCM - REGIONAL COMMERCIAL MDOED-USE DISTRICT \ FR FR 2 FR 20' SIDE 10' REAR: 10' PROPERTY ARFA• 31,836 SF ARCHITECL' TOM HOUHA 27721 CHAPMAN RD SCAPPOOSE OREGON. 97058 503 543 -8387 ' MMMINAMLAM CM/ v ' Sfae 1' - 30' G '0N 6utmeta wl. 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NO3N I svlds N 3 HS (8000 13MOOd Ol d LU 3 - - - - - - CHVM 3d0 3n0) IIYM SIH1 NO 9NI1130 /S1lVM '3SV8 £ 3NOZ 83d :31WS13S - IV831V1 a3eana a3A00 .o S3dld 'GIN 30Y3anS v svw o3a13M /M HdW OB 8 38nSOdX3 ONNM1 - 1V831V1 AdONV3 „0 - ,S ' „0 -,Z ,0 -.S „0 -,1 „0 -,ZI NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR . - THA N THIS NOTICE IT IS DUE TO THE QUALITY OF THE D MENT 'UNN 133HS :800'U 35d SL 80013 3Sd SZ 3008 S131LnO V 1N31Ydlno3 H Od :SOVOI 3AIl 'Z SNOUV001 A3I83A 01 a3NMO 3SNt63Hlo a31ON SS3lNn 831NnOD 3H1 3AO8V NO '1N3WlaVd30 Maine 1V301 3H1 A8 030N3WV Sv 081 r ' .9 1100 3HL 3AOeV ,ZI 3HI . HIVA 30NVO8000V NI SI N91S30 :S3000 'L 38V SITU110 x3ldna 1V01H10313 11V :31ON S l0N v8n1 815 / CARIBBEAN DREAMS ESPRESSO AND MORE 14800 INTERURBAN AVE TURWILLA CALL FOR DELIVERY TIMES 206 - 459 -5774 Featuring "Simply Coffee ". Hot Drinks Z Z Uj U. U O: J H. LL w 0 :3, U- a :0 n 1 0 , �w 1 Z �o zR w w . 5' 0 w - HU U- f" W Z H =` to n F-; 8 oz. 12 oz. 16 oz. 20 oz. 32 oz. }' 1 shot 1 shot 2 shots 3 shots 5 shots L} Latte 2.00 2.25 3.00 3.25 4.50 sf Mocha 2.25 2.50 3.25 3.50 4.75 y , Breve 2.25 2.50 3.25 3.50 4.75 ys Mocha Breve 2.50 2.75 3.50 3.75 5.00 Cappuccino 2.00 2.25 3.00 3.25 4.50 1P Americano 1.25 1.50 1.75 2.00 3.25 Hot Chocolate 1.25 1.50 1.75 2.00 3.50 White Mocha 2.50 2.75 3.50 3.75 5.00 ij Soy Latte 2.25 2.50 3.00 3.25 4.50 a Chai Tea 2.00 2.25 3.00 3.25 4.50 Lipton Tea 1.25 1.50 1.75 2.00 3.25 ` Extra Shot .25 White Coffee .25 Additional Caramel Sauce .25 Additional Flavoring .25 Zebra .25 Additional Power Syrup .25 Additional ri Extra Flavoring .25 (Candy bar drinks available .25 additional) Iced Drinks 16 oz. 24 oz. 32 oz. 2 shots 3 shots 5 shots Iced Latte 3.00 3.50 4.50 Iced Mocha 3.25 3.75 4.75 Breve 3.25 3.75 4.75 Mocha Breve 3.50 4.00 5.00 White Chocolate 3.75 4.25 5.25 Soy Latte 3.25 3.75 4.75 Italian Sodas Iced Tea 2.75 2.00 3.25 2.25 3.75 3.25 Chai Tea 3.00 3.50 4.50 Cookies 1.25 Muffins 1.25 Y Energy Bars or Cookies 1.50 Gourmet Biscotti 1.50 Biscotti's .75 Additional Items f: Energy Drops 1.00 per 5 drops t Mugs 7.50 w /drink Tee Shirts or Ball Cap 15.00 Prepaid Cards 5.00 & 25.00 Bottled Water 1.00 Gift Cards 10.00 Variety Fruit Juices 1.25 Coffee (lb.) 10.00 itamps on Cdlee Drinks Only Z Z Uj U. U O: J H. LL w 0 :3, U- a :0 n 1 0 , �w 1 Z �o zR w w . 5' 0 w - HU U- f" W Z H =` to n F-; w �; ...�:A ;.,. �� r::' ri;n � rt 5�:: ` r L Garbage Disposal Disposal Information for "Towne and Country Suites" located at; 14800 Interurban Ave So. k` Tukwila WA 98168 The location of the onsite dumpster is behind the property. One of the dumpsters is 8 yards and the other is 3 yards. ; a t The name of the disposal company is SeaTac Disposal. The frequency of pick is two (2) times a week. '1 l.� A Zd John Krussel Owner/President AM 'a s i Caribbean Dreams Espresso 14800 Interurban ave. Tukwila WA. La Spaziale New EK 3 Group La Spaziale MX Grinder 2 • La Spaziale Junior Grinder Under Counter Refrigerator 2 Under Counter Freezer Backup Refrigerator Compartment Sink (ABS) Hand Sink (Stainless, Wall Mount) ..Mop Sink Scotsmen Ice Machine SCE 170 Frothing Pitcher (33 oz.) . 6 '7/8 oz line shot glass 12, Spoons 6 Knock Box with bottom + Gasket 2 Optional Knock Box with no bottom Gasket Optional Drop In Stainless 3 Compartment Sink $395 + $106 Optional Drop In Stainless 3 Compartment Sink (31" long) (Bowl 14"X9"X93/4") $284 + $95 Espresso Water Filter Cash Register Sharp XE-A202 2 i Hard Plumbed N� N Hours of Operation: 5am to 7pm Mon/Fri lam to 5pm weekends 37t • Time at Commissary: '/z hour a day starting @ 6:30pm 'I • Unit will be hard plumbed Cleaning during the day, t cleaning of counter g g , li Y� g tops, windows and floors will ;j take place in the afternoon hours and as needed, using bleach water for the counter tops, Windex for the windows and 409 for the floors. These supplies will be kept in a designated bin UNDER the counter. A deep cleaning will be done =w nightly at closing. • All food items will be prepackaged with the exception of coffee drinks & Italian soda's John Cam roto weer/ resi ent. 6 DISH UTENSIL WASHIM EQUIPMENT (S- COMPAR'I'hf NT SINK OR COQ, MERI,`I I -SM BASHER) IS = REQUIRED TO .83E LARGE ENOUGH TO ACCOMMODATE THE LARGEST 17 Elk TO BM YlASHED ENSURE WALLS, WINDOWS, ' D CEILINGS DOORS AN C LI S ARE G CONSTRUCTED WITH SMOOTH FINISH, NON - ABSORBENT SURFACES AMID EASY TO CLEAN ENSURE FLOORS AND FLOOR COVERINGS IN ALL AREAS ARE CON- i STRUCTED OF EASILYCLEAN KE MATERIALS, CLEAN, IN GOOD REP-AIR R ��14D COVED AT THE FLOORWALL JUNCTURES R I THE DISMMNSIL WASHING SINK MUST BE EQUIPPED WITH A MINIMUM OF 114RF-E COMPARTMENTS9 A SPACE FO'R SOILED UTENSILS AHEAD OF .,HE FIRST COt PAH EI T AND IOAR...W FOP CLEAN q OARDS A ER y1-3 1 ALL EQUIPMENT AND UTENSILS MUST BE IN CONFORMANCE WITH THE CURREN kzTANIDARDS AND • LIS "II�CS I✓ • y HE NA i IONAL .: SANITATION N � U1NDATION (NSF) F6R ;�►PPRO'"ED EQUIVALENT. Hot water te mperature athendsinks , not to exceed 120 o f ... -I HOT WATER MUST BE ABLE TO ACCOMMODATE ALL HOT WATER NEEDS �W U 0 CO) 0, N W, .W J N LL LU J U_ 4 cy W Z� Z O D o` .0 W W L� - o Z; U C0 O Z RETURN TO: LAKEWOOD WATER DISTRICT 11900 Gravelly Lk. Dr, S.W., P.O. Box 99729 Lakewood, WA 98499 -0729 Tel: 253 - 588.4423, Fax 588 -7150 NEW EXISTING Cl REPLACEMENT ❑ /` 916 Z--_ NAME: Yes X No On X Off LAKEWOOD WATER BACKFLOW PREVENTION ASKNE" 2005 TEST REPORT 'I UKVVILA PUBLIC WORKS SERVICE ADDRESS: LOCATION: _ + e W o Q WATER J DISTRICT O [ 6- - CROSS CONNECTION CONTROL FOR: TYPE ASSEMBLY: MANUFACTURER: MODEL: O 3' SIZE: SERIAL NO: �g 1S THIS A PROPER INSTALLATION? Water Service Found: REMARKS: Test Equipment: Make Assembly Tested: Satisfactorily I CERTIFY THE ABOVE Rr;POR -j TO Initial Test By: Repaired By: Water Service Left: On Off Model Serial # -jV-6 r 1 Accuracy Verification Date Failed ZM 'Typed me Phon e No. Cert No. g✓� Date Signature Date Repair Test By: Cert No. Date Signature While: Retum to Water District Canary: Customer Copy Pink: Tester Copy _ ` O' o z Z �W 00 CO) 0 C0 Uj J H DLL WO �QQ LLQ N:3 _ fY 1.. W Z ZO W �5 U 0. O N 0 1- WW U O tll z if- Z 0 z 1` INITIAL.TEST RESULTS TEST AFTER:REPAIR OR CLEANING Line Pressure Pressure Drop Across Pressure Drop Across No. 1 Check Valve (A) psid No. 1 Check Valve (A) psid Relief Valve Opened (B) psid Relief Valve Opened (B) psid RPBA Buffer (C) _ (A -B) i ✓ psid Buffer C = (A B) psid No. 1 Check: Closed tight ....0 No. 1 Check: Closed tight Leaked ......................... ❑ Leaked ......................... ❑ No. 2 Check: Closed tight No. 2 Check Closed tight ❑ g ................. • ° -�� }' Leaked ......... ..... ❑ Leaked ❑ == M AG Separation: Minimum eparation: Yes X No ......................... Minimum AG Separation: Yes No Passed Test: Yes No Passed Test: Yes No Line Pressure No. 1 Check: Closed tight ................. ❑ psid No. 1 Check: Closed tight ................. ❑ psid DCVA Leaked ......................... ❑ Leaked ......................... ❑ No. 2 Check: Closed tight ................. ❑ psid No. 2 Check. Closed tight ❑ psid Leaked ......................... ❑ Leaked ......................... ❑ Passed Test: Yes No Passed Test: Yes No Line Pressure Air Inlet: Opened psid Air Inlet: Opened psid ` � Failed to Open ❑ Failed t o Open C] -: PVB,.. Check Valve: psid Check Valve: psid .,' Leaked ......................... ❑ Leaked ................ .... ❑ Passed Test: Yes No Passed Test: Yes No Minimum Separation: Yes No 1S THIS A PROPER INSTALLATION? Water Service Found: REMARKS: Test Equipment: Make Assembly Tested: Satisfactorily I CERTIFY THE ABOVE Rr;POR -j TO Initial Test By: Repaired By: Water Service Left: On Off Model Serial # -jV-6 r 1 Accuracy Verification Date Failed ZM 'Typed me Phon e No. Cert No. g✓� Date Signature Date Repair Test By: Cert No. Date Signature While: Retum to Water District Canary: Customer Copy Pink: Tester Copy _ ` O' o z Z �W 00 CO) 0 C0 Uj J H DLL WO �QQ LLQ N:3 _ fY 1.. W Z ZO W �5 U 0. O N 0 1- WW U O tll z if- Z 0 z 1` Return to: City Clerk City of Tukwila 6200 Southcenter Boulevard Tukwila, WA 98188 Above this line res erved for Recor use DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Grantor /Borrower:' r ,n. Grantee /Beneficiary: CITY OF TUKWILA, a Washington municipal corporation Document Reference Number(s): ..DC5 -0 i O Section/Township /Range: /v 2 - J 2 J y Assessor's Tax Parcel Number(s): (QA8 f 0(56 Property Address: Property Legal Description (abbreviated): PORGILLIAM W H D C #40POR OF 100 FT R/W OVER POR I OFD C LY WITHIN NE 1/4 LY BTWN S LN OF S 147 TH ST & N LN OFS 149 TH ST LESS ST HWY DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Form approved 2003 Page of z mo w; J U: 0 0: CO W W =: J H: N LL'. U - N CY H W: z � �O z 1--. U O N' o F-. W LU - U. .. z. W N. O z r Return to: City Clerk City of Tukwila 6200 Southcenter Boulevard Tukwila, WA 98188 Above this line res erved for Recor use DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Grantor /Borrower:' r ,n. Grantee /Beneficiary: CITY OF TUKWILA, a Washington municipal corporation Document Reference Number(s): ..DC5 -0 i O Section/Township /Range: /v 2 - J 2 J y Assessor's Tax Parcel Number(s): (QA8 f 0(56 Property Address: Property Legal Description (abbreviated): PORGILLIAM W H D C #40POR OF 100 FT R/W OVER POR I OFD C LY WITHIN NE 1/4 LY BTWN S LN OF S 147 TH ST & N LN OFS 149 TH ST LESS ST HWY DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Form approved 2003 Page of z mo w; J U: 0 0: CO W W =: J H: N LL'. U - N CY H W: z � �O z 1--. U O N' o F-. W LU - U. .. z. W N. O z N situated in King County, State of Washington. DATED this 3 day of 6 , 200 S GRANTOR: By: signature) sc �� c C -,w., � - 1 (print name) (title) STATE OF WASHINGTON ) ss. COUNTY OF KING ) On thi day of Ma rch , 200 , before me personally appeared fo1�n C'amb�ofo , to me known to be the M of YIDbQLtn &P.clm FSprmo , a Washington corporation, that executed the within and foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute and in fact executed said instrument on behalf of the corporation. Given under my hand and official seal this 0 day of No r c/ , 200 C��.ce. Q • �.�? � - -GE p Type /Print Name A 1 i Ce �. �eCtGy � .......... q P Notary Public in and for the ° NoT'aRy 9N State of Washington residing at PU 80 n4o k) 4S,oF rs, o,N My Commission expires 6 DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page of Form approved 2003 Z Z '. �w J U- U O; U 0: W =! J � � W 9 - U. d: �w o . z� 2� U0 co O — o� wa = U. o : LLi Z . o� Z DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page 2 of Form approved 2003 1 i i f i i 4 1 i 3 0 RECEIVED FOR FILING: day of DEED OF CONVEYANCE OF PUBLIC IMPROVEMENTS Page —�- Of `7 Form approved 2003 I ti PERMIT COORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -010 DATE: 02 -16 -05 PROJECT NAME: CARIBBEAN DREAMS ESPRESSO SITE ADDRESS: 14800 INTERURBAN AVENUE SOUTH Original Plan Submittal _Response to Incomplete Letter # Response to Correction Letter # X Revision # 1 fte ire permit is issued I DEPARTMENTS gj�q AV 2 Building Division ❑ Fire Prevention ❑ Planning Division Public Works ❑ Structural ❑ Permit Coordinator DETERMINATION OF COMPLETENESS (Tues., Thurs.) Complete [ Incomplete ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS RROTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: DUE DATE: 03 -17 -05 Approved [� Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMIT COORD COPY DUE DATE: 02 -17 -05 Not Applicable ❑ z Q SZ JU UO. N �. CO) =: J � CO)w w O. J U. Q N d H= Z F .. �_ z�_ W w 2:3 U O N wW HU W Z U =; O ~' Z. PERMIT C CORD COPY PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: D05 -010 DATE: 01 -11 -05 PROJECT NAME: CARIBBEAN DREAMS ESPRESSO & MORE SITE ADDRESS: 14800 INTERURBAN AV S X Original Plan Submittal _Response to Incomplete Letter # Response to Correction Letter # Revision #after /before permit is issued a Z z �w J U. UO. U) o W = J�_ NLL w O J C'< �w �o z �- w U J �o .O C& o H- w U_ iii z; O f "' z DEPART B it ' g Division Public Works W 510 nu 1 .1� 0 Fire Prevention ] S Structural ❑ Q / 05`01" Planning Division ❑� Permit Coordinator x DETERMINATION OF COMPLETENESS: (Tues., Thurs.) DUE DATE: 01 -13 -05 Complete Incomplete ❑ Not Applicable ❑ Comments: Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS RO TING: Please Route [Structural Review Required ❑ No further Review Required ❑ Q Q REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS DUE DATE: 02 -10 -05 Approved ❑ Approved with Conditions Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: PERMI T COO D COPY Documents /routing slip.doc 2 -28.02 PROJECT NAME: '_� �� �-- vv� o PER�tiII y0.. /o Site Address: /Scrod GCvI - -- Original Issue Date: REVISION LOG Revision ' No. Date i Received I ff I Staff Initials Date Issued Staff I ff Initials 57. Date I Received Staff Initials i Summary of Revision: Receive By 61/ (please print) Revision I Date i Staff Date I Staff No. Received i Initials Issued Initials t Summary of Revision: Received By: (please print) (please print) tptease prina Revision Date Staff Date I Staff No. I Received I Initials I Issued j Initials Summary of Revision: Received B y: I (please print) z = z. '~ w �U UO w� Co LL w �Ei LL d . =w z F— w 2 5 U� O— O I— =U wO — z UN H= O f- z Revision No. Date I Received Staff Initials i Date Issued Staff Initials (please print) tptease prina Revision Date Staff Date I Staff No. I Received I Initials I Issued j Initials Summary of Revision: Received B y: I (please print) z = z. '~ w �U UO w� Co LL w �Ei LL d . =w z F— w 2 5 U� O— O I— =U wO — z UN H= O f- z 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: htW.- 11www.ci.tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director .. i REVISION SUBMITTAL Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: °� Ll 6 s Plan Check/Permit Number: s ` O (� ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Revision # after Permit is Issued ❑\ Revision requested by a City Building Inspector or Plans Examiner F Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision r Received at the City of Tukwila Permit Center by: ►Ul.t� I VI Entered in Permits Plus on I- "/4' "0.5� , \applications \forms - applications on linc\revision submittal Created: 8 -13 -2004 Revised: Z il W W D. J U: U O' 0 W = ' CO U wO �Q CO W 2 Z F— F— O Z F- 2 �. U� O CO. W w. �U LL ~O, iii Z U= O Z i Project Name: e, Project Address: 6 b t� S Contact Person: o �Cx w Phone Number: U (� — `�� �/ _ S 5S 1 : 1 1 - yv t'.Aco-t-P - - Esc plans have been revie ed b the � y Public Works Department for c fo ance With n Z • t 't - �' City standards. Acc tance �s s t6 errors and ' ESPRESSO STAND omissions Whi do not auto rizc violations of � •� adopte Stan s or o 'n an The responsibili r t , r , for the de ua of s — .FOR 9 c� the esign rests totally Wi P designer. ddition deletio c r 'sions -Eo • ' • - ±-: ­ - \ dlaWln CREW Nl%-%ftVL %041P and Will require a bmi of remised d' ' ,2 f or nl6e 4pp' — •• _ 1 1 ".•Ti r _ �!_ SID SPHA Final �o -- to N •on — 1 t the blic W atilitl lII EXIS71NG GE OF ASPH EXIST! ELECTRIC do • TELECO MUNICATIONS EASEMEN (15' WIDE) - SOUTH 147TH sT. JUI -11V 1. uHmbl U [U TUKWILA WASW11d N 89' 00" 32 W 219.05' R� r t ' 7 n P t ` . 1 1 QTR ESPRESSO STAND 20''(r JOHN CAMBROTO EMPLOYEE PARKING TYP EXISTING (206) 459 - 5774 '. (3 SPACES) . ASPHALT � ALTERNATIVE LOCATION 14900 INTERURBAN AVE SOUTH TUKWILA, WASHINGTON \ (TOWNS AND COUNTRY SUITES Eft G EXlSTI :.• • 1 0. HOTEL) BUSHES 00032 2 ZQ =-° � � •- ,' � �, � 00006 E XIS T . _ CO ,� •� �� b, �� NE 23 23 4 TO NE do COUNTRY -- �° • SUITES HOTEL Z�!N1 C RCM -- REGIONAL COMMERCIAL FO UNTAIN = _ _ E CI AL MIXED --USE DISTRICT �:,, E'RON T: 20 I ''� - SIDE: 1 0' Ili E - �.� - _ __ ASP AL •• REAR: 10 , • ESPRESSO _ _ - - -- __: - - r PARCEL A . STAN `. r C _ \ 359700005 PROPERTY AftEA : / 1 3 D -- - - _ - = - 51.836 SF _ ARCHITECT: 1 4 7 _ - _ - TOM HOU H A ^I N t/{Z... 27721 CHAPMAN RD • SCAPP O0 � DOSE OREGON. 503 543 --8387 ��j TOMHOUHAOAOL.COM C FI�j &EPUCANUCON TACT �' \� _ " ='\ •. STEVE MCDANIE-S - ;, 425 351 -0173 GRASS COFFF_.EGMOCOMCAST.N S UI,DN G AREA; . ; \ p .. - _ - C9�J` •. 8'--Q" X 17'- -o s 136.0 A 41. DEDIJ;ATED PARK] v , a d w REQUIRED: 3 .. 2.7} ^f•- - -•--1 f` �r w 3 �� ` G PROVIDED: 3 , - • ' % I f 4.,." 0 1 PC \ :ter .Ii �• ' • , l .•, �` ,�� 1 _ b 0Te r PARCEL NUMBER 000320000607 ` Al JD , S'i PV1 �wAM w H _ : _� mil. �p� �2 Fto►oR P N D C /4oPOR 0� 10,/ FT R ESPRESS ST :� t �C • •A3 EXTERIOR LEVATt01�S ,� I 8 OVER POR OFD C LY VA THIN NE 1/4 _ - A4 EXTERIOR ELEVA TI f \ A5 BUILDING SECTION O� . ACE) _ •.0 A6 DETAILS 4 �•'•� `.!� 5 LN OF S 147 TH ST do N LN 0►FS 149 �5 • ' - ST LESS ST HWY � ._...._._...�_. 1 .0 EXIS ELECIWC ' TONS NORTH ..►•+; TELECOMMUNI ME) EXISTING - \ E ASEMENT (15 GRASS ASPH \ •' \ L PL N « .... �' •�... .�.. '• �•;� - .••M ^w114i1w�MVwN.�r ♦..►..r •►,.. $.e `,,.. •iH.v :.7►.. ;, . �y. -f ..• .. -.•f. K.�r;,c .s'B.'74 q.�g• r .A'"t '•'ia - Y: Ark,..,. �. ,�,� -. • - , -..� � �-�'�C �y w► rr. e r ++- { "�+pvr+ ern.•. �•1 s.. +ar,, . - . 'R^Y.'�gyt.s.• ^��i ♦w r,�e .. r'VN7fM1i� "4'�� F7F►�• .A - �Yr.'♦'�"M. ,►'. ... O J0 Appp, l I �NC 1 c M M G ,. l flu W-T f - . EXISTING IMPERVIOUS AREA: 14,736 SF (28.40 . % SO S D ESPRES TAN NEW DRIVEWAYS: 2433 SF , 't E o NEW EMPLOYEE. PARKING AREA: 432 SF STAND: 136 SF: L. NEW ESPRESSO TOTAL NEW IMPERVIOUS AREA: 3001 SF FOR EXIST. ✓':'� TOTAL COMBINED AREAS: 17,737 SF (34.2 P`' .WATER METER . • —� �� ��?� _ woo �- • - SOU T �Z N EW WATER METER \ �--� -� 11JKWLA WASHINGTON 9 p . EXISTING N 89' 00' 52" W c 'P� ASPHALT ti w- �� '" Q FIRE HYDRANT 219.05 ID QWN S ` r JOHN CAMBROTO o 'o ti� \ EXISTING EDGE rr Zt^ • ZF` (206) 459 -5774 OF ASPHALT v = ESPRESSO STAND w '•� z MP EXISTING �- EMPLOYEE PARKING ` ASPHALT cn v = Q + \ ♦� (3 SPACES) ALTERNATIVE LOCATION + 0. 14900 INTERURBAN AVE SOUTH w Q � � ~ \ • TUKWILA, WASHINGTON -< LA_ • VICT " ELECTRIC & = 'y �' :2 C, • • �i.J .I \ ` TELECO MUNICATIONS - � �� �' � (TOWNE AND COUNTRY SUITE o W ' HOTEL) �-- EASEME (15 WIDE) y * \ ,�,, =` EXISTING .� I TI G BUSHES ?'• ! ' TAX PARC E �IS R OAKS �p W Ek 0003200006 _ \ 1 ,' EXIST. SECTION /TOWN SHI P�ANNGE_: *`" ` �' '���� Ci �/ • � 1 NF �O� NE 23 23 4 GRASS _ / - - - I TOWNE do COUNTRY C ZQ1�: •SUITES HOTEL RCM REGIONAL COMMERCIAL • • "�_= � � MIXED --USE DISTRICT `„• ��'�+�• E X ISTING o nY o f Ea • � FOUNTAIN y _ �K1NI . �� FRONT: 20 SIDE: 10' JA N i '� Z °• � = r . EXISTING � , .� REAR: 10' oo-A NEW j a -ASP HALT c PARCEL A ESPRESSO 359700005 PROPER AREA: STAND \ 51,836 SF�R ,/�' • _• ARCLJITECT: TOM HOUHA 00111 0 27721 CHAPMAN RD }-- \` SCAPPOOSE OREGON, 97056 Q 503 543— 8387 �� \ y,, TOMHOUHAOAOL.COM @I Of .r � Of `� �� • PLICA V ! T /CONTACT: E � a � AP . STEVE MCDANIELS Im I im fini U) m ; c 425 351 — 0173 uJ u CA A COFFEEGMOCOMCAST.NE � 3 Q % NEC04M BQ IU� AREA: �. '• cn rT'Y TUB 0' X 17' — 0" a 136.0 S ac .r N D DICAT D KING: Lu i r. .+ ` 4 P A RCE.L `'B" O. �E 2005 REQUIRED: 3 1� 2.7) •� r , w, \ PROVIDED: 3 Pro eGt NO. %& �. � RMIT' CENTER .a _ 04 3 3 0� t. ... ry pT StiEEt�t �� , OR �. MILM N A� ^ h Al ENLARGED SITE PLAN Date 1 QO i rt" A1.1 OVERALL SUTE PLAN ' - \ y .+• A2 F PARCEL NUMBER 000320000607 r::..' ` LOOR PLAN .SAN 1 0, 04 �' AND _ �. 'y - A3 EXTERIOR ELEVATIONS 4 POR OF 100 FT , :'1 +� _ 4 EXTERIOR ELEVATIONS PORGILUAM W H D C 0 ` AS BUILDING SECTIONS Drawn e R/W OVER POR OFD C LY WITHIN NE 1 /4 -- iA6 DETAILS LY BTVM ��- �� N LN OFS TH 149 S LN OF S 47 TH ST ` - 1 do \� .•• � 1 _ ,� EU NmTH �l O T HwY � � � Drawing No. ST LESS S N EXISTING ,,� 7 %s PH AL T �) .As rte, f. file'. GRASS . --'""" ::: ENLARGED SITE PLAN . SCAU: t' = 30' -p MIN -ONIIIIIIIIIIIIIIIIIII, So l^ f \ Z ' �s ,. , •••. . h •'Ko � �'. 1� t ..'�1�' - • '� 'r .QI' �• - 4�...� ._ . • 1 Y � f •'K� L mg &s. ♦�•� L �I � �. . � !';. .' -fir. :`� •- . '•. - ••'. .: �~ 7 i � �J � � M S ` • r .. �:--. • ,} ~ i •� ti t �I .' •�..� LL '� Y � `� ,_ ! r I� ' •�••• � � = w: :; -,. .. 1 j'... ^�M,� : �_ ; J.. - � •s v - j !• ', �.w7•.: • ,tom ,- •• ;�-- ...•"'� � P •' .t.' i• • }Ar •w �' , �r w +� r' ..' ` s'!_•[C�... ~_ ».�.., r ' ter. ► ,tra f1t !' i. - i� � :• • •` . ., i = . t •,. =� • �. :• *' � • - .1 { C' ' T •F 7 r._... •a '.'Y' __ -i i w -1♦,' - • . 4.4 � �• , •. t _ �,. j . • ��!T. '.Yrw• -• _ 7 �� -... •.- � ?••' _ •' - O E STI all SPHAq ., � �.��••. '• y': • ;�� - '.• - • ; ..stir•- •_i•• �''�tC •` Barii• .. ,•- lb - •,_ _ �•� ._.;.- - -+ = EXISTING EDGE s OF ASPHALT vpr 1 p i •. ,,• �.' .rw.. .�- t. �;.ry ^.r'7�.t= '1'. °�/•:.b.. it ' r EASEMEN (15' WIDE) EXISTING EX) S G BUSHES - ROaK 1 = 2 20 EMS EX 'n -_ j FOUNTAIN S �J �} �o ('� \ NEW ESPRESSO C, \ STAND CX9 3 Z 1 r f 1 1 0 Cas Pfp!ng s CRY Of Tuk &ADING D ply AN r% E=TigN PARCEL NUMBER 000320000607 PORGILLIA W H C C /40POR of 100 FT t •� R/W OVER POR OF'D C LY NA THIN NE 1/4 , LY BT W`N S LN OF S 147 TH ST & N LN OF'S 149 - ST LESS ST HWY t A • 00 Chit CS 2W be meete to 14M: Revis PAVA1 l 3i 3 .L.'/ . �a I ..LbFi It ll WW a Inc! de • • = y addibcria! 1::3n r,v;��:�! � mss. r � r AS r TELECOMMUNICATIONS / EASE GR DOM y i :0 \ 00• 52' w REVIEWED EU 219.05' • \ ESPRESSO STAND 20' EMPLOYEE PARKING Typ • C3 SPACES) ` ALTERNATIVE LOCATION 1 • • � CPS TOWN do COUNTRY _� •• SUITES HOTEL ASP ALT O • 0 :IAN r 6 zoog EXISTIIG ... � V ... ASPH LT C# 1f 7`u`��Nil� U iWfN G_ d o Cp�Ap� � i " ' c m j VB PAF�eEt "A" Sip 5 t EXISTING � SPHALT ? s+ of construction documents shat i � site of work and shall be W ' n by the Building Offia� .--. .--. representadve. CRy U kwila O DIVISION JOHN CAMBROTO (206) 459 -5774 14900 INTERURBAN AVE SOUTH TU K WI LA, WASHINGTON (TOWNE AND COUNTRY SUITES HOTEL) TAX E ARCEU 0003200006 SECTION OWNs� zaA_NGE: ' NE 23 23 4 ZONINQ OF C RCM -- REGIONAL COMMERCIAL .4 MIXED—USE DISTRICT FEB 1 � 005 � FR ON T: 20' PEAWjT C SIDE: 10' REAR 10" PPERTY EA: 51,836 SF ARCH ITECT TOM HOUHA MAN RD J ,� 27721 CHAP ��• �. �J SCAPPOOSE OREGON, 97056 503 543 --8387 00 oL. coM TOMHOUHAOA L APPLICA_N T /CON TACT: C �M' STEVE MCDANIELS FA 425 351 -0173 COFF EEGMOCOMCAST.N BUILDING AREA: $ -0" X 17' -0* = 136.0 S 11 QED��._ SKI N L REQUIRED: 3 ( 2.7 }' ; --- �'; •;� PROVIDED: 3 •' •'� '• �' / • e o p bi ,. !• Al SITE PLA A2 FLOOR A3 EXTERIOR LEVATIOMS ' ELEVATI A5 BUILDING SECTION . `. ; "••': �•� A6 DETAILS �.. L • • SI PLAN ESPRESSO STAND FOR 3 FIELD CCW JOHN CAMBRO-T Jim " °. A� oT i1rS� � .*. 4 I-- rn pan* moo not Nd � a1 E STI `!' I SPHAL�T :, Ir � � z EXISTING EDGE OF ASPHALT \ ELECTRIC do m Lco f� dF 1 biTz ssruu►n 0 OF • 1 MST. \ \ FOUNTAIN ESPRESSO G suwo \ \ �L z W_ A I P DESCRIPTION lS►+ORTI• Kt ��� ARCEL NUMBER 000320000607 aoaOwA►r w N o c µoaoR of 10� R/Vr OVER POR OFD C LT MATHIN NE 1/4 LY BTwN s u+ of s 147 ni st k w ur oFS 1+9 ST LESS ST N1NY r .ESPRESSO STAND %3 �TV-71 WED F � FOR Anp �AyFD JAN ? 6 200 5 FOR JOHN CAMBROTO NO d1 MI b� Al�d� �o tlM r00p� vro�k without wlor aPP-'o�r�l d Tulcwtis Butldiiq DMron. Thj — — N es• oo' 52` w 'Woricst Denartinent for conformance I Of 7_Ukwq,, I' � 1 1 's 2 1 9.05' Cite standards. ccepmce �b,� % , -. DIV SIQ . (mat vie . • adopted or man ces. i se 1k.." . r for the 0 ' the deli �w BROTO the ESPRESSO STAND �-� i jae EMPLOYEE PARKING N ExISTINc P designer 6FOM a, 5774 _ . SPACES) .ASPHALT jl k LOCATION SOUTH Aziml and will T 2� for au AND COUNTRY SUITES - -- ^ ,SAN 13 2005 •• fx, F• by • z � S r - TUKW I LA CP. . �. • PUBLIC WORKS 23 23 4 1% TOWNE do COUNTRY Z �� _i TR 0 - SUITES HOTEL -' - ONAL COMMERCIAL MIXED --USE DISTRICT 1! FRONT. 20 Q SIDE. 1 o P r� _ _ _ =_ o • ASPHALT CCD .� ,� REAR: 10' PARCEL A JA 359700005 UgEERTY AREA Za� 51,836 SF p _ Tod ARCH �lj�p _ TOM HOUHA • 27721 CHAPMAN RD SCAPPOOSE OREGON, 97056 503 543 -8387 TOMHOUHAOAOL.COM ,� _ _ •• APPLICANT/.CONTACT: - = STEVE MCDANIELS `i' _ •. 425 351 -0173 GRASS COFFEEGMOCONICAST. N o 95.f.3� - _ � •• s' -0* x 1r -o" = 136.0 DEDICATED PARKIbIG; 't " L $ •• - o J REQUIRED: 3 ' v` a 3 -•� L N PROVIDED: 3 _ c1' w ~ 'SHAT INDEX- r , ,, •� '� b o� got Al SITE v/� A2 FLOOR �. - ='- �' •• //�/ A3 EXTERIOR LEVA7ION$ f j EsPR _ -� C _ = _ A4 EXTERIOR ELEVA7I 'EMPLO = AS BUILDING SECTION - - -•`'� �* `' C� ACE - - " :.. 0 d� ` A6 DETAILS ti k;v Ile •„ EXIS ELECTRIC & _..._ .•_ . -... ^-- .._.r,,..,.,....�•+► TELECOMMUNICATIONS Va STING EASEMENT (15' MADE) ASPHALT GRASS • ITE PLA SC AL. I . X 1 f t Count . We � --• T ', i,, s 1• 4 r ( ti° . IrEPJGNn EAST : t _�- =• -, -- •.w�_: - -•�" -Aid I eg� ' 1 •.. • -- 1 — T L • -'' 1% 7AR/ Wne1-rr. 1-•..0% 71VI/ MAV'Mel- W - 0 -11�snN� H� tiva15YL 40; 1 �� AV C; �r ut s S 21' 24 03 E v ieved by the b rni;rs Department for confor�a�ance City standards. Acceptance is subject to WMN VIA o =ssions which do not authorize vlolatZons ®f adopted standards or orftancm The respcmmi0►�it. - for the adequacy of the deai$tt rests totally wit 1 designer. Addition a Sions to t er ft 60 � . this ac�cepta and will requirt � dra�'i I M N ; POOSL�� 14RP-W \N M i 5t�t 0. NbW RPP i Uw ir PARCEL 0003200006 -- - - aa�► .►� S 21 23 30' E a 552.23' _ ____ _ � _ .�.._._ _ .� _ � _ �. _ _.__._ _ � INTERURBAN A SOU TH .W ,.,,action by gQ%; , Tvft OP 71A�; JAN E RM�r�F� R t i t a • a <' o Cr V 0 ..' Z _ � o �jV N r � V J V) Q < O O = W /•-- 1i Project No. 0 433 Date 0 poll, T -1 j " d .4 Oct 89 �;''.� �1 �" Drawn B L o N 0 ,e PLe AS -_.... •..�.._ . -. .�.w .mot♦ . -�► T PARCEL NUMBER 000320000607 E f . CA PORGI w H D C #40POR OF 1 00 FT w OVER POR OFD C LY WTHIN NE 1 /4 f ( .U' Drawl No. R SE / am l.Y 8T1AM e � fp rk �l �r�/ s" ft� 4 W a Tr &its Ati _ S LN Of S 1 4 7 rH ST & N L N OFS 1 49 TH 1 %: ovmml six Ptm ST LESS ST HWY _ - - — - - $CA L- 1' ! W -d' A 2 r lip ff w�I,��1=�` G ff r, m x � . . 1�- r = m . . . . . , ..rJ . . . . . . . . . . . . . . . . - - \..� r KZ Z7 / 1 Z Cr ..' Z �Q �jV - CC � V) Q < O O = W /•-- t.0 C N U') Project No. 0 433 Date 0 poll, T -1 j " d .4 Oct 89 �;''.� �1 �" Drawn B L o N 0 ,e PLe AS -_.... •..�.._ . -. .�.w .mot♦ . -�► T PARCEL NUMBER 000320000607 E f . CA PORGI w H D C #40POR OF 1 00 FT w OVER POR OFD C LY WTHIN NE 1 /4 f ( .U' Drawl No. R SE / am l.Y 8T1AM e � fp rk �l �r�/ s" ft� 4 W a Tr &its Ati _ S LN Of S 1 4 7 rH ST & N L N OFS 1 49 TH 1 %: ovmml six Ptm ST LESS ST HWY _ - - — - - $CA L- 1' ! W -d' A 2 r lip ff w�I,��1=�` G ff r, m x � . . 1�- r = m . . . . . , ..rJ . . . . . . . . . . . . . . . . - - \..� r KZ Z7 / 1 0 ..' Z 0 • A � LU 3 aC � s= .- cn W o -� Project No. 0 433 Date 0 poll, T -1 j " d .4 Oct 89 �;''.� �1 �" Drawn B L o N 0 ,e PLe AS -_.... •..�.._ . -. .�.w .mot♦ . -�► T PARCEL NUMBER 000320000607 E f . CA PORGI w H D C #40POR OF 1 00 FT w OVER POR OFD C LY WTHIN NE 1 /4 f ( .U' Drawl No. R SE / am l.Y 8T1AM e � fp rk �l �r�/ s" ft� 4 W a Tr &its Ati _ S LN Of S 1 4 7 rH ST & N L N OFS 1 49 TH 1 %: ovmml six Ptm ST LESS ST HWY _ - - — - - $CA L- 1' ! W -d' A 2 r lip ff w�I,��1=�` G ff r, m x � . . 1�- r = m . . . . . , ..rJ . . . . . . . . . . . . . . . . - - \..� r KZ Z7 / 1 IMPERVIOUS SURFACES.- EXISTING IMPERVIOUS AREA: 14,736 SF (28.490 I NEW DRIVEWAYS: 2433 SF NEW EMPLOYEE PARKING AREA: 432 SF NEW ESPRESSO STAND: 136 SF: TOTAL NEW IMPERVIOUS AREA: .3001 SF 5p TOTAL COMBINED AREAS: 17,737 SF ('334.2%) 0 , N 0� EXIST. � WATER METER E .", A � wcvt NEW WATER METER 0000' \ • EXISTING , ASPH 7 ,c .► .i • 7 \ \ r \ r EXISTING EDGE Gti Z� OF ASPHALT EXISTIN ELECTRIC do \ TELECOM EASEME (15' WIDE) \ E�1S G `` EXISTING _�, ► ` RD�KS1' BUSHES \ \ - 4 EXIST. _ GR EXISTING FOUNTAIN -- �\ \ NEW -� ESPRESSO G \ STAND µ Z Q FIRE HYDRANT . I i 1 \ ESPRESSO STAND EMPLOYEE PARKING (3 SPACES) ALTERNATIVE LOCATIO1 v Nit GRASS '� �' � PARCEL "B" \ v \ v' r'�\ \ 0003200006 LEGAL DESCRIPTION fSHORTI: PARCEL NUMBER 000320000607 �\ PORGILUAM W M 0 C /40POR OF 100 F' � LY BTNMR POR OFD C LY WITHIN NE 1/4 \ \ \ 5 LN Of S 147 TH ST ac N LN OFS 149 ST LESS ST HWY . \ ESPRESSO STAND EMPLOYEE PARKING (3 SPACES) ---.10 ........... —EXISTING EL TELECOMMUNICATIONS EASEMENT (iS' WIDE) GRASS EXISTING ASPHALT klp% 0 6.5• EXISTING ASPHALT c CID r� �Z �i PARCEL "A" 359700005 & DT F� Nc Z� 0 L 2 0 L H c' O M U Ln O N � N 1 f OW B CAMBROTO 0 0 (206) 459 -5774 0 w = z IQGAIIQN �,= o 14900 INTERURBAN AVE SOUTH w � TUKWILA, WASHINGTON '� o (TOWNE AND COUNTRY SUITES p HOTEL) to Q N CCn IAXPA CELN 0003200006 ��11OMSHIP-ZHANGE: NE 23 23 4 RCM- REGIONAL COMMERCIAL MIXED —USE DISTRICT S�TRACKS• � � �� FRONT: 20' SIDE: lot JA REAR: 10 ' Z oo� P,ROPES AREA: 8 1 51,836 SF ARCHjTECT: TOM HOUHA 27721 CHAPMAN RD SCAPPOOSE OREGON, 97056 503 543 -8387 TOMHOUHAOAOL.COM APPLICANT /^, C ON TA,C T: STEVE MCDANIELS 425 351-0173 COFFEEGMOCOMCAST.N RUILDINil AREA, 8' -0" X 17' -0" = 13E DEDICATEPARKING. REQUIRED: 3 ( _ PROVIDED: 3 SHEET MDEx• Al ENLARGED SITE PLAN I M.1 OVERALL SITTE PLAN A2 FLOOR PLAN A3 EXTERIOR ELEVATIONS A4 EXTERIOR ELEVATIONS A5 6UIlWNG SECTIONS A8 DETAILS I�Zy r ENLARGED SITE PLAN C 07t Z A y ' C 0 rn �.1 J E c � 4 c W S W r- Project No. 0433 Date JAN 10, 04 Drawn By Th Drawing No. SCALE. I" = 30' -0' \ " , f CODE COMPLIANCE pp¢���� ESPRESSO STAND JAN Z.1:111­cltills FOR CityOfTukwila i .inNN rhuppnTn Sou EXISTING �. a. • ASPHALT 2q' • y mo w. � \ q J TUKWLA WASHINGTON N 89' 00' 52" W F 219.05' F 'y 04 1 \ i � go_ TYP m j : 4%'0 4 0 r 1,&, St S 150th st '�IS 1 . s ., epP�uin t S 1 zee, u d' S LW400 SA 14800 Interurban Ave 8,, #tom Seattle, WA 98168 2B 54 . . e nder Bird 15 SeaTsc 02W mWossa C" �A • �Z �, 0 i va kip !i X %lot, SW 27th St J GREEN RIVER 1 S21'24'03'E 1 � RoF t '� 4N P¢RMI T cE �ER w ' 1 ® + PARCEL "B" 6 1 o� wrw ww rl 0003200006 S 21 ' 23' 30" E O ws ��wn 552.23' i � i �I` �� �� r� �� �- �� � �� �- �� �- r► �r ��� �- �_ �.-- �� �- ��. ��� _mow f-Ir..il �- �..��. �� �- `� 1 INTERURBAN A SOUTH ---. -- _ -- _ 1 0m" 0o m welvw 0 on on 0 Z (J7) 0 Q Z F— � L oin � M N 0 r Lr) N = Ln t!7 Z � U = O 2 w � 3 3c d W 0 Z O 0 Z d 0 o X , j E .� uu U .� (L g �° Ln w Project No. 0433 Date JAN 10, 04 nescaiPnoN (s►JoaT): I I I I I I I I U Drawn By PARCEL NUMBER 000320000607 � T PORGILLUM W H D C /40POR OF 100 FT R/W OVER POR OFD C LY NA7MIN NE 1/4 � Drawing No. lY BTWN SIN Of S 147 iM ST Ac N W OFS 149 TM st HESS ST Mwr OVERALL SITE PLAN X&E: I' a 60'-G* kn' 0 6 CODS C M APPROVIEt) JAN p g 20 BUILDIN STRUCTURAL NOTES 1. CODES: DESIGN IS IN ACCORDANCE WITH THE IBC AS AMENDED BY THE LOCAL BUILDING DEPARTMENT. 2. LIVE LOADS: ROOF: 25 PSF (FLOOR: 75 PSF LATERAL — WIND: EXPOSURE B; 80 MPH LATERAL — SEISMIC: PER ZONE 3 3. FOUNDATIONS: 12 "X12 "X12" PIER BLOCKS, EXTEND FOOTINGS TO FIRM UNDISTURBED SOIL. ASSUMED BEARING CAPICITY OF 2000 PSF. ALL EXTERIOR FOOTINGS SHALL EXTEND A MINIMUM OF 1 2" BELOW ADJACENT EXTERIOR FINISHED GRADE. 4. STRUCTURAL FRAMING: ALL GRADES SHALL CONFORM TO WWPA GRADING RULES FOR WESTERN LUMBER, LATEST EDITION. PROVIDE CUT WASHERS UNDER ALL NUTS AND BOLTS BEARING AGAINST WOOD. ALL WOOD IN CONTACT WITH CONCRETE SHALL BE PRESSURE TREATED. 2X JOIST: HEM --FIR #2 — Fb = 875 4X BEAMS: HEM --FIR #2 — Fb = 875 PSI MISCELLANEOUS HANGERS TO BE SIMPSON OR APPROVED EQUAL ALL HANGERS SHALL BE FASTENED TO WOOD WITH PROPER NAILS. ALL HOLES TO BE NAILED. NOTE: ALL ELECTRICAL DUPLEX OUTLETS ARE 12" ABOVE THE FLOOR OR 6" ABOVE THE COUNTER UNLESS NOTED OTHERWISE. OWNER TO VERIFY LOCATIONS FOR EQUIPMENT & OUTLETS FLOOR: SHEET VINYL W/ WELDED SEAMS & 4" COVED RUBBER BASE. WALLS /CEILING ARE FRP STEEL INSULATED DOOR 1 A-5 r -- AIR CONDITIONER rn i 8 FP HOSE BIBI � 17 - 0" 5'- 0" 12'-- 0" 5, - 0 " SURFACE MTD. PIPES ON THIS WALL (DUE TO POCKET DOOR) ----� DS 0 2' - 0 1 ,_ o r CANOPY 2 OPEN SPLASH r A-- SHELF GUARD I I 5'0X4'0 I SLIDER _ m 0 0 - -_ �O a r- _ _ �_ -- GFI ' 03 - --- -- - o L J 02 t r �N � I � NA 3'0X6'8 1 11 � 1� •• Ofi 07 04 � = ACCORDION DOOR ..,, :.......:.... ..............................; :..• ............ ..........................:r•.: p LIGHT, FLOUR. 2 T WRAP J .......... 12" SHELVES ABOVE `n GFI +13" I L_ J 5. ROOF SHEATHING: � SHEATHING SHALL BE 7/16 MIN. APA RATED I DS SHEATHING. SPAN RATING 32/16, INSTALLED WITH R L — — — — LONG DIMENSION ACROSS SUPPORTS. PAS - ��l ED JOINTS SHALL OCCUR AT SUPPORTS. NAIL PF j,�p13AN CE OR HAS KEY- EDGES WITH lOd NAILS AT 4" ON CENTER Qfl)� U OPERATED LOCK ON CENTER AT INTERMEDIATE SUPPORTS'., ALL � ec �A ' DEADBOLT EDGES SHALL BE BLOCKED WITH 2X WOOD A*qq � �A;rcH MEMBERS. 6. WALL SHEATHING: SHEATHING SHALL BE 7/16" MIN. APA RATED SHEATHING, SPAN RATING 24/0. PANEL ENb — ''' — JOINTS SHALL OCCUR AT SUPPORTS. NAIL RA L CA" �! h�[�� T S0 EDGES WITH tOd NAILS AT 6" ON CENTER A�Q,,1����NV v�• ON CENTER AT INTERMEDIATE SUPPORTS UN NOTED OTHERWISE ON THE DRAWINGS. ENERGY CODE NOTES BUILDING IS HEATED ONLY 70 PREVENT PIPES FROM FREEZING. ALL WINDOWS ARE VINYL W/ 1" INSULATED GLASS, LOW --E, BUILDING ENVELOPE — SEAL CAULK, GASKET OR WEATHER- -STRIP THE FOLLOWING LOCATIONS TO LIMIT AIR LEAKAGE: EXTERIOR JOINTS AROUND WINDOWS AND DOORS, BETWEEN WALLS AND ROOF, OPENINGS AND PENETRATIONS OF UTILITY SERVICES THROUGH WALLS, FLOORS AND ROOFS & ALL OTHER OPENINGS Ml THE BUILDING ENVELOPE —POWER PANEL 100 AMP - HEATER IN WALL (BELOW ELEC PANEL) SECURITY SYSTEM NEON 'OPEN' SIGN C) 0 n C) 0 x UPI DEDICATED 30 AMP, 220V + - o" I I i 1 � A -5 cn�'oF JAN j 1 2 005 P ERM/I , C EM , ER SCALE: 3/8" = 1' -0" HO. UtNxrp 10N MAKIFACTIM (MODEL SIZE FOAMS ® 3 -GROUP EXPRESSO MACHINE - - - INDIRECT DRAIN ® UNDERCOUNTER REFRIGERATOR cif � COMPACT STYLE BEAN GRINDER L 0 ® HAND SINK 22 "X17" SS INDIRECT DRA STAINLESS STEEL ® CASH REGISTER ® 3-COMPARTMENT SINK 3 INDIRECT DRAIN, STAINLESS STEEL Q� INSTANTANEOUS HOT WATER HEATER POWERSTREAM OR EC. _ 240V, 40 AMP UNDER SINK ® ,AIR CONDITIONER ® HAND SINK - COMPACT STYLE INDIRECT DRAIN 1p MOP SINK - COMPACT STYLE z 0 W W = Z 3 U = Q w 3 �Q C) LLJ IUD Q LO L0 C, © M Z o Q N cif � Q L 0 z 0 W W = Z 3 U = Q w 3 �Q C) LLJ IUD Q LO L0 C, Z Q � a C L 3 co Lu _ ►� Project No. 10433 Date JAN 109 04 Drawn By Th Drawing No. A2_ I i 01 I �J GFI Alf CC NORTH ELEVATION SCALE: 3/8" = 1' -0" s - M« MP SE rnrnnn a rI% or- d� � M tt o N O LO N V J d 0 Z O Q W Q L 2 3 6- O O CN cD 0 �0�� J4# 1 Z00 a � FRM�„ CFjr D A z d , s_ o n E w U C C Project No. 0433 Date JAN 10, 04 Drawn By TH /1 Drawing No. A3 .L� % ) C�) LO 0 z S � N L LIGHT w/ MOTION DETECTOR O z 1 °� aC> Ln of �o LLi to 0 I 1 r r r 1 ' MENU �' o� A J AN c) 1, 05 z C) L ; FLOOR ■+ o W u m Cz 3 8 W ° 14- SOU TH ELEVATION EAST Y U A.�-�O N Pro No. r n �+ � X0433 SCALE: 3/8 = 1 -0 � � SC�E��3��;f�' . - , 11 wl�l NCt. Date APPp AN o O4 tw* iie4 IAN z e 2005 Drawn By Th Drawin9 No. City Of r BU 'LD- ukwi1a NG .I. i R FI��. . 1 " AIR SPACE ROOF TRUSSES 0 24" O.C. METAL GUTER, 1X8 FASCIA TOP OF PLATE /HDR )�" PLYWOOD OVER 2X4'S ® 16" O.C. SHELVING .'4)E CoMP AP, f b e ,w +lYF D SAN � 61005 I B(IICD NG bi SHELVING Z 0 o� RUBBER COVE BASE FLOOR TIE-DOWN ANCHORS - SEE DETAIL 1/A7 vvi; prol 1) r. 0 0 wnu: 4" BEVEL CEDAR SIDING, MOISTURE BARRIER Cr A�CF� (TYVAK OR EO), OPT(/�rVLA C PLYWOOD JAN (NAILED W/ 8d COMMON NAILS 0 6" O.C., EDGES BLOCKED) pFRMIt��A 2X4 STUDS 0 16" O.C. (HF#2)p R -19 FOIL FACED RIGID INSUL (TAPE JOINTS), PREFINISHED WAIL PANELS W/ SMOOTH WASHABLE SURFACE) BUILDING SECTION SCALE: 3 /8w — V-0 of BUILDING SECTION SCALE: 3/8" = 1' -0" OOF: METAL ROOFING, 15LB FELT, 1/2" CDX PLYWOOD (NAILED W/ 8d COMMON NAILS 0 6" O.C. TYP), PRE —FAB TRUSSES @ 24" O.C. (HF #2) FOIL FACED R -30 RIGID INSUL, 'VAPOR BARRIER, PREFINISHED HARDBOARD PANELS W/ SMOOTH WASHABLE SURFACE. FLOOR: SHEET VINYL, 3/4" T &G PLYWD 48/24 SPAN RATING NAIL W/ 8d NAILS ® 6" O.C. AT EDGES & 12" O.C. AT INTERMEDIATE FRMG, 2X4 JOISTS ®16 Q. __HFO2 R - 19 RIGID INSUL TYVEK BLDG WRAP OR EQ. 0 o� W F- 0 LO . N � N Q � LL_ t.C) O 0 F-Q N Q N 0 z W F- Z W 3t Q � LL_ O 0 F-Q N N 0 Z 4_% Q u � N .s � c 3 u-i ° _ � Project No. 10433 Date ,JAN 10, 04 Drawn By Th Drawing No. A 5 1 _A ALL FLOOR FF EMBEDED TIE -DOWN AT 4 CORNERS 2X6 RIM JOIST TYP P.T. 4X6 BEAM 0To cn H #2 TYP z LO ( 3 PLACES) o N O Ln � N 00 O V = D 0 F f= Q 2 S W � � P.T. 4X6 BEAM H #2 TYP z ( 3 PLACES) o d 00 O V = D F f= Q 2 S W � � O O 12 "X 12" CON C. U PIER TYP. oL FLOOR FRAMING PLAN PRE- -ENGINEERED SISSORS TRUSSES @ 24" O.C. c ipf, �2g1005 GIN � �pr►15ION BUIIAIN� I` 0 Cr N I 1 + 1 2X8 PT RIM JOIST TYP Lr� V{���y V � ���• ���VVV{�V � r r 1 I CL F- 1 I O Cdr or �r V4 , 1 j %.4# F- �R ICl- 1 N SCALE: 3/8" = 1' -0" 0 z d � O w U s oL w � w 3 Project No. 0433 Date JAN 10, 04 Drawn By TH Drawing No. AG SCALE: 3/8" = 1' -0" �► • * � 17' - 0" zxe "RIM DS' TYP ROOF F RAMI N G PLAN ROOF. METAL ROOFING, 15LB FELT, 1/2" CDX PLYWOOD (NAILED W/ 8d COMMON NAILS 0 6" O.C. TYP), PRE -FAB TRUSSES ® 24" O.C. (HF #2) FOIL FACED R -30 RIGID INSUL, VAPOR BARRIER, PREFINISHED HARDBOARD PANELS (1/8" F.R.P. OR E O. ) 2" VAN YL ' VENT STRIP f METAL GUTTER, TYPICAL 2X8FASCIA 1w ING SECTION 'tbNSl$UCTION C DFC '�C� A�,p, �MP�AN F \— SIMPSON N1 CLIP NAIL 1/16" MIN. APA RATED 1114 EACH TRUSS c SHEATHING BOTTOM EDGE TO � 10 PT 4X6 WITH 10d NAILS AT 6 ON CENTER. ALTERNATE HIGH & LOW 1 TRUSS TOP , CHORD i i TYPE G60 STL STRAP EXTENSION WRAPED 2X AROUND 4X6, i OR SIMPSON ST36 STRAP FULLY NAILED AT 4X6) OR E0. TYPICAL EAVE NOT TO SCALE "I \-\ / 11 \ 1\1 1/> ice % X �% Y" DIA. MB � OR PER MFR. RQMTS. WIND STRAP 5 TIMES MIN li -. fi 14"'r r/.; STEEL TIE -DOWN 'MOBILE HOME' TYPE CROSS- DRIVE, 45 DEGREE, 30" MIN. EMBEDMENT 1 AT EACH CORNER (4 TOTAL) TIE -DOWN DETAIL Q 0 L z � U = O �� �_ G m C) W � �o 0 Q to to N Lr) 0 9 t r- te ` n co Z F K0�Go - 0 C\l ` o Ln a N Q 0 L z � U = O �� �_ G m C) W � �o 0 Q to to N Lr) 0 Z � a 0 L lu `- oC w -�-� Project No. 0433 Date JAN 10 04 Drawn B Th Drawing No. A7 i • .1.M