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HomeMy WebLinkAboutPermit B96-0163 - GULL STATION - DEMOLITIONCity of Tukwila (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: 896 -0163 Type: B -DEMO Category: NRES Address: 15650 WEST VALLEY HY Location: Parcel *: 000580 -0032 Wetlands: Water Dist: TUKWILA Units: 000 Contractor License No:BOBBYWT088CC TENANT GULL STATION 15650 WEST VALLEY HY, TUKWILA, WA 98188 OWNER GULL OIL CO 240 3404 4TH AVE S, PO BOX 24687, SEATTLE WA 98124 CONTACT LANCE PETERSON Phone: 206 453 -8383 300 120TH AVENUE N.E., BELLEVUE, WA 98005 CONTRACTOR BOBBY WOLFORD TRUCKING & SALVAGE Phone: (206)481 -1800 8107 222 ST SE SUITE A, WOODINVILLE, WA 98072 **********************************,********* * * * * * * * * * * * * * * * ** * * * * *** * * * * * ** Permit Description: DEMOLISH VACANT SERVICE STATION BUILDING AND ADJACENT PUMP ISLAND CANOPY. Demolition Fee: 42.00 Investigation Fee: .00 Cash Bond: .00 Total Permit Fee: 46.50 Bond Number: 1314036 ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Center Authorized Signature I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign for an obtain this b )4)lding per S i gnatur r j JP" /'- Date: /) L G Print Name: DEMOLITION PERMIT Slopes: N Sewer Dist: TUKWILA Buildings: 001 Status: ISSUED Issued: 09/27/1996 Expires: 03/26/1997 Valuation: 8,547.80 Date 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. '.!:.: -.flii, v .: D E • , :f y. 4' ; 3 i_> ri4,i 1x f ; :DATE IN �; „,, , •O :4 "s .r. "" sA,P. PRO',� Y ED .' x'c.i:. i': •t: , . 'd1n SX;,11 :Cf {•. .Y :d<:2i , '.< ' �'. ,. .: � �`:� ' _ �; �4iREG1 �.lJIREMEN TS� / � ;K � �° ti� ' rfl?' ... ?��xr tk s' ,;�s °'., ?` ,, .4A•` y xeF4..:• ,*;Ev.-,: >,b, � .=., ? � < n ,,,:,,s1 .. CO MENTS 7 4„ , . 0 Plan Review Meeting ( 1 i_q ( (0` IQ cl - Q 5_. W BY: (init.) ____( INITs-4?51C:5 A BUILDING - initial review CIA iht 6 0 z/c1 (ROUTED) Z ONSULTANT: Date Sent - Date Approved - BY: (init.) 1;1 FIRE (.1 f1/�'G I °� - +� /'`r FIREPROTECTION: 0 Sprinklers Q Detectors QN/A FIREDEPT.LETTERDATED: INSPECTOR: INIT: ,'(4, (2 PLANNING /`/I; Clu'.e1 G/��,�c((o `wl�g/gb ZONING: T c. pAR /LANDUSECONDITIONS? Oyes E oEFERENCE FILE NOS.: f,',. 9 ,p04 NIT: iN MIN IMUMSETBACKS:,..C&N- S- E- W- A PUBLIC WORKS • /� �/ 6 , ! q 6, 1 1 •' / � JTILITYPERMITSREQUIRED? Yes ❑ No 4 UBLICWORKSLETTERDATED: INIT: L"I t j -17Th Rot (P i H i 1 ( I V. 4 4 BUILDING - final review L y clG .�4-- , TYPEOFC TRUC`fION: 'DEMO CERT.OFOCCUPANCY? QYes gNo UBC EDITION (year): 11'94- INIT. 6 1 "BUILDING OFFICIAL � I � " �` - 3 P/,,,19'6, l INIT: OWI OWING: NG: t-{ �p .5(D CONTACTED (hrw _ (RJ7c ) Lc 2E-- � I 1 DATE NOTIFIED cl - Q 5_. W BY: (init.) ____( 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) PLAN CHECK NUMBER O9(o — O (a5 Building Permit Application Tracking 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 TUKWILA `y. Department of Community Development - Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 PROJECT NAME C�iv 11 6-k-0A-ion SITE ADDRESS I(o5O U.) VA 1 SUITE NO. ct,4 5? gOrld i * SdOO x.CO liQoIin y ' 30(0 �1J vow./ wurncdr►rd► DUU►Fivdru, 1URW►►d (206) 431 -3670 '# _ .� vvfi ya►ao DESCRIPTION AMOUNT RCPT 0 DATE BUILDING PERMIT FEE L(@ no PLAN CHECK _ _ ( n NUMBER p 0 �' ' APP/_ ICA TION MUST HE FILLED OUT COMPLETELY PLAN CHECK FEE BUILDING SURCHARGE Li .50 OTHER; TOTAL - L4 (f, - j') SITE ADDRESS SUITE # ) w \SC : 0 We-5-'r e. IA . 7.3k,....,; k t5 VALUE OF CONSTRUCTION - $ • , fm, 0 °_. • PROJECT NAME/TENANT l;k -1 .4•,- o� -� t\ S�C.ht�h .a1la B�;�A', , � ASSESSOR ACCOUNT # c��sg� oo -- o0 TYPE O Li New Building Li Addition II Tenant Improvemen (commercial) j2st Demolition (building) WORK: ❑ Rack Storage ❑ Reroof ❑ Remodel residential) ❑ Other DESCRIBE WORK TO BE DONE: , oQvf )\ VuCo.� -t Se`rvic_e_ 5�-cA -'r 1.- tool1c11 -\ rtr�Cf' U�I�CC��''C v iSlAhr� CUhoi'Jy l/ /l BUILDING USE (office, warehouse, Otc.) v ci C!�►1- - SQ ■ 5. - s T c.- i o'\. NATURE OF BUSINESS: Vac°,,, t Sp-„ ; c - WILL THERE BE A CHANGE IN USE? No ❑ Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building 4 8�° �s � 3go� Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? callo ❑ Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: ❑ Sprinklers ❑ Automatic Fire Alarm System PROPERTY OWNER G_,, v , �k te.5, C PHON�a�6 Gay - x`100 ADDRESS 3y �o.,� �►-. p ,z_ . S»a'�, 5er k�, W A ZIP 9 z f 1 317 CONTRACTOR PHON ADDRESS 1ao,1/4■ ? ve . N. C. • Q‘„,1 L I . Q \evu uu ZIP gp WA. ST. CONTRACTOR'S LICENSE # ��e A G 0 E XP. DATE -5/3 1 / PHONE ARCHITECT N Nfk ADDRESS t\I N --- ZIP N f-_. CITY OF TUKWILA Department of Community Development - Building Division BUILDIW', PERMIT APPLICATION I; HEREBY;: CERTIFY; THAT I: HAVE;. READ;: AND: EXAMINED THIS:. APPLICATION' AND KNOW: THE SAME T BE >:TRUE AND CORRECT <AND I AM':AUTHORIZED TO APPLY'FOR THIS; PERMIT DATE e/___ B pi 16 UILDING OWNER SIGNATURE —E� (/ /� OR AUTHORIZED AGENT ADDRESS 3C)_ E so ei CONTACT PERSON PRINT NAME �-.��c� C PHONEE S3 -8'3 CITY/ZIP lQ vue, Cl g OoS PHONE. 00 4 3 - 3 r3 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 / 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 10/22/93 COMMERCIAL • Site plan • Architectural drawings • drawings • Mechanical drawings • Elevations Civil drawings .Landscape plan n Completed utility permit application (one for entire project) I Six (6) sets of civil drawings • NOTE: See utility permit application and checklist for specific utility submittal requirements NEW COMMERCIAL BUILDINGS /ADDITIONS En Completed building permit application (one for each structure) Assessor Account Number • Two sets (2) of the following. n Specifications n Structural calculations stamped by a Washington State licensed engineer n Soils report stamped by a Washington State licensed engineer n Topographical survey Energy calculations stamped by a Washington: State licensed engineer or architect Legal description rn Working drawings, stamped by a Washington State licensed architect, which include :. RACK STORAGE U Completed building permit application H Assessor Account Number Two (2) sets of plans, which include in Building floor plan showing • Entire space where racks will .be : located • Exit doors • Dimensions of all aisles:. C 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 DWELLINGSIADDIT1ONS n Completed building permit application (one for each structure)' Legal description n Assessor Account Number In Two sets (2) of working drawings which include: • Site plan (at plan, show closest hydrant iocadon. • 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 ri Completed utility permit application In Six (6) sets of site plans showing utilities SUBMITTAL CHECKLIST NOTE: Building site plan and utility site plan may be. combined,: See utility permit application and checklist for specific submittal requirements.. Additional topographical and soils information may be required if unique site conditions. • COMMERCIAL TENANT IMPROV f n Completed building pertnh a pp EM lication (one • tenant) change of use Assessor a Number Two (2) sett of c onstruction plan Site plan •:Location;of tenant ti t Existing and proposed' parking • Landscape plan (if applicable, i,a:; Overall building plan . •Tenantlocaton . ...Lite . of adjacent (comm Well) tenant • Overall dimenslonti of building or square footage Floor. plan of proposed;tanant space Tenant space plan w ith use.of,each room labelled Exit doors, eg ress pattern • New walls, existing W ali a Wells to be demolished: Construction details .. Cross sections.showing wall constructionandmethod of attachment for floor and ceiling: Structural calculations stamped by a ral Washington S licensed engineer mayb r equired if structu work is to be do ne (2 , NOTE: If any utility work Is to b e don subm separate utility permit application and pl ans REROOF n Completed building permit application II Assessor Account Number I Narrative describing :existing 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 i I Completed building permit application n Assessor Account Number Two (2) sets of plans,; which include :. In Site Plan (showing building and location of antenna/satellite dish) E Details antenna/satellite dish and method of attachment Structural calculations stamped .by a Washington State licensed May be required • RESIDENTIAL REMODELS Completed building permit application (one for each structure Assessor Account NOMber :; Two (2) sets of working drawings, which, inciui • 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 b done provide utility permit ap and. plans must be. sub REROOFS ...; n Completed building permit application (one for each structure) Cn Assessor. Account Number Natrative describing existing roof, material being installed NOT : A cerdfcation letter, is required prior to final Inspection and sign: o!f of th. permit Pi4196°." Mee) �k,F *� * ** * *�4 *# *�ICS4 ** * * * ** * *�k***k ** ***** �k** A *�k*** *•k�F****k* *�Fr�lr�k***.* CITY OF TUKWILA. WA TRANSMIT :� *************** A************•****** * * * * *•k * * * *** * * *•k *k* * * * * ** ** • RRNSMIT Number: R9600481 Amount: 2.000.00 09/23/96 13:36 • 'ayment Method: CHECK Notation: BOBBY WOLFORD Init:•MEV Permit P1a: PW96 -0169 Type: PW -HAUL HAULING Parcel No: 00.0580 -0032 Site Address: 15650 WEST VALLEY HY Location: 15650 WEST VALLEY HY Total Fees: This Payment 2,000.00 Total ALL Pmts: Balance: 2,025.00 2,000.00 25.00 l * ** *,t ** * * * * * * ** * ** ** * * * *A *** A4 c4r k***** * * ** * ** *A* * *•k * * * * * * * *•k *it* Account Code Description 000/386.908 BONDS /DEPOSITS Amount 2,000.00 Address: 15650 WEST VALLEY HY Suite: Tenant: GULL STATION Type: B -DEMO Parcel #: 000580-0032 CITY OF TUKWILA Permit No: B96 -0163 Status: ISSUED Applied: 06/11/1996 Issued: 09/27✓ 1996 Ak*44e AAA• kk• A• A** ****'A* *'A'A'AAA*****k'k'kk14*ki k*kk•kk kAA' AAkk •k'k:AA'AAA'A'A'AA*AAA'AAA*A A'A* Permit Conditions: 1. Temporary erosion control measures shall be implemented as the first order of business_ to prevent sedimentation off - site or into existing storm drainage facilities. 2. The site shall have permanent erosion control measures in place as soon as possible after final grading has been completed and to the Final Inspection. 3. ALL CONSTRUCTION ACTIVITY ASSOCIATED WITH THI'S DEMOLITION SHALL BE LIMITED TO 10' OF THE BUILDING EXTERIOR. 4. Sewer and water utilities shall be plugged at the .mains if they are. be abandoned. If they will be. used again in the near future for a new building, they shall be capped at the.p'roperty line and at the water meter respectively. 5. Hauling over 50 cy shall require application for a Hauling Permit prior to any associated activity. 6. Word affecting traffic flows shall be closely coordinated with the City Utilities' Inspector. Traffic Control Plans shall be submitted to the Inspector for prior approval. 7. No..Changes will be made to the plans unless approved by the Tukwila, Building Division. 8. All 'permits, inspection records, and approved plans shall be - available at,the job•site prior to the start of any con - struction. These documents'are to'be maintained and avail- able until final inspection approval is granted. 9. Comply with the requirements of TMC 16.04, Demolition /Reloc ation of Structures and Article 87 'of the Uniform Fire Code. 10. Remove all weeds, concrete, stone foundations, flat con - cretem, .concrete patios, masonry walls, garage floors, drive- ways and similar structures and .all loose miscellaneous material. Properly cap sanitary sewer and water connec- tions, properly fill or otherwise protect all basements, cellars, septic 'tanks, wells and other excavations. 11. Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be con - strued to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinance of'the jurisdiction. No permit presuming to give authority to violate•or cancel the provisions of this code shall be valid. COMMENTS: .-tA i t.-01,-\C-, "--,0 6-0... _.0 AX-F fr\i` 6 1 ( p... Po.k..T ) 1:.-.. ,4S c)40L— -SO 7 0 or- TN.wz S I X. a.m. P.m. Requester: rki ti-t- k c_ (dzS (Li A-S 134-.) txt) c.t) .z. Project: ■ - e t (ALL JAAA--, Type of inspection: Address: )&5 V \ . I. l'Itil Date called: Special instructions: Date wanted / y a.m. P.m. Requester: Phone No.: INSPECTION RECORD - Retain a copy with per INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100; Tukwila, WA 98188 Approved per applicable codes. F 1 (j G I PERMIT NO. (206) 431-3670 Corrections required prior to approval. Inspector: ( Date: 5/2 $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: COMMENTS: .S "O'LS W 014 . Goa r1 G( ' 1 td 1 t-D! 116 / l'-'ou 1. -" fg03, Y• 1 4A A-11 A t— A-S 'Pi A L; — I-¼" vpo_. h t. f e-A M -D : U NA eLat•nv et-(a- 7 N1g4 1t Ar r et ,t n-e Ve'9 . ' j'tairtx.k Wt' - C,,. ,»- -7 t t,.f 0 t i j 1 tik: tC t,,lb d-t., iv p . , ": (4, D /ft , c - '...) ft k v'. T1) 0 0 i 1,,C.A--- (4.. . t:J144. v.; c4 ri otc T t) cArP o f--i" 11%...1 S =r"W 0 r Project: C���11 O ion Type of inspection: rcz- CiQmp Address: I So w V \ l . Date called: q- -) _ f Special instructions: Demo o - WI IN 0 Morvict6 N. M . "� Date wanted: q q ( a "( �(J Requester: LA�� Phone No.: 53 _ s3 , 65 INSPECTION RECORD[✓ Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. I I 6q (9 - 013 PERMIT NO. (206) 431 -3670 Corrections required prior to approval. Inspector: Date: $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: **** k.* 4* 4A* k* •. k * *khkh *:4 * * *4k ** Ark *4 ** ***•k * *k *k* * CITY OF TUKWILR. WA 1 *:k A* * *h *:I *** k**4 44k4*A 4A *k*A•kk *** *A **A k *k* ** **44*** * *•.4*k4 *A * TRANSMIT Number: 89600485 Amount: Pavement Method: CHECK Notation: AGI TECHNOLOGIES Init: SL13 Permit No: PW96 -0119 Type: P14-LA LAND ALTERING PERMIT Parcel No: 000580 -0032 Site Address: 15650 WEST VALLEY HY Location: 15650 WEST VALLEY HY /FORMER LULL STA #240 Total Fees: 165.00 This Payment 165.00 Total ALL Pmts: 165.00 Balance: .00 *h* Air4*: A• F• k34** 4* A*** A**** k** A******* •k * *•k* ** * *a *•k *k*k *A * * * * * * Account Code Description 000/ - 322.100 BUILDING - NONRES 000/ ;45.830 PLAN CHECK •- NONRES - 01 165.00 09/27/96 15:19 Amount 135.00 30.00 ** * *io 3*3 * * * *r1 * ** * * *3k•h **.*3.4'.4*•k• *A*A ** ** iris. *** **3kk*A *A4** *rl *a CITY OF TUKWILA. WA' •kl• *3 *33* * *.A * *3 *A*4 * A** A * * *rk'A ***** •A• *k *A*3*kiv4*•:k **3*1•k:l•k ** TRANSMIT Number: R9600485 Amount: TRANSMIT 46.50 09/27/96 15:13 Payment Method: CHECK Notation: AG]: TECHNOLOUTES ]:nit: SLB Permit No: B96 -0163 Type: B••DEMO DEMOLITION PERMIT Parcel No: 000580-0032 Site Address: 15650 WEST VALLEY HY Total Fees: 46.50 This Payment 46.50 Total ALL Pmts: 46.50 Balance: .00 4 ***** i.*** A***•***A* k• k*** AA** 3.•• kk• k**•+•1 it ** * * *i. *3t ** *..4. * ** *•k•%*3 * ** Account Code Description Amount 000/322.100 BUILDING - NONRES 42.00 000/386.904 STATE BUILDING SURCHARGE 4.50 • 3510 09/27 9605 TOTAL 306.50 3510 09/27 9605 TOTAL 306.50 *A * *k *A ** *** *** * *•A'* ** * *A* *J•.k•k * * *J **• k * * * *4'A** *r* *•A**A * *.k•A4 * * *A* CITY OF TUK.WILA. WA TRANSMIT **•kA*k*JJ ** *: **ti* *Ak 4*• Jk**** A*k k*• k*** *Jr*AJrJ*A * **k #*AJ***4•.dr*'A*A ** TRANSMIT Number: 89600465 Amount: 25.00 09/27/96 15:20 Payment Method: CHECK Notation: AGI TECHNOLOGIES Init: SL9 Permit No: PW9G -0167 Type: PW• -SG STORM DRAINAGE Parcel No: 000580-0032 Site Address: 13650 WEST VALLEY HY St: 01 Fl: Un: Location: 15650 WEST VALLEY HY /FORMER GULL STA #240 Total Fees: 25.00 This Payment 25.00 Total ALL Pins: 25.00 Balance: .00 :k *•A *A** AAA******• kA• k***• k****A*•A•k * *'A• ** * * *: {•*k* ***A 4Jr * *A**A*kk *** Account Code Description Amount 000/345.830 PLAN CHECK - UTILITY 10.00 412/342.400 'NCI' FEE - STORM DRAIN 15.00 3510 09/27 9605 TOTAL 306.50 tAAA kit *A* **:k* *Jr rJJkk***kJ *** *JJAJ.l 4Jr *:l: Jr*AAk*d CITY OF TUKWILA. WA TRANSMIT * *Au *k'JJJrJJ 'AJA:4A• Jr*• A• A**r*• A: 4**• k* A• k•* Akk *A * *A# * *Ak*A * *•k TRANSMIT Number: 89600465 Amount: 20.00 09/27/96 15 :20 Payment Method: CHECK Notation: AGI TECHNOLOGIES Snit: SLB Permit No: PW96 -0166 Type: PW•-SSSS SANITARY SIDE SEWER Parcel No: 000580 -0032 Site Address: 15650 WEST VALLEY HY St: 01 Fl: Un: Location: 15650 WEST VALLEY HY /FORMER GULL STA 0240 Total Fees: 20.00 This Payment 20.00 Total ALL Pmts: 20.00 Balance: .00 * **A4 *A *•4 Jrr**JJ rJ' *JAJ ***11***** *•A* :fi*AA **4c* *Jk'*A***A•k **** Account Code Description Amount 402/342.400 INSP FEE - SME /SSS 20.00 3510 09/27 9605 TOTAL 306.50 Account Code 000/345.830 000/:342.400 *•A *A*ol•A-k4*. *•k * * * �\*ai+ *•A * **#** * **• A * *A * * * * * * ** 5 **• ** A **a *** ** k **A* CITY OF TUK:WILA, WA TRANSMIT **A******* 4** *4r*** k*** k*** a** A****** * * *•A * * * * * * *•k * * * * * * * * * * *AA ** TRANSMIT Number: R9600485 Amount: 25.00 09/27/96 15:21 Payment Method: CHECK Natation: AGI TECHNOLOGIES Init: 5L.R Permit Na: PW96-•0169 Type: PW••HAUL HAULING Parcel No: 000580-0032 Site Address: 15650 WEST VALLEY HY Location: 15650 WEST VALLEY HY Total Fees.: 2.025.00 This Payment 25.00 Total ALL Pmts: 2,025.00 Balance: .00 "***'***********• k***•* * * **A*** * * * * **• * *** * *** *A *AA AA * * *A *A* * *** Description PLAN CHECK - UTILITY INSP FEE -- UTILITY Amount 10.00 15.00 3510 09/27 9605 TOTAL 306.50 **A* *i * * * *A ** A* A***** a**\******• k* A* **k * *** * * *AA** *-A*A•k * * * ka * *a* CITY OF TUKWILA. WA TRANSMIT **h **d**vl-A* kitA ill k** 4A** A****• kA* AA* A*rk * * * *A * * *A*AA* *k * *** * +* *:AAa* TRANSMIT Number: R9600485 Amount: 25.00 09/27/96 15 :20 Payment Method: CHECK Notation: AGI TECHNOLOGIES Init: SLB Permit No: PW96 -.0168 Type: PW-WM WATER METER PERMIT Parcel No:. 000580 -0032 Site Address: 15650 WEST VALLEY HY St: 01 Fl: Un: Location: 15650 WEST VALLEY HY /FORMER GULL STA #240 Total Fees: 25.00 This Payment 25.00 Total ALL Pmts: 25.00 Balance:' .00 * * * *•A *•A * * * * * *•A ** *a * *a * * x* A** *•* a* A* •k * * * *k **.1** * * * *A * * ***A* * *** ** Account Code Description Amount 401/343.405 WATER YURN -ON FEE 25.00 3510 09/27 9605 TOTAL 306.50 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: PW96 -0295 Issued: 01/03/1997 Status: ISSUED Approval Letter: 01/03/1997 Project: GULL STATION 240 Expires: 07/02/1997 ite Address: 15650 WEST VALLEY HY Parcel No: 000580 -0032 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: TUKWILA ype of Install: TCOM lumber of Units: 000 Exist SQ FT: Add SQ FT: New SQ FT: :ontractor License No: APPLIGI110LN TENANT GULL OIL CO 240 3404 4TH AVE S, PO BOX 24687, SEATTLE WA 98124 OWNER GULL OIL CO 240 3404 4TH AVE S, PO BOX 24687, SEATTLE WA 98124 CONTRACTOR APPLIED•GEOTECHNOLOGY INC Phone: (206)453 -8383 PO BOX 3885, BELLEVUE, WA 98009 CONTACT LANCE PETERSON /AGI Phone: (206)453 -8383 300 120 AV NE BLDG 4, BELLEVUE, WA 98005 Description: ONE :TIME DISCHARGE OF 80,000 GALLONS OF STORM WATER FROM THE EXCAVATION OVER 3 TO 5 DAY PERIOD STARTING ON 1-6-97. THE WATER WILL BE PUMPED TO AN ONSITE SANITARY SEWER CLEANOUT USING A SUBMER- SIBLE PUMP PUMPING AT A RATE OF APPROXIMATELY 25 GALLONS PER MINUTE. AGILETTER DATED 12.31.96 AND KC WATER POLLUTION CONTROL LETTER DATED JAN 2, 1997 ARE ATTACHED AS PART. OF, THIS PERMIT. r*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Inspection Fee: . Hook UP Fee: Special Assessment: • Signature: • TOTAL FEE: 435.15 r*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 ADVANCE. FOR AN INSPECTION CALL 433 -0179. Issued By: Final Inspection Approved: SANITARY SIDE SEWER Company: J U . �:� — Title: �r ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *a� * * * * * * * * * * * * * *x* * ** APPROVED FOR ISSUANCE BY: JJS 20.00 Acct No: 402/342.400 .00 Acct No: 402/388.102 415.15 Acct, No: 402/343.501 Inspector Signature Date Date: S R lf1(0 (206) 431 -3670 Authorized Permit Center Signature Date ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. v.•Kaii Address: 15650 WEST VALLEY HY Suite: Tenant: GULL OIL CO 240 Type: PW-SSS Parcel # :• 000580 -0032 r CITY OF TUKWILA F.2 Y11!k�,bit.7'3Y'.L'dt Permit No: PW96 -0295 Status: ISSUED Applied: 12/31/1996 Issued: 01/03/1997 **•k•k•k•kkk•k*•k•k • k***•k**kk•k* ' A**** kkk• kk• k• k***** k**- Akk A** k kk •k * Permit Conditions: ' 1. Temporary erosion control measures shall be implemented as the first order of bus iness_to. sedimentation off - site or into ex:isting.s d'r ai':na ..f a c `ili_ties. APPLICANT SHALL COMPL,Y,;-WITH ALL THE REQUIREMENTS AND CONDI- TIONS OF KC WATER POLLUTION ;;CONTROL DIV LETTEP DATED JAN 2, 1997, WHICH IS +'ATTACHEG AS ART OF THIS PERMIT. • 3. APPLICANT SHALL NOTIFY 'PW IF I THE'DISCHARGE 'VOL.UME `�INCREP.:;C. . • City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES, APPLICANT IS PROCEEDING AT THEIR OWN RISK. Parcel No: 000580 -0032 Permit No: MI96 -0017 Address: 15650 WEST VALLEY HY Status: ISSUED Suite No: Issued: 10/14/1996 Location: 15650 WEST VALLEY HY /FORMER GULL STA #240 Expires: 04/12/1997 Category: NRES Type: MISCPERM Zoning: M1 Const Type: Occupancy: Gas /Elec.: UBC: Units: 000 Fire Protection: Setbacks: North: .0 South: .0 East: .0 West: .0 Water: TUKWILA Sewer: TUKWILA Wetlands: Slopes: N Streams: Contractor Licence No: OCCUPANT GULL OIL STATION 15650 WEST VALLEY HY, TUKWILA WA 98188 OWNER GULL INDUSTRIES INC Phone: 206 624 -5412 3404 FOURTH AV S, SEATTLE WA 98134 CONTRACTOR AGI TECHNOLOGIES Phone: 206 453 -8383 300 120TH AV NE BLDG 4, BELLEVUE WA 98005 CONTACT LANCE PETERSON Phone: 206 453 -8383 AGI TECHNOLOGIES, 300 120TH AVE NE BLDG 4, BELLEVUE WA 98005 ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: HAULING APPROX. OF 300 CU YDS OF FILL TO THE SITE & HAUL OUT APPROX. 250 CU YDS OF ASPHALT. ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Construction Valuation: $ .00 PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr: JJS Curb Cut /Access /Sidewalk /CSS: N Fire Loop Hydrant: N No: Size(in): .00 Flood Control Zone: N Hauling: Y Start Time: 10/15/96 End Time: 4/4/96 Land Altering: N Cut: Fill: Landscape Irrigation: N Moving Oversized Load: N Start Time: End Time: Sanitary Side Sewer: N No: Sewer Main Extension: N Private: Public: Storm Drainage: N Street Use: N Water Main Extension: N Private: Public: ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TOTAL DEVELOPMENT PERMIT FEES: $ 29.50 ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Center Authorized Signature: MISCELLANEOUS PERMIT 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 provision of any other state or local laws regulating construction or the performance of work. I am authorized to sign for and obtain this development permit. (206) 431 -3670 Date: Dri- ab Date : AP// e l /q6 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. TO: FROM: DATE: SUBJECT: City of Tukwila Department of Public Works Ross A. Earnst, P. E., Director NOTIFICATION OF UTILITY PERMIT ACTION PERMIT CENTER PUBLIC WORKS ENGINEERING OCTOBER 14, 1996 GULL STATION 240 DEMOLITION Hauling 15650 West Valley Highway Project No.: P95 -0048 Plan Check No.: B96 -0163 Activity No.: MI96 -0017 Contact Person: Mr. Lance Peterson Phone: (206)453 -8383 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON October 14, 1996: MI96 -0017 Hauling 25.00 Total Fees: $25.00 PERMIT FEE Two copies of the confirmed Utility Permit Application with a set of plans are attached for inclusion in the building permit file. Also attached are copies of the Certificate of Insurance, bond in the amount of $2000 and 5 copies of the Haul Route Map. JJS /mv Attachments a/s C.F.: PW Utilities Inspector (copy of UPA, application and plans) Development File (copy of UPA, application and plans) City Clerk(copy of UPA, haul route map, and originals of the Certificate of Insurance and Permit Bond) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433 - 0179 • Fax (206) 431-3665 John W. Rants, Mayor KNOW ALL MEN BY THESE PRESENTS, That we or PO Box 3885, Bellevue, WA 98009 to as the Principal, and Amwest Surety Insurance Company, a corporation organized and existing under the laws of the State of Nebraska, and authorized to do business in the State of City of Tukwila sum of Two Thousand and no /100 lawful money of the United Slates of America, for the payment of which sum, well and truly to be made. we bind ourselves, our executors, administrators, successors and assigns, firmly by these presents. THE CONDITION OF THIS OBUGATION IS SUCH, that whereas, the Principal has made application for a license or permit to the Obligee for the purposes of, or to exercise the vocation of Hauling and /or moving oversize loads NOW, THEREFORE, if the Principal shall faithfully comply with all ordinances, rules and regulations which have been or may here- after be In force concerning said Ucense or Permit, and shall save and keep harmless the Obligee from all loss or damage which it may sustain or for which it may become liable on accountof the issuance of said License or Permit to the Principal, then this obligation shall be void, otherwise, to remain in dull force and effect. X THIS BOND IS OF INDEFINITE TERM — EFFECTIVE October 1, 1996 THIS BOND IS OF DEFINITE TERM — BEGINNING AND ENDING but may be continued by continuation certificate signed by the Surety, The Surety may at anytime terminate its liability by giving thirty (30) days written notice to the Obligee, and the Surety shall not be liable for any default after such thirty (30) days notice period, except for defaults occurring prior thereto. SIGNED, SEALED AND DATED this 1st day of October 19 96 Applied Geotechnology, Inc. dba AGI Technologies AMWEST SURETY INSURANCE COMPANY ‘L.40 AMWEST IF INSURANCE COMPANY P.O. Box 4500 Woodland Hills, CA 91365 -4500 RECEIVED OCT 0 71996 TUKWILA PUBLIC WORKS LICENSE OR PERMIT BOND Bond Number 1316819 Premium $ 100.00 Applied Geotechnology, Inc. dba AGI Technologies Washington BY: Holly U 'fers , hereinafter referred , as Surety, are held and firmly bound unto hereinafter referred to as Obligee, in the is 2,000.00 Attorney -in -Fact LIMITED ' OVER OF A TORNEY Amwest Surety Insurance Company mwes 63211 ( until;, Post 0llicc Box 45011 1\ midland Ililh, ( \ '1 1365- 45IIII II tilts 711-I - I l I EXPIRATION DATE 7 -23 -97 READ CAREFULLY This document is printed on white paper containing the artificial watermarked logo (194 ) of Amwest Surety Insurance Company (the "Company ") on the front and brown security paper on the back. Only unaltered originals of the POA are valid. This POA may not be used in conjunction with any other POA. No representations or warranties regarding this POA may be made by any person. This POA is governed by the laws of the State ofCalifomia and is only valid until the expiration date. The Company shall not be liable on any limited POA which is fraudulently produced, forged or otherwise distributed without the permission of the Company. Any party concerned about the validity of this POA or an accompanying Company bond should call your local Amwest branch office at (206) 522 -3111 KNOW ALL BY THESE PRESENT, that Amwest Surety Insurance Company, a Nebtaska corporation (the "Company"), does hereby make, constitute and appoint: MARY A. DOBBS GERALDINE C. STEWART STEVEN W. PALMER HOLLY ULFERS DAVID J. FORSYTH AS EMPLOYEES OF HURLEY, ATKINS 8c STEWART, INC. its true and lawful Attorney -in -fact, with limited power and authority for and on behalf of the Company thereto if a seal is required on bonds, undertakings, recognizances, reinsurance agreement for a Miller Ac the nature thereof as follow. Bid Bonds up to S••1,000,000.00 Contract (Performance & Payment), Court, Subdivision S••2,500,000.00 License & Permit Bonds up to S•' • • 100,000.00 Miscellaneous Bonds up to S• • • • 100,000.00 and to bind the company thereby. This appointment is made under and by au I, the undersigned secretary of Amwest Surety Insurance Company, a Ne force and effect and has not been revoked and furthermore, that the re provisions of the By -Laws of the Company, are now in full force an Bond No. 1316819 Signed & sealed thi tit ONS d by author' 1975: e ent, in nJunc vi encin po i ces, rson. .� 1 rest tsyt t an t e 'dent corporation f the Board e By -La r to xecute of r perfo Signature 9e) - 1 John E. Savage, President POWER NUMBER 0000627774 su affix the seal of the company or other written obligations in (t, ich are now in full force and effect. RTIFY that this Power of Attorney remains in full h on this Power of Attorney, and that the relevant Karen G. Cohen, Secretary DIRECTORS * * • * * * +It • * * * utions adopted by the Board of Directors of Amwest Surety Insurance This POA is signed and sealed by facsimile under Company at a meeting duly held on December RESOLVED, that the President or any authority as defined or limited in the ins of the Company to bonds, undertaking revoke any POA previously grante RESOLVED FURTHER, that an .. nd, unde (i) when signed by the President o any V' (ii) when signed by the President or any authorized attorney -in -fact or age (iii) when duly executed and seale• (if a requir one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issue ompany to sic person or persons. RESOLVED FURTHER, that the s re of any authorized officer and the seal of the Company may be affixed by facsimile to any POA or certification thereof authorizing the execution and deli ery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. wit Secretary or any Assistant Secretary, may appoint attorneys -in -fact or agents with tment' a c case, for and on behalf of the Company, to execute and deliver and affix the seal ip oblige s of all kinds; and said officers may remove any such attorney -in -fact or agent and ' suretyship obligation shall be valid and bind upon the Company: and sealed (if a seal be required) by any Secretary or Assistant Secretary; or or Assistant Secretary, and countersigned and sealed (if a seal be required) by a duly IN WITNESS WHEREOF, Amwest Surety Insurance Company has caused these presents to be signed by its proper officers, and its corporate seal to be hereunto affixed this 14th day of December, 1995. Y Oi:,: ;E3(Seal) e y .Lotion, Notary P u Karen G. Cohen, Secretary State of California County of Los Angeles On December 14, 1995 before me, Peggy B. Lofton Notary Public, personally appeared John E. Savage and Karen G. Cohen, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me all that he/she/they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) n th in�rumenj,(he,nerso(s), oyhuntjLy umnlieh COffl111VOf1.1t101I "'' � �« Cw IN Comm. Wiles Aug 6. Mt TECHNOLOGIES 4 A 5c.,AVL Sheet of JjeotYio/ hAVN IYMU"-VA 6 — Vawym..- k :%Acc3-0-■ Q‘t o Subject kkaJA kizs r;ik -f-v' \ Job Number Computed By LlP Date to/c.) Checked By NN , 670.cmg Way t‘0,\G No oic,45 2 cm Act, o WAAL, sa.G■cicAR. c c ygr_t_As2._ 5 rvojr .1 ‘ Me %.9./4 fq ENANT WNER ONTRACTOR NGINEER' ONTACT ONTRACTOR Permit No: Status: Parcel No: Site Address: Location: Start Time: End Time: Signature: PW96 -0169 ISSUED 000580 -0032 15650 WEST VALLEY HY 15650 WEST VALLEY HY HAULING Bond Number: S2000 CHECK GULL STATION 240 15650 WEST VALLEY HY, TUi;WILA,. WA 98183 GULL OIL CO 240 3404 4TH AVE S, PO BOX: SEATTLE'WA 98124 APPLIED GEOTECHNOLOGY' INr: Phone: (206)453 -3383 PO BOX 3885, 'BELLEVUE, WA 98009 AGI TECHNOLOGIES Phone: (206)453 -8383 300 120 AV BLDG 4',. BELLEVUE, WA 98005 LANCE PETERSONIAGI .TECHNOLOGIES Rhone: (206)453-8383 BOBBY WOLFORD TRUCKING :& SALVAGE Phone: (206)481-1800 8107.'222 ST SE A, WOODINVILLE, WA'93072 *A'k A'k'k'k'k *'k * *'k'k * * *'A * *'A A :A k ;k.'k'k'k'k'k %'k'k * *'k'A• :k * 'k 'k :k *'k k k * •k :k'k k'k * *'k A * •k'k'A k A A A'A .k P,ln' Check Fee: 10.00 Inspection Fee: 15.00 Other Fee: .00 TOTAL FEES:-._ 2 5.00 * 'k 'k 'k 'k •A 'A 'A 'k 'k *.''k * * * 'k 'A * 'k A A k 'k 'A * * •k * * * 'k 'k 'k; k •k k * k k 'k 'k * 'A 'k * A •A 'k A * :k •k A 'k 'k 'k 'k * * 'A * * k 'k k * * * •A A k 'k k * The undersi,gne'd hereby applies for permission to perform haul ing per attached map in accordance with., the conditions: 1 - Flagq'i,ng, signing and coning shall be in •'accordance with MUTCD for traffic control'.•......'. f • • 2- Contr;ac�torshall provide, ceritied flagmen for tratf ic. control .. 3- Sweep; otherwise clean street_ to the satisfaction of Public Works each . night\ a ound hauling - route .(no tlush•ing :allowed) . 4- Notity,c in,s.p ector before 12:00 'noon on tridav preceding any weekend • work. ', . • 57 Permit:is valid between the weekday hours of 7:00 a.m. and 3:30 p.m. only. 6- Clean an'd.`:remove debris from city catch basins in and around. haul ing route:. 7- Provide a:dequate,temporary access as not-'to interfere with other vehicle movement or. cause;trucks travel over curbs. 8- All vehicles 'must make complete stop prior- to entering public right -of -way. A * 'A 'A ' A 'k ' A k ' k ' A ' k ' k 'k 'k • k ' k ' A ' k ' k ' k 'k k 'k ' k k ' k k ' A ' k ' k * k * 'k 'k * ' k k ' k '.k 'k •A * 'k * ' k k ' k 'k ' k ' k ' A ' k k 'k ' k 'k 'k * ' k •k ' k ' A k * ' k k ' k • ' k k ' k ' k A ' k ' k ' A THE APPLICANT MUST NOTIFY THE INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24 HOURS IN .ADVANCE. 433-0179 'A 'k 'k • A 'k A ' k 'k ' k ' k ' A 'k 'k 'k ' A ' A * 'k * 'k 'k A A k ' k 'k ' k 'A 'k * 'k 'k 'A 'k ' k 'k ' k ' k A k 'k 'k A ' k ' A * ' A ' A 'k ' A 'k 'k k ' A ' k ' k 'k ' k A ' k 'k •k * 'A ' A k •A ' A 'A ' k * ' A k ' k ' k ' A 'A 'k APPROVED FOR ISSUANCE BY: JJS Issued By: \-- JSlQQ, Authorized Permit Center Signature h 'k'A 'A 'A 'A 'A * 'A'A 'A 'A 'A 'A * 'k * * * 'k *'A 'A 'A 'A 'A * •A 'k * * * * * 'A 'A * k 'A * 'A * * 'k 'A * 'A * * 'k * A' 'k 'A 'A'A 'A 'A 'A 'A 'I. * 'k * * 'k * 'k * 'k A * 'k * .k A * 'A I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved By: Issue Date: 09/27/1996 Approval Letter: 09/25/1996 Expires: 11/26 /1996 Date: „)22./qc • C C Address: 15650 WEST VALLEY HY Permit No: PW96-0169 Suite: • Tenant:. GULL STATION 240 Status: ISSUED • Type: PW-HAUL Applied: 06/20/1996 Parcel #: 000580-0032 Issued: 09/27/1996 ** k * lt A 'It * * * * *lc * lt k * lc 1( * A 1( A * kkA A kit kk*AkAlck lc k k *kkAAA lit it k Permit Conditions: :.; • ":4 • * 4 •■• '• • • • • • t s'yJv ,hiti • # d1 3 7f, • P • .*.••••. • • ••• s, CITY OF TUKWILA, 3 '.'.. •. . ..-;',;::. , ..: - , ! .."-,-.--......... . ir41, I . . . • i i %. ' ' ' i. . ' „„ ' 4 I ,'..,,,. ',, ' ,1 .•• •• ,•'• . . 1 3 ..,„„„ 1} ■ I ...,, I ;frli 0 . . .. .. ... • 7 • :: ...i, -,,,--= \ , , , I i i 0 . , - , ' '', , • ,..... - , :- ..., .... .-1 A :::”: . , • 4 • ?; ''.4 \ ,•••-, ... kik • 41 ' ? v, ?. ,, , . ,;.• ,-, , • .. A... , I Yi IP ''' . .,4 ; .,,- .,,,... • i ...... -,„- I ' 4 . , : f ,.,3 , :t • .::-. . 3. ,, , ..1.: •:!..,:;•;:,'' -' , „. , ! t i '... ,• . .., ,.., .1\%.1 . , . .. , • • N " ......• • ,.•:-., • .. :;!., ...... :',•:::,:,:,:',.. us.,.+�+v. ✓.w � s x+sssYMYr H L �.t \q:.1v 1:.'C TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DATE: SEPTEMBER 25, 1996 t WtikraMMI City of Tukwila Department of Public Works SUBJECT: Gull Station Demolition 15650 West Valley Hwy Project No. P95 -0048 Plan Check No. B95 -0163 Activity No. PW96 -0169 Contact Person: Lance Peterson Phone No. (206)453 -8383 NOTIFICATION OF UTILITY PERMIT ACTION THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON SEPTEMBER 25, 1996: Permit Fee PW96 -0169 Hauling $ 25.00 John W. Rants, Mayor Ross A. Earnst, P. E., Director Two copies of the confirmed Utility Permit Application Form and approved plans are attached for inclusion in the building permit file. Also attached are copies of Certificate of Insurance, $ 2000 check in lieu of Permit Bond and 5 copies of haul route map. JJS /jjs Attachments a/s cf: City Clerk (w /copy of UPA, haul route map & original of Certificate of Insurance & Permit Bond) PW Utilities Inspector (w /copy of application /plans /haul route map) Development File (w /copy of application /plans & haul permit documents) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 431-3665 Name of Project: Sv ∎14; h roperty Owner: . \A �treet'Address:. ` 3Y 0'ti ovv-* e ve, :nglneer :: • f; ` T:e•- c.\•■∎nala i - e-_S • street Address ' (v2• \ E. V` :ontractor: =• (r - �. .M >S> ❑ Channelization/Striping /Signing : C� I ':ED 4 ❑ Curb Cut/Access/Sidewalk ' "' " `.::';, : ❑ Fire Loop/Hydr. (main to vault) - No.: 44 CommerciaUIndustrial M ISCE t ANEOUS # ame: Street 'Address: Applicant/Authorized Aaent Signature: Print Name: 'v , 6 Phone( )E. k53 -8 38 Accepted: • , City of Tula. 'Z Central Permit System - engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 .❑ Flood Zone Control • Hauling.:Pbet‘ -04E q. Land'Attenng, .. ` ' cubic yards 0r;• Landscape,lmgation ❑ Moving an Oversized Load • Est..start/end times: Date • Sanitary Side Sewer 74407 C4PPi c, ' • ❑ Office ❑ ' Retail 0 New Building Square ❑ Duplex ❑ Triplex • ❑ Standby ttreet 'Address: • . : S aw:'e ' o s a\o e. ' ' City /State/Zip: ❑ Manufacturing ❑ Remodel/ Addition CERTiFY,T.NAT I HAt/E READ THIS.APPL/CATID . AND:K QW THE .. 1;16, 11V Appilcatl• pci c 400113 Phone: (206) 433 -0179 • UTILITY PERMIT APPLICATION • FLAG-0169 Site Address: '56 "0 We-,.s--`v 1.2. - 1- - 'To kwi1a aS T l• v- L-1 Phone No.GROG) -Sqo� City /State2ip: ' Se.a)-4 (.2) W 13 `I Phone No.: (rios) M S3-- '3 g3 '9 - City /State/Zip: .e \\Qv -, 1. cr$'00S Phone No.: • Cing Cty Assessor Acct #: ooqsgo- 003a -oo Contractor's License #: Pt ?2L . \\ 01-. Exp. Date:S /3 ► /Q 7 ❑ Sewer Main Extension ❑ Private ❑ Public Storm Drainage coq PPi Ns. Sizes: .0 Street Use ❑ Water Main Extension ❑Private ❑ Public ❑ Water Meter / Exempt: - No.:_ Sizes• • Deduct ❑ •:_ WaterOnly ❑ . .. • ❑ Water Meter/ Permanent: - No.: — Sizes• 0 Water Meter/ Temporary: - No.: Sizes___ _ Estimated quantity: Scheduler :. O Other: : . REFtf ND1 ;:. ��..;::, :.. >:;.�• Name. :.►IG r . },p tVUNGS` <7a'a >`> r : >': S treefAddress: :';; ❑ Water.';' . ❑Sewer ❑ Metro DE SC R IP T IONOF', PRO JECT t(�..Multiple- Family Dwelling . ❑ Hotel L, r' No: of Units:. . ❑ Motel ❑ Single - Family Residential Date Application Expires: • Phone No.: ❑ Condominiums City /State/Zip: ..".Phone Na • City /State/Zip: • • ❑ Apartments ❑ Other: ❑ Warehouse ❑ Church • ❑ School/College ■University • .❑ Hospital 21 Other: Ci tavr•oVkrov.. Square footage of original building space: Square footage of additional building space: . < >::.... ::......:.: >:: } Footage: King County Assessor's valuation of existing structures: $ Valuation of work to be done: $ Contact Person (print name): _ ,0 C-- e -3 300 \2.o k Ave . U bE, Address: PcCr "- Vec- 7,Nap. y , c? (4Phone ps iiS3 -83 3 ' 04/22/92 104 04; Producer The Rabourn Company P.O. Box 2160 Kirkland, WA 98083 -2160 ( ) Insured Bobby Wolford Trucking & Salvage, Inc. 8107 222nd Street S.E. Woodinville, WA 98072 CO LTR A TYPE OF INSURANCE GENERAL LIABILITY Comprehensive Form Premises /Operations Underground /Explosion & Collapse Hazard Products /Completed Ops Contractual Independent Contractors Broad Form Property Damage Personal Injury AUTOMOBILE LIABILITY Any Auto All Owned Autos(Priv Psgr) - - All Owned Autos (Other — Than Priv Psgr) _ Hired Autos _ Non -Owned Autos _ Garage Liability EXCESS LIABILITY Umbrella Form K Other Than Umbrella Form WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY The Proprietor/ Incl Partners /Executive Officers are: Excl 431 -3665 URA! POLICY NUMBER BFD1952630 SDX95 -5730 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS RE: Demolition Permit /Site 240 WOLF001 -MJS Zit Of Tukwila Public Works Dept. 6300 Southcenter Blvd. Suite 100 Tukwila, WA 98188 Company CNA International Reinsurance C/O A Puget Sound Underwriters Company Sphere Drake Insurance Company C/O B Puget Sound Underwriters Company C Company POLICY EFFELTIVE DATE 12/01/95 12/01/95 Date (mm /dd /yy) 09/18/96 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 031PANIES AFFORD= CCNERPZE COVE ES :......:.........:....... ................................................. ............................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED. 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXPIRATION DATE 12/01/96 12/01/96 Authorized /(epresentative Bodily Injury Occ $ Property Damage Aqq $ BI & PD Combined Occ $ 500, 000 BI & PD Combined Aqq $ 5 0 0 , 0 Personal Injury Aqq $ 500, 000 Bodily Injury Aqq Property Damage Occ Bodily Injury (per person) Bodily Injury (per accident) Property Damage Bodily Injury & Property Damage Combined Each Occurrence Aggregate Statutory Limit{ `Other LIMITS $ 500,000 $ 500,000 EL Each Accident EL Disease- Policy Limit $ EL Disease -Ea Employee $ RECEIVED SEP 1 9 1996 COMMUNITY DEVELOPMENT ttKtt ................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 0 DAYS WRITTEN NOTICE TO THE Cm1TIPICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY RIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. rAtell w. nnnm WOLFORD TRUCKIN G 3 SALVAGE. INC. ccr - c1 NO-„ , d ,,, , S1 (IA) . v. H ©l C r bj h 8107 - 222nd ST. S.E. SUITE A WOODINVILLE,WA 98072 (206) 827 -7530 Ca S. T III to w Iii Lio W cn a W's T AR O l G - ip 4-0 SerAtbU 2,vax4.4 wte4r, ath vin sh) = 1/J 1 -- 016�i City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WATER METER PERMIT Permit No: PW96 -0168 Issued: 09/27/1996 Status: ISSUED Approval Letter: 09/17/1996 Project Name: GULL STATION 240 Expires: 11/26/1996 Site Address: 15650 WEST VALLEY HY St: 01 Location: 15650 WEST VALLEY HY /FORMER GULL STA #240 Parcel #: 000580 -0032 Wetlands: Water Course: Slopes:N Water Dist: TUKWILA Sewer Dist: TUKWILA Type: COM No of Units: 000 Square Feet: Contractor License Number: THREEAI279KD TENANT GULL STATION 240 15650 WEST VALLEY HY, TUKWILA, WA 98188 OWNER GULL OIL CO 240 3404 4TH AVE S, PO BOX 24687, SEATTLE WA 98124 CONTRACTOR 3A- INDUSTRIES Phone: 206 725 -2200 P.O. BOX 14029, SEATTLE, WA 98114 CONTRACTOR APPLIED GEOTECHNOLOGY INC Phone: (206)453 -8383 PO BOX 3885, BELLEVUE, WA 98009 ENGINEER AGI TECHNOLOGIES Phone: (206)453 -8383 300 120 AV NE BLDG 300, BELLEVUE, WA 98005 CONTACT LANCE PETERSON /AGI TECHNOLOGIES Phone: (206)453 -8383 300 120 AV NE BLDG 4, BELLEVUE WA 98005 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Additional Description: Developer Construction Cost: .00 CAPPING OF WATER LINE DUE TO DEMOLITION OF GAS STA METER INFORMATION: Water Meter Size: .00 Quantity: Work Order #: Type: FEES: Regular Connection: .00 Acct No: 401/388.102 Install Deposit: .00 Acct No: 401/386.520 Plan Check: .00 Acct No: 000/345.830 Inspection: .00 Acct No: 401/342.400 Turn On Fee: .00 Acct No: 401/343.405 Special Connect Fee: .00 Acct No: 401/388.101 Other Fees: 25.00 TOTAL FEES: 25.00 ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** I understand that the charge for the meter installation portion of the water meter /service installation is based on the actual cost of materials plus labor including 17% overhead. I agree to pay the installation fee (deposit) on the signing of this application and the balance of the cost when billed (overpayment will be refunded). Further, I agree to pay the regular connection charge, administrative plan check fee, inspection fee and turn -on fee as part of this application.I further understand that the water service piping from the public main to the water meter box and shut -off valve (corp stop) shall be constructed at my sole expense. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAST 24,NOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. S ignature, zi- ,. r2 )..1 -ifs" Title: _c �,'t , d'.Y,a 3 -- 1 Company: r r----› p y� `"` Date: 2 /1 ‹: * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE: JJS= Issued By: Authorized Permit Center Signature Date ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved By: Inspector Signature Date (206) 431 -3670 *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Address: 15650 WEST VALLEY HY St: OI Suite: Tenant: GULL STATION 240 Type: PW -WM Parcel #: 000580 -0032 Status: ISSUED Applied: 06/20/1996 Issued: 09/27/1996 •k•k•k k• k*• k• k• k*• k•k•k•k•k•k•A *•A***•A *•A*•A**•A A**'A* k•k•k•A'A*'A k•k•k•k•k*•k•k k'A'k•k•k k :F•k•k•k•k•k•k:k *•k k k k•l••k•A A•.k•k Permit Conditions: 1. Temporary erosion control measures shall he implemented as the first order of business to•.. p.r ev_e.nt sedimentation off- site or into existing tr;r�um dr:a`i.nag :i . l c.itie:. 2. The site shall hav,.e:-�p•er.manent 'ion con•tro�l... in place as soon asposs i`b l e ;at ter t l 1 grad i�ng.:.h•s been completed andor to. t her Final I,r s sect 3. Sewer •and. water' uti l''it`ieshall be plugged at the mains it they are t.056 aban,don,e�d. It they will be piisedi agijn;;,in the near<<fu`ture, to a new bui ld'iria'; 'the.y sha�l°l becapp;ed crr`w at the oper "�ril,i arid' at ;th'e t ,waer meter re pe ',ctivel 4. EXISTI,NG;"3/4' " WATER. METER CH1�L�`BE REMOVED BY CI TY; `PU WORr,��;,:�,TAFF AND" EXI_�TING °' i.ATER SEPV,ICE_� SHALLBE CAPPED L t 14 1 THE DEMOTION CONTRACTOR:: \CURRENT "WATER /'SEWER '"BILLING ACCO�lf1 -T # 45 0800. 1 haMaVad r r" 1' ' . # w o 4 1 N ,.. CITY OF TUI WILA Permit No: PW96 -0163 Contractor 'ENANT rWNER :ONTRACTOR :ONTRACTOR :NGINEER :ONTACT Parcel #: 000580 -0032 Wetlands: Sewer: TUKWILA Issued By: 25..00 Signature. �. eo STORM DRAINAGE 1 :.ina Countv,;Val"u'ti.on ` Value Permit No: PW96 -0167 Status: ISSUED Project: GULL STATION 240 Site Address: 15650 WEST VALLEY HY St: 01 Location: 15650 WEST VALLEY HY /FORMER GULL STA #240 Issued: 09/27/1996 Approval Letter: 09/17/1996 Expires: 03 /26 / 1997 Watercourse: Slopes: N Water: TUKWILA License No.: THREEAI279KD GULL STATION 240 15650 WEST VALLEY HY, TUKWILA, WA 98188 GULL OIL CO 240 3404 4TH AVE S, PO " .BOX 24687. SEATTLE WA 98124 3A- INDUSTRIES. Phone: P.O. BOX 14029, SEATTLE:, ".WA 98114 APPLIED GEOTECHNOLOGY:INC Phone: PO BOX 3885, BELLEVUE, WA 98009 AGI TECHNOLOGIES Phone: 300 120 AV NE BLDG 4 STE#300, BELLEVUE, WA = 98005 LANCE PETERSON /AGI TECHNOLOGIES Phone: 300• 120 AV NE BLDG 4, BELLEVUE, WA 98005 •k •k •A * •A •A ' k ' A •k • A •k * •k k " k. •k ' k :4 : k 'k k •k k k • k k •k k k ' A ' k k k 'k k * k k k k k •k A * A * ' A * A k •k ' A •A kk ' k ' k k k ' kA ' k A •k k •k k k ' A k •k ' k .4 'k '4 A A A k Additional permit Description:. CAPPING;OF STORM DRAINAGE.. SYSTEM. DUE TO DEMOLITION OF EXISTING G AS STATION BUILDING 'Existing Square. Feet: New Square Feet; Final Inspection Approved: 206 725 -2200 (206)453- 8383 (206) 453 -8383 ('206)453-830' Additional Square Feet: Ins.petc Fe'e: • . 15:00 Acct No: 412/342.400 Plan Check "Fee: 10.00 Acct, No. OOO/345.330 TOTAL FEES: Inspector Signature Date of Construction: .00 Y*' A**' k• A*• k*' A* k .***• k• k• k• k .*' k• k*' k*' k' k*• A**• k***• k***• k** k'. 4* •k * *'A'A'A*•k'k°b'A *•A•k **•A*•A A A•A *•k **•A k A'A'k k A•k•.4 I hereby accept , t1'1 i,s. permit and agree to abide e l f - a p p l i c a b l e sections of the City of. Tukw"i l.a Municipal Code. We agree that the...,City' of Tukwi la' shal l he c held har'mles:�. `.for all or any claims arising as . a result of this project. Permits which'have lapsed beyond the expiration-date shall require a re- apolicat ion "an,d reissuance of the permit through the City at .an additional fee. THE APPLICANT MUS•T•NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND OF WORK AT LEAST 24-.HOURS IN ADVANCE. TO SCHEDULE AN INSPECTION 433-0179. Date: Lo LL COMPLETION CALL Date: •k * ' k 'A ' A 'A •k ' k * •k •A •k'ti • k •k • k k * 'k 'k •k ' k ' k * * * 'k ' A 'A •k 'k ' A •k ' k k 'k •A 'k • A 'k ' k ' k k * * 'k * ' k * •k k 'k k ' k 'k ' k k A k ' k ' 4 ' k * k ' k 'k A * •k •k * A A ' k •A ' k • k A k * APPROVED FOR ISSUANCE BY: JJS Authorized Permit Center Signature 'A 'A 'A * * 'A '4 :k 'A 'k •A 'A'A 'A 'A 'A 'k * 'A * •k 'A 'k * * * * * •A'A 'A A• 'k * *'A 'A 'A 4 '4 'A 'A A 'A k A * 'k * A * * A 'A 'A'A 'A * •k 'A 'A'A 'A •k * * * A 'A 'A * A * * * * ' k * I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Address: 15650 WEST VALLEY HY St: 01 Permit No: PW96-0167 Suite: Tenant: GULL STATION 240 Status: ISSUED ;.' Type: ,pw-SD Applied: 06/20/1996 Parcel #: 000580-0032 Issued: 09/27/1996 lcitIff***A*-01***************4(11********* A****** #(' A**'k ******** 4************A**Alt • 44,44,4,-,/{44,,,,..".40.40,174474",1,11(ti.41:411.1.VItttli?"4X111.`1/11.1:4111;W!..V4WVOltn'71'114'74174WV.tt.1Vf4.1:47.?..M.iir. 4,1.4•14171114:14;70,:lt.c:rtp.`77T;M,V9V.q.'1:gM........4.1.4,?.11':f114MONArVit* Permit Conditions: I. Temp6rary erosion control measures 'shall be implemented as the first order of business_to,preven,t sedimentation off- site or into existinst,tdrfw:driiinage tacilitis 2. The site shall havep'erM'aaeYft in place as soon as':15,SsIbleefter final graiffnglia been completed and prior toth. Final Inspection_ • / .* 4 CITY OF TUKWILA •■• a n City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Final Inspection Approved: SANITARY SIDE SEWER (206) 431 -3670 Permit No: PW96 -0166 Issued: 09/27/1996 Status: ISSUED Approval Letter: 09/17/1996 Project: GULL STATION 240 Expires: 03/26/1997 Site Address: 15650 WEST VALLEY HY St: 01 Parcel No: 000580 -0032 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: TUKWILA Type of Install: TCOM Number of Units: 000 Exist SQ FT: Add SQ FT: New SQ FT: Contractor License No: THREEAI279KD TENANT GULL STATION 240 15650 WEST VALLEY HY, TUKWILA, WA 98188 OWNER GULL OIL CO 240 3404 4TH AVE S, PO BOX 24687, SEATTLE WA 98124 CONTRACTOR 3A- INDUSTRIES Phone: 206 725 -2200 P.O. BOX 14029, SEATTLE, WA 98114 CONTRACTOR APPLIED GEOTECHNOLOGY INC Phone: (206)453 -8383 PO BOX 3885, BELLEVUE, WA 98009 ENGINEER AGI TECHNOLOGIES Phone: (206)453 -8383 300 120 AV NE BLDG 4, BELLEVUE, WA 98005 CONTACT LANCE PETERSON /AGI TECHNOLOGIES Phone: (206)453 -8383 300 120 AV NE BLDG 4 STE #215, BELLEVUE, WA 98005 Description: CAPPING OF SANITARY SIDE SEWER DUE TO DEMOLITION OF FORMER GAS STATION BUILDING. METRO DISCHARGE APPROVAL IS REQUIRED FOR SITE REMEDIATION TREATED WTER DISCHARGE TO STORM OR SANITARY SEWER. ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Inspection Fee: 20.00 Acct No: 402/342.400 Hook UP Fee: .00 Acct No: 402/388.102 Special Assessment: .00 Acct No: 402/388.101 TOTAL FEE: 20.00 ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 4 HOURS ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature: Date: c _117-17/ 1 /6 Company: t vaA - Z Title: y �( ,r ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * *7t,k*4r9F *,karr4c * * * * * * ** APPROVED FOR ISSUANCE BY: JJS 1/ Issued By: Inspector Signature Date Authorized Permit Center Signature Date ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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. CITY OF TUKWILA ^7� Address: 15650 WEST VALLEY HY St: 01 Permit No: PW96 -0166 Suite: Tenant: GULL STATION 240 Status: ISSUED Type PW-SSS Applied: 06/20/1996 Parcel #: 000580 -0032 Issued: 09/27/1996 * *•A *** *•k•k•k•k k• k k• k• A• k• A• k• k• k•k**A k * * ** *•A•A•k•k•k•k•k k * k k•k•k k *** k k•k•k•* AA AA A•k•k k k k : i k k Permit Conditions: 1. Temporary erosion control measures shall be implemented as the first order of business,..to.,prev sedimentation off - site or into exiting .,sto:rm° dr�a .�nat e;:faci3ities. 2. The site shall have - p'e erosion - control : ,measures in place as soon a,s:: puysi b l e ,atter final grading has been completed and. prior to th,e: Final .Inspect itnn 3 Sewer and water utilities' `shall b'e plugved .aT the mains it they are to .be abandoned. If they w i l l be used in the near, future for,. ,a new. building, they sha�l`i:.,be .capped at the ,prs.oper,tys'�l.ine and' at the ::water meter respectively Permit No: Status: Proiect: Address: Location: Parcel #: Wetlands.: Contractor: Permit Fee : Plan Check Fee : Other: Total Fees: Signatur *******AA - !' / A 'k 'k 'k 135'.00 30.00 165.00 LAND ALTERING PW96 -01 19 I'S'SUED GULL STATION#240 15650 WEST VALLEY HY 15650 WEST VALLEY HY /FORMER GULL STA #240 000580 -0032 Issued: 09/27/1996 Approval Letter: 09/17/1996 Expires: 03/26/1997 Watercourse: Slopes: N License No.: TENANT GULL STATION 240 15650 WEST VALLEY HY,.TUKWILA WA 98188 'OWNER GULL OIL CO 240 3404 4TH AVE 5, PO BOX 24687, SEATTLE WA 98124 ENGINEER AGI TECHNOLOGIES Phone: 206 453-3383 300 120TH`AVE NE BLDG 4, BELLEVUE WA 98005 CONTACT LANCE PETERSON Phone: 206 453-3323 AGI TECHNOLOGIES, 300 120TH AVE NE BLDG.4, BELLEVUE WA 93005 'k •k 'k •k k 'k •k •k 'k •k 'k 'k 'k 'k •k 'k * '.'k * •k •k 'k ' •k * •k 'k 'k 'k 'k 'k ck 'k A k 'k k .* A A 'k •k k k k 'k 'k A k k •A 'k 'k 'k k •k k 'k 'k •k •k k k 'A k 'A k k A A 'k k k A •A •k A Additional Description: LAND ALTERING FOR ENVIRONMENTAL REMEDIATION PROJCT & DEMOLITION OF FORMER GULL OIL CO SERVICE STA #240 REFER• :TO SPA FILE NO.. E'96- 0015. THREE' 10 000GAL UG STORAGE TANKS WERE REMOVED FROM THE SITE IN 1987. THE''SITE HAS BEEN UNUSED SINCE 190. ALL . REMEDIATION WORK WILL BE DONE ON SITE. METRO DISCHARGE PERMIT WILL BE REQUIRED FOR ANY ANY DISCHARGE OF.TREATED <. WATER TO THE STORM OR SAN: SEWER, IF APPLICABLE. Grading /fp l • {Yards) -Cut: 1500 Fill: 1500 Total: 3000 Account No: 000/322.100 Account No: 000/345.330 Account' No: 000/386.904 Valuation: .00 'k 'k 'k •k •k •k 'k 'k k 'k •A 'k 'k : k'k •k 'k 'k 'k 'k 'k 'k k 'kA' •k 'k k •k 'k •k 'k 'k A 'A 'k :A 'A 'k 'k :k 'k 'k A 'k 'k 'k k * 'k 'k 'k 'k •k 'k 'k •k 'k •k 'k •A 'k 'k 'k 'k 'k 'k 'k k 'A k 'k 'k 'k 'k 'A A k A I hereby certify that I have read and .examined this permit and know the same to be true and' correct. All provisions of law and ordinances governing this work will be complied'with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized.: to sign for and obtain this Land Altering permit. This pe,rmi,t shall become null and void if the work is not commenced within 180 days'f the date of issuance, or if the work is suspended or abandoned for 'a period of 180 days from the last inspection. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMENCEMENT AND COMPLETION OF WORK AT LEVI 24 HOURV' ' ADVANCE. FOR AN INSPECTION CALL 433- 0179. Date: ' �1 ?G_ k •k 'k 'k ' k 'k 'k •k ' k * ' A ' k ' k • k •k 'k •k ' k ' k •k ' A 'k •k k ' A k • A k ' k 'k • k ' k A ' A ' k 'A ' k 'k •k 'A 'k 'k : k ' k ' k •k •k •A 'k k k ' k 'k 'k ' A 'k k ' A ' A APPROVED FOR ISSUANCE: JJS �/ Issued E'y �-V& _ Authorized Permit Center Signature •A 'A 'k 'k 'k •k 'k ' 'k 'A 'k 'A 'A •k '1414 •• 'k 'k 'k •k *14 •k A A •k •A 'k •A 'k •A 'A 'A A 'k 'A 'k k k lc* * 'k 'A* 'k • 'k 'A 'k k k •k 'A 'A ' 'A 'A 'k •k 'A k 'k 'k A 'k 'A it 'k •k I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for this project approved herein. Date :grcri/GW CITY OF TUI:.WILA snerm Address: 15650 WEST VALLEY HY Suite: Tenant: GULL STATION 240 Status: ISSUED T PW -LA Applied: 05/21/1996 Parcel # . : 000580 -0032 Issued: 09/27/1996 **• k**• k*• k• k**• k*: k* k• kkk* k*k• k• k***• kkk• k k k• kk k k* k • kk kk• k k* k kkAA **'A•kk Permit Conditions: 1. Temporary erosion control measures shall be implemented as the first order of business .to prevent sedimentation off- site or into existing stor -,dra;inage 2. The site shall havepe.rnian'ent er•osion in place as soon as l af ter final grad iha h'as been completed and p:rior- to t'he' Final iInspectton. • . APPLICANT SHALL'" NOTIFY ;TH CITY'UTILITY INSPECTOR-IF THE REMEDIATION WORK WI , ENCROACH PUBLIC R . 0. W 4, SEPARETE':STREET U'SE ` PCRM,I}T' MIGHT BE REOUIREG `FOR WORK IN THE PUBLIC' RIGHT. -OF WAY. Permit No: PW96 -0119 TO: FROM: DATE: L City of Tukwila Department of Public Works Ross A. Earnst, P. E., Director NOTIFICATION OF UTILITY PERMIT ACTION PERMIT CENTER PUBLIC WORKS ENGINEERING September 17, 1996 SUBJECT: Gull Station Demolition and Site Remediation 15650 West Valley Highway Project No.: P95 -0048 Plan Check No.: B95 -0163 Activity No.: PW96- 0119,0166,0167,0168,0169 Contact Person: Mr. Lance Peterson Phone: (206)453 -8383 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON September 17, 1996: PW96 -0119 Land Altering PW96 -0166 Sanitary Side Sewer(capping) PW96 -0167 Storm Drainage(capping) PW96 -0168 Water Meter(capping) PERMIT FEE 165.00 20.00 25.00 25.00 Total: $235.00 John W. Rants, Mayor THE FOLLOWING PUBLIC WORKS PERMIT CANNOT BE APPROVED UNITL ADDITIONAL INFORMATION HAS BEEN RECEIVED FROM THE APPLICANT AND REVIEWED. (This information consists of a copy of the Certificate of Insurance coverage (min. $1,000,000) naming the City of Tukwila as additionally insured, a $2,000 bond and 5 copies of the haul route map for the Hauling permit.) PW96 -0169 Hauling $25.00 Two copies of the confirmed Utility Permit Application with a set of plans are attached for inclusion in the permit file. JJS /mv Attachments a/s C.F.: PW Utilities Inspector (copy of UPA, application and plans) Development File (copy of UPA, application and plans) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 4310179 • Fax (206) 431 Applicant /Authorized Contact Person . I • 111 Avg C.SZ_ iC2_S.C.S t ' E I 0 4 ' ' , .:1 • I., - /11PAS Print Name: Lay c_z_ c , Pl.�v -� Address: P ''C:e c.'vnn\o '�S, 3ao \2 o-vk Ave . A Date: (VI c>/9 6 PhoneC o` -8 3g3 g y ` Z2,\1 ViPh Q; „f Phone0,66 -}.53 -838'3 Date Application Accepted: , ( I _ q f „ Date Application Expires: 1 � __ 1 i q (/) Property Owner: Street Address: Engineer: Street Address: Contractor: Street Address: 11 P) g 6- o166 pW Q6 - :. 141.6.- 0 I71412 EFUND /BILL, RVI :LIB REBY.CERTIFI T City of Tukv: z Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Site Address: t"565° Wes'r Va.i `e7 Name of Project: ev ■ l�i e :-Ir\ 1rtQs, itvAc S9O VQ. Sav? CV - 7-e L no a ; 4 2...5 Sa � i�v2. � Qc.k �-{- ctw.e_ cX S UTILITY PERMIT APPLICATION ho \ a\o Q_ King Cty Assessor Acct #: ppQsgo _c?o3a_ oo Contractor's License #: PI? Gam- \ \ O 1-, Exp. Date:5 /31 /ct 7 ❑ Channelization/Striping /Signing ❑ Curb Cut/Access/Sidewalk ' ❑ Fire Loop/Hydr. (main to vault) – No.: ❑ Flood Zone Control ❑ Hauling ❑ Land Altering cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times: Date: lei Sanitary Side Sewer –fie:: CAlipiNC, ;METER;;:;:;`:;: Name: Street Address: • Name: Street Address: El Water ❑ Sewer El Metro ❑ Standby DSCRIPTIO,N> OF PROJ ❑ Multiple - Family Dwelling ❑ Hotel No. of Units: ❑ Motel faCommerciaVlndustrial ❑ Office ❑ Retail E R D' Sizes: ❑ Single- Family Residential ❑ Duplex ❑ Apartments ❑ Other: ❑ Triplex El Condominiums ❑ Warehouse El Church ❑ SchooVCollege /University Cl Manufacturing ❑ Remodel/ Addition M ISCELLANEOUS ❑New Building I N ORM A TION` Square e: King County Assessor's valuation of existing structures: $ A !PL,ICATION. CAlP PING Appllcati' pci co-oo4Q ❑ Sewer Main Extension ❑ Private IX Storm Drainage CA-pp N ❑ Street Use ❑ Water Main Extensbn ❑ Private ❑ Water Meter / Exempt: – No.: — Deduct ❑ Water Only ❑ Water Meter / Permanent – No.: — ❑ Water Meter/ Temporary: – No.: Estimated quantity: Schedule: ❑ Other: ❑ Hospital El Other: Civ∎IAR - 02v.,o\Prio' Square footage of original building space: Square footage of additional building space: Valuation of work to be done: $ RilE W7 Phone No.: City /State /Zip: ' Phone No.: City /State/Zip: Phone: (206) 433 -0179 - 1 . 1)Kw;IA1 Wa.S �'11h GwA 1 S -k ;ova , a i o Phone No.co`� bay –r9 o� City /State/Zip: Sear•} 2, Lup, 4813 Phone No.: . 0G' H 53- S 83 City /State/Zip: S.e.\ \Qv ue_, w R R$r o5 Phone No.: • City/State/Zip: ❑ Public ❑ Public Sizes: Sizes• — Sizes• f~Q 04/22/92 111E8E8r CERTIFY THAT ! HAVE READ, :: , . >AP LICATIb . :1( W: THE SAME1:: . :: ::: :TRUE:. : :OQARECT: Applicant/Authorized Agent Signature; � ' /; L_A -- cr�2• Contact Person �, (print name)* — �� Print Name: L y c,e_ , QQ- vsSov.... Address: f G-L T2cii.ho1 eS -1/41. Pole.. . E. Date: /7/• C Phone: ,_06 953 -83 ?3 81 ee. evug. 1u1t q$ Phone - 06 S3 -1 3?3 Date Application Accepted: mAy 171 (ijj" g Da Application Expires: N , ii) i ix& JE CT:: Site Address: i 5CD5 o Wes' V �1 i (eY Name of Project: Ev�v il kc. "�Y'"� \ \ 1 "+e.& uk ` INFORMAYIO Property Owner: Gv\ \,nib- 'ivies Street Address: 3 t)uv-ac‘ IVY. Sc."- Engineer: PI no`o ie-s Street Address: 300 lab e_ N.F. % \d `1 Contractor: Street Address: S(Aw. a S King Cty Assessor Acct #: 00 O SEo - 0032- ooContractors License #: \ 10 L Exp. Date:5A I /9 7 RMI `: UEST Pwa6 -011/ 11, lQQr o .WATERMET ............ ............. REFUND /BILLI ;;MONTH:' <.SERVICE<< BILLINGS ❑ Water ;DESCRIPTION OFPROJE ❑ Multiple - Family Dwelling No. of Units: 1Commercial/Industrial M ISCELLANEO iNFO R ; iATi ; City of 7a' . vila Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 UTILITY PERMIT APPLICATION O Channelization/Striping /Signing ❑ Curb Cut/Access/Sidewalk ❑ Fire Loop/Hydr. (main to vault) - No.: _ Sizes: ❑ Flood Zone Control ❑ Hauring Land Altering \, SOO cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times: Date: ❑ Sanitary Side Sewer - No.: Name: Street Address: Name: Street Address: El Sewer El Metro ❑ Hotel ❑ Motel ❑ Office ❑ Retail El New Building Square Footage: King County Assessor's valuation of existing structures: $ l-. El Standby ❑ Single- Family Residential El Duplex El Triplex El Warehouse ❑ Manufacturing El Remodel/ Addition El Apartments El Condominiums El Church ❑ Hospital Apply `ion • SIN %-b119 'TukwOA) Was Phone No.: City /State/Zip: Phone No.: City /State/Zip: El Other: Square footage of original building space: Phone: (206) 433.0179 ,va.e G3\\ -S rct-k ;o" . a o Phone No. (A06\C 9 -59oo City /State/Zip: Se0, -4+1 e, w 14 960131i Phone No.Q009 5 3- 8383 City /State/Zip: S\lev ue. w A Woo S Phone No.: c,a0t.c. _ ct City /State/Zip: u\jp ❑ Sewer Main Extension ❑ Private ❑ Public ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private El Public ❑ Water Meter / Exempt:- No.: — Sizes' Deduct ❑ Water Only ❑ ❑ Water Meter/ Permanent - No.: — Sizes ❑ Water Meter/ Temporary:- No.: — Sizes Estimated quantity' Schedule: ❑ Other: ,ID CITY OF OCVC TUKWILA MAY 1 7 1996 GY' MAY 17199&5 KWI ❑ School/Col ,Other: F`^v° ; Square footage of additional building space: Valuation of work to be done: $ 04/22/92 AGI TECHNOLOGIES May 17, 1996 15,256.146 City of Tukwila Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite 100 Tukwila, Washington 98188 Attention: Review Personnel Land Altering Permit Application Submittal Environmental Remediation Former Gull Industries, Inc. Service Station No. 240 15640 West Valley Highway Tukwila, Washington AGI Technologies (AGI), on behalf of Gull Industries, Inc. (Gull), is applying for a Land Altering permit associated with a proposed environmental cleanup project at the above- referenced location. The site location is shown on Figure 1. SITE BACKGROUND The site is the location of a former Gull service station. Three 10,000 -gallon underground storage tanks (USTs) were removed from the site in 1987. The excavation created during the UST removal was backfilled with removed soil. The site has been unused since 1987. The former service station building and pump island canopy remain (see Figure 2). Subsurface conditions are based on a site assessment conducted by AGI in March 1996. Eight soil borings were drilled to depths ranging from 3 to 20 -1/2 feet below ground surface (bgs). Four of the borings were completed as groundwater monitoring wells. In general, subsurface conditions consist of a loose, fine grained sand to silty sand. A sandy silt is present at approximately 16 feet bgs. Groundwater was present under unconfined conditions at a depth of approximately 11 feet bgs. Petroleum hydrocarbon compounds exceeding the State of Washington Method A cleanup levels (cleanup levels) were discovered in soil and groundwater in the area of the former USTs and the western pump island. AGI's site assessment data have been submitted in support of a State Environmental Policy Act (SEPA) application checklist submitted to the City of Tukwila (City) Department of Community Development. 300 120th Avenue N.B., Building 4 • Bellevue, Washington 98005 • (206) 453.8383 • FAX (206) 646.9523 WASHINGTON OREGON CALIFORNIA d1 PROJECT DESCRIPTION EROSION CONTROL PLAN City of Tukwila Central Permit System - Engineering Division May 17, 1996 Page 2 AGI ILCIINOIOGIlf Proposed remediation at the site consists of excavation of contaminated soil for on -site treatment. Before work begins, the site will be secured by installing a chain link fence. The fence will act as a safety and control boundary to prevent site access to the public. Soil excavation will be conducted in two areas on the site as shown on Figure 3. An estimated 1,000 bank cubic yards will be removed from the former UST area. An estimated 500 bank cubic yards will be removed from the pump island area. Each excavation will be terminated once groundwater is encountered. We have assumed the excavations may extend to 16 feet bgs. A cross section of the proposed excavation areas is shown on Figure 4. We estimate 30 percent of the excavated soil will not contain any petroleum hydrocarbons exceeding cleanup levels (based on analytical laboratory testing to be performed). The clean soil will be backfilled in one or both of the excavations. All excavated soil containing petroleum hydrocarbons above cleanup levels will undergo on -site Solid Phase treatment. Solid Phase treatment relies on naturally occurring bacteria to biodegrade petroleum hydrocarbons in soil. The process is facilitated by adding nutrients and moisture and tilling the soil to optimize the available oxygen. The soil is spread evenly over the treatment area and is treated in approximately 1 -foot lifts. Soil samples are collected from each lift for analytical laboratory testing to document that petroleum hydrocarbon concentrations are below cleanup levels. The treated layer is then removed and placed as backfill and the next lift undergoes treatment. We estimate each lift will require two weeks for treatment and backfilling. Water which accumulates in the excavations will be treated by circulating the water within the excavation. After treatment, a sample of the excavation water will be collected for analytical laboratory testing to document petroleum hydrocarbons are not present above cleanup levels. The treated water will then be discharged to the storm or sanitary sewer after appropriate authorization is received. Multiple batches of excavation water may be treated until the water which reaccum- ulates in the excavation contains no petroleum hydrocarbons exceeding cleanup levels. Perimeter portions of the areas proposed to be used for Solid Phase treatment will contain a berm consisting of ecology blocks, native clean soil, or straw bales. A fabric fence will be erected in perimeter areas not containing straw bails. Those portions of the treatment areas not underlain by asphalt will be covered with plastic sheeting prior to placing contaminated soil. The on -site catch basin and those in the site vicinity will have geotextile filter fabric installed between the grate and rings. The on -site catch basin will also be covered with plywood since it will lie below the soil treatment area. The contaminated soil will be sloped toward the open excavations so that any stormwater runoff will remain on site. We estimate the maximum treatment area height will be two feet. The proposed soil treatment is expected to occur during the dry season (prior to October 1996). Any precipitation which occurs will serve to augment the soil moisture which is beneficial to the treatment process. If excessive precipitation should occur, the treatment area and excavation sideslopes will be covered with plastic sheeting. .. :. ..... — snni•.n.xlq, rmror�an:• +uo Lance E. Peterson, P.G. Senior Hydrogeologist 621v- City of Tukwila Central Permit System - Engineering Division May 17, 1996 Page 3 GEOTECHNICAL CONSIDERATIONS Susan J. Penoyar, P.E. Associate Engineer LEP /SJP /tag attachment cc: Mr. William T. Vivian; Gull Industries, Inc. All excavation sidewalls will be cut at a maximum slope of 1-1/2:1 from the excavation bottom. The 1 -1/2:1 cut slope assume no workers will enter the excavations. Cut slopes may be modified based on a geotechnical engineer's observations and approval during excavation. Cut slopes will be protected from excess runoff to minimize side slope erosion, as necessary. Shoring may be required along the western property border. AGI may request permission from the City to install the shoring within the City right -of -way between the site and West Valley Highway if test pits to be excavated at the beginning of the project indicate soil contamination extends into the right -of -way. The shoring would be installed within the right -of -way at some point to the east of the West Valley Highway curb shown on Figure 3. We understand a street use permit will be required by the City if shoring is installed within the right -of -way. The removal of water from the excavations will not constitute dewatering; therefore, there is no potential for settlement. Prior to backfilling, quarry spalls will be placed until the base of each excavation is above the water level. A filter fabric will then be placed over the quarry spalls. Treated soil will then be placed in level lifts not exceeding 12 inches in loose thickness, and compacted to at least 90 percent of maximum dry density as determined by ASTM Standard D1557. If you have any questions or concerns, please contact us at 206/453 -8383. Sincerely, AGI Technologies EXPIRES 2/26/ q 7 I .S• • , 000IStr f _o AT L.. S 115111011 VILLAS( R SI s u,,,- � — — a -1... n I ® t. �✓ �[F , M ST 1._4 z;' C; # , 1 _ 32 7 51 r .....,_____.1 SF 1151. tt 1 ,,. SF IISTN ST s 1. I I M ST za z ,ryt ' . rTM fl SE 'song It i1p1M 1 If 7101 Pt. NWM SI In T j 1 S 1507" ST 22 1 1171. S 168 S' 1 I TaS�,. • S 3 S 170'" IS' - 1 78110 S_ IN 17 1, R. ii11 TYf[ MOQ[: ff PAPP MI 0 { — { F 2560 Scale In Feet Reference: Map from The Thomas Guide, King Pierce. & Snohomish Counties, page 41. AGI TECHNOLOGIES Vicinity Map Gull /Site No. 240 Tukwila, Washington PROJECT NO. DRAWN DATE APPROVED 256146vm.cdr 15,256.146 BJA Mar 96 G FIGURE 1 REVISED DATE — �� wtw.scl� I 71 Reference: Gulf Oil Company - U.S. General Arrangement Plan Service Station o S.E. Cued. 1 -405 and West Valley Road Tukwila, Washington Date Unknown LEGEND Inferred Surface Water Runoff Direction MW29 Monitoring Well Number 97 2 and Approximate Location Showing Land Surface Elevation in Feet Relative to an Assumed Benchmark of 100.00 feet. B1• Soil Boring Number and Approximate Location HA1® Hand Auger Number and Approximate Location Pump Island ) Former Underground -�- Storage Tank Location -- Property Boundary 0 20 Scale in Feet 40 / 1 / I I I Unpaved / 1 I I MW3 i 98.4 4 ' Inferred location of 1 product piping�� / Asphalt MW1 98.1 6 Curb IR Catch Basin Catch Basin Concrete Building B1• • B2 Canopy Outline MW2C 97.97 Asphalt t HA2 ®) Concrete HA1® WEST VALLEY HIGHWAY 11811 Note: Bench mark is top of fire hydrant located near the southwest corner of the site. -- - - - - -J • AGI TECHNOLOGIES 256146a2.dwg Site Plan Gull /Site No. 240 Tukwila, Washington PROJECT NO. DRAWN DATE 15,256.146 BJA Mar 96 FIGURE 2 REVISED • DATE ALW 7 May 96 ) AL. __ ._.IA' APPROVED PER PUBLIC WORKS t_. ! TER DATED 9 Ser /7 /97 MW2tD sa Proposed Test Pit Location 1 Former Underground Storage Tank Location 0 LEGEND Soil Treatment Area Monitoring Well Number and Approximate Location Pump Island Property Boundary Land Altering Plan Cross Section Locations Note: Building and canopy to be removed prior to proposed excavation. 20 Scale In Feet 40 References: Gulf Oil Company - U.S. General Arrangement Plan Service Station o S.E. Quad., 1 -405 and West Valley Rd. Tukwila, WA. Utility locations from City of Tukwila Public Works Dept., S. 156th St./ Nelson Place, SR -1e1 -Water Main Plan, Sheet 6 of 6, MF 01918. Underground phone line locations based on utility locate markings. 1 1 7.%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Abandoned Water Line — �— —Phone Llne — — — • !— • — • —Storm Drain— Manhole Security Fence `r'1T�'Tr' - I—r - r '1T t'Tt �rT - 1Tf T1 -r—T Tf ...................... .............................. ............. " 3101 "Approx. Top of Excavation "' Approx. Bottom of Excavation: : : ::: Mi _ Shoring (if required Phone Ine Soil Treatment Area Containment Berm :Concrete: :•; 71 • Site Access Curb — _. , ato - fi�as�1n – � - -• .-B phone Ltne _.._.._..= Water Line i' itDh ?.._.._.._.._.._.._.._.. _.._.._.._.._.._.._.._.._.._.._ WEST VALLEY HIGHWAY (181) AGI TECHNOLOGIES phased-2.8w'; PROJECT NO. 15.258.146 Proposed Excavation Areas Gull /Site No. 240 Tukwila, Washington DRAWN BJA DATE Mar 98 APOVED REVISED ALW FIGURE 3 DATE 7 May 96 30 0 5 10 .1) LL 15 C 0 20 1.7j 25 A North ackfilled For Underground Ste /// Tank Cavity MO rage , •,:* • • • •• • • 5' min, separation between top of excavation and adjacent single story structure. Property Boundary / M w3 MW4 - %,•••••.r , 7, '..7::■74-.-. t-i c: rc '1/4 '-,::.v.:7'...-.:: -%.:- -1-. ni- To ••••, ••••,.....res.,...S....1.: 1. ••• - :rr r 7 -.. -1.•.-r rr -A v... ••4.--• r-• .r....s• I ...- .4 • ..... ./... S. +0.••• 1... '..- ..... ... ... ..- . ..-s ./-• v 4, . 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Approximate bottom of excavation at 16' ▪ • ••• •■ ••••• •••, • ▪ ;4, Ael■• Estimated contaminated soil to be removed. • Fill Silty Sand Silt LEGEND Vertical Scale: 1 Inch : 10 feet Horizontal Scale: 1 Inch : 20 feet Notes: 1) Cut slopes may be modified based on a geotechnical engineer's observations and approval during excavation. 2) Excavations will be restored to existing grade. A' B AGI TECHNOLOGIES Pump Islands Maximum Excavation Limits Maximum Excavation Limits •••• -r. • ••••• se - - 7 "•-■:.-c • ro4+: ••-• 771. tr nor -: r Approximate bottom of excavation at 16 PROJECT NO. Land Altering PI Gull/Sit Tukwila, OA A U.. DRAWN 14II Shoring (If and Property MV APPR LSTT# PG3 irvations cisting A' B AG! TECHNOLOGIES Pump Islands ,Imum Excavation Limits Maximum Excavation Limits Shoring Ilf required) and Property Boundary ':- t" ..-•• t .T. -. rt. "4.4- M In .-... . 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".. :-?...-. :'7, T."..7..4";:s• tq .....-% --.....-Nr--...”4.4"•:-..r• 4e; *- // 2. -L.• -r; '11, -,-.. rr; Arf .1% -..:. :V•••• el". ., in. R.I.,. •* ••• ..... -.1, ...• .x. 4, ....... •t• ....-. , ...... --:- :-.. •••7 .., t....... ...,..-............ • Me.'" `C• "ft:" • ' 4 77:•7? """ .. , r . , 7 ';', :r.r • e's.: ..-1.... ge 7: 67 t.•-‘:.-r •:r 4, -.. •-••:-/ tr. :F -.I-. ....r. Th ..... 7 _,..?": 1 ; Is ": • T . : " 0 1 . 7.. 17 t •' *".• -• ...",' .4 -. r- • rZ .-' r ... -.-..- -. ..•,,-u.',:6-...- - 7 .:,,..,.•,-!:44. , 7 .. -..---,-." vit'.: -; 7 n ......1 AL .n -. -■.. -..,•-• •: • • T. Ao :rr .7 •• "*. L.1.0• • h......- ,-;. -....-,„ mi. -.1t. .-... : r , .c. .o.'--., -. T - 0 • 0 I 01 I OW 01 : r.1 -r. .-.. -1- • r- •-r •.-..-,....-...1r..4 :' -4 , - ... . -11 ..A....... 14, ....• ....... .......• r.4..., ..P. ...."Pr ...r......:-. - - - - - - - :r cl.r.••-t .1 40 7 4 ........ •1 . ... • . s ••.1+ 1 -:a 0.• Approximate bottom of excavation at 16' PROJECT NO. DRAWN MW6 Right-of-Way Land Altering Plan Cross Section Gull/Site No. 240 Tukwila, Washington DATE APPROVED B' West APPROVED PER PUBLIC WORKS LETTER DATED ic0,6 PWq6 Storm Drain (approximate) Phone Line (approximate) Abandoned Water Line (approximate) FIGURE 4 REVISED DATE - ',iYMY.Y .nura.a.v."...i..v....... :: tt'at'..uc.:K4+�,. .. ... ..'', t�.✓ C.. nr:. i'. 73:`. s4'. t< G3:;.. .'•�'a; "�t:iP:'.�'i. ".i. �. _ DESCRIPTION OF PROPOSAL: EXCAVATE AND TREAT ABOUT 1.500 CU.YDS OF CONTAMINATED SOIL. TREATED SOIL WILL BE REINSTALLED IN THE EXCAVATION AREA. PROPONENT: AGI TECHNOLOGIES ADDRESS: 15650 WEST VALLEY NY PARCEL NCO 60fJS &J -0032 SEC'•TWNi RNG Steve Lancaster, Responsible Official City of Tukwila, (206) 431 - 36+30 6300 'Sout.hcenter• Boulevard Tukwila, WA 98188 CITY OF TIJt WILA MITIGATED DETERMINATION OF NONSIGNIFICANCE (MDMS) LOCATION OF PROPOSAL, INCLUDING STREET ADDRESS, IF ANY: LEAD AGENCY: CITY OF TUK;WI'LA FILE NO: E96 -0015 The C. i tv has determined that the proposal does not have a 'probable significant adverse impact on the environment. An environmental impact statement (EIS) is not r under RCW 43.21c.030(2).(0. This decision was made after.. review :of a . comoleted environmental checklist and other information on .file with the lead.agenc.v. This information is available to the public on request. The conditions to this SEPA Determination are attached. Ih i s DNS is issued under 197-11-340(2),.. Comments must be submitted by tee. 2i3 1" The. lead agency will not act on this proposal tor' 1 •S days from the date below. Jvv, e 1 3 +155 Date Copies of the procedures r'' SEPA appeals. , are a v a i l a b l e w i t h the Department of Community .Development. CITY TUi1' WILA t:OF DIT1oPS'S Address: 15650 WEST VALLEY HY Applicant: Status: ISSUED Permit No: E96• -0fJ1 5 Applied: 05/15/1996 Type: P -SEPA DNS Approved: 06/12/1996 Location: Parcel ir: 0005 &1 - 0032 Zoning: M1 •k*k•kk;4•k•A•k* k*: ik• k: 4• k• k: t • k• Ak• k: k* R • k• k• k•k• kk• k• k• k• k• k• k*• k; t*k• k• k• k; k• k• k• k• k• k• kk• k• k •k•k•k•k•k•k•k•k•k•k•k•k•krk*** I The city will hire an independent cons.ullant at the applicant's expense to determine if there is sail contamination. in the right- of -Way related to . the subject propertu, a it1;what measures. need to be taken ' to mitigate any contamination. The study and its conclusions shall be presented to'the City for its evaluation -prior to the issuance of . a land alt.er•ing. permit. A Amwest Amwest Surety Insurance Company WOODLAND HILLS, CALIFORNIA Any sinpular'reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name and Address): Applied Geotechnology, Inc. dba P. 0.: Box - 3835 Bellevue, WA 98009 OWNER (Name and Address): City of Tukwila Department of Community Development 6300 Southcenter Blvd. Tukwila WA 98188 CONSTRUCTION CONTRACT Dater September 30, 1996 Amount: $9, 402 , 58 Description (Name and Location): BOND Date (Not earlier than Construction Contract Date): Amount: $9,402.58 SIGNED, SEALED AND DATED THIS 30th day of September Applied Geotechnology, Inc. dba A ig ai Tech a . * UN•A3001 IREV, 2 11,1 it v:; 4Cf: 4sr: l- %Yti4 3 ;.•. 7 L ?'a "• Demolish building for Gull Industries BY September 30, 1996 B Holly Ulfer (SEE REVERSE SIDE FOR TERMS AND CONDITIONS) SURETY (Name and Principal Place of Business): AMWEST SURETY INSURANCE COMPANY 9709 3rd Avenue NE, Suite 200 Seattle, WA 98115 AMWEST SURETY INSURANCE COMPANY PERFORMANCE BOND BOND NO. 1314036 PREMIUM $300, 00 19 96 PRINCIPAL A'iWINEYIN•FACT 0� � y i r10.1 6izok -to C. agck a 1017 PERFORMANCE BOND 1. The Contractor and the Surety, Jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is Incorporated herein by reference. 2. It the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except to participate in conferences as provided In Subparagraph 3.1. 3. If there is no Owner Default, the Surety's obligation under this Bond shall arise after. 3.1 The Owner has notified the Contractor and the Surety at its address described In Paragraph 10 beloW mat me Owner is Con- sidering declaring a Contractor Default and has requested and attempted to arrange a conference with the Contractor and the Surety to be held Trot tater than fifteen nays after receipt of such notice to discuss methods of performing the Construction Contract. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable time to perform the Construction Con- tract out such an agreement shalt not waive me Owners right, it any, subsequently to declare a Contractor Default; and 3.2 The Owner has declared a Contractor Default and formally terminated the Contractor's right to complete the contract. Such Contractor Default shall not be declared earlier than twenty days after the Contractor and the Surety have received notice as provided in Subparagraph 3.1; and 3.3 The Owner has agreed to pay the Balance of the Contract Price to the Surety in accordance with the terms of the Construction Contract or to a contractor selected to perform the Construction Contract in accordance with the terms of the contract with the Owner. 4. After the Owner has declared Contractor in default and has satisfied the conditions of Paragraph 3, and the Surety has conducted its own prompt and reasonable investigation as to whether or not the Contractor's default has actually occurred, the Surety may at its own option elect one or more of the following actions: 4.1 Arrange for the Contractor, with oonsent of the Owner, to perform and complete the Construction Contract; or 4.2 Undertake to perform and complete the Construction Contract Itself, through its agents or through independent contractors; or 4,3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and the Contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the amount of damages as described in Paragraph 6 in excess of the Balance of the Contract Price incurred by the Owner resulting from the Contractor's default; or 4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: .1 After Investigation, determine the amount for which it may be liable to the Owner and as soon as practicable after the amount is determined, tender payment therefor to the Owner; or .2 Deny liability in whole nr in part and notify the Owner citing reasons therefor. 5. It the Surety proceeds as provided in Subparagraph 4.4, and the Owner refuses the payment tendered or the Surety has denied liabili. ty, in whole or in part, without further notice the Owner shall be entitled to enforce any remedy available to the Owner. 6. Atter the Owner has terminated the Contractor's right to complete the Construction Contract, and if the Surety elects to act under Subparagraph 4.1, 4.2, or 4.3 above, then the responsibilities of the Surety to the Owner shaft not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. To the limit of the amount of this Bond, but subject to commitment by the Owner of the Balance of the Con- tract Price to mitigation of costs and damages on the Construction Contract, the Surety is obligated without duplication for; 6.1 The responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; and 62 Liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or non-performance of the Contractor. 7. The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reduced or set oft on account of any such unrelated obligation*. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators or successors. 8. The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. 9. Any proceeding, legal or equitable, under this Bond may be instituted In any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within six months after Contractor Default or within six months after the Contractor ceased working or within six months after the Surety refused or tails to perform Its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. 10. Notice to the Surety, the Owner or trim Contractor shall be mailed or delivered to the address shown on the signature page. 11. When this Bond has been furnished to comply with a statutory or other legal requirement In the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or other legal requirement shall be deemed incorporated herein. 12. DEFINITIONS 12.1 Balance of the Contract Price: The total amount payable by the Owner to the Contractor under the Construction Contract after all proper adjustments have been made, including allowance to the Contractor of any amounts received or to be received by the Owner in settlement of Insurance or other claims for damages to which the Contractor Is entitled, or reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. 12.2 Construction Contract: The agreement between the Owner and the Contractor identified on the signature page, including all Contract Documents and changes thereto. • 12.3 Contractor Default: Failure of the Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract, 12.4 Owner Default; Failure of the Owner, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract or to perform and Complete or comply with the other terms hereof. LIMITED OWER OF ATTORNEY Amwest Surety Insurance Company moves 6320 Canoga cnuc 1'om Office 110% 451111 \\ midland 11111s, ( . \ 91565 -4500 1 1 . 1 818 704 -11 1 1 EXPIRATION DATE 7 -03 -97 READ CAREFULL This document is printed on white paper containing the artificial watermarked logo (.w ) of Amwest Surety Insurance Company (the "Company ") on the front and brown security paper on the back. Only unaltered originals of the POA arc valid. This POA may not be used in conjunction with any other POA. No representations•or warranties regarding this POA may be made by any person. This POA is governed by the laws of the State of California and is only valid until the expiration date. The Company shall not be liable on any limited POA which is fraudulently produced, forged or otherwise distributed without the permission of the Company. Any party concerned about the validity of this POA or an accompanying Company bond should call your local Amwest branch office at (206) 522-3111 KNOW ALL BY THESE PRESENT, that Amwest Surety Insurance Company, a Nebraska corporation (the "Company "), does hereby make, constitute and appoint: MARY A. DOBBS GERALDINE C. STEWART STEVEN W. PALMER HOLLY ULFERS MARK S. RICHARDSON DAVID J. FORSYTH AS EMPLOYEES OF HURLEY, ATKINS & STEWART, INC. gni cc est and . 'dent . njunc wtttil� pot tment ac rp obi iga pr corporation f the Board r to dxecute of r perfo c By -La • c its true and lawful Attorney -in -fact, with limited power and authority for and on behalf of the Company u su thereto if a seal is required on bonds, undertakings, recognizances, reinsurance agreement for a Miller Ac the nature thereof as follow: Bid Bonds up to $• • 1,000,000.00 Contract (Performance & Payment), Court, Subdivision 5••2,500,000.00 and to bind the company thereby. This appointment is made under and by au 1, the undersigned secretary of Amwest Surety Insurance Company, a Ne force and effect and has not been revoked and furthermore, that the re provisions of the By -Laws of the Company, arc now in full force an Bond No 1314036 Signed & sealed th 3 Karen G. Cohen, Secretary * * * * * * . * • 1t tit ;if ONS • T :O DIRECTORS * * * * * {It * * * * * This POA is signed and scaled by facsimile under nd by authority o ji. owinp� utions adopted by the Board of Directors of Amwest Surety Insurance Company at a meeting duly held on December 1975: RESOLVED, that the President or any a ent, in authority as defined or limited in the ins vt encin of the Company to bonds, undertaking • : nces, revoke any POA previously grante. • .- RESOLVED FURTHER, that an ..nd, unde "(suretyship obligation shall be valid and bind upon the Company: (i) when signed by the President o any Vi r . and sealed (if a seal be required) by any Secretary or Assistant Secretary; or (ii) when signed by the President or any i e ry or Assistant Secretary, and countersigned and scaled (if a seal be required) by a duly authorized attorney -in -fact or age • 17,) (iii) when duly executed and scale • (if a !1J requir . one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issue. 4, • ompany to suc person or persons. RESOLVED FURTHER, that the si at re of any authorized officer and the seal of the Company may be affixed by facsimile to any POA or certification thereof authorizing the execution and deli cry of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, Amwest Surety Insurance Company has caused these presents to be signed by its proper officers, and its corporate seal to be hereunto affixed this loth day of December, 1995. John E. Savage, President POWER NUMBER 0000621969 affix the seal of the company or other written obligations in m44 �� , fich are now in full force and effect. BY RTIFY that this Power of Attorney remains in full o fo on this Power of Attorney, and that the relevant Secretary or any Assistant Secretary, may appoint attorneys -in -fact or agents with case, for and on behalf of the Company, to execute and deliver and affix the seal s of all kinds; and said officers may remove any such attorney -in -fact or agent and Karen G. Cohen, Secretary State of California County of Los Angeles On December 14, 1995 before me, Peggy B. Lofton Notary Public, personally appeared John E. Savage and Karen G. Cohen, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/arc subscribed to the within instrument and acknowledged to me all that he/she/they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) n tl}kin ruglenyhuerliin(l), o ,[huntlix ummileh of which the nerson(s) acted, executed the instrument. ` 0 ,01 ". O ,, ,, ,,,,, �,,� WITNESS hand and official seal. ` v. ‹PP O q9 '9,/, --s, V t � s Signature . 0 (Seal)' J T.. tCn 3 � � �c6by�0• Lofton, Notary Public) _COI""' DEC.14 j - - 1995 0 ` . ,, ,,uuuouuua`` ; Cambial #101I14 Notary Pubic — Callow*. Los Angelo County My Comm. E tp&tM Mg 6.199/ .ouc[R Willis P. 0. 701 Fifth 4200 Seattle (206) Mike . ........... ::...:....::..::.............:. Cor roon Corporation Box 34201 Avenue Columbia Center WA 98124 386 -7400 Croke ::::::,.:,.,.:::.::.:::..::.::::,,:. ...:,::::.::.::,.::,..::.:...:: 28592 of Seattle ,.:::::..:::::.:::.::::.:. ...�i���:::�> ��>'•:<: 2 - 007 - 1996 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Commerce & Industry (A10) A • IHNW AGI Technologies P.O. Box 3885 Bellevue WA 98009 COMPANY 8 COMPANY C COMPANY D : :.:.:. : : ..........: .:...: ...... :.:: :. :::.: :.: .:: : :•:: :•::.:. :::::., :•:: ::: :..,•:::.,:.::.,• :: ..::::::.: ;.::.:TTi:i• •: T:• Tiisvi`:•?:• THIS IS TO CERTIFY THAT THEPOLICIESOF INSURANCE LISTEDBELOW HAVEBEENISSUEDTOTHEINSURED INDICATED, NOTWITHSTANDINGANYREQUIREMENT, TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY TT:• i:• Ti!• i:. T: i.:::•:::.:: L T:••;:..:::• TTiT;•:: T;•:: i<•: T:. i:.::!:. si.:• i:? i::• iT:•} i::.:{:.T:{ {•T:•:::•:::. >:.::.TT:::•?: :•: T ? ;•i':: NAMED ABOVEFOR THE POLICY PERIOD WITHRESPECT TOWHICHTHIS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPt OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMIT/ A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY PROT 613407330 01 -OCT -1996 01 -OCT -1997 GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP /OP AGO S 2,000,000 CLAIMS MADE X OCCUR PERSONAL & ADV INJURY S 1,000,000 OWNER'S & CONTRACTOR'S EACH OCCURRENCE S 1,000,000 -- FIRE DAMAGE (Any one fire) S 50, ' ' r — AEG EXP (Any one person) S 6,000 A AUTOMOBILE LIABLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS CA5052097 01 -OCT -1996 01 -OCT -1997 COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) X BODILY INJURY (Per accident) X PROPERTY DAMAGE S GARAGE LIABLITY ANY AUTO AUTO ONLY • EA ACCIDENT S OTHER THAN AUTO ONLY: ::.. . .. . . EACH ACCIDENT S AGGREGATE S EXCESS LIABLITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE S AGGREGATE S S WORKERS COMPENSATION EMPLOYERS' LIABLITY THE PROPRIETOR/ PARTNERS /EXECUTIVE OFFICERS ARE: AND INCL EXCL WC ATU• TS IEOR H• TORY ST LIMI .: & : iii . s EL EACH ACCIDENT S EL DISEASE- POLICY LIMIT S EL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES/ SPECIAL ITEMS The certificate holder is an additional insured as respects operations performed by the Named Insured. :::.... ...... .::...... : :....:..:....:::::.....•.:::..:.. ::: ..:.....::.:.. .,, .:::::.:::..::.:,,.::.:::::::.:::.:::::.:::;::.:,,:•. 1. CATS O ' � .. R City of Tukwila Public Works Permit Center 6300 S. Center Blvd, 0100 Tukwila WA 98188 : .I HD : ....... ............... ......... ............. SHOULD ANY EXPIRATION 30 DAYS TTT::;•.::.;:.::.;>•::::::::.: T::. TT.;:.>:.;,.:. �:::::::.;:.::> T•;:. TT.:::::::::;>: T:;.; TTT•. T: ;:.;T;..T:..�::::::.::::. > OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DATE THEREOF, THE ISSUING COMPANY WLL ENDEAVOR TO MAL WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIFT, TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLITY UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. BUT FALURE OF ANY KIND AUTHORIZED R ji ..... ...... .. .... . ......� ....„ . .... .............. . ... ... . .� ;; ;: ; . ► ..:. IIC'OAD::CO.:. RAT-100i Soft;. >' Ir k AMWEST S TY VW INSURANCE COMPANY P.O. Box 4500 Woodland Hills. CA 91365 -4500 KNOW ALL MEN BY THESE PRESENTS, That we of PO Box 3885, Bellevue, WA 98009 to as the Principal, and Amwest Surety Insurance Company, a corporation organized and existing under the laws of the State of Nebraska, and authorized to do business in the State of City of Tukwila sum of Two Thousand and no /100 LICENSE OR PERMIT BOND Bond Number 1316819 Premium $ 100.00 Applied Geotechnology, Inc. dba AGI Technologies Washington lawful money of the United States of America, for the payment of which sum. executors, administrators, successors and assigns, firmly by these presents. Sq6 -0103 (for ha(4 t ny Ia{xrriM 111 (9 - 001 -1) , hereinafter referred , as Surety, are held and firmly bound unto hereinafter referred to as Obligee, in the is 2,000.00 well and truly to be made. we bind ourselves, our THE CONDITION OF THIS OBUGATION IS SUCH, that whereas, the Principal has made application for a license or permit to the Obligee for the purposes of, or to exercise the vocation of Hauling and /or moving oversize loads NOW, THEREFORE, if the Principal shall faithfully comply with all ordinances, rules and regulations which have been or may here- after be In force concerning said License or Permit, and shall save and keep harmless the Obligee from all loss or oamage which it may sustain or for which it maybecome liable on account of the issuance of said License or Permit to the Principal, then this obligation shall be void, otherwise, to remain in full force and effect. THIS BOND IS OF INDEFINITE TERM -- EFFECTIVE Octo ber 1, 1996 THIS BOND IS OF DEFINITE TERM — BEGINNING AND ENDING but may be continued by continuation certificate signed by the Surety. The Surety may at any time terminate its liability by giving thirty (30) days written notice to the Obligee, and the Surety shall not be liable for any default after such thirty (30) days notice period, except for defaults occurring prior thereto. X SIGNED, SEALED AND DATED this 1 s t dayof October 19 96 Applied Geotechnology, Inc. dba AGI Technologies RECEIVED OCT 0 71996 TUKWILA PUBLIC WORKS AMWEST SURETY INSURANCE COMPANY Br ‘40 Holly UT'fers Attorney -in -Fact LIMITED '' OWER OF TTORNEY Amwest Surety Insurance Company moves 6320 Canoga .\tenuc Post Office Buv 45011 Nuodlund 1 1 ills, ( . \ 91365- 451111 I I I . hltt 704 -I 111 EXPIRATION DATE 7 -23 -97 READ CAREFULL F This document is printed on white paper containing the artificial watermarked logo ( - ) of Amwest Surety Insurance Company (the "Company ") on the front and brown security paper on the back. Only unaltered originals of the POA are valid. This POA may not be used in conjunction with any other POA. No representations or warranties regarding this POA may be made by any person. This POA is governed by the laws of the State of California and is only valid until the expiration date. The Company shall not be liable on any limited POA which is fraudulently produced, forged or otherwise distributed without the permission of the Company. Any party concerned about the validity of this POA or an accompanying Company bond should call your local Amwest branch office at (206) 522 -3111 KNOW ALL BY THESE PRESENT, that Amwest Surety Insurance Company, a Nebraska corporation (the "Company "), does hereby make, constitute and appoint: MARY A. DOBBS GERALDINE C. STEWART STEVEN W. PALMER HOLLY ULFERS DAVID J. FORSYTH AS EMPLOYEES OF HURLEY, ATKINS & STEWART, INC. its true and lawful Attorney -in -fact, with limited power and authority for and on behalf of the Company agsurto i<xecute, It affix the seal of the company thereto if a seal is required on bonds, undertakings, recognizances, reinsurance agreement for a MillererAc otl�r perfo ( , bo . or other written obligations in the nature thereof as follow: Bid Bonds up to S "•1,000,000.00 Contract (Performance it Payment), Court, Subdivision S• "2,500,000.00 License & Permit Bonds up to S•••"100,000.00 Miscellaneous Bonds up to S••"•100,000.00 and to bind the company thereby. This appointment is made under and by au a By -La . e r . m ch are now in full force and effect. I, the undersigned secretary of Amwest Surety Insurance Company, a Ne force and effect and has not been revoked and furthermore, that the re provisions of the By -Laws of the Company, are now in full force an Bond No 1316819 Signed & sealed thi Karen G. Cohen, Secretary tit * * ♦ tit * tit tit * * U710NS • T O ' ' DIRECTORS • • • * * • * • • • * This POA is signed and sealed by facsimile under d by authority o 1)• owitp utions adopted by the Board of Directors of Amwest Surety Insurance Company at a meeting duly held on December 1975: RESOLVED, that the President or any a ent, in will Secretary or any Assistant Secretary, may appoint attorneys -in -fact or agents with authority as defined or limited in the ins vt encin poi tmentisrac case, for and on behalf of the Company, to execute and deliver and affix the seal of the Company to bonds, undertaking:, ; • : • ces, obliga Ws of all kinds; and said officers may remove any such attorney -in -fact or agent and revoke any POA previously grantee • • rson. RESOLVED FURTHER, that an • • nd, Linde ogni • ce suretyship obligation shall be valid and bind upon the Company: (i) when signed by the President o any Vi rest {an ' • • and sealed (if a seal be required) by any Secretary or Assistant Secretary; or (ii) when signed by the President or any t e dent • ry or Assistant Secretary, and countersigned and sealed (if a seal be required) by a duly authorized attorney -in -fact or age (iii) when duly executed and seale• (if a requir one or more attorneys -in -fact or agents pursuant to and within the limits of the authority evidenced by the power of attorney issue • ompany to suc person or persons. RESOLVED FURTHER, that the si, nat re of any authorized officer and the seal of the Company may be affixed by facsimile to any POA or certification thereof authorizing the execution and deli ery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, Amwest Surety Insurance Company has caused these presents to be signed by its proper officers, and its corporate seal to be hereunto affixed this 14th day of December, 1995. John E. Savage, President State of California County of Los Angeles On December 14, 1995 before me, Peggy B. Lofton Notary Public, personally appeared John E. Savage and Karen G. Cohen, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me all that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her /their signature(s) n tkinyrugfen)„ EhejzerSQn(;11, olthuntily usonjteh of which the oerson(s) acted, executed the instrument. •O " % , S U4S141,,'',, WITNESS hand and official seal. • Q ' o................ g y e Signature 1) (Seal) 2U DEC.14, k N'\ 1995 a .q ug 11n11u•. •N ° e y . Lofton, Notary Pu POWER NUMBER 0000627774 TIFY that this Power of Attorney remains in full on this Power of Attorney, and that the relevant ,6/ Karen G. Cohen, Secretary PEGGY I. IOFTON Commilion#10110 { Los Anodes Counly PA/ Comm. Winos Aug 6, NW Date Description V16146 CwtN- kvsi-■(, -c s-• % c% -Coy' b.) s 1d I? chyst o It 1 j - % Tev'r►•► - ' 189 60163 Comments ONLY ` FOR OFFICE USE Chrono Copy Required? 0 Yes ❑ No , SEP 26 '96 09 28 AGI_TECHNOLOGIES P.1 AGI D a t e C I A6 / 9 ( i Project No. 1 .156 , L 6 Sent to SIVIA 1 r e.. xakCS C---1v o-f- Ivkwile.— %rw%S Fax No. i -131 366 5 From to.' . C&.. Pe " Total number of pages (Including this cover sheet) _ 3 We are sending from: FAX No. (206) 646 -9523 P.O. Box 3885 Bellevue, WA 98009 206/453 -8383 Time Sent 300 120th Avenue NE Building 4, Suite 215 Bellevue, WA 98005 FAX TRANSMITTAL RECEIVED CITY OF TUKWILA SEP 261996 PERMIT CENTER aU/444 " uVSE P 96 Wr29 AGI -1 CFiNOLOGI�S GULL INDUSTRIES 3404 FOURTH AVE. SOUTH P.O. BOX 24067 SEATTLE, WA 98124 (206) 6243900 44/cil T e A QUIP s /3'4¢ '4 l 9 ecTz /661"¢RV INSTRUCTION$ QUANTITY ' t. • • COM ENT& a ..AI." .6. ...Maw ...Ann. *CIRCLE OHS. GULL GWIK STOP WILKINS THUNDERBIRD rps APPROVM. • OEECRIPriON TiRNs . - r Alisc aW/1.4 ,4' r RECEIVED ' CITY OF TUKWIJA • • SEP. 2 6 1996 PERMIT CENTER - /u-do J�, - c4 e 1 4 i / M; c 4;' ' 44) AGI P. 2 ra 002/003 PURCHARI MOM NO. Id U y 4 NIO P e * P%J CH S O AIR NIJMSN aLwra PAPSIIL AND PACKACitL UNIT PRICE APPROVAL. THIS ORDER IS NOT VALID WITHOUT TWO (2) SIGNATURES IP AMOUNT IS OVER 0600. . SIMIECT.XO.T UMS AND .CIINDIIIONS OF DALIAN THI9IIVJU S'A SIPE, . _._. • TOTAL AMOUNT DISCOUNT • TAX SHIPPING AMOUNT ? TOTAL DUE nAI ACCT. PAY AID o 'M ' 96 AEI .1 LCHNULO(i Tore /Q5M 11410 ip GULL INDUSTRIES 1 + 4 AGI I'.3 Q003/003 441H0 IN U. e: A. Proposal No. Sheet No. Dote 5 e 9 '-' .--- Proposal FROM l 5107 - 2220d ST. $,L r + ': 1 _'•, SUITEA `" WOODiNVILLE,WA ' 0 98072 amok' NUM. NC, (206) W -7510 Proposal Submitted To Work To Be Performed At Nam 1 - 4 -. CAVA/D vi rili LS Stree r O L Street / .2 46 P7 _V - - - r t 14 LG State C1t City - rP /2y Dote of Plans State Architect Telephone Number CJn - A ciT O i7 f --(02 .�.- . W her by propose to furnish all the materials and perform all the labor necessary for the completion • • .� -�� • �. � J'1 " -. , ,riJ of — . '.mot .� 'Sledw COvtG Shhs t%Lp.4.. - S, - 1 k etlt j . 7 • All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and plated in a substantial workmanlike manner for the sum of 12444143‘ ,e44#41, Dollars 1$ 1. with payments to be made as follows: f Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workman's Compensation and Public Liability Insurance on above work to be token out by Respectfully submitted • Per • �� ' ms% Note -' This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions ore satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. RECEIVED CITY OF TUKWILA Accepted... _. SEP261996 rGRA11T CENTL'R Signature_ - - -...— _ -._... ,..Signature D ale o 'M ' 96 AEI .1 LCHNULO(i Tore /Q5M 11410 ip GULL INDUSTRIES 1 + 4 AGI I'.3 Q003/003 441H0 IN U. e: A. r Date Description S 'AA6 cSAPCAn 14z2A■ ; 4+ + � ,,. AShA-s -i05 RSV' l 4 VOZV i 'M /� C X/16 /46 Coh 'tt ' v'o-bci4K ktl,ti (-- cow •a-N1.=~` OF • . yob .. .„. a S. - . ktnt :. - Vt N16 / Comments ` FOR OFFICE USE ONLY Chrono Copy Required? ❑ Yes ❑ No , SEP 16 '96 10 04 AGI_TEC' P.1 AGI Date 'E) la 96 Project No. 15, 256.1 I* Sent to d CL' h. cQr Tuk• 16. Ate. -kt- 0 .4 c2111.z works Fax No. M � — 3 ro G S From Total number of pages (Including this cover sheet) 4 We are sending from: FAX No. (206) 646 -9523 P.O. Box 3885 Bellevue, WA 98009 206/453 -8383 Time Sent 300 120th Avenue NE Building 4, Suite 215 Bellevue, WA 98005 FAX TRANSMITTAL fECEIVED SEP 16 1996 TUKWILA PUBLIC WORKS i 3&44 + . w�..u 1'W I w.uilvlvt,vly '4L.- SEP 16 '96 10: 04 AGI_TECF 7. Suite 500. Seattle, WA 98101.2038 960UbUU Cl Asbestos Removal Only Iffi Asbestos Removal & Demolition A. Property Owner: Mailing Address: . < o� 1- ( re $ 7 WALL ?AIM C WIL - 7711SVIILlt WUJUAITUJIN MulaNCIAA& \ v1F -v (p �- 410N. Mailing Address: \ 313 City: kQ.h-ac I State: WA Demolition Mir massive& RtflzaA •taiNG QALtS IN SOX! 011 MCC Contractor: P1G' -- — C:2c. \ a i e.S B. Asbestos Contractor: D. Asbestos Survey E. Demolition I Start Date: 1 , \G) 19 96 I No. of Structures: F. Asbestos Project Start Dare: 0 1 L t l ct g 6 O Fee rooftns V'iayl Paper Back O Duct Paper O Mag. Pipe lawladon AHERA Building Ins Certification No.: C I C, O 12- T . e of Material: 'SAPCA Focmn No.: 66-160 (Revised 7/95) TIR NOTIFICATION G- MAJus- kvstes ,'ItAc. 1 Total Oty. to be Removed: g Satiate Ft. 16 Linear Ft. G. AsbestosiDemalltion Project Categories: 1. 0 Owner Occupied Residential Asbestos Removal Project 0 Owner- Occupied Residential Asbestos Removal & Demolition Project 0 Owner-Occu .led Residential Demolition Protct. No Asbestos Removal 2. 0 All Other Demolitions - With No Asbestos Removal Project 3. % a 10- 259 linear feet or 2 48 -159 square feetjsee back 4. ❑ 260 - 999 linear feet or 160 - 4.999 square feet 5. ❑ 1.000 - 9,999 linear feet or 5,000 - 49.999 • feet 6. ❑ 10.000+ linear feet or 50.000+ square feet 7. 0 Emergency Asbestos Project or 0 Emergency Demolition Protect 8. ❑ Alternate Means of Compliance (friable materials) or 0 Demolitions 9. 0 Alternate Means of Compliance (nonfriable materials) H. i hereby certify that the information contained in this notification & supplemental data described herein is. to the best of m knowledge. accurate & complete. i ( D •1441 " ).4) Signature. Representing (/ Uate Received P 2 GI Demolition, No Asbestos Removal I Phone: ()6) 6,,?`-1 - 5GOO 1 Cit .Se"tst- I State: W1 I tin: a S i T.toPi8w3 7 Owner /CEO: par■ z • PhoneM( 'S 7 S— 7 9 aq Fax:(.?.oG) - 3G, ----- --- PAID , _ Expiration Date: Li A4/97 Concurrent with Project 1/ ),3/6 Date U 'CAM Contractor's Job #: \ O GIL NIL (‘ C. Site Address: \ SG `f 0 We..S -'c \Jolley Pc' ��'°' IA 3 S ^City: �`' "1 Zio: Cf e ?? a v V Date Conducted: /i e /q6 vector: , ---- 50vN2 5 Number of Structures Surveyed: 1 Asbestos Found ja Yes ❑ No State: U1/4J l 1. 0 Demolition by Fire (attach training fire permit) 2. Ordered Demolition (attach cony of Order) Completion Date: (Dc-t . 1 2., ( 4 1'46 Work Days: t Cp)® Sa Su Hours: $ate O CAB O P.0 Ceiling t] Boiler Insulation O Vinyl Asbestos Tel. C Ai rCetl . O C A Pipe Other Me -to. Se r o S `e/ Will all asbestos from the structure(s) be removed at completion of this nroiect? ,. Yes 0 No Notification Requirements Prior Notice 10 Days 3 Days 10 Days 10 Da 10 Days Prior Notice 10 -Day Review Period Project Fee (Non - Refundable) $25 3125 $125 , $250 $500 $1,000 ) `Ecjital to Twice Protect Fee Equal to Twice Project Fee Eoual to Twice Project Fee ?s,tic L. / / Reviewed 8v Revised 7/18191 L Demolition rl Li' Ynmrru.• .aar. TM. , ILL 5LrwaMaQIN5au.1.144 WILL Contractor: A 1S2 Trzt��v\o t o, ► e.s , 1 Owner /CEO: �kv. E. . 2•W 1Y Contractor's #: ...... Mailing Address: P• 0 . x i Phone:: ('6)' S 3 -8.3 �3 City: '3e..`\ -Vo?e.-. irmw I Zip Fax:caE') 6ye Q sa3 SEP 16 '96 10:06 AGI_TEC' ")LOGIES P.3 The Puget Sound Air Pollution Control Agency (PSAPCA) requires advance notification before any person commences an asbestos project involving materials equal to or greater in size than 10 linear feet or 48 square feet and for all demolition projects (regardless of asbestos content) involving structures with a projected roof area greater than 120 square feet (Regulation III, Article 4). All asbestos and demolition notifications and notification amendments must be submitted to PSAPCA on Agency form No.: 66 -160 (Revised 7/95) and No. 66 -173 (Revised 7/95) respectively. Asbestos and demolition projects involving materials and structures below the notification • 1 1 , • • : ' ' 1 • . 1 GUIDEt t MM c Wa i ;,,AAN ASBESTOSIDEMOUTION NOTIFICATION The PSAPCA notification fort most he iicert IpAtiniCt notification for an asbestos project, a combined asbestos or demolition project and a demolition pro ect where no asbo s7 vtxs al is required prior to demolition. After receiving a complete notification with the appropriate project ?ee, PSAPCA will review the form and return a copy to the asbestos and/or demolition contractor by mail in 3 to 5 days. The returned copy will be your validated notification. Step 1. Check the appropriate notification box on the top of the form to designate the type of notification being submitted and enter the legal property owners information in Box A. Step 2. Enter the asbestos contractor information in Box B and the demolition contractor information in Box I (above). Step 3. Enter the site address for all notifications in Box C. Attach a map for multi - structure projects. Step 4. Enter the asbestos survey information for all demolitions in Box D and attach a copy of the survey result for those projects where no asbestos was found during the survey. Step 5. Enter the demolition project information in Box E. and check the appropriate box if the demolition isa training, re .(a copy of local fire district permit must be attached), an ordered demolition by a city or state official (a copy of then d b , r�deral , i E ` ibe< attached). Step 6. Enter asbestos project information in Box F. �' 1 1.396 TU KWILA Step 7. Check one project category in Box G I - 6. The project fee for categories 1 - 6 includes the demolition f is \tWOPJ < Demolition projects with an asbestos removal involving less than 10 linear feet or 48 square feet may file as project category No. 3. In addition to checking a project category box 1 - 6, an emergency asbestos or demolition project may be requested by checking the appropriate box in category # 7. • . • 1 • • • 1 • • 1 •1 , t ! 4 • •1 •f,•, • I ••• • • 11 • 1 • 1. • •41 l • 1 1• 1 •. • •1 • • • . V • 1" It* It • / • 1 • • • a • • V U •• • • i• • . • • • 1•• 1 r• • .4 • • • ,n N• . • • 1 • 1 ill •f, . , • • •. ,, 1 1 • . • ' • . • I•1 Z' V • .1 11 g•/ f• it : II • • •' . " 1 11 '1 • . • 11 .. , 4 I • I 1••1 • ••• •• • /11 w To request an alternative means of compliance for friable or nonfriable materials, a determination of nonfriability must be attached in accordance with Regulation' III, section 4.06(b), or for demolition procedures check the appropriate box in category # 8 or #9. Step 8. Please certify the accuracy and completeness of the information provided by signing and dating the notification in Box Mandatory amendments to the notification are required for changes that increase the project category, change the types of asbestos materials to be removed and work schedule changes. No fee is required for work schedule changes if the contractor is participating in the Agency work schedule fax program. A twenty-five dollar processing fee is required for all other amendments. For technical assistance, contact Tom Hudson at (206) 689 -4058, Larry Vaughn (206) 689 -4035 or Kwame Agyei (206) 689- 4054.. For inquiries concerning notification and amendment status contact Anne Morgan (206) 689 -4090 PSAPCA Form No.: 66 -160 (Revised 7/95) TJH ur t �e ssr+ r�� t �v+ ,.�� . nr • . SEP �0 �6 10i 0" `AG�I_TEC a56±ES 352 -7936 P UCTION. INC LICENSE M PARTNCICISNU • ASBESTOS LICENSES 1172 ASBESTOS ABATEMENT • ASBESTOS MANAGEMENT • 16Sept96 To: AGI Technologies 300 120 Ave NE, Building 44 Bellevue, Wa 96005 Project B 15,256.148 Re: Asbestos Removal T ou, Dan Murray, President Sep 16 ;'96 7:04 P.P • 4 1313 SOUTH CENTRAL AVE, SUITE A KENT, WASHINGTON O1632•74C* (206) 575.74$ FAX (200) 552 -7030 GENERAL CONTRACTOR is All Asbestos Containing Materiels have been removed as per estimate dated 27 August 97, at GulUSite #240, 15640 West Valley Highway, Tukwil , Wa. Any questions, please feel free to call me. RECEIVED SEP 1 61996 PUBLIC WORKS �L•.t 9sa , „ • AAmwest June 19, 1997 City of Tukwila, Dept of Community 6300 Southcenter Blvd Seattle, WA 98188 Attn: Shellie Bates Bond No: Principal: Amount: Description: Contract No: BEG i, .. V EQ 0 1997 DE .. PiVoaN 5 Development 1314036 Applied Geotechnology, Inc. $9,402.00 Demolish Bldg for Gull Industries Demo Permit #B96 -0163 AMWEST SURETY INSURANCE COMPANY is Surety on the above bond. We would appreciate your cooperation in providing the information requested below. Please return this form to us so that we may have current status information on the above captioned job. a postage - paid envelope is provided. Thank you for your assistance. PLEASE COMPLETE ONE SECTION ONLY 1. IF THE CONTRACT HAS BEEN COMPLETED: 2. IF THE CONTRACT HAS NOT BEEN COMPLETED: FIRM: BY: DATE: Amwest Surety Insurance Company 9709 Third Avenue, N.E., Suite 200 Seattle, WA 98115 TEL 206 - 522 -3111 FAX 206 - 522 -5554 What was the completion date? Date of acceptance? What was the final contract price? Was the work satisfactory? Have all labor and material bills been paid? What percent of work has been completed to date? Total amount paid to Contractor to date? What is amount of retainage? What is anticipated date of completion? Is the contractor paying labor and material bills? Is the work progressing satisfactorily? Comments: As of this date a final inspection has not been completed. City of Tukwila ADDRESS: 6300 Southcenter Blvd #100 Shellie Bates Tukwila, WA 98188 7/02/97 PHONE( 206 ) 431 -3671 ■ v.. rtrK.nY.vNt.Cay.... .i1.a.W+LSF'M.wca Asst. trAu 1pmeavamtsYPau..witzsmirRicTe MErgtkle 4I:] SOVIL% ft atf IIATACAN.tbAlloMVzson.'NtN.3F AretettMXefrumstromkIvenKtr! MEMORANDUM TO: File FROM: Michael Jenkins DATE: June 18, 1996 RE: Project B96 -0163, Gull Oil Station On June 17, 1996 I met with Lance Peterson of AGI, the applicant on this project, to discuss a few small problems with this project. On their site plans, they do not indicate that the concrete is part of the area to be demolished. I informed him that this would be part of the demolition that would be required before proceeding on with the environmental work. I suggested that he revise the plans accordingly. I also informed him that he would probably need a hauling permit, as more likely than not the amount of material to be demolished would come close to or exceed the 50 cubic yard requirement. I gave him Rebecca's card so that he could contact her to find out the best company in the area to deal with this waste. Lance said that he would get new site plans and file for a hauling permit. Lance questioned if the asphalt area would also need to be removed. I told him that may be needed but that request would best be answered by Public Works in their review. Project Description: Agencies with jurisdiction: None. Comments to SEPA checklist: Page 3, No. 11: Page 3, No. 13: Page 4, No. 1(e): Page 7, No. 1: Page 12, No. 8(e): MEMORANDUM TO: Project File e96 -0015 FROM: Michael Jenkins RE: SEPA review - staff evaluation o Environmental Checklist received May 22, 1996 DATE: June 12, 1996 Site is located at 15640 West Valley Highway. Site is an abandoned Gull Oil Station. Application is to excavate an estimated 1500 cubic yards of petroleum contaminated soil and groundwater from two separate areas on site. Excavations to occur at or near island and within existing structure. Soil will be treated onsite and will be backfilled within excavation area. Project will last approximately 4 months. Shoring of right -of -way may be necessary during excavations. Project does not lie within an environmentally sensitive area No filling or grading proposed - site grade will be unchanged after completion of project Petroleum contaminated groundwater will be treated by circulating through excavations Project is located in the Tukwila Urban Center (TUC) zone Summary of interdepartmental comments: • Fire: Will need a Fire Department permit and inspections • Building: No comments • PW: Land Altering permit will be issued after applicant submits copies of DOE, EPA and Metro permits. Applicant to pay city's costs to assess what action to take concerning contamination in ROW. Separate building permit required for demolition of existing building and utility permit for capping utilities. Also see attached comments input to Sierra file. ■ SEPA review - e96 -0015( Gull Oil Station #240 June 12, 1996 Summary of Primary Impacts: • Earth • Air • Water Level site, composed of sand /silty gravel. No filling or grading, as site will be unchanged after remediated soil is returned. Erosion control will include use of berm constructed of natural and /or man -made elements. Soil sloped so run off will flow into open excavation area. Minor dust and equipment exhaust during excavation, treatment and backfilling. Soil to be dampened to control dust, as necessary. Green River is located 800' west of site. No construction to occur within 200' wetland perimeter, nor does project lie within 100 year floodplain. Any contaminated groundwater will be treated by circulation through excavations. Water will be discharged to storm /sanitary sewer after lab testing indicates levels are above acceptable state levels. Approximately 20,000 gallons to be discharged, following receipt of agency authorization. Runoff controlled by shaping soil treatment area to retain runoff onsite. • Plants Grass and small, unclassified trees growing on site since property vacated. Will be removed as part of remediation. • Animals Site provides no known habitat for mammals or birds. No known candidate or endangered species found on site. • Energy /Natural Resources Project will only require use of energy sources during establishment of remediation system. No known energy sources needed during remediation. • Environmental Health Petroleum hydrocarbon odors may be present during excavation and treatment. Health and safety plan to be developed for project. Monitoring of air during project will be performed to minimize exposure. Some equipment noise will be present during excavation, treatment and backfilling. Noise levels to be similar to those on adjacent West Valley Hwy. Work to be conducted between 7 a.m. - 6 p.m. 2 ,.o....av .ua e.,,.•... w...t a.rr .e••rrr��•. C SEPA review - e96 -0015 Gull Oil Station #240 June 12, 1996 • Land /Shoreline Use ..s:e.war:aw.•wx • ernork .o m., n...........,..,.... ow,mne... ........ ......... ........«.+.nn..+.e... >.nwaon+n Site is a vacant service station with attached canopy, located in TUC zone. Under Zoning Code section 18.28.050 (6), landfills and excavations are considered to be unclassified uses allowed under zoning code, if it is determined to be a significant environmental action. End result of project is a graded lot for future development, not a landfill or excavation, although both processes will be used. Existing structure to be demolished prior to remediation. Site is not classified as environmentally sensitive. • Housing No housing demolition or housing proposed for site. • Aesthetics No structures proposed. • Light and Glare No known impacts. • Recreation No known impacts. • Historic /Cultural Preservation No known places, landmarks or objects. • Transportation Site is located on West Valley Highway, near a transit stop. Project may require a street use permit during excavation if shoring is required along right -of -way. • Public Services No known impact. • Utilities Electricity, natural gas, water, telephone and sewer are probably onsite. Prior to beginning remediation, utilities permit will have to be obtained. 3 :If KM. i1�. lNt, D IS? YT+ I+ S1F. 194 tGrSlhCMd9l1714.3 l+lPfiY1:A"r"sP SEPA review - e96- 0015,:. Gull Oil Station #240 June 12, 1996 Recommendations: MDNS, with one mitigation measure: In addition, the applicant shall be advised of the following: 4 • The city will hire an independent consultant at the applicant's expense to determine if there is soil contamination in the right -of -way related to the subject property and what measures need to be taken to mitigate the contamination. The study will be undertaken during the demolition of the structure. The study and its conclusions shall be undertaken and presented to the City for its evaluation prior to the issuance of the land altering permit. Upon the review of this study by City staff, if it is determined that there is no contamination in the right -of -way due to the conditions at the subject property, the City will issue a land altering permit. A land altering permit will be issued by the Department of Public Works after the applicant submits copies of permits from Department of Ecology, EPA and Metro. • A demolition permit and appropriate utilities permits will be required prior to proceeding with any.of the soil remediation work related to this application. • A permit from the Puget Sound Air Pollution Control Agency (PSAPCA) is required as a condition of the demolition.permit. Contact at PSAPCA is Tom Hudson at 689- 4058 Amwest JAN 20, 1997 CITY OF TUKWILA DEPT. OF COMMUNITY DEVELOPMENT 6300 SOUTHCENTER BLVD. SEATTLE, WA 98188 Bond No.: Principal: Amount: Description: Contract No.: PLEASE COMPLETE ONE SECTION ONLY Signed by: Date: 1314036 APPLIED GEOTECHNOLOGY, INC. $9,402.00 DEMOLISH BLDG. FOR GULL IND. February 21, 1997 1. IF THE CONTRACT HAS BEEN COMPLETED: What was the completion date? Date of acceptance? What was the final contract price? Was the work satisfactory? Have all labor and material bills been paid? 2. IF THE CONTRACT HAS NOT BEEN COMPLETED: What percent of work has been completed to date? Total amount paid to Contractor to date? What is the amount of retainage? What is the anticipated date of completion? Is the Contractor paying labor and material bills? Is the work progressing satisfactorily? COMMENTS: Demo Permit #B96 -0163 expires on 3/29/97. Once a final inspection is completed we will authorize the release of the above mentioned Amwest Surety Insurance Company 9709 THIRD AVE., N.E. SUITE 200 SEATTLE, WA 98115 TEL (206) 522 -3111 FAX (206) 522 -555 V L) 1::B 0 3 1997 COMMUNITY DEVELOPMENT AMWEST SURETY INSURANCE COMPANY is the Surety on the above bond. We would appreciate your cooperation in providing the information requested below. Receipt of this information allows us to monitor our contractor's progress on this job and total work program. Thank you for your assistance. Name: Shellie Bates bond. Phone: ( 206 431 -3671 A POSTAGE PAID REPLY HAS BEEN PRINTED ON THE REVERSE SIDE OF THIS FORM FOR YOUR CONVENIENCE. PLEASE FOLD ON DOTTED LINES AND USE TAPE TO SEAL; DO NOT STAPLE. 05/02/96 14:22 FAX 206 621 5412 SIZE: ZONING : TAX ACCOUNT II Di'ssClti rION GULL INDUSTRIES 29 , 375 SQUAItu M-1 CITY OP TUKWILA AGI CCUI.L INDUSTRIES. INC, . 3404 FOURTH AVENUE SOUTH • P.O. BOX 24687 . SEATTLE, WASHINGTON 08124 • U0616244000 PAIL L NO. 290 LIDCArIC 1: 15640 WEST VALLEY HIGHWAY TUKWILA, WASI17NGTCN 000580- 0032 -00 LEGAL LIISCLPrIct FOR PARfS.1 240 GULL INDUSTRIES 'rilA'i' pOItr:ION OP 'r11E HENRY MEADE:11 DONNrION LAND CLAIM IN SECTION 24 'I`OWNSI 23 NOIt111, RANCE 4 EM7r, W.M., IN KING COWI'Y, WI S1 IINC7rQN DESCRIBED AS FOLLOWS : (_)i1I NCING A'1' Till. :!N'I'ERSEcrION or THE 1.a1.5�I'L•;RLY M/ .T C,;IN Or SEOONDARY sTn E i lIC1IWAY 2 —M ' WE::71' VALLEY Malls/AY' BEING 72.00 VEC:71' AS MEASURED ED N1' RTC' IT ANGLES '10 TIE?. 1 CNLP4EN'1` LINT: 'ri r13R1 :131' AND THE NO1:A'I IERLY RIGHT—OP—WAY LINE OP SOUI'11 1.511Tl I CL111;1' ilEINO, 28.00 KIM' M' TN W'I1Y1I 1 M N3I 11RFD N1' RICH'S ANGLES TO THE 140NLll I Tl'1 D LINE OP LIAR) ritEET: THEN= NORrll 7 40' 58" WEST ALONG SAID EAgrERLY MARGIN C)1' U.; ;.5.;,II. 244, A DISTAN( OF 312.97 111:111" 10 '1111: 'I'itUE POINT Or I EGINNI.NC ;: TLI1: 'JCS NOIU'll 7 WI' »;1' MANG SAID MAI CIN 175 11:21 "10 BOUNDARY LINE rzzTAl3L'I.SIIED LW ACRI:ENEw RECORDED . UNDER AUDITOR ':C NLE NO. 6515212: 'PIIEVCE SOUi'lI l39 EAST M'J)NC; :;A1D lSOlNDN Y L.l•NE 152 PE1:I' '1'U A POINT NOrri'lI 60 00'00" WEST 1119 .23 I.vi'r 110'9 '11.0? WESTERLY MAI' 3IN OP WASI1lN(r` rcN S'IsIVI'C I Ili;l I AY FlONl'AGIP 110AD "Y" LINE: WHENCE SO(l1'I 7 50" EA. sr '10 A 1'0114'1` WHICil II]:ARS NOTCH 02 MS`!' I.'fts14 THE 'rltlll P'OIt'fl OF BEGINNING: 'VI'INCE SOLTI'lI 132 WET 150 PE111` MORE' OR 1..ES;:; '10 TI IL: 'riIUE POIPTl' UP 11ECINNJ.NG '1'(X.;1. TI IER will] EASINEIV TOR INGRESS , EOP2S$, AND Ll1'IILI'rIES OVER TILE FOLLOWING DESCRIBED TRAM' 1111 ;1NN.1'Nr; A'I' TilE Sat11'1IW1::;i'ERLY CORNER Ol' 'L'1lE ABOVE DESC1UW;D 'I'It11C:K: ' 1'IIC ?JC;I: NORM I 02 °10' 02" PAST 150.2G PERI', MORE Olt LESS, '10 'II lit C>O171'1116;11;a l'l:1t1.Y CO1'tNV1t 'r11ERII r: '1111•NC1i ..01111 7 ° 40' 511" EAST 50 Pun': 1': '1'III:2ICE Winn 112 '02" WIv.i,`I' '10 T'i11 EA i'( 1l Y LINE OF i;/U•L) I1.1GI IWA1' : 'l'11ENE1; NOR 1 7 40'50" WI.RV 50 FEor '1'O '1'lllr 1`01:111' U1' 11sG1:NN . 16 002.002 RECEIVED CITY OF TUKWILA JUN 1 1 1996 PERMIT CENTER P-* Cr) •••—• CCD CO LC, OC) C••••1 7-4 ,,....------- . ft- p Up tit Ipz. -... j i: ' 7; - I 1 11 . ,15 M- 4 - 1 7 9 41 °. 1V- le' •• 14,74:14,V%ik -: e..,. • • - : Z.kri• . . .: T ::. .• . ,.. .t. • ...i . i • •1 , . I • .144 .. ..... • .. ).• L71 ":4r '. -.44 4, PIEVAL7,7=Z=IgiNd=7:::7311 ) .• .. . , et. 1 x. „, , .. 4, t •'. • A: I 1 * i• PI 4.... • , ti % . 06,,I,,,;,(1viin, -;-; r t S . : 10. SO. • •‘•,;,:"...,; 4.4.* • • • • • 1..7. • • WA -E1272' • * • :••••• ••: •: • ..*** '• • tr. • • • •,t •• • • 0 .. • • • ••■ •• 2: t 4 • •• ••••• :• • •: • . ISSUED ev DEPARTMENT OF LABOR AND INDUSTRIES X9(0 - 0163 LEGEND l v rrp Isla ope. 9csnea.� =e Gr Feeee Straw S ales Scare In Fee! FILE , COPY I und_^ :.: d that the Plan Check subi::at Co errors and omissions and plans does not aithatia ai jean of any adopted cods or of contractor's copy o% By : n!s'GGC Date . ` G O I W J .. Penni[ No These plans have been reviewed by the Public Works Department for conformance with current City standards. Acceptance is subject to errors and omissions which do not authorize violations of adopted standards or ordinances. The responsibility for the adequacy of the design rests totally with the designer. Additions, deletions or revisions to these drawings after this date will void this acceptance and will require a resubmittal of revised drawings for subsequent approval. Final acceptance is subject to field inspection by the Public Works utilities in pector. Date: 9 / - 8,6 By: _ z flEC ENED CITY OF TUKW JUN 1 1 1996 PERMIT CENTER. J D U Z 0 SHEET 1 OF '1