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Home My WebLink AboutPermit B96-0033 - CITY OF TUKWILA / TUKWILA COMMUNITY CENTER - RESTROOM DEMOLITIONCity of Tukwila C (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 DEMOLITION PERMIT Permit No: B96 -0033 Type: B- DEMOLI Category: NRES Address: 12424 42 AV S Location: Parcel #: 017900 -3239 Wetlands: Water Dist: TUKWILA Units: 000 Contractor License No:BERSCPC148CD Permit^ Status: ISSUED Issued: 02/26/1996 Expires: 08/24/1996 Slopes: Y Sewer Dist: SEPTIC Buildings: 001 TENANT TUKWILA COMMUNITY CENTER 42 AV S, TUKWILA, " WA.98 168 OWNER CITY OF TUKWILA 6200 SOUTHCENTER BLVD, TUKWILA WA 98188.. CONTRACTOR BERSCHAUER PHILLIPS CONSTRUCTION Phone: 360 754 -5788 P.O. BOX 6264, OLYMPIA, WA 98502 CONTACT RANDY BERG Phone: 206 433 -0179 6300.-'SOUTHCENTER BLVD #100, TUKWILA, WA 98188 ******************' k**** k.**** k******.**' k***" k*' k***'k'k" k" kk*k"** *k *k*:k * *"k*"k•k**k *"k** Permit Description: Valuation: 500.00 DEMOLISH RESTROOM BUILDING.: Demolition Fee: 42.00 Investigation Fee: .00 Cash Bond .00 Total Permit Fee: 42.00 Bond Number: 760120.47486954" ****** t**********`************************"*** * * * * * * * *"k * * * * * ** * * * * * * * * * * ** it* Center "Authorized.Signature rcaJG 19 Date I hereby'cer.t.ify 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 constructiono.r th"e..performance of work. I am authorized to sign for an obtain this b "uil ing permit. Signature: Print Name: _.pY_4s160.d7 Date: Title: -1_QoVIee'211 L This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. ALL PERMITS FOR DEMOLITION PROJECTS REQUIRE CONSTRUCTION, DEMOLITION AND LANDCLEARING WASTE MATERIAL FROM THESE PROJECTS TO BE RECYCLED AT A KING COUNTY LICENSED OR APPROVED FACILITY, OR TAKEN TO REGIONAL DISPOSAL FACILITIES. DEPARTM DA TE IN DATE APPROVE REQ UIR EMENTS l COMMENTS - BUILDING - initial review Q- D -�10 2_5.C16 R, (ROUTED) CONSULTANT: Date Sent - Date Approved - 2nd NOTIFICATION 0 FIRE V FIRE PROTECTION: L) Sprinklers ( ) Detectors U N/A FIRE DEPT. LETTER DATED: INSPECTOR: INIT: 4A4 S PLANNING ) ( J � s l& f L j _ ZONING: IBAR/LAND USE CONDITIONS? ( - )Yes [J No REFERENCE FILE NOS.: I�� INIT: .dCi " MINIMUM SETBACKS: N- S- E- W- PUBLIC WORKS 1.--42-q mil? f UTILITY PERMITS REQUIRED? Yes Li No PUBLIC WORKS LETTER DATED: INIT: JJ` j O OTHER INIT: 4 BUILDING - final review 'Z - /z. ' qt., TYPE OF CONSTRUCTION: `��- nn %�- -''l�� CERT. OF OCCUPANCY? OYes j�(No UBC EDITION (year): \ � , c4 -1 G INIT: C � A BUILDING OFFICIAL L, - 717Z-1742 It) M- . ! '1 i"�� \ INIT:. .-\ AMOUNT OWING: 4-tD. cii-' CONTACTED � � � : (init.) ' � DATE NOTI cg q (Q `--DeJ/ 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) PLAN CHECK NUMBER INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. REVIEW COMPLETED CITY OF TUKWILi ' Department of Community Development - Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PROJECT NAME UK(Wo- Commoni CQr & SUITE NO. SITE ADDRESS Z-I u( eV) .5 01/08/93 SITE ADDRESS SUITE # 129 '12H2 Av . 5. VALUE OF CONSTRUCTION - $ 503. PROJECT NAME/TENANT -- n: Kt ILA COr'tM U f-1 vfr Ge 1'M R ASSESSOR ACCOUNT # d l 7°490 - 3 2_51 (commercial) Ltd - Demolition (building) 0 Other TYPE OF 0 New Building U Addition U Tenant Improvement WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: P•t PIA 1-4 se- P-ahi IJ I L7I F4 BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? 0 No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? No 0 Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: 0 Sprinklers 0 Automatic Fire Alarm System PROPERTY OWNER c O F -rij I� vJ I L- PHONE,�3.3_OI 7 ADDRESS �ZbO R L'/f7 PHONF{ 0 ZIP 1 8g 754_9 78 $ ZIPcIf32O CONTRACTOR 1 . -12. UnR 1 L,-1 (; -r, Co. ADDRESS Pd �v7 WA CONTACT PERSON 1 PHONE �X OL-Yfi PIS-, WA. ST. CONTRACTOR'S LICENSE # Q,.__P6,— ( � EXP. DATE ARCHITECT A �G � rrE--T- PHON 3 -33 Z Z ADDRESS ADDRESS 1101 - T PI K C � �" ran TT1 ZIP 0.1 � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT, AND I: AM: AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE DATE � PRINT NAME P P HONE 16 ADDRESS 636:t, � i4cFFI 13Lvi) �JK k AC- CITY/ZIP C 1s‘ CONTACT PERSON 1 PHONE CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 FR..ECI Li - . (j(0 ;PLAN CHECK ! NUMBER APPLICATION MUST BE FILLED OUT COMPLETELY i • 0033 BUILDING PERMIT APPLICATION DESCRIPTION BUILDING PERMIT FEE PLAN CHECK FEE BUILDING SURCHARGE OTHER: TOTAL - AMOUNT RCPT # DATE APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER I AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. If you have any questions about our process or plan submittal requirements, please contact the Department of Community Development Building Division at 431 -3670. DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES - - C( 10/ 22/99 :OMMERCIAL "EW COMMERCIAL BUILDINGS /ADDITIONS _I Completed building permit application (one for each structure) Assessor Account Number Two sets (2) of the following: I Specifications Structural calculations stamped by a Washington State licensed engineer. 7 Soils report stamped by a Washington State licensed engineer Topographical survey 7 Energy calculations stamped engineer or architect Legal description Working drawings, stamped by a Washington State licensed architect, which include: • Site plan • Architectural drawings • Structural drawings • Mechanical drawings • Elevations • Civil drawings • Landscape plan Completed utility permit application (one for entire project) Six (6) sets of civil drawings NOTE: See utility permit application and checklist for specific utility submittal requirements. RACK STORAGE Completed building permit application Assessor Account Number Two (2) sets of plans, which include: Building floor plan showing: • Ent.'e space where racks will be located • Exit doors • Dimensions of all aisles Tenant space floor plan showing rack storage layout, aisles and exits. NOTE: Include dimensions of racks (height, width and length), aisles and exit ways on plan. Structural calculations stamped by a Washington State licensed engineer (rack storage 8' and over). RESIDENTIAL NEW SINGLE - FAMILY DWELLINGS /ADDITIONS Completed building permit application (one for each structure) i j Legal description Assessor Account Number Two sets (2) of working drawings, which include: • Site plan - (On plan, show closest hydrant location. • Foundation plan Include access to building, showing . < • Floor plan width and length of access.) • Roof plan • Building elevations (all views) • Building cross - section • Structural framing plans Washington State Energy Code data Li Completed utility permit application Six (6) sets of site plans showing utilities NOTE: Building site plan and utility silo plan may be combined. Soo utility permit application and checklist for specific submittal requirements. Additional topographical and soils information may be required if unique site conditions. SUBMITTAL CHECKLIST COMMERCIAL TENANT IMPROVEMENTS Completed building permit application (one for each structure or tenant) - Assessor Account Number Two (2) sets of construction plans, which include: Site plan • Location of tenant space • Existing and proposed parking •.Landscape plan (if applicable, i.e., change of use)- . ri Overall building plan • Tenant location • Use of adjacent (common wall) tenant • dimensions of building or square footage n Floor plan of proposed tenant space • Tenant space plan with use of each room labelled. • Exit doors, egress patterns. • New walls, existing wall, and walls to be demolished. - Construction details •.Cross sections showing wail construction and method of attachment for floor and ceiling. p i Structural calculations stamped by a Washington State licensed engineer may be required if structural work is to be done (2 sets) NOTE: If any utility work is to be done, submit separate utility permit application and plans. REROOF Completed builo:ng permit application (one for each structure) I Assessor Account Number El I I Narrative describing existinc roof, material being removed, and material being installed. . NOTE: A certification letter is required prior to final inspection and sign- off of the permit. ANTENNA/SATELLITE DISHES II Completed building permit application p i Assessor Account Number Two (2) sets of plans, which include: Site Plan (showing building and location of antenna/satellite dish) Details antenna/satellite dish and method of attachment Structural calculations stamped by a Washington State licensed engineer may be required RESIDENTIAL REMODELS Completed building permit application (one for each structure) Assessor Account Number Assessor Account Number Two (2) sets of working drawings, which include: • Site plan • Foundation plan • Floor plan • Roof plan • Building elevations (all views) • Building cross- section • Structural framing plans NOTE: If any utility work is to be done provide utility permit application and plans must be submitted. REROOFS Completed building permit application (one for each structure) Narrative describing existing roof, material being removed, and material being installed. NOTE: A certification letter is required prior to final inspection and sign - of.' of the permit. Address: 12424 42 AV S Suite: Tenant: TUKWILA COMMUNITY CENTER Type: B- DEMOLI. Parcel #: 017900 -3239 CITY OF TUKWILA 141 * kiYy4 ;l•k•k***kk** *k***A.A *k**A4 kk* **k***Ak *4kAk* 0 Wkkkk4kk4*4kk4 k k 4 A Permit Conditions: 1. Temporary erosion control °measu'r:e` s ha be implemented as the, first order of .b.usi.n�es s""to prevent "s`edime:nLt.a off - si te or into existiingg ° Storm„ dralnage.facili " 2. No changes will be made to the 'p Iant,:- unless approved ••..b_y the Architect or Eiaineer2"ahit the Bui ldlnu.`- Criv'ision. 3. Al 1 perms ts;R {;•jfispect;ion,_re co' r ds, and, approved `p plans shall be available ,'a,G.: the., job sito R.r`iot to - the` start "' off any_.,con struction These,,. documents are `,to be ma inta `avai n.t: l - able u, fi'ia',1- inspection appro is granted,. ' fit.: :' I ,. �. � f 1 4. All construction to/be done„ irl conformance with ::ap'p'r,oved p1ans?;,;an'd r equ1r�etiients o.f`,'the` Uniform Building Code (1994 Edition) as.;;;amended. ..:,::` S. Val i i•i'ty of = The issuance "of :a permit or approval - ,`of plans sp,ecif ications, cOMputat,j:ons shall not stru�ed to' be a. permit, :for-, or' an app rova'l �of„ any viola"ti on r of any of the prov i:s,i.ons..' of. the ; bu i .l d i ng ,,code or of an v other ordinance <;of• - .,the'° .1 urisiiicti'o,n. No permit presum givte <.a uthor ity to vio la £ ors' cancel the provi sion_ o i code s ha 1,1; <'he = ;va l i ii Permit No: B96 -0033 Status: ISSUED Applied: 0210211996 Issued: 02/26/1996 • GENERA 42.00 VOID .k********** MENERA -42.00 CITY OF 1UKWILA. WA fatp pc\ TRI)N9M11 CAM 0.00 * A. h.* A * it**A* 1.• . 1r 4 ' A h-A k * 40 * k * *04F it26, 06k 4 t /413 3041A000 15:32 1PANSMIT Number': 96003706 Amount: 42.00 02/26/96 09:06 Payment Method: TRANS Notation: CTTY OF TUKWILA In it: SLR -• _ • -• • - • • ^ - • . .1. • • - •• - • - - • . • • .• • • •• • - • • • • -• .• , • • - - • - • . N -• .• ^ . • _ • • • • - • Permit No: 39G -0033 Type: n-DEmou DEMOLITION PERMIT Parcel No: 017900-3239 Site Address: 12424 42 AY S Total Fees: 42.00 This Payment 42.00 Total ALL Pmts: 42.00 Balance: .00 1,41c*4-***4*4.*oA*4*A*A*A**.A*,k4*4*4**A.**A+A*****,%*4/,****%*,‘*k21,*k* Account Code 000/322.100 *14 Description Amount BUILDING - NOORES 42.00 30D oo 690 130 10 1 <Lia.co> Communt) Projer P /� y r T ypq,.t �. cut ins iorti;-_.._ /I ) �rl tLV —/ Date called: Address: Special instructions: Date wanted: , � ^ - / a.m. ]""C-� - - 7 p.m. Requester: Phone No.: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 /1 Approved per applicable codes. COMMENTS: Inspect • / Date: PERMIT NO. (206) 431 -3670 Corrections required prior to approval. /10 $42.00 REINSPECTTT N FEE - EOUIRED. Prior to inspection, f must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: �.a . . 4 ...s;144[_■6' Project.- o Kw ‘ to,_ Cs,min. CQNPY Type of inspection: p pi no j Address: 14 Li 4D ) kl ' Date called: Special instructions: fk126tr00 in Arn° citirO°61 5S5 - .../ Date wanted: a.m. P.m. Requester: Phone No.: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670 OMMENTS: t Approved per applicable codes. Corrections required prior to approval. Inspector:16 I 2/119 Date: $42.00 REI cPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ic a conlin G2nier Typtnimic Fral Date calF, mg 9 7 A 4 La v s Special instructions: lh t was -the demo 0-r 111-e. refrOCirn biag, Date wantrd.. 30 .q..- a.m. P.M. ReqUelV f 369 Phone No.: ../..eparertmr.Iftaw.goorms...v.voamamwsor.rrtzegtos... INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 PERMIT NO. (206) 431-367 I COMMENTS: g fk(&.vila F 1.1PeL Inspector: Date: f i$. t q ci7 Approved per applicable codes. Cgr Corrections required,priocto approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: City of Tukwila c Issued By: Final Inspection Approved: SANITARY SIDE SEWER Inspector Signature Date (206) 431 -3670 Community Development / Public Works • 6300 SouthcenterBoulevard, Suite 100 • Tukwila, Washington 98188 Permit No: PW96 -0019 Issued: 02/26/1996 Status: ISSUED Approval Letter: 02/13/1996 Project: TUKWILA COMM CTR Expires: 08/24/1996 Site Address: 12424 42 AV S Parcel No: 017900 -3239 Wetlands: Watercourse: Slopes: Y Water: TUKWILA Sewer: SEPTIC Type of Install: Number of Units: 000 Exist SO FT: Add SO FT: New SO FT: Contractor License No: TENANT TUKWILA COMMUNITY CENTER : Phone: (206)433 -0179 12424 42 AV. S, TUKWILA WA 98168 OWNER CITY OF TUKWILA 6200 SOUTHCENTER BLVD, TUKWILA WA 98188 ENGINEER ARC ARCHITECTS Phone: 206 322 -3322 1101 EAST PIKE, SEATTLE WA 98122 CONTRACTOR BERSCHAUER PHILLIPS Phone: (360)754 -5788 PO BOX 6264, OLYMPIA, WA 98507 CONTACT RANDY BERG PROJECT MANAGER Phone: (206)433 -0179 ; TUKWILA PUBLIC WORKS, 6300 TUKWILA WA 98188 Description: REMOVAL OF SEPTIC TANK DUE TO DEMOLITION OF REST= ROOM BUILDING. (BLDG PLAN CHECK NO. B96 -0033) **********************'************************* k** k*** k *** ******4k*-k** * *kk'k Inspection. Fee: .00 Acct No: 402/342.400 Hook UP Fee: .00 Acct No: 402/388.102 Special Assessment: .00 Acct No: 402/388.101 'TOTAL FEE: .00 ******************************.****************' k*• k * * * *k* ****** ** *** * *** * *k ** **k* THE APPLICANT'HEREBY. ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL- APPLICABLE SECTIONS OF THE CITY OF TUKWILA MUNICIPAL CODE AND APPROVED PLANS. WE ALSO AGREE THAT. THE CITY OF TUKWILA SHALL BE HELD HARMLESS FROM ALL OR ANY CLAIMS ARISING AS A RESULT OF THIS PROJECT.PERMITS WHICH HAVE LAPSED BEYOND THE PERMIT EXPIRATION DATE SHALL REQUIRE REAPPLICATION AND RE- ISSUANCE OF THE PERMIT THROUGH THE CITY OF TUKWILA AT AN ADDITIONAL FEE. APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT & COMPLETION OF WORK AT LEAST 24 HOURS IN ApVANCE. FOR AN INSPECTION CALL 4 -0179. Signature: 1 Date: �. , Company: L2L Gr 1 u t6 Title:.. 0: r * k********************************************** * *k * * *k* * * *k * * * * *k * * ** * * * ** ** APPROVED FOR ISTUANC, : JJS Fc&- %, 19 Authorized Permit Center Signature Date ********************************************** * * * ** * * *** ** * * *** * ** *k * * ** *** ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for side sewer construction. 41WelWANMaqgaVekKtingetrOVZMitiVIOAtX=.0430= / Addres : t e : Tetlant: TYPe: Parcel #: .4 Status: ISSUED Applied: 02/05/1996 Issued: 02r26/1996 4 t444 .44 4 *..A. 4 4.44.444.4.4444.4.444 4 . 4s e kkA 4•4.**.4.44.4.4 A - 4. •4 14 4-4 4 .4 • *444 kk Permit Cond i ti ohs -. 1 • THE SEPTIC TAW SHALL BE PUMPED EMPTY AND REMOVED OR ....E44. L ED WITH SAND. A COP Y.O.F„,, FROM THE BUSINESS THAT PERFCT„MEDlli PROVIDED TO THE CITY I N S P E PTO :**.;•-'''-'" - t-0 - - -.J.. 't),.'■.../7 ` 2 . • Temp o r a ry e r o '4,1:11)AP't-d t r olT) m e a s u i . te,.,;:n. .2: h all b e' in rf4-e.m e h t e d . • t h tl t i t 4..A.,•",;,'!" i; i t s • ...) rdgi.',.: f 44.■ t v r4 e . ' s' s 4 t 0 o r e n t . d A m e ntii kttql) 0 f I - , Tty: ',i,.! _,. i;} - t: ..it' , 1 ,, ' . Zire or 1 11,t."C`-'we< StitA il 11 ru.'t 4.)1:111 - ;t11 Ti t ',:i a 9 e'? fadi:ih t.4 es . .Izi '')g. t•2t q ..:‘,,), ‘ i:-, - 1 .4:r7e . r.r iit) ,t, '‘.,•:: ',.:,, • • ' '`./' .s ''' ''•?•. ,,,, ..,.; ;ft tf: ,!, .-.,!:..,, ..), ., ef '" . , ,/ t. .c. ,, . - t't ''• 't: .: , -.• ' .. ',.•:—:'.'-, 0 •7_ '" s '•■ . i . r .• ., ; 'I ■ , ' ,. • .• . . '. - • •• " ` -.- ..A \II I 1, • Ai l' . Cr 'IN 01 . rfi .9 4(0,/ N ti', I S . ..... , ‘ , P N \ I A\ ir .•■ ,.e.•:' 0 0 ':, '' ' ,' '' ( ''' '•';: .. , : , 4 . 1 ". , '.,:-,..:,;!\;:\ ...,,,, .•:` . " ..e ....4. .1 • ,.... -•.• , n- •1)• • t , , . ,-,:;. • ,, _ , 0 ' - t-,,..., .;tt ..,,...v, ...r,--4'. t. . ,•-• • . .r N. , i --—..,, ,r t....„,,,... r .. ,:ii . ,. .S '..1 . 5 .' , ' .,,- .1.. f . t •..........' . \ ' i N. .. ??t „ . : :,:-r,i-, : . ' 1 .., 1 ; i ‘,,l''...„ ;; i :, ;: ,,,, .... ..• ,;,, `.• • L. ,./ i -. K.= ,t ....' • '. \ t. °:. t" -.* _..../.....% \ , :„' / I / / '''''" , 0 r ' cd,'"' ;.,. ! ;:';:., ■ • ,. , 12424 42 AV S RANDY BERG. PROJ MANAGER TUKWILA COMMUNIT% CENTER PW-SSS 017900-3239 Si C I OF TUKWILA , V , , Si t••• ,.. ,,,; '2' lc 'A; :it sn , ,..., .......:: t= ',.:, 3, - ,,,. ,w-sl'.:' ' \ 7•,- 44 4 .1-,• :1 4. ' ' ' SS t''''''l .. e . t ,1 , , ,■„,„,„!.. ,,,. ) .' „,...vi: \ '; ,.. ,,,,,,,, •;1'1 ;1 •';'';`,;'' (1. o " Lt• .:'.•,. ts :- 7 ' t " ... , - ..,....k....,„ ,s, ,',... %fl ,; 1; f•—• , • •'".ktt'P'i • Permi t No: PW96•6019 6i • f • S' 4 4-.4 4. - I, 1 K • .43 I City of Tukwila Central Permit em - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 VjEdtg:; Site Address: INFORMATION . . .. Name of Project: Property Owner: Street Address: En ineer: ;•;...: UTILITY PERMIT APPLICATION, P(A)' -00/c-1 • l!plIcatIon # REG ot Phone: (206) 433-0179 Phone No.: Cit /State/Zip: Phone No.: City/State/Zip: (.31 Street Address: 11,1 Contractor: p Street Address: 1 1,tk 6V P(406 -0010 WATER: METER:: D EP OS ITI MONTHLY SERVICE BILLINGS TO: 0 Water DESCRIPTION OF . ..... ... ... .. : ... . . . . INFORMATION • • • • . . Date: Date Application Accepted: •■• toraP • PER MIrs:".1 0 Channelization/Striping/Signing REQUEST 0 Curb Cut/Access/Sidewalk :* • 0 Fire Loop/Hydr. (main to vault) — No.: Sizes: • O Flood Zone Control O Hauling O Land Altering cubic yards O Landscape Irrigation O Moving an Oversized Load Est. start/end times: Date: X Sanitary Side Sewer— Nos Name: ; Street Address: Name: Street Address: 0 Sewer 0 Metro U Standby King County Assessors valuation of existing structures: $ 0 Single-Family Residential 0 Multiple-Family Dwelling 0 Hotel 0 Duplex No. of Units: 0 Motel 0 Triplex CommerciaVlndustrial D Office D Warehouse 0 Retail 0 Manufacturing New Building 0 Remodel/ Square Addition Footage: Apartments Condominiums • O Church O Hospital Phone No.: City/State/Zip:Qt_ King Cty Assessor Acct #: e2t -32.3 Contractors License #:17g...1 Exp. Date: O Sewer Main Extension DPrivate 0 Public O Storm Drainage O Street Use 0 Water Main Extension 0Private 0 Public 0 .Water Meter / Exempt: — No.: Sizes* Deduct 0 Water Only la Meter / Permanent — No • Sizes* O Water Meter/ Temporary:— No.:_ Sizes_ Estimated quantity: / Schedule: g Other: tio Phone No.: City/State/Zip: Phone No.: City/State/Zip: 0 Other: RECEIVED TUKWILA Pt IRI Ir, WORKS RECEIVED CITY OF TUKWILA .CEIVWR School/Cola iuniversity 1:)ther: Square footage of original building space: Square footage of additional building space: Valuation of work to be done: $ :. I 1 ORRECT.. Applicant/Authorize. Contact Person Agent Signature _(print name): an Y' Print Name: l.- Address: tP°)Crt) ( ;00114 Phone: V---1:4- Mt/VU k VjPr 0(g Iqg 7 Q -C I LD FEB-2---, FEB -216 Date Application Expires: Q 04/22/92 4 11 ' T. S City of Tukwila Department of Public Works NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: S PUBLIC WORKS ENGINEERING DATE: February 13, 1996 SUBJECT: Tukwila Community Center Septic Tank Removal 12424 42nd Ave. S. Project No.: PRE94 -026 Plan Check No.: 44544:64. B9 G 33 Activity Nos.: PW96 -0019 Contact Person: Mr. Randy Berg Phone No.: (206)433 -0179 • John W. Rants, Mayor Ross A. Eamst, P. E., Director THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON February 13,1996: PERMIT FEE PW96 -0019 Sanitary Side Sewer NO FEE Two copies of the confirmed Utility Permit Application Form with a set of plans are attached for inclusion in the permit file. JJS /mv Attachments a/s c£ PW Utilities Inspector (w /copy of application/plans) Development File(w /copy of application/plans) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 4310179 • Fax (206) 431-3665 i Conc Stop \Bust 15.05 O 0 Cone Mon Not + – - Q X10 0 rn A d • I 1 Con I Wolf I I n ' lti5 f III 10 "Alder 8.22 15.111 ONO 4 H r 0 i5. 4 ti ^ Ditch 6"Conc t . wi ai • 1 ^ N 8917'24" W .100.00 17.44 ;!:, in - 0 17.38 rn g rMr '0 Swale 0 n1 • W II- 0 X17.2 -.... Fend w ti /A X 17.07 140.85 A PS 111 —p�fly rfr kK "fo Pu rvi W 4 aem 49 t �U I LPI 3E PEMa1,-I SI-{ MM. MOO 4.111•MMIIIIMI.0 \ tb X 0 05.50 17.10 C \• El Meter Mater wolf /wilwa 17.11 17.78 'u m l � 7.74 X 17.55 • N Si 11 . Shoulder l7 ONO iamb • 1 Conc Mon Not mound fr + - i i i Conc Bus Stop r) w c 1 3 * N 1 N I R. 1 i vt- N Conc Wall 1.22 13.68 .13 0 Alder N 17.31 to R, ^ Ditch 6 "Cons 0 Wall 0 1e.• N 8917'24" W .100.00 Fence w 140.85 11.47 (lb ri ` °. Pu Mp2 d. gem ±4:90 i3 I1-2 - 5 ; M awl I-} x 17.97 1q) 17.10 :7 ,Anchor Wire 1.01 0 • Shoulder El Meter Water Vault /valves X 13.11 lx 17.21 � 1 7.7e�n.M x 11.22 x 17.54 • 1 N 8i• rr OMB i • Jan 28, 1997 RANDY BERG 6300 SOUTHCENTER BLVD #100 TUKWILA, WA 98188 RE: TUKWILA COMMUNITY CENTER Dear Permit Holder: Sincerely, ft City of Tukwila Kelcie J. Peterson Permit Coordinator Department of Community Development is . Ott FILE COPY John W. Rants, Mayor Department of Community Development Steve Lancaster, Director Our records indicate that on Aug 24, 1996, one hundred and eighty days will have passed with no inspections having been called for under Tukwila Building Permit Number B96 -0033. Unless you call for an inspection, or obtain a written extension from the Tukwila Building Official prior to that date, your above referenced permit will become null and void on Aug 24, 1996. If your project has been completed please call for final. If you are actively working on it please notify our office. If you have any questions or need further information to obtain an extension on your permit, please call the Tukwila Building Divison at 431 -3670. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665 Offry.,nFiat SItufflt.`Plif Jt1;gi;i .,g : . '\ts; t {iE•:q }I 1 4 .1. Mi o. Ili 6.not }). /;;•hilt Surety), are held and firmly bound unto 51A.9.$1 .................... f IA_17 (Date) UNITED STATES FIDEL UARANTY COMPANY KNOW ALL MEN BY THESE PRESENTS, That we Berschauer Phillips Construction Co. r �., Q,.... ox 6264, Olympia, WA 98502 (hereinafter called the Principal), and UNITED STATES FIDELITY AND GUARANTY COMPANY, a Maryland corporation (hereinafter called the City of Ttkwila 6300 Southcenter Blvd., Tukwila, (hereinafter called the Obligee), in the full and just sum of SE 1E P IT T,TON THREE HUNDRED NIN'TY TWO THOUSAND .NINE HUNDRED FIFTY CNE AND NO /100 - - - - -- ($7,392,951.00) dollars, lawful money of the United States, for the payment of which, well and truly to be made, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, The said Principal has executed and entered into a certain contract with the said Obligee dated August 28, 1995 for Tukwila Community Center, Project 93 — BG06 In said contract described; which contract is hereto annexed. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the said Principal shall well and truly perform and fulfill all and every the covenants, conditions, stipulations and agreements in said contract mentioned to be performed and fulfilled, and shall keep the said Obligee harmless and indemnified from and against all and every claim, demand, judgment, lien, cost and fee of every description incurred in suits or otherwise against the said Obligee, growing out of or incurred in, the prosecution of said work accord- ing to the terms of the said contract, and shall repay to the said Obligee all sums of money which the said Obligee may pay to other persons on account of work and labor done or materials furnished on or for said contract, and if the said Principal shall pay to the said Obligee all damages or forfeitures which may be sustained by reason of the non•performance or mal• performance on the part of the said Principal of any of the covenants, conditions, stipulations and agreements of said contract, then this obligation shall be void; otherwise the same shall remain in full force and virtue. IT IS, HOWEVER, MUTUALLY UNDERSTOOD BETWEEN THE PARTIES HERETO, That in no event shall the Surety be liable for a greater sum than the penalty of this bond, or subject to any suit, action or other proceeding thereon that is instituted later than PROVIDED, HOWEVER. That in the event of any default on the part of said Principal in the performance of any of the terms, covenants or conditions of said contract, or in the event of any claim, demand, judgment, lien, cost or fee being obtained or made against the said Obligee, for or on account of the prosecution of the work as aforesaid, written notice thereof, with a statement of the principal facts showing such claim, demand, judgment, lien, cost or fee and the date thereof, shall within thirty days after the same shall have come to the notice of the said Obligee, be given to UNITED STATES FIDELITY AND GUARANTY COMPANY, at its office in the City of Baltimore, Maryland. PROVIDED, FURTHER, That the Surety shall not be obligated to furnish any bond or obligation other than the one executed. Signed, sealed and delivered August 28, 1995 Witness as to PrincipM Berschauer Phillips Construction Co. By: r` . y �r-+.t. ... •M ' v:. r. f . •• •. h •; : v:+ ' .. ,., • .•. q t r . ; « R I 1' •5•. :i' I •,,;•, ,•� f .t} t .lit 1._ . l _ (.:r11)sttt:• „Jf1: t(...1i1)i... /.t,itl��:. .. t �••� /Le:tt. 1ir.s:..1r..L ,A24^- Karen Swanson BOND NUMBER 76012047486954 IDELITY AND GUARANTY COMPANY (Seal) Attorney-in-Fact :t 7,/i275; tiELMAAfjl%.UR:stir•r fi•i . X f:it �l lt�t.i ' {'i J W United States Fidelity and Guaranty Power of Attorney No. 109141 Vice Prudent and Asststar Secstary. fesktneiy. d the company. FS 3 (7.94) the United States Fkf.l Guaranty Company on this 28 th No Assistant Secretary Company Know all men by these presents: That Gaited States Fidelity sad Gisraaty Company, a corporation organized and existing under the laws of the State of Maryland and having its principal office at the City of Baltimore, in the State of Maryland. does hereby corutMe and appoint Robert E . He ilesen , Delene M. Losch, Randolph J. Carr, Stephen Feltus, Jack P. Sutton, Karen Swanson, Marie Turner and Eric Zimmerman d the City of Tacoma , State of Washington its the and lawful Attomeyis Fact. each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other when instruments in the nature thereof on behalf of the Company in its business of guarameei 2 the fidelity of persons: gwrarteeirg the performance of contacts: and executing or guaranteeing bonds and undertakings regrind or permitted in any actions or proceedings allowed by law. In Witness Whored, the said United States Rdailty sad Coarsely Company. has caused this instrument to be sealed with iu corporate seal, duly attested by the signatures of iu Y . P r e s i d e d and Assistant Secretary, this 10th day o f March , AD.19 9 5 . h Testimony Whereof, I have hereunto set my hard and dayd August .19 ' 9 Cora nary, e President ti ts Assistam Secretary U SF+G' State of Maryland ) SS: Baltimore City ) .\; Nth* 10th day of March A..e ¶95 ,before rte persorillF ante Join A. Huss, Vice President of Vatted Stales Rdeihy and fiwraary Company and Thomas J. Fitzgerald, Assistant SecretaV aid'Comparry, with bo of1 lam personally ariguainted, who being by me severalty duly sworn. said. that they, the said John A. Huss and Thomas J. Fitigerakf�w�r `rsspectivey the V s P4es t the Assistant S,cr�tar�lr yhe said Welted States Fidelity and Guaranty Compaq, the corporation described in and which e eccr ed the foregoing Power 1r 11ttymey: that they each yet. seal of said corporation: that the seal affxed to said Power of Anoney was such corporate seal, hat'�t as so atf coed by order of•thie Board of Directors of said c and that they signed their names thereto by Ike order as cY My Con-mission expires the 11th day in 1 arch A.D. 9 9 ` 5 tary Pubic 1155465 This Power of An omen is granted under and by the following Resolutions adopted by the Board of Diectoa of the Ucited States Fideihy and Guaranty Coops/ay on September 24,1992: Resolved, that in connection with the fidelity and suety insurance business of the Company, all bonds. undertakings, contracts and other irstnxnents relatrrg to said business may be signed, executed, and acknowledged by persons or entities appointed as Attomey(s)'irr•fact punuarn to a Power of Attorney issued in accordance with these resolutions. Said Powers) of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Clairman, or the President. or an Executive Vice Resident, or a Senior Vice President, or a Vice President or an Assistant Vice President. party with the Secretary or an Assistant Secretary, tater their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Anomey(s) -in -Fact for purposes only of executing in and attesting bonds and undertakings and other writings obligatory in the nature thereof. and, unless subsequently revoked and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is validly attached. Resolved, That Attomey{s)- in•Fact shall have the power and authority, unless subsequently revoked and. in any case, subject to the terms and limitations of the Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Comparry to any and all bonds and undertakings, and other vaitingr obligatory in the nature thereof, and any such instnrnern executed by such Attomey(s ).in•Fact shall be as binding neon the Company as if signed by an Executive Off icer and sealed and attested to by the Secretary of the Company. I, Thomas J. Fitzgerald. an Assistant Secretary d the Caked States Fidelity led Ceara/4 Campo/ay, do hereby certify that the foregoing are true excerpts from the Resolutions of the said Company as adopted by its Board of Directors on September 24,1992 and that these Resolutions are in full face and effect I, the undersigned Assistant Secretary of the Vatted States Fidelity aid Guaranty Company do hereby certify that the foregoing Power of Attorney is in lull force and effect and has not been revoked ; .... S'3\ . : \ \ 'kk PROOUCER :''. ' ' ' : : :; • . , :; . : . ,,!. , ", ' ° :.• . . " • . I -. Bratrud Middleton Insurance ;rW 4701 South 19th Street k ' I Box 11205 ‚ : >Tacoma, WA 98411-0205 r - .% t_ LyiU , .L •_; 4? ' '. :, ? ' t. f' f•fw '4 . J._ - 1• •. .— + .. . _ -. 'I . . -'.- IILIJ Z. : 1\\\$:%\ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE POLICIES BELOW EDMt I 08/07/95 ONLY AND THIS CERTIFICATE AFFORDED BY THE 1. £ COMPANIES • AFFORDING COVERAGE '.. 'r - ;jff A Royal Insurance Co - - I -. . . . COMPANY . ,. - .- I _ • LETTER; . -. -4 .- 3 '.' , t - .* .- JJ. ;t? '.\ J (I r -i. ,a ' r'tJi4 • r ' :- BeNchauerfPhIIIIps . ar .- Construction ,1•;. Otympia,•WAa98501 [},.�,f�,�'c� <:'� .r.�: 3 -. ri'_: : , . ' • JL Tr \\ *k COMPANY #' - ; - LEUER ' '- .' . : .. • . .,.,•. •... .,. •... . ••••.•. • !1k' .:C ,: •�.... - COMPANY EJ?- ' .. - 2 .. . : *kk \ ? INDICATED, THIS IS TO CERTIFY.ThATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD : NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH ThIS: CERTIFICATE, MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY-ThE POLiCIES DESCRIBED HEREIN IS sUaJECT..TOALLTHE;TERMs, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • . • : : .. :. CO AUPEOFINSURANCE -; , :, _ ,.. POLICY NUMBER POUCYEIRA11ON , -': ., A - -.- . '. '•:•'.• ................... GENERAL LIASILflV . ..- --' -. '•' ' • . ......... . •: '- -. • ••«' ` .J1 ` :.. .: - ......... . • .......... .. .......... ,-.. ........................ , ., .- . PSP200371 - 09/30/94 •' f ...- ............. '‚ ............................ .- ................. S r ......... .. ::.:--: . • . ........... . . . . .- .. .?. ... -, 09/30/95 GENERAL AG GR EG ATE . $ 2,000,000 x . ...... _r•'_'.• COMMERCIAL GENERAL LlAIU1Y PROOUCTS•COMP/OPAGG. S 2,000,000 CLAIMS MADEI X I OCCUR PERSONAL &ADV IWUFY S 1,000,000 . OWNERS a CONTRACTORS PROT . .... WA Stop Gap EACH OCCURRENCE S 1,000,000 x •. - .5 : . ...... FIRE DAMAGE An one SL'e} S 50,000 ; X Per Project Agg MED. EXPENSE (Any one person) S . 5,000 - A ,. .• ..: .•. :, t - - ., II -, . PSP200371 ................ 09/30/94 5 - T 5. .................................. . - .•_• .: . • . - 09/30/95 COMBINED SINGLE . LIMIT 1,000,000 • x ANYAUTO'- - AU. OWNED AUTO SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS GARAGE UABILIIY r 4 . .. - . . X BODILY IWURY (Prpr5�n) $ X X BODILY INJURY (Per accknt) $ X PROPERTY DAMAGE 5:. - . r. • A EXCESS LIABJI.rry . .. . . . . .,.•. . • . . .. PLA304776 09/30/94 09/30/95 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 . OTHER THAN UMBRELLA FORM i s WORKER'S COMPENSATION . AND .. EMPLOYERS' LIABILITY . . WA STATE FUND . . STATUTORY UMITS EACH ACCIDENT $ DISEASE- P OLICY LIMIT $ DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE: TUKWILA COMMUNITY CENTER PROJECT #93-11G06. SEE ATTACHED ADDITIONAL INSURED ENDORSEMENT : CITY OF TUKWILA 6300 SOUTHCENTER BLVD. TUKWILA, WA. 98188 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL I*x MAIL. DAYS WRIT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, •55 AORa 70) AUTH• EPR $\ CQRDQQM!$aD • 1' J . h� r7 :ADDITIONAL INSUR ?i R9S`SSK'_LY?1�1r. 1 wT+i�?srt. x e se7r x+ r, +'JRta EtC pTS /anj ameof Person or Organization: OMMERCIAL GENERAL LIABILI y 1 .'r'tf� :- ' .i � :'W�:Ls'�3 #��7Etr• w •A3�c7;Ty{.�R - �'. 1 ' ' ) {: ? �'li:i4�. ' 1�'vd:` • � . _�!- :vs: } 'a.iil : . # •ttl , a `: -r i . NERS LESSEES'OR CONTRACTORS-(FORM B) Z•o' w. � 1 .t? J ,T ' C : i ^ - .:.ry +.X•h:'Y!i•Ji: .� ' ..� . t . ' 'L!.QC.%1'+ •a . � u�y ' `1.y' kLr Zw ` :tA:iCC -: Y.�.`'�t,i. •.J: ci- Ti (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) - WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. PRODUCER '.t . 'V- rli..:... , : . j . ' VI . 1 '., :,; 4r•! ' • , ...- ' 0 - .. ::xtlu1. •a•. n:;,•'.• �,p,.K1. �. N i:'. Bra Middleton Insurance : + ' li a t •A IY • •+ ' a °,<w�` •rnfl••a :' '4701•South 19th : Street , ' ` '''�� ( , ` ' H, r`'' i M A 4 1 P. O: Box 11205,t,ss •s Y '•k'' .. r = n r. fa`• 1. XsJ,.`.p.. _T 2 k ac ma' A 11 -0 OS o 'W 984 :SiM ,.r , ' ' it it i741: f w� f . ," 7 ,5` 2 :1;. : r. i' 7 , ;iM +.pa CODE 7 :„tok -; ;;» 4 y t �S + f .3 k ? d ' SUB -COOE � y 1 1 : � �1 A714 {'..FJ r::L ++ qb,'a S :', ` a , �! G. t�,4'(1 :.'1:'• ;,` :.,; . \: _ ' ..I l' M.,,: �: ( " 4 ' �f r' 1.'t Mn d .A• n,p., i•,1. .tµ1.: ; t v t, • � -'r ca•, ><t• •. t. j.u,� '',1��I J '1 ..,.r � , ,? t 1 111 t!•; _ rd 5 , S COMPANY , ... •"... ., Fidelity & Deposit Co. of MD r .. .. .. ;•r`•,•. , y ., jlJ% ,r- r .: ..• • ', .: i' .(3t .,r 1•: :I . .,:r� . • n. 3. ' ; ! 'Y `C i a i. y T. k. + '\ . ..qs.. 1 f• 1 , ■ 1 , , i _ •.r. `' ..: : v. ' . INS RED. t ' is _ » :r :.X:� 7'��. ' S + h ti lk�'.k + � o �;;s ^ _ _ ' �..r.r';� ..;...• .`r:::�::. , . L : : ^;,F ; .,t, • ' . r • li� �n hil s Co st� C 'Berschauer/P C - ' : 4 -15a. ' •'' - .,iiJ�.i? {ll -, nit, f :e,r r. ?L•rn }4i % %Y " :�;'; • Clty offiukwila, /or,�l..•. �. . , t F•�''•g5 , •4 , •:•,�,.m w' :: f ••�;. r4:r; i' %t''::;. r •< S rlaatquv+,144!! ° :�1..i A �w t. MS" 3Vtq'I +P1- VP. .I:�'h� ')��•, . Subcontractors ATIMA �. r w . t" • •. ' ' : c,• ,:.:. , ..., .• .• f •w +l' o-• ;b'r It '4' tt'''r‘ r '' . :•t ' = - •, •. t i = Y' 1 S �tiii.: � n�•: � « { :• iz S ' � ' :7 1 � rba � P.A. Box 624 :,v , ` °' •„^•r ikF1 +. t . •��,• n "•'^ e ,a;i: �i'. ,a•: � I�� I• •., , ,�,, � 2 . ;d� r. ' ti: 1 a°�� A • 850 :�� 1 >. :,O W 9 ) . h' y . ' ..t f �. LOAN NUMBER � > `i . f: : .v 'i .`' . POLICY NUMBER POLICY •iN.. rye- : BR 5 -1 sr'h's•i•'; +"� 089 „ EFFECTIVE DATE (M kVDD/YY) • ; y% • .),'. : ;•...,;,' � � _ '<.�;`� 08/15/95;: ', EXPIRATION DATE (MMIDD/YY) !:t: :•a -, I •' f;; .• ' - n , .•. .'r;• ':' 0g/15/96 •.•S'%;'7.2.. CONT. UNIII' t� IF CHECKEDI TNISREPLACESPfl10REVIDENCEDATED : �;�; ",: .s . 'r•r. : •"a \'" \ A\ N`14,'IC` . `+ \ \ C•' � +CC , 'k C `'W,,'k `\\ ,, mow \�,'AV: LOCATION DESCRIPTION •.-: -•• - : !, • ^a.? r-,i - - .. - :.:. :•a+ ;4. 'r rtr;,-: ,TUKWILA COMMUNITY CENTER; PROJECT NO.93 - BG06 '� _• 5 , , i , r 1 . J - yi p.: ')6 �. a u` •\ I 7 1 : t. ••4. • r u �` � G•• bi:' t 1 'ri 1 s , Ix r a :c.• �.. fit: t, '�� 7 N I'S :i r . „ , ;r' \\ \ \ \ \ \ \ \\ \\, \• 3 + Qa \ \\ \\ +A\ +. `C + \+ \ \\t`2:`t' +\'t: \ +.• \..: a?:t��C ; ' 2\2't"tiCti':: \ ttid�:• i:? 'it+ \YC ' \�:::........\+'S.:..�•t< `. «t\\?.:•.a \.`< <_ ` •�� \ \ \ � � . �. \�\.�� > \.\\ \'1\� \�. \ \•::< tit .�� \ -. >t' <$t�t \,,\`,...;v}. \tt+ \A� ?;; , ;..•: ,. ::,. . ✓.:.::i,.:,' : . • . . . . . . : : : . . - . ' ...;.'. ... .. AMOUNT OF INSURANCE DEDUCTIBLE ALL RISK BUILDERS RISK INCLUDING QUAKE & FLOOD ' . '• • ' .: ,.. . 2% DEDUCTIBLE EARTHQUAKE AND,2% DEDUCTIBLE FLOOD ;:..; , ' . :`'' . ;, • • z y • • • • : $7,392,951. $2,500 , .. .v .,+ vry+,y ..., }:. \:: •.,.,... yi •.+> � . N .. y . : � �.., ,,� ,... , , ++ ... ..: ......... v v.,,v+, v:.,v.v v., ..v +. •..nv.v.:. v v.vtiti•.+,.:: n� •.:,: •....,,,+. ,,.+ ..,.,+,.. ,.:.+ tiv.,,tiv,�.v .:,,.+ .,,..:: +. v. , ,. :., . +„ (( �� { , /6 \\•: Za`.\\. ZZ`.::\ Q�t<.+:.^,'•.\<>•? v> .Ca4 <.:::�' <.. \:.)......:� \ >`x; rah\. tta�: o: N\.• aL,\,.:•.:,\\+ �r.•::::•...\\\ N>. �a,,,+::+ ZNti?, ca`. , +:t`.'.\\\: \. \a \ti:$:ti::: \va:+: v:y ? '. i . s"" V! > \\�\\\ N\ \\\� \a} ``, \+t,.W\ \\ N.\• a\:,?+\\ t? <:1'•N \A\ \t\AN\?'+;+\\\\\\\\\v, \\\\t+�v \ \ \V. \ +:a\\\ <•�\ \ •. +:aa:; ?a.`+.\+ }\N:\Z\\\N\\\ \ \\ 'J \N� \, \'tt; \ \ +•va i. . }\\ }• �. v \` ,v .,:•.}` +.vti }` }+ }, l�N` ,++ }+}v � \} �:: n. ..+v+ .. ,, .?�v .'\, l;l+li: A} N' * *FLOOD LIMITATION - DOES NOT COVER RECONTOURING AND RIPRAP OF THE RIVER BANK OR ANY WORK ALONG THE RIVER BANK • ? h \. •ti ..... ' \ \ \�,..4 X . , , ,r . '. \ \ \N' ",.2 N) \a'• ? \ \:G ' \• \\ \ \'+ <:++'J.i ,, 11, ,,, \; \ \. ?2 ?'� \3?t \ \A \ '' \ \i �•t •. \. .Ay \• Y \ \+ ? ��\ ��\` v v? \ ..'• \\1 �\ ,.+ .:.i +.+N� ' }'^?` + ?N. ??':Ji; \ p � \ ?:?i ? : •� > + \+•, v .�.,. .. Z .. \\ .1.. \T.... ...Ave,. 1<alN " ''•��{:+ �, \•N \� \ \�}� \,.`: `+..:1 ,.+. \ ��\+\.\`\ 4\+. A ZCi, i\+v T\ a \ \`:� \Z� +ti+` ? \1 \\..... \ \'i+ \T \ + \ \ , \.+ \�n \+ .+t• \i� + \v+ +.++� \�. \��ti \A ,v, \,� \�i ti';;<�♦ \ \+y , ..... + S+•�•S•[A \ \ a.+ \v� \�\ \ •\ �t< i\\.:\\\\ �+ i� N\\ Y+\? t\ a: it\++\ �i\ �+\\ N\\\\ ��A'` \\"\++\\\ �' � \ \`��ar �C" \ \ \t \ \ \ \ \+ \ \ \tt \ \ \:<;ttA \«t\ \+<` THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 45 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. .'\\ •+ \ \•:: :a \, \ \`� \ \? ?.'2.i \3i: \' \'\ \?2: • : . ` v .. .�:. ? + ? :ti i • : \ p �::: i:: :;\:\'\\?\:;" tv4t \t \i:ti::: <:::�:.tC?: \??\ \22�: ?i ? ??� \`:i; \L:ti:?�i ti?? ♦n}�`�y/��(� �]�"�M(�.�j 1. . \ \+n \n +v: \i \4 +:atv'< aka•\•\\\ nZ:+\: 4\ v. a. A• h\\\\\\\\\+..,\ N. v. a\\\+ ,ti \hN., \.Q \ \�\Z \ \++ \ \ \ \,va \.+++ a� \ \ \, :: �\ a:.,.\ ��\{';\ N'<\\\ 1\ N?\\\.>: a�: . \ \ti \N� \ \ \ \ \ \N > \' \N \tita \:i :;ti � \ \t< \ \ \ \ \ \> ? I'. 11�MI•. I��NS�i )1,::��,�s,!.�7:�2t \ �... �v•.tiv: �.: �+.n +v�v.+ +•Z••nv •:n�.ti tii: >vv: •. ..:�v` .V +v t..:+ v+�+++ A. : , ... :...N \v� ,♦•:a+, ... .: .. •; > +N+�a +.\w:•.;..:.., ..... +.a. \n +. .� mac..... :..; \: ': \♦.�.♦ +� \ +\ ti. Wv+, iti ..:,�;.•.,�.,,+r:;.:♦�;`....\a \•sa.♦4o;..�::a�c �as;ixx.; NAME AND ADDRESS :ttit` A.R.C. ARCHITECTS 1101 EAST PIKE STREET SEATTLE, WA 98122 -3915 ti, \ \ \N \ '' :: <J �' S AN } \\ \g at \\ •i,\ ♦ +n \ \ C +iT \ •a \\\ \ \ AK : a �r ..:, ti \ \\+ ,. �\�a\ \\\�`?v\'t;�\ �i ;!.ft? j Z\�,\N�a,`r }; ti\� ?: . 11GA#: il� � 4\ a+\ �.Z �, ..w \ .ti+a�: \ax. +�\.� da t \ ♦♦\ +\\ti.. NATURE OF INTEREST I MORTGAGEE I X I ADDITIONAL INSURED ' I LOSS PAYEE I I (OTHER) SIGNATURE OF W HORIZED AGENT OF COMPANY . '• ., : \♦ N\ \\ \\a { ':`., \C•a \\•< +•t, \�C �\: + .+, ' ti. ;:iri ,„ \\•., ; , a`:•.a�N�,• . ; :y�tZ? +.a��.\��ti:,\\. \ +\.a {& r. �a\ �\\ �\\ \ 1.\\\ �� • ' , \.'t ••,T „ ,,,,,„„„„.!�,1!!^ ^^ }ova\ :. :I\ka /,� �+(p \�� \\�w\\\� �...iV.��NRM ►7�4�a NS .•r n., r.,r _._ i T. 'YT i3 ::. :'.v2:♦iliiii�unma♦u�a♦.isww. m �\\� \ \ DATE (M • • � :va> k\\\`\. M/DD/YY) . • c.�. ^.. ?.'n• t \..: R,�. '�.t�,ww!•... \ _ t .� `n. ?. s: * .t \\ \+ t . :�\Z` <' \C� 2 ' . , 08 • ,\\ \n " �\ \ \\ U�� \�. \ \ \,.� \.a� n „+ � + ia�,1111111111 l�llll�.l '.+ \ \�+• \� .1 ' •` ' 'i THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL :;;'. RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. ,... '; .. `N + JAN. -18' 96 VDU)) 11 :25 � GcZAt..t CERTIFICATE STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES _ THIS CERR THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A • u1'�.• ; .,,s,5: �} _*+� f, ,yF ... - �� rF :14:41":;.1' ` ti r'1 --1 :*:::: : ' , �', i' ,''� y . ' i• .. • ' r `:s, te Y •7 ' .y }SPY k —A , r: ^r`'`te -�., ��.¢ _ A'r • de 4 - . -,,,, + ' IL '... Q; k:N: OLi <g8542 ' • L DETACH TO DISPLAY CERIIFICATF_t P. 002 6 E - 1 csloglaco (3 ( g ,y16(4- -- )s% RECEIVED CITY OF TUKWILA JAN 1 8 1996 PERMIT CENTER i I N 89.7724" W. 100.00 DR: F MbtC Vault/salmi is A . L F A ._ N w.. O 225.00 L , Cone Mon Not%und i 1 30 '1 Cone ` wee Itr , S Cone i Bus Stop Ed Asp Shoulder ]s N7g752s•� Aft - /r . ., e. I LINE OF ORDINARY H14M WATER/ VEGETATION LINE LAND EX TENDS say 01415 P1.AT ROUNDARY- SEE NOTE THIS smear. TOP OF DANK IS I-- cjb_C)D33 N .5917'2e w R Sf- .nom VD.- 2 ? / r V / r te L DESIGNED DRAIN T. If. CHECKED X I. SCALE 1'x10' D ® 0 80 SCALE JOB NUMBER NOR. l - 10' $07 VERT. DATE F7EL0 0 5 Zn _ - _ — _ __ _ — _ - ... LINE_ _ — _ _ — - _ _ _ _ IP o 124th Street O M R.O.W. LINE 2 It L 10 C K ' Gordon I �' BOUNDARY LINE ALLENTOWN PLAT VOL. It_ P. 100, KING. COUNTY, WA. - I LINE R.O. W. - - - -_ — - - R.O.W. LINE L € 125th Street N Oto/NN O.etrk UNs 3 NOTE OWNERSHIP OF LA NDS' R LVERWARO OF PLAT aoUNDARY NOT KNOWN. RECOMMEND TITLE CERTIPIC4T'1: BE 08T/4/P1E13 TO DISCLOSE OWNEE$NIP TO LINE OF ORDINARY N/ON WATER £EYO ND PLAT BOUNDARY. e_w I3 ALLEN TOW N 100 YEAR FLOOD ELEV. - 12.0 (f.E.M.A.' IRWIN ENGINEEP.ING Cr/2 ENGINEERING AND LAND SURVEYING 014 !0078 Mtk BRRQ! te2O S !A 98N0 CI R F FEB 0 PERMIT CENTER Iced III. Daeo.N Boundary A' Topographic DRAWING NUMBER u Survey Allentown Pee Patch k Codiga berm D9907TP City of Tukwila, TA for Bruce Dose & Assoc SHEET 2 OF 4'.