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HomeMy WebLinkAboutPermit B96-0232 - PACIFIC BP - CONVENIENCE STORECity of Tukwila ( (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 BUILDING PERMIT Permit No: 896 -0232 Type: B -BUILD Category: ACOM Address: 14415 PACIFIC HY S St: 01 Location: Parcel 4: 004000 -0136 Zoning: Type Const: V -N Gas /Elec: Wetlands: Water: N/A Contractor License No.: Status: ISSUED Issued: 10/09/1996 Expires: 04/07/1997 Type of Occupancy: STORE Slopes: N Sewer: N/A TENANT TUKWILA PACIFIC BP STATION 14415, TUKWILA WA 98168 OWNER TOSCO CORPORATION 2300 CLAYTON RD 11100, CONCORD CA CONTACT ROGER OLLENBURG Phone: 451 -1841 515 116 AVE NE - STE 202, BELLEVUE, WA 98004 ************,******************************* * * ** ** * * * * * * * * * * * * * * * * * * * * * ** ** Permit Description: T.I. OF EXISTING BLDG FOR USE AS A CONVENIENCE STORE. IMPROVEMENTS INCLUDE REMOVING ROLL -UP SHOP DOORS AND REPLACING AS A STORE FRONT. INTERIOR WORK WILL INCLUDE REMOVING CAR BAYS, CONCRETE ETC. TO CONVERT SPACE INTO STORE /FOOD SERVICE. Units: 001 Buildings: 001 Fire Protection: NONE UBC Edition: 1994 SETBACKS Front: .0 Back: .0 Left: .0 Right: .0. Valuation: 40,000.00 Total Permit Fee: 804.34 ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Center Autl4drized Signature Date 811610 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 buildin. permit. Signature:_ IP' 411 d ti Print Name: i t Date: ___j r Title: 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. Project Name/Tenant: - rUt wtla. Vadt L g9 / • ©AVtd tUl4tic. Value of Construction o0 44o1ce — Site Address: City State/Zip: 1 4415 • Pa t.4t51�f, �'. frtlik f WA 98/ &f( Tax Parcel Number: bo 4coo - Dab -09 Property, Owner: '1 oteo LOV ov0.k oiti ❑ Multi-family ❑ Warehouse El Hospital ❑ MoteUHotel ❑ Office El Other Phone: If yes, extent of change: (Attach additional sheet if necessary) ,,rv-tce. 12 61n0‘92d - t'o ve %L . Street Address: 13(io CL.M Existing fire protection features: ❑ sprinklers El automatic fire alarm MI none ❑ other (specify) CAS City State /Zip: 1 Fax #: Will there be storage of flammable /combustible hazardous material in the building? ❑ yes El no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets I 1100 Per n: Contact Per n: Phone: 20b • 46 1. 1232 stre // . 1 N6. Z /to 2- �v Weave City woo* F a F ax . 4C / • 14-1 Contractor: Phone: Street Address: City State /Zip: Fax #: Architect: i dC2e/1. a ifgLiI4 . Phone: Street Address: City State /Zip: Fax #: Engineer: Phone: Street Address: t City State /Zip: Fax #: Description of work to be done: /je,riodet jsf5/* s"[!^vlce -s* 7 . /h ,r dae as c c©otyetitetice &Moe . Existing use: El Retail El Restaurant El Church Cl Manufacturing ❑ School /College /University ❑ Multi - family El Warehouse ❑ Hospital ❑ Motel/Hotel El Office ❑ Other Proposed use: In Retail ❑ Restaurant El Church El Manufacturing El SchooVCollege /University ❑ Multi-family ❑ Warehouse El Hospital ❑ MoteUHotel ❑ Office El Other Will there be a change of use? ❑ yes ❑ no If yes, extent of change: (Attach additional sheet if necessary) ,,rv-tce. 12 61n0‘92d - t'o ve %L . Will there be rack storage? ❑ yes il no Existing fire protection features: ❑ sprinklers El automatic fire alarm MI none ❑ other (specify) Building Square Feet: 1 ii 3& existing l Area of Construction: (sq. ft.) 11116 Will there be storage of flammable /combustible hazardous material in the building? ❑ yes El no Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets Dth application accoptod: CTPERMIT.DOC 7/9196 CITY OF TI 'KWILA Permit Center 6300 Southcenter Boulevard, Suite Tukwila, WA 98188 (206) 431 -3670 - 6 - I4 RECEIVED CITY OF TUKWILA 10° AUG 0 6 1996 PERMIT CENTER Date application expire FOR STAFF USE ONLY , ProjeP «t Nutnbar: WV- • U P rmlt ro , l 1(0 O2 �G�11 26 / io 262 ommercial / Multi- Family Tenant Improvement / Alteration Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mall or facsimile. APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING: (Additional reviews may be determined by the Public Works Department) ❑ Channelization/Striping El Curb cut/Access /Sidewalk ❑ Flood Control Zone IN Land Altering 0 Cut cubic yds. 0 Fill cubic yds. p Sanitary Side Sewer #: 6 IP,GASF (( , ❑ Sewer Main Extension ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑ Water Meter /Exempt #: Size(s). 0 Deduct ❑ Water Meter /Permanent # Size(s). ❑ Water Meter Temp # Size(s): Est. quantity: gal Schedule: ❑ Miscellaneous El Hauling ❑ Landscape Irrigation O Private 0 Public O Private 0 Public 0 Water Only Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current tee schedules. Expiration of Plan Review - Applications for which no permit Is Issued within 180 days following the date of application shall expire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Applicatipri taken by: (initials) BUILDING OW R OR A ED AGENT: 1 UWORI Signature: ,{ y //1 Date: g , 6 , 96 Print name: le cG /u/(Ca , Phone: � ,/ ./ 23 Z I Fax it: Id . le4 Address 675— - 7 /6 1L 4 /t) <(O , L 202- Cit /StateiZild d c„r� fpoo l. ALL COMMERCIAL/MULTI. 1LY TENANT IMPROVEMENT /A RATION PERMIT APPLICATIO 8 PE' SURMITTEO WITH THE P OWING: D ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT, STRUCTURAL ENGINEER OR CIVIL ENGINEER D ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN D BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED N/A SUBMITTED El Cr Complete Legal Description ❑ El Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures (Form H -13). Business Declaration required (Form H -10). Five (5) sets of working drawings, which Include : ❑ 0 Site Plan (including existing fire hydrant location(s) .1. North arrow and scale 2. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements .3. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions -A. Location of driveways, parking, loading & service areas _5. Recycle collection location and area calculations (change of use only) .6. Location and screening of outdoor storage (change of use only) p 7. Limits of clearing /grading with existing and proposed topography at 2' intervals extending 5' property's boundaries Nn 8. Identify location of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of use only) N 9. identify location and size of existing trees that are located in sensitive areas and buffer (TMC 18.45.040), of those,.identify by size and species which are to be removed and saved N n 10. Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change of use only) 11. Location and gross floor area of existing structure with dimensions and setback 12. Lowest finished floor elevation (if in flood control zone) 13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H- 9). El ❑' Floor plan: show location of tenant space with proposed use of each room labeled El 0 Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of any hazardous materials; dimensions of proposed tenant space. El u tC� Vicinity Map showing location of site El ❑ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of rack. Structural calculations are required for rack storage eight feet and over. El Cl- Indicate proposed construction of tenant space or addition and walls being demolished ❑ 0 Construction details ❑" El Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of water supply to sprinkler vault with documentation from contractor stating supply line will meet or exceed sprinkler system design criteria as identified by the Fire Department. ❑ Q" Washington State Non- Residential Energy Code Date shall be noted on the construction drawings. ©- El SEPA Checklist - if intensification of use (check with Planning Department for thresholds). ❑— El Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other r- 7rland use or SEPA decisions. l7 Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County Department of Public Health prior to submitting for building permit application. The Department of Public Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5) ❑- ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no contractor has been selected at time of application a copy of this license will be required before the permit is issued OR submit Form H -4, "Affidavit in Lieu of Certificate of Contractor ". 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THiS PERMIT. CTPERMIT.DOC 7/9/96 CITY OF TUI:.WILA Address: 14415 PACIFIC HY S St: 01 Permit No: B96 -0232 Suite: Tenant: TUKWILA PACIFIC BP STATION Status: ISSUED Type: B- BUILD Applied: 08/06/1996 Parcel #: 004000 -0136 Issued: 10/09/1996 4*********• 4k*' k• k*** kk* kk****• kk* k* kk***• kkk* 444 *** 4 *' * 44-4• k*k*k • k 444 *k*kkk*k* 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. Hauling over 50 cy require application for a Hauling Permit prior to any associated activity. 3. No changes will be made to the plans unless approved by the Architect or Engineer and the Tukwila Building Division. 4. Plumbing permits shall be obtained through 'the-Seattle-King County Department of Public Health. Plumbing will be, inspected by. that agency, including all gas piping (296- 4122). 5. Electrical. permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be. inspected by that agency (248- 6630). 6. A11,-Mechanical work shall be ;Under . separate permit issued by the..Citv_.of. Tukwila. 7. All permits, Inspection records,,gnd approved plans shall be available at the job site prior- to the .:.tart of any con - struction. These- documents are to be maintained and avail- able, until final .inspection approval is granted. 8. Any new 'ceiling grid and light fixture installation is requ•ired'to meet lateral bracing requirements for 'Seismic Zone 3. 9. Partition walls attached to ceiling.'grid must be laterally braced if over eight (8) feet in length. 10. Any exposed insulations backing material shall have a Flame Spread Rating of 25 or less, and material shall bear identi- fication showing the fire performance rating thereof. 11. All construction to be done in conformance with approved plans andrequ.irements of the Uniform Building Code (1994 Edition) ',as amended, Uniform Mechanical Code (1994 Edition), and Washington State Energy Code (1994 Edition). 12. 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. 13. There shall be no occupancy of the building(s) until the final inspection has been completed by the Tukwila Building Inspector. 14. VENTILATION IS REQUIRED FOR ALL NEW ROOMS AND SPACES OF NEW OR EXISTING BUILDINGS IN CONFORMANCE WITH THE UNIFORM BUILDING CODE AND THE WASHINGTON STATE VENTILATION AND INDOOR AIR QUALITY CODE, CHAPTER 51 -13 WAC. FINALAPP.FRM '+q'.i•6. !.µ ,.� F'j� .wd.! b iY4T >n�ti..:� ii�:t�7a Sprinklers: Fire Alarm: Hood & Duct: Halon: Monitor: Pre -Fire: Permits: City of Tukwila Fire Department Project Name -'C� ��i Needs shift inspection TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM Address 1415 � ti L � s \V y s_ Retain current inspection schedule Approved without correction notice Approved with correction notice issued an Authorized Signature Date T.F.D. Form F.P. 85 a4' ;7r`,".`rw.r :47 :17.7:177,T'∎ John W. Rants, Mayor Thomas P. Keefe, Fire Chief Permit No. V16 - (23 Z. Suite # 1U� Z3Ig7 Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 5754404 • Fax (206) 5754439 a * * *•k * * *** * * ** * * ** *AAA.* * * * *4••k * *k*•R•A tA*•AA * *A+Oh*A ** * *•kk•k****Alli* CITY OF TUKWILA, WA TRANSMIT * s ol*• A * *Ok *A* *•A* *A* * * **• * *** * *•k e *k * * * ** * *k** * *•A *** *** TRANSMIT Number: R9600493 Amount: 25.00 10/09/96 12:46 Payment Method: CHECK Notation: PACIFIC BP Init: MEV Permit No: PW96 -0263 Type: PW -HAUL HAULING Parcel No: 004000 -0136 Site Address: 14415 PACIFIC HY S St: 01 Fl: Un: Total Fees: This Payment 25.00 Total ALL Pmts: Balance: 25.00 25.00 .00 • A * * *a * * * ** * * *•A * *A*3 ** ** * ** *3.33 *3 **kj #* * *k *A•* ** Account Code 000/345.830 000/342.400 Description PLAN CHECK -• UTILITY INSP FEE •- UTILITY Amount 10.00 15.00 * *k* * **** * * *** * *k*kk * * * ***Jr3 k *** *kk ***kk k**k* ** ** *kkA * ***kk*• * ** TRANSMIT * * k*** *k #kk *k3 * * * ***k ***kk 42.00 42/09/96 10:33 Payment Method: CHECK Notation: PACIFIC BP .. Init: SLB CITY OF TUKWILA, WA kk *k***** f•**4* * * * * **:k k kk* TRANSMIT Number: • . R9600519 Amount: Permit No: B96 -0232 Type: B -BUILD BUILDING PERMIT Parcel No: 004000 -0136 Site Address: 14415 PACIFIC HY S St: 01 Fl: Un: Total Fees: 846.34 This Payment 42.00 Total ALL Pmts: 846.34 Balance: .00 *******A*****************• k*** t1***** * * * * * *•k * * **** * * * * *al * * *3* * **** Account Code Desr_r ption .000/322.1100 BUILDING INVESTIGATION Rrz�� n5.p.acNon M Amount 42.00 733 12/10 1617 TOTAL. 42.00 4AA*a*+**+�********ato*4**x*******^*.A***a*a****+***ah*+*'A*'++ CITY OF TUKNILA. WA ` ` TRANSMIT a+^a+***^***a*A*4*++*****++**+*+*a**+A*****`******++*^A+,�+a+**** TRANSMIT Number: R9600493 Amuunt: 15.00 10/09/96 12:45 Payment Method: CHECK . Notation: PACIFIC BP Init: MEV ---�_~^~^-_--^~--~~~---_---^--'~--��-~~-_-�_---_'_'---~- Permit No: PN96-0263 Tvpe: PN-LA LAND ,ALTERING PERMIT Parcel No: 004000-0126' Site Address: 14415 PACIFIC HY S. St: 01 Fl: Un: LoCat1on• 14415 PACIFIC HY/INSIDE FU[uRE CONVINI6NCE STO • Total Fees: 15.00 This Payment 15.0O Total ALL Pmts: 15.00 Balance: .0O ****a+a*+4A*********+**i+O*a****+Aa+**+******+*k4**++*a**kll** Account Code Description Amount 000/322.100 ' BUILDING - UONRES 15.00 Account Code 402/342.400 • � ***********a+A++*+**.~�****aa**»+m4+***i**A*«a+++«a*+*wah+ CITY OF .TUKNILA, NA TRANSMIT *a*Aa+*******aa****+*****x*AA**x***+*aa***«**a*A**AA*a**A*A+Aaa* TRANSMIT Number: D9600493 Amount: 20.00 10/09/96 12:45 Payment Method: CHECK Notation: PACIFIC BP Init: MEV Permit No: PW96-0261 Type: PW-SSS ShNIYARY SIDE SEWER Parcel No: 004000_0136 Site Address: 14415 PACIFIC HY S St: 01 Fl: Un: Total Fees: 20.00 This Payment 20.00 Total ALL Pmts: 20.00 Dalance: .00 *k**4.*a****+i*****a*aa Description Amount INSP FEE - SME/SGS 20.00 1)J `�� ,01/4'‘ `�v��.i'uT: • -., r:: '�• ^�`�`r?�r`��°��� '`''�''''• '-r' C � � �~ `_-/ ;A+**A*a*****xaa*A++A+/t*++++ah++a+++k++**+*+oA+A*+4*a+**+*+AA+* CITY OF TUKN%L#. NM T9ANGMIT +*^+h***++********�*A+++*+ Permit No: 896-O232 Type: 0-BUILD BUILDING PERMIT Papcel No: 004000-0136 Site Address: 14415 PACIFIC HY S St: 01 Fl: Un: Total Fees: 804.34 This Pzyment 315.09 Total ALL Pmts: 315.09 � Balance: 489.25 +++**ak+A+**A,*4*il** :: Account Code . Description Amount 000/322.100 ' BUILDING - NONRES 315.09 - '~ TRANSMIT Number: R9600459 Amount: 315.09 08/06/96 15:40 Payment Method: CHECK Notation: PACIFIC OP In1t: SMC . , • 1903 TOTAL 315^09 ` +++*+********a*+*+*+4++*+*A*+A*+v+*+«**+++»»kA****+***++kA+*++xk CITY UF TUKWILA, WA TRANSMIT *++A**+k**kk**ak*k**++***«*+++*+***A*A*k++*+++*+*+A+**A++****�+A TRANSMIT Number: R9600492 Amount: 489.25 10/09/96 12:44 Payment Method: CHECK Notation: PACIFIC BP Init: MEV ^----- Permit No: 898-0232 Type: 8-DUILD BUILDING PERMIT Parcel No: 004000-0136 Site Address 14415 PACIFIC HY S St: 01 Fl: Un: Total Fees: 804.34 This Payment 489.25 Total ALL Pmts: 804.34 Balance: .00 a**+a+*a*.4*a***11*+aa***i^*+*aa+**+*a++ Account Code • Description Amount 000/322.100 • BUILDING - NONRES 169.66 000/345.830 • PLAN CHECK _ NONRES 315.09 0'00/386.904 STATE BUILDING SURCHARGE 4.50 3891 10/10 9619 TOTAL 549.25 ‘\0 Project r rci C l ti C � � Type of I•:.�tiou: i - rnr- Date .lied: 40 - 2g -97 Address: p-1i15 - 1 c , tit Special instructions: Date wanted: /0 - c99`,7 a.m. P.m. Requester: x , r Phone No.: ( -) tn, INSPECTION RECORD Retain a copy with permit C :59 to - O,.Q PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 ll INSPECTION NO. :I (206) 431 -3670 Approved per applicable codes. COMMENTS: Inspector: I I Corrections required prior to approval. Date: tnizA )q $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: ) f NS ULA- li 0 0.' lA 61-m C3" cLem-mc,..) xs AL.,4( 12 '1 FEr vC . PA f=04-Z 1?.eAA it M 1 0 • Dale5alle,.. 1 tt 1 i ll Iii If Id % gal i 0599111 if 1 1 Requeitec ) i2..c 1.ZOski.Ilt. 6A{LitAviv--- ( tr eAk, r ntrut,01(-: tr,siNuA zh'' ni- fCLNitt- ' L etk- i , 1411 LE 60 , A1- C 14.1, LIZ - ist4.., l'kTh .. r. 1 Project: TCACiC1C, Type of inspection: , Address: Nil Ti c Dale5alle,.. Special instructions: 7 Da\e b Ce.rii P.m. Requeitec Phone N(1 \LI I I Approved per applicable codes. INSPECTION RECORD Retain a copy with permit I INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 RMIT NO. (206) 431:3670 Corrections required prior to approval. Inspector: Date: $42.00 REINSPECTION FEE REQUIRED. Prior to inspec ion, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: f�rojp eat4C A LCD QDP Type of insQeCtion: P ��r @ss \� \v 5 Date lled: t ca D — \c3 _ Special instructions: Date wanted: ‘0'kln a.m. p.m. Requester: Phone No.: a t-- 1 L1 — \ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 'COMMENTS: t _ tl E 6 N ekk6Lt C. S eoa-7 t jDuc S. C* aC, i ■ASuuAxwO Approved per applicable codes. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection, '.. Receipt No.: Corrections required prior to approval. Date: COMMENTS: Type Ins ectio u , � . C 1) AITP( -0 .SLAQQV -, wt -k- TO Lt G 14-r Flx f' / - j wa wk i4. k 'hracH n IA 4I?P6 S CaR►J 2S . n 61'01 t..1 le C A•1..- /4P PCt-0 V Pr1- . SN e' 9 a 6L1` x Du L7 s To El I h ) r 74rg-i 5 A 6 3 e CA OV — c1 — ___O t-t Cr A9 gr 1 G iLILLE'• i P 1�� 1 � S 3 P Type Ins ectio u , � . C t c{re's FAG' " J c l .J Date called: ? , S co Special instructions: Date wanted: - (_ _ �� YJ p.m. Requester: DAV 1 D /' ' Z / ` t ". V Phone No.: 2'tl_t _ l ,22.. INSPj T NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 iI b-Q PERMIT NO. (206) 431-3670 Approved per applicable codes. [Corrections required prior to approval. Inspector: � Date:Q � $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Ins Receipt No.: Date: �5 Pro 16 � 1 }.inspgrtjon:F�yI 1 (061 Date called: �� �G� _ C� -., � P iA d A e m p�� 5, iL r ti S Special instructions: Date wanted: s U 6 _ Gq.- a.m l p.m. Requester: bAti t Phone No.: 214 _ 16 la CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: , a:, b WI) 01)61-114 Inspect° oal ,.. a ......_ Date: X1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (206) 431 -3670 Approved per applicable codes. [gj Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Projge j , plc Bp �escs� Ty.: of it a t : 4/ PA) iit �n I c N S Date called: i_ o i _ 97 Special instructions: Date wanted 2_ 3' 1 7 p.m. Requester: A `jj )A v 1 Phone No.: . 1 + _ 1(022..... INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (206) 431 -3670 COMMENTS: Inspector: GL. Date: ion 17 Approved per applicable codes. $42.00 REINSPECT ON FEE REQUIRED. Prior to ins p e c fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Corrections. required prior to approval. Date: Pro I r' , 6r , l t ` ' TypegiPspectio i � 7 ni ers:. � r,C )-11 Date called: - 31 _ i7 Special instructions: Date wants _ 1 7 (tear t p.m. Requester: 1 v 1 - Phone No.: 244 _ Hpz_z INSPECTION O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I I Approved per applicable codes. INSPECTION RECORD Retain a copy with permit I 1 t o PERMIT NO. (206) 431 -3670 Corrections required prior to approval. COMMENTS: Sis-L S 7A . Inspector: Date: 7 1 3 / 97 $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: PriJJ t: 13p CIC. Types t o Acc r s :._ pc m s1 Date t caller: i i pedal Instructions: %'�.,.�� `./' J �C V Rill Date wante` : j S ),_ a . pm. Requester: . Phone No C ' II '' c, INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 I 'Approved per applicable codes. _., PERMIT NO. (206) 431 -3670 Corrections required prior to approval. COMMENTS: 1/4 15 In/ fn, - v 12t °C kk 9 /IJSUG{T1p0 Inspector: Date: 5 r $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: Project: - in� , Fl c. A P. T e of ins ection: '�—. �nm-� T►ssu L.nyz,tea Address: PAc. ithil ` a Date called: ' .1 Co Special instructions: Date wanted: ( j��q� a.m. P. Requester: Phone No.: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. 1 INSPECTION RECORD R etain a copy with permit j Ilk PERMIT NO. (206) 431 -3670 COMMENTS: Inspector: Date: i / Corrections required prior to approval. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: f00 (L + s 1 iL w‘ tt� of Fhts <r Ups „3,,,-.s. &-00 s W , 11 , 1/4\0 (.1 ' di' w -S , A1-4 X1.1 3) �D P .o W tt 111 5 ►3 , At! G L IOG o AT' 1-r i (- 1• 1 ' FILA n, Vtat- t ch-c - , gm 0 ,,1"361 ) Dk 1L.- - C -Tw*1S Q 5'( E- j\r. Y C o`Th1-. 4.) t tJ s •* c - L LI c, - P L I , o 6w■, 0 L am A(At ._ M Pal\) Prt- I f\-1-' D .3'- C.1t_. Wt rLc- , Date wanted: a.m. Requester: ^ !J�' Project: /� 1'Ac -1� £ n / " Type of inspection: Ct,L.f1 Jf� X1.1 Address: (� Date called: f i 6 Special instructions: Date wanted: a.m. Requester: ^ !J�' - . D Phone No.: INSPECTION NO. 1 1 INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. PERMIT NO. (206) 431 -3670 Corrections required prior to approval. Inspector: Date: 7 7 I $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: _ A in. :]L.cAL. tar—ha { COMMENTS: -- CX '3 u4 -c.CS C) tJ ,56‘411,1 41✓� 037 .S /, 9 ES' NA-tAr oDA W yQ t t='2 W)7 I rJ kezrP -J . 1 .z - so D F .3 u N il i3*1" t OS P,—t1 P A1-1P i k-1 s'^ L ( lI-4 fib cz∎A Special instructions: vs t �- t---).-3 i s, r2 Ai-to APP 4yLEV, S4 t d 4 .- - , -- t) (1 • pm. � a P /T� uest p'g No ( / / P p�f'j ct: t ( r � L � T�qe a t"-C art"-CM n�: Date It\ cal v Special instructions: Date wanted. 1 ,Z 1 l S . pm. � a P /T� uest p'g No ( / / 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION �� 6300 Southcenter Blvd., #100, Tukwila, WA 98188 11 I I Approved per applicable codes. Corrections required prior to approval. Inspector: G Date: I/719 $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: (206) 431 -3670 PERMIT NO. Project:VI - D. r , Type of i ection: / { i Addressl is . ' Date called: 1 / t ' r ( •P Special . � instructions: L / � � Date wanted: 1 ? "j i ( p .m. Re quester: ` ,�j Phone No.: - ( (_ --) r ^ `?-- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 IK Approved per applicable codes. INSPECTION RECORD Retain a copy with permit V1 Q) 07 a' PERMIT NO. (206) 431 -3670 Corrections required prior to approval. COMMENTS: Sf 4 E S A iz:CA A So tAT Ifl -t-- Inspector: Date :, ti 94 $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: Fs Ct ct: c c. - F(c- I T pe i pection: T ype I n ,� 64 / // Date called: / /9 ro A r s . 1 c 4 2 it. 4 Sp instructions: Date wante , !/ a.m. Phone No,4. L.1q — 1 472. I INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 Approved per applicable codes. ] Corrections required prior to approval. COMMENTS: A)01 C I L . €T ( • �► r�tn.- PS 14 Lis-7 a P 1-b 1.4 2 t)k t (L I ,. c ( ou7L._ �S A Pi M Imo. Inspector: Date: 711 $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PERMIT NO. (206) 431 -3670 Receipt No.: Date: COMMENTS: q c , ,SG s1- t,L t 9S j 6 F ''''t t oSv A*40 CAMw P 4-'6:1W t° �k Q k. Tt1 t N S p.4=c7IAJ 2) 5 (ArN1/4 wr+u._ AA- is Nr Ita>401 . ILA ( o 1 NSuLAW,v) 1 tJ N-l`e -t Ott.._. t"Ni -.L.- (2 Z" $ ISJt S.a 1.19 A 1 ►Gt- : NOW. , AS (L- I Io . ( Cap Ni" l6,.- NA0123 'i'0 1 0 5Wh n1 r4A -N4A Facxv,,cot.9 $,P :Er-- S tt uv tFy . Ott.— hN c.. .- vJ r� ICASIL . v.�n -t A te + ` 7 ,�.. c4 ' S J f-,e2 p,-.1 - - I'` VY,KC\J SQ / a.m. fo p.m. 1 - r ' ct: - - of i s • e..tion: I lL $s s ,p 1 /, I s ate call d: Special Instructions: _ ? escL �c r Date wan ; •: / a.m. fo p.m. Requester. /f GQ Y � Phone No.' INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 Approved per applicable codes. [Corrections required prior to approval. Inspector: Date: 2h (4.6 $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: C JT1't-•4 )n t, A T Te Ta 1'— ,n , W-, w A z c n-an1-S sr? z p La m/ r1 ' A,dtgs l ss th IL - Pd i pirm /74 q/ (( . Date callid: (� /s - c -k r 1, 44 f \="b / nJS I c y i J _c rh 'SYA CARD a v1/40 / v- '1 -Pc'`) �n1 �`t1 -j\i "' Date wa7tefl: / am/ A p.m Fa-4vn i 'J 6 cz a44f c P,b) )4 O?MfYl- /0 iii*4 dg. Sl Q cIUL d N t) "- S 1 i ° (/L - -,2.. t- 1-! 1,16 14-A 0 1 RS I NS(k+u - 9 ex, t)YL` Cz p t.A., >n #3 o-- Tt ere-I cert... Ait 577 LL.. MN - S 49 dr-F. OLPoSE f I AG 1 r•I 6A- .. tL 1 +.L . t Gtt A-t-c._.. 6) it. DNS . i?A j R /L4 5P,sc - rwil F-csr ,, ct• ((�� { (.fit Tt . T of inspdctioll: ^Q ' A,dtgs l ss th Date callid: c7 G Special instructions: u Date wa7tefl: / am/ q / p.m �jid 1Q I 1 i k' ° (/L - /6 - INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 -3670 Approved per applicable codes. g<LCfrections required prior to approval. Inspector: G 5,142,2_ Date: /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.: 5535 Date: g , ^ � -- COMM TS: I 0 61A-1 J EL-.' c.sii— f N S ts4 0 . z d 61w, hi Pt_,,, h■' 1/J6 it.1SP-Z.Tca 0 • 3 M- u' -. wM..L.- FvA .„.4 vJ IN 1.34T.J0 is ,J6 ► ?FiL.. PuArt, A 2" CuAN► kr SP.arti lam. - i;m VO r tJ czol X ttA i H1 (Ai-Jot-v. in u b� f 1 - F)4 OR-- A VA tax_ Lm n. co— Pg. nyr =0. Neosq— fZ A.rin,rJC-, r r J oFP'cn. c t Li r.)G tS rJTr / D-FSr 4, Nc- - 0 P-0 /I--- S1 R..4 a■F . 51 (Lela-A- vlAk.- WA -- (... ...1 M UST" , S=7-t. p aF,F PRA 0 i - n APPIta tiA -- - 71 C) c . Project: n p . r �� f / "�/l'l c � T ype of in cti Address : PP-CAC' " friAl i Date calle Special instructions: Date wanted: )2.14 q tp Cl Requester: � Phone No.: Z- _ ito2Z INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ..., ,w n y AO .1%.11.1 INSPECTION RECORD Retain a copy with permit 13°/(p 0 ? 37 PERMIT NO (206) 431 -3670 Approved per applicable codes. Corrections required prior to approval. Inspector: Date: Iz i f p $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: TO: FROM: DATE: SUBJECT: City of Tukwila Department of Public Works PERMIT CENTER PUBLIC WORKS ENGINEERING October 2, 1996 Tukwila Pacific BP Station 14415 Pacific Highway S. Project No.: PRE95 -036 Plan Check No.: B90 -0232 Activity No.: PW96- 0261,0262,0263 Contact Person: Mr. Roger 011enburg Phone: (206)451 -1232 NOTIFICATION OF UTILITY PERMIT ACTION THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON October 2, 1996: PERMIT FEE - PW96 --62. Land Altering PW Q6 - 2- 15.00 PW96 -0262- Sanitary Side Sewer PW ci _o 2 61 20.00 (Grease_ mnieice for Total: $ 35.00 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 -0263 Hauling $25.00 John W. Rants, Mayor Ross A. Earnst, P. E., Director 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) 433-0179 • Fax (206) 431 City of Tukwila Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 SANITARY SIDE SEWER Permit No: PW96 -0261 Issued: 10/09/1996 Status: ISSUED Approval Letter: 10/02/1996 Project: TUKWILA PAC BP Expires: 04/07/1997 Site Address: 14415 PACIFIC HY S St: 01 Parcel No: 004000 -0136 Wetlands: Watercourse: Slopes: N Water: N/A Sewer: N/A Type of Install: PCOM Number of Units: 000 Exist SQ FT: Add SQ FT: New SQ FT: Contractor License No: TENANT TUKWILA PACIFIC BP 14415 PACIFIC HY S, TUKWILA WA 98168 OWNER EXXON CORP Phone: (206)000 -0000 PO BOX 53, HOUSTON TX 77001 CONTACT ROGER OLLENBURG Phone: 206 451 -1232 515 116TH AVE NE SUITE 202, BELLEVUE WA 98004 Description: INSTALL THERMACO GREASE INTERCEPTOR UNDER THE 3- COMPARTMENT SINK INSIDE THE CONY. STORE. ************************************************ * * * * * * * * * * * * * * * * * * * * ** * * * * * * * ** 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 HO RS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature: � . Ili "'/ Date : ��r 62 ,,ttom� Company: �* t (0 I l 1�v� i &( (. Title: ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE BY: JJS Issued By: Final Inspection Approved: Inspector Signature Date 0, Qt) 11 3 (206) 431 -3670 Authorized Per 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. _:,....-'- - ..— �...—. Y t.+-..' �.._..+.+...: �...: :w,........i- •.�.�..�.::-�_.+.: :: a�1.: w::: 1 1..:..' �. ';t:.J.:.�:..._:•�.'_.: ^.t.,l.: u;`: _..,. ... �,.n �_.... _4:4 ,.. sx:... i... �=:. s.. ..'..s.:..:::.. +.�..t7.._`_'t�Y Address: 14415 PACIFIC HY S St: 01 Permit No: PW96 -0261 Suite: Tenant: TUKWILA PACIFIC BP Status.: ISSUED Type: PW -SSS Applied: 08/23/1996 Parcel #: 004000 -0136 Issued: 10/09/1996 A• k kk* k• k k*** kA*A* Ak* k' Ak k• k*• k *tot ' k k kk kk*• Ak' A*** A' k- k'A k• k*' AA'A'A * *•A****A•A*k'AAkA* * kit * Permit Conditions: CITY OF TUKWILA 0 Grading/Fill (Yards) -Cut: 9 Fi 1 l: Issued Bv: Final Inspection Approved By: LAND ALTERING Permit No: PW96 -0262 Issued: 10/09/1996 Status:'. ISSUED Approval Letter: 10/02/1996 Project'. TUKWILA PAC BP Expires.: 04/07/1997 Address: 14415 PACIFIC HY S St: 01 Location: 14415 PACIFIC HY/INSIDE FUTURE CONVINIENCE STORE Parcel #: 004000 -0136 Wetlands: Watercourse: 'Slope::: N Contractor: License No.: TENANT TUKWILA PACIFIC BP STATION 14415 PACIFIC HY S. TUKWILA WA 98168 OWNER EXXON CORP Phone: (206)000 -0000 PO BOX 53, HOUSTON TX 77001 CONTACT ROGER OLLENBURG Phone: 206 451-1232 515 116TH AVE NE SUITE 202, BELLEVUE WA 93004 44 4*' 4k'9*'4* 4' kk*' 4* 4*' 4'4* *k*4'4** *'4 4*444k4 494 . 4444'444+ - 4 Additional Description: EXCAVATION FOR REMOVAL OF CONTAMINATED SOIL DUE TO REMOVAL OF 3 HOISTS. THE ENGINEER E'STIMATE'S APPROX 9 CU YDS OF DIRT TO BE REMOVED. AN ESTIMATED 12 CY OF APPROVED BACKFILL SHALL BE PLACED AND COMPACTED IN EXCAVATED AREA. WASTE CHARACTERIZATION CLEARANCE IS REOUIF :ED FROM KC SOLID WASTE DIV @296-4418 PRIOR TO REMOVAL OF ANY CONTAMINATED SOIL. • 12 Total: 21 Permit Fee: 15.00 Account No: 000/322,100 Plan :heck Fee: .00 Account No: 000/345.830 Other: Account No: 000/336.904 Total Fees: 15.00 Valuation: .00 k'k'4 *44'4 * - kk4kk44k k 44 k ' kk:44kkk4w4'kk'k 44.4 44 k kkkkk4y I hereby certify that I have read and examined this permit and know the same to be true and correct. A l l p r o v i s i o n s 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 permit shall become null and void if the work is not commenced within 180 days from the date of is uance,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 LEAST 24 HOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature :_r ; - Date: () ro 6 4 'k k k :4 4 k * k * 'k k 4 k ' '4 k• 4( k 'k 4 'k k* k * ***Ali*** 'k k 'k k k M **It** 'k 'k 'k k 'k * 'k 'k '4 k 'k k '4 'k k k 'k 'k 'k kA k 'k APPROVED FOR ISSUANCE: JJS Date: Authorized Permit 'enter Signature *' kk' 44** k*' 4k*' 4' k*' 4' kk' k*** k' k' 4. 4' k* 'k'4k'4'k *'4 *k *•k* *'4'k**'4'4•4 **'4.4'4 *•4'k *4' k' 4' 4'44k'k'4'k* *'kkk4'.4 * *'44 I hereby certify that the permit holder whose name and address appears on t h i s record has satisfactorily met the standards and c o n d i t i o n s for t h i s project approved herein. t . CITY OF TUKWILA Address: 14415 PACIFIC HY S St: 01 Permit No: PW96 -0262 Suite Tenant: TUKWILA PACIFIC BP STATION Status: ISSUED Type: PW -LA Applied: 08/23/1996 Parcel #: 004000 -01:6 Issued: 10/09/1996 * k• kk• kk*• kk k• k*kk** kk' kk*• kk• kk - Pt * kk* k****• kk k* k* k:k k* kslk kkk• k -Pt -k*k *-A**kkkkkk•bkkk•k4 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 .f ac lilies. 2. APPLICANT SHALL OBTAIN.A WASTE CHARACTERIZATION CLEARANCE FROM KING COUNTY SOLID WASTE DIVISION (CONTACT. MRS M. MONK @296 -4418) AND,SUBMI CLEARANCE APPROVAL TO PW UTILITIES INSPECTOR PRIOR TO ANY ' CONTAMINATED DIRT' REMOVAL 3. Haul ins overt 50 cyshal l require application tor a Haul ins Permit prior to: any associ ated activity.. Kind of Fixture Fixture Units No. of Fixtures Total Fixture Units Public Private Public Private Bathtubs and/or shower 4 2 Dental units or lavatory 1 — Dishwasher, commercial 4 — Drinking fountain (each head) 1 — Hose bibb or sill cock 5 3 Laundry tub or clotheswasher 4 2 Sink, bar or lavatory 2 1 'j.. Sink, clinic, flushing ' 10 — Sink, kitchen 4 2 .� Sink, other 4 2 Sink wash, circle spray 4 — Urinal, flush tank 3 — Urinal, pedestal 10 — Urinal, wall or stall 5 — Water closet tank 5 3 � Water closet, flush valve 10 6 C METRO Non - Residential Sewer Use Certification (To be completed for all new sewer connections, reconnections or change of use of existing connections. This form does not apply to repairs or replacements of existing sewer connections.) Pursuant to Metro Council Resolution Nos. 5719 and 5968, all sewer customers who establish a new service which uses metropolitan sewage facilities after February 1, 1990 shall be subject to a capacity charge. The Metro Council has established the amount of the charge at seven dollars ($7.00) per month per residential customer or residential customer equivalent for a period of fifteen years. The purpose of the charge is to recover costs of providing sewage treatment capacity for new sewer customers. The charge is collected semi - annually. All future billings can be prepaid at a discounted amount. Questions regarding the capacity charge or this form should be referred to Metro at 684 -1740. (Please print or t n C I T bSCO owner's Name N Property Legal Address: Subdivision Plat P Street t44 (� .Q OC (�1G H WI ' $ (Last. First, Middle Initial) City, State, Zip TUK W f 1 - A lit/Pr ` `al 6 i3 Owner's Phone Number ( P-CA- 7 ) 8 S - 3°f SO Owner's Mailing Address: (if different from above) A. Fixture Unita Number of Fixtures x Fixture Units = Total Fixture Units (Public or Private) Total Fixture Units Residential Customer Equivalents (RCE) 20 fixture units equal 1.0 RCE Total No. of Fixture Units 20 1058 (Rev. 5/91) White — Metro RCE For. Metro'use: Account 'Monthly' Rate' Six Month' Due Party to be Billed (if different from owner) PAC C (I i C. OP Party's Mailing Address: (if different from property address) City or Sewer District Date of Connection Side Sewer Permit I gel -0 NC TWO Mt& SPY ALT ©h0 7b tar S/N'IC /nl B. Other Wastewater Flow (in addition to Fixture Units identified in Section A) Type of Facility /Process: Estimated Wastewater Discharge: Gallons/day Residential Customer Equivalents (RCE): 187 gallons per day equals 1.0 RCE Total Discharge (gaVday) A B Representative Date 187 C. Total Residential Customer Equivalents: (add A & B) Yellow — Local Sewer Agency Pink — Sewer Customer RCE RECEIVED OCT 0 71996 TUKWILA RCE PUBLIC WORKS I certify that the information given is correct. I understand that the capacity charge levied will be based on this information and any deviation will require resubmission of corrected data for determination of a revised capacity charge. Signature of Owner/ , , Representative .�.■ 1I1� _::/ Nor, "ism Print Name of Owner /, D flrl 40077 Lusiness Declaration ei(0-09&A Part I Fill out this form, fold it so the business -reply portion is showing and return it to Metro's industrial waste section. If you need to use additional sheets of paper, please mail the entire package of information in a separate envelope. Mail to: Metro, Water Pollution Control Department, Industrial Waste Section, 130 Nickerson Street, Suite 200, Seattle, WA 98109-1658. ' Company name: 1�C I I\ C py-p. person at your company: `)J\ () P Li K' Title: . Or '�'� Telephone: - 8 S9 ' (ic1 3 0 Mailing address: V14 I Phc 1 hC \ WY' TU K to IL.4 (N12 . °1)J 6B Type of business (What does your firm manufacture or produce ?): Number of business sites: � Address of each business site No. of employees at site: 1.144i PACAC i 'S . l 4 1 - CGO t1 2. 3. Use additional sheets if necessary. ,Part II Please circle the correct answer as it applies to the business site given below. If you have more than one business site, please copy this page and fill out a form for each site. Company name: Site address: Contact person: Title: Telephone: 1. Does your company use water for cooling, production, manufacturing, washing, rinsing or cleaning floors in production areas? 10 Yes �No 2. Does your building have floor drains, catch basins, sumps or sinks in production areas or any other outlets to the sanitary sewers? Yes CI No RECEIVED CITY OF TUKWILA SEP 1 0 1996 PERMIT CENTER 3. Does your business store . mix liquid chemicals? Yes E'No If yes, are they for resale? CI Yes y No 4. Does your company se solvents or flammable substances? Yes No If yes, do you recycl them? Yes No 5. Does your companyprocess food or animal matter? CI Yes No 6. Does your company use metals or metal solutions in manufacturing, processing, treating waste, etc.? El Yes 0/No 7. Does your company pump or discharge groundwater for construction dewatering or groundwater remediation? CI Yes P/No 8. Does your company have uncovered storage areas or outdoor activities, such as vehicle maintenance,equipment - washing and drum - cleaning? El Yes _P4 to 9. How many gallons of industrial wastewater does your company discharge each day? (check one) None El Less than 5,000 gallons CI 5,000 - 25,000 gallons El More than 25,000 gallons Thank you BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 10919 SEATTLE, WA 'POSTAGE WILL BE PAID BY ADDRESSEE %1, METRO DI INDUSTRIAL WASTE SECTION WATER POLLUTION CONTROL DEPARTMENT KING COUNTY DEPARTMENT OF METROPOLITAN SERVICES MS IHW 821 2ND AVE SEATTLE WA 98104 -9986 II 11.1 1, � IIII . 111 1.11..1.11.1.11.11.11II'l'II11I NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES Envelope Requirements (enter values as applicable) Fully heated/cooled space Minimum Insulation R- values Roofs Over Attic For Building Department Use . Tl,t -culler , LOAN All Other Roofs Applicant Address: S1 , I /o'AVF it) E-• 20 2. , 3 D Opaque Walls 1 Below Grade Walls _. Floors Over Unconditioned Space Slabs -on -Grade -- Radiant Floors r.- Maximum U- factors Opaque Doors 6* 6 O Vertical Glazing 0 , O Overhead Glazing •. .. . .--_ Maximum SHGC (or SC) Vertical/Overhead Glazing I )' co Project Info ProiectAddress TU ILA sc) Date s , 6 , 9 (("`" 1441G •1'ACiPf . l Y �Dv?N For Building Department Use . Tl,t -culler , LOAN Applicant Name: tic' r<-- D(.L.t-/UlZ y f2-C1. Applicant Address: S1 , I /o'AVF it) E-• 20 2. , y ie(l.4Yvb, WA 9/60¢ Applicant Phone: 2,c6 . 4 S 1 r l2. Z 1994 W iirw g on State Henn a! Energy Code Compt.u.c• Fame Project Description Compliance Option Space Heat Type Glazing Area Calculation Note: Below grade walls may be included in the Gross Eaderior Wall Area if they are insulated to the level required for opaque walls. Concrete /Masonry Option ❑ New Building ❑ Addition f a Prescriptive ❑ Component Performance (See Decision Flowchart (over) for qualifications) ❑ Electric resistance Total Glazing Area (rough opening) (vertical & overhd) Semi- heated space' Minimum Insulation R- values Roots Over Semi - Heated Spaces' 'Refer to Section 1310 for qualifications and requirements Notes: ici Alteration 14 Change of Use ❑ ENVSTD M All other (see over for definitions) ❑ Systems • Analysis Gross Exterior divided by Wall Area times 100 equals %Glazing 159.0 x loo = 1i,25 ❑ Check here II using this option and if project meets all requirements for the Concrete/Masonry Option. See Decision Flowchart (over) for qualifications. Enter requirements for each qualifying assembly in the table below. Opaque Concrete/Masonry Wall Requi Insulation on Interior - maximum U- factor i Insulation on exterior or integral - maximu Wall Description (including insulation R•value & position) rements s 0.19 • m U- factor is 0.25 If project qualifies for Concrete/Masonry Option, list walls with HC 2 9.0 Btu/ttu•F below (other walls must meet Opaque Wall requirements). Use descriptions and values from Table 20-Sb In the Code. U -f actor RECEIVED CITY OF TUKWILA AUG 0 6 1996 PERMIT CENTER Aced. is. Project Info Project Address -1-U k1A (3 l Date u , ,p� , 14415 'PAeIF►(°, lam` /.gott -F For Building Department Use TL1)Gw► t:A f (UA Applicant Name: 12t9Ge rt &LL;;IU f 0 (j—ti . Applicant Address:51s \) 6 NE. ft202 1 i &utyue,w14 c if Applicant Phone: 266 , 4 S 1 • (232.... Location (floor /room no.) Occupancy Description Allowed Watts per ft " Area In ft2 Allowed x Area Covered Parking No C NANee S 'T &c (6,tl art. L14 NT/ BUG 0.2 W/tt Open Parking e(oM /c t o 7?1 / l2AC e.AP4-1 1 S 2 . 1 0.2 W/tt Outdoor Areas 0.2 W/tt Bldg. (by facade) 0.25 Witt" Total Proposed Watts may not exceed Total Allowed Watts for Exterior Al I r n Isla r frRposed Watts Bldg. (by perim) 73 WAI Note: for building exterior, choose either the facade area or the perimeter method, but not both) , Total Allowed Watts " From Table 15.1 (over) - document all exceptions taken from footnotes Total Allowed Watts Location ((loor /room no.) Fixture Description Number of Fixtures Watts/ Fixture Watts Proposed Covered Parking No C NANee S 'T &c (6,tl art. L14 NT/ BUG 0.2 W/tt Open Parking e(oM /c t o 7?1 / l2AC e.AP4-1 1 S 2 . 1 0.2 W/tt Outdoor Areas 0.2 W/tt Bldg. (by facade) 0.25 Witt" Total Proposed Watts may not exceed Total Allowed Watts for Exterior Al I r n Isla r frRposed Watts Bldg. (by perim) 73 WAI Note: for building exterior, choose either the facade area or the perimeter method, but not both) , Total Allowed Watts Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts Location Description Allowed Watts per ft or per If Area in ft (or If for perimeter) Allowed Watts x re (or x If) Covered Parking No C NANee S 'T &c (6,tl art. L14 NT/ BUG 0.2 W/tt Open Parking 0.2 W/tt Outdoor Areas 0.2 W/tt Bldg. (by facade) 0.25 Witt" Total Proposed Watts may not exceed Total Allowed Watts for Exterior Al I r n Isla r frRposed Watts Bldg. (by perim) 73 WAI Note: for building exterior, choose either the facade area or the perimeter method, but not both) , Total Allowed Watts T Location Y Fixture Description Number of Fixtures Watts/ Fixture Wafts Proposed No C NANee S 'T &c (6,tl art. L14 NT/ BUG HtGt VhD C(TK 4�IKWILA Total Proposed Watts may not exceed Total Allowed Watts for Exterior Al I r n Isla r frRposed Watts 1994 waahngton Sits Nontasoanaat Enemy Coda Complunea Farris 1994 Washington State Nonresidential Energy Code Compliance Form Lighting Summary ; LTG -SUM April, 1994 Project Description 1 ❑ New Building ❑ Addition bat Alteration Compliance Option Kl Prescriptive ❑ Ughting Power Allowance ❑ Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Alteration Exceptions (check appropriate box) ❑ No changes are being made to the lighting ❑ Less than 60 % of the fixtures are new, and Installed lighting wattage is not being increased Maximum Allowed Lighting Wattage (Interior) :: •� Proposed Lighting Wattage (Interior) Maximum Allowed Lighting Wattage (Exterior) (May not exceed Total Allowed Watts•for Interior) Proposed Lighting Wattage (Exterior) (May not exceed Total Allowed Watts for Exterior) PERMIT CENTER ITEM# DESCRIPTION CIERON ASHLY BUILDING PRODUCTS CA Wholesale Building Materials I Prs'UX A TION R- FACTOR 470329 1/2" x 4 x 8 R -BOARD R 3.5 470331 5/8" x 4 x 8 R -BOARD R 4.5 470333 3/4" x 4 x 8 R -BOARD R 5.2 470335 1" x 4 x 8 R -BOARD R 7.0 47033 - 1.5" x 4 x 8 R -BOARD R 10 470358 2 x R -BOARD `it14.0 TLAS Prices Subject to Change. F.O.B. Tacoma, WA 42PCS $446.00 $415.00 36PCS $520.00 $480.00 29PCS $570.00 $526.00 22PCS $756.00 $696.00 15PCS $1,132.00 $1,042.00 11PCS $1,164.00 $1,072.00 Section 7 Page 3 LIST PRICING U/M BKN UNIT FULL UNIT Effective 11/01/95 cool TACOMA BRANCH (800) 487 -4161 Dear Sir: City of Tukwila Fire Department Fire Department Review Control #B96 -0232 (510) Re: Pacific BP - 14415 Pacific Highway South September 20, 1996 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. The total number of fire extinguishers required for your establishment is calculated at one extinguisher for each 3000 sq. ft. of area. The extinguisher(s) should be of the "All Purpose" (2A, 10B:C) dry chemical type. Travel distance to any fire extinguisher must be 75' or less. (NFPA 10, 3 -1.1) Extinguishers shall be installed on the hangers or in the brackets supplied, mounted in cabinets, or set on shelves (NFPA 10, 1 -6.9), and shall be installed so that the top of the extinguisher is not more than 5 feet above the floor. (NFPA 10, 1 -6.9) Extinguishers shall be located so as to be in plain view (if at all possible), or if not in plain view, they shall be identified with a sign stating, "Fire Extinguisher ", with an arrow pointing to the unit. (NFPA 10, 1 -6.3) (UFC Standard 10 -1) Fire extinguishers require monthly and yearly inspections. They must have a tag or label securely attached that indicates the month and year that the inspection was performed and shall identify the company or person performing the service. (NFPA 10, 4 -3, 4 -4 and 4 -4.3) Every six years, dry chemical and halon type fire extinguishers shall be emptied and subjected to the applicable recharge procedures. (NFPA 10, 4 -4.1) If the required monthly and yearly John W. Rants, Mayor Thomas P. Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) .575-4404 • Fax (206) 575 -4439 C. City of Tukwila Fire Department Page number 2 .10Y TI inspections of the fire extinguisher(s) are not accomplished or the inspection tag is not completed, a reputable fire extinguisher service company will be required to conduct these required surveys. (NFPA 10A -4 -4) 2. Commercial -type food heat - processing equipment from which grease -laden vapors emanate in normal cooking application shall be protected by an approved automatic extinguishing system. The extinguisher system shall be interconnected to the fuel and current supply so that the fuel or current is automatically shut off to all equipment under the hood, when the system is actuated. (UFC 1006) A sodium bicarbonate or potassium bicarbonate dry - chemical -type portable fire extinguisher having a minimum rating of 40 -B shall be installed within 30 feet (9144 mm) of commercial food heat - processing equipment, as measured along an unobstructed path of travel. (UFC 1006.2.7) All new automatic fire - extinguishing systems and all modifications to existing automatic fire- extinguishing systems shall have fire department review and approval of drawings prior to installation or modification. 3. Obstructions, including storage, shall not be placed in the required width of an exit, except projections as permitted by the Building Code. Exits shall not be obstructed in any manner and shall remain free of any material or matter where its presence would obstruct or render the exit hazardous. (UFC 1203) 4. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. Exit doors shall not be locked, chained, bolted, barred, latched or otherwise rendered unusable. All locking devices shall be of an approved type. (UFC 1207.3) Aisles leading to required exits shall be provided from all portions of buildings. Aisles located within John W. Rants, Mayor Thomas P. Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) S75-4404 • Fax (206) S7S -4439 City of Tukwila Fire Department Page number 3 an accessible route of travel shall also comply with the Building Code requirements for accessibility. (UFC 1204.1) Exits shall not pass through kitchens, storerooms, restrooms, closets or spaces used for similar purposes. (UBC 1003.5) 5. An approved fire alarm system is required for this project. The fire alarm system shall meet the requirements of the Americans With Disabilities' Act, chapter 51 -20 WAC (Chapter 31 Accessibility), N.F.P.A. 72 and the City of Tukwila Ordinance #1742. All new fire alarm systems or modifications to existing systems shall have the written approval of The Tukwila Fire Prevention Bureau. No work shall commence until a fire department permit has been obtained. (City Ordinance #1742) (UFC 1001.3) The installation of wiring and equipment shall be in accordance with N.F.P.A. 70, Article 760, Fire Protective Signaling Systems. (NFPA 72 -1- 5.5.4) Dedicated fire alarm system circuit breaker(s) shall be equipped with a mechanical lockout device. (NFPA 72 (1- 5.2.8.2)) H.V.A.C. units rated at greater than 2,000 cfm require auto - shutdown devices. These devices shall be separately zoned in the alarm panel and local U.L. central station supervision is required. (City Ordinance #1742) Duct smoke detectors shall be capable of being reset from the alarm panel. (City Ordinance #1742) 6. An aisle to and working space shall be provided for each electrical panel. An aisle width not less than 24 inches shall provide access to the panel and 30 inches of working space shall be provided directly in front of the John W Rants, Mayor Thomas P. Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) .57$4404 • Fax (206) 5754439 Page number 4 City of Tukwila Fire Department panel. (NEC 110- 16(a), NEC 110- 16(c)) All electrical work and equipment shall conform strictly to the standards of The National Electrical Code. (NFPA 70) 7. Required fire resistive construction, including occupancy separations, area separation walls, exterior walls due to location on property, fire resistive requirements based on type of construction, draft stop partitions and roof coverings shall be maintained as specified in the Building Code and Fire Code and shall be properly repaired, restored or replaced when damaged, altered, breached, penetrated, removed or improperly installed. (UFC 701) 8. Your street address must be conspicuously posted on the building and shall be plainly visible and legible from the street. Numbers shall contrast with their background. (UFC 901.4.4) 9. Accumulation of combustible waste material is prohibited during the demolition phase of this project. Remove and properly dispose of all waste material prior to the close of the working day and as often throughout the day as needed. 10. Storage may not be closer than 36 inches in all directions to ceiling -hung "Space or Unit" heaters. (UFC 1109.2) Combustible material shall not be stored in boiler rooms, mechanical rooms or electrical equipment rooms. (UFC 1103.3.2.4) Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. John W. Rants, Mayor Thomas P. Keefe, Fire Chief Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone (206) 5754404 • Fax (206) 57$44.39 • Page number 5 Yours truly, cc: TFD file ncd City of Tukwila Fire De Thomas P. Keefe, Fire Chief The Tukwila Fire Prevention Bureau John W. Rants, Mayor Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 5754404 • Fax (206) 5754439 CITY O TUKWILA Department of Community Development Building Division - Permit Center 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 REVISION SUBMITTAL DATE: ' 0 / PLAN CHECK/PERMIT NUMBER: / C 0 c2 2 PROJECT NAME: 1 ( 1" 1C- � P PROJECT ADDRESS: \ 4 � p 1 Pic SI W\f . Ti K Wi L& tiU cIG i CONTACT PERSON: P & CLERK (3fri'4 PHONE: 4S1 I o� REVISION SUMMARY: PcuGKft3P-er C41 c)c evk s (on LQ fie -/ oecifec( /9% SHEET NUMBER(S) FI 1 I "Cloud" or highlight all areas of revisions and date revisions. SUBMITTED TO: Cen ler ..,,. «- ..,x:. „,.vwm:wvr vn.. ;t.,s�r:: •taare.. -.n <.M.- *,...u.Y .........:...��. RECEIVED CITY OF TUK! ", '_A SEP 1 0 1996 PER CE►■ i'.` 3/19/96 ti August 28, 1996 Dear Mr. 011enburg: C'" c.. i •<..+�.y "..Y'f.x<r:. ,:..,. nw ra avv >v. ... ,. �.... is .. ...n nas.sur� ..._ . a «r:4 City of Tukwila 7t FILE COPY John W. Rants, Mayor Department of Community Development Steve Lancaster, Director Mr. Roger 011enburg 515 - 116th Avenue Northeast, Suite 202 Bellevue, Washington 98004 SUBJECT: REVISION LETTER #1 Development Permit Application Number B96 -0232 Tukwila Pacific BP Station 14415 Pacific Hy S This letter is to inform you of revisions that must be addressed before your application for development permit can be approved. All revision requests from each department must be addressed at the same time and reflected on your drawings. The following are comments from each of the reviewing departments: Building Department: Contact Bob Benedicto, Sr. Plans Examiner, at (206) 431 -3676 if you have any questions regarding the following comments. 1. Counters where service of food or drink is provided and checkout counters must provide barrier free access in accordance with UBC Chapter 11, Section(s) 1106.22.2 & 1106.24.3. Show compliance on the construction documents. 2. Door marked #2 must comply with the prescriptive envelope require - Ments of the energy code. Identify this door on the door schedule as an insulated type with a listed maximum "U" -valve of 0.60. W.S.E.C. Table 13 -1. 3. The electric water heater located in the toilet room must be placed on an incompressible, insulated surface with a minimum thermal resistance of R -10. Detail or provide a note to plan to indicate this requirement. W.S.E.0 1441. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 Mr. Roger 011enburg August 28, 1996 Page 2 4. Where lighting fixtures are recessed into a suspended or exposed grid ceiling, the roof /ceiling assembly shall be insulated in a location other than directly on the suspended ceiling, unless, type IC rated recessed lighting fixtures are used, or, the light fixtures are tented in an approved manner to provide for 3- inches of clearance on all sides and top between fixture and insulation material. Revise construction documents to indicate one of the listed options. W.S.E.C. 1311.2. 5. .Provide narrative to the plans to specify the required ventilation requirements for this new use in accordance with UBC Chapter 12, and the Washington State Indoor Air Quality Code, and state how this will be accomplished. Fire Department: No Revision Comments. Planning Department: No Revision Comments. Public Works Department: Contact Joanna Spencer, Development Engineer, at 433 -0179 if you have any questions regarding the following comments. 1. Revise the site plan and legal description on Sheet 1 of 1 to show the easement and dedication per the enclosed documents, recording nos. 9510190953, 9510190954 and 9510190955. 2. A grease interceptor is required under the 3- compartment sink inside the convenience store. The applicant shall provide the size and model number, please contact the Weiss Company at (206) 867 -9184 and add the model number to the equipment list on Sheet F -1. 3. Provide estimated amount of contaminated dirt that will be exported from the site and estimated amount of the dirt that will be imported to the site. 4. Provide a letter describing how the contaminated dirt will be handled and copies of any paperwork from other state agencies involved with contaminated dirt removal for this development. 5. Submit Metro Non - Residential Sewer Use Certification and Metro Business Declaration. (Plan Sheet F -1 shows new sinks). These forms are enclosed. i�dilF,t Mr. Roger 011enburg August 28, 1996 Page 3 The City requires that four (4) complete sets of revised plans be resubmitted with the appropriate revision block. In order to better expedite your resubmittal a Revision Sheet must accompany every resubmittal. I have enclosed one for your convenience. Revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions please contact me at the City of Tukwila Permit Center at (206) 431 -3672. Sincerely, -Ktecti Kelcie J. Peterson Permit Coordinator Enclosures CERTIFIED MAIL (also sent via fax on August 28, 1996) File: B96 -0232 r *M M!t - M 7 V � f 4tQy ll{YY N(.Y^' Ff-L Y ✓�G4. {. 'f i ' �x NYS' - f } 1• ' I ; al Y !e�pt �rNl to wngn't ' ' rhd'tf dli1 1rc a�iit, �oitmu`fi:tor is Z 019 627 Receipt for Certified Mail No Insurance Coverage Provided sgra. Do•notuse for International Mail. (See: Reverse)' s e ROGER OLLENBURG $1 P jS d h6 AV NE SUITE 202 P E c iA 98004 Postage Certified Fee 'Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address TOTAL Postage & Fees $l, 0 I 1.10 1.10 $3.01 1 Postmark or Date MAILED 8/28/96 REVISION NO. 1 B96.0232 k�: �t:` �:+` i' :,2+r��'f .gym ^ •;«ne'•�w' {iSiT.rr.4 K'Wt:r..+err August 9, 1996 Dear Mr. 011enburg: Sincerely, .:K INV >.AM1�AlAS. &:v:5.:5: dafi5.= d4:ef;V xifw�stS!',1r.: City of Tukwila Department of Community Development Steve Lancaster, Director Mr. Roger 011enburg 515 -116th Avenue Northeast, Suite 202 Bellevue, Washington 98114 SUBJECT: Development Permit Application Number B96 -0232 Tukwila Pacific BP Station 14415 Pacific Hy S This letter is to inform you that :your permit application received at the City of Tukwila Permit Center on August 6, 19,96, was reviewed at the August 8, 1996, plan review meeting. Your application was determined to be complete. Your permit has begun the plan review process, you will be notified of any corrections or when your plan is approved. If you have any concerns or questions please contact me at the City of Tukwila Permit Center at (206) 431 -3672. 14e.er 'i Kelcie J. Peterson Permit Coordinator File: ' -0232 John W Rants, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 9510190954 UTILITY EASEMENT DESCRIPTION SITUATE IN THE CITY OF TUKWILA, KING COUNTY, WASHINGTON. BUSH, ROED Sc HITCHINGS, THAT PORTION OF LOT 12, BLOCK 2, ADAMS HOME TRACTS, ACCORDING TO n THE PLAT THEREOF RECORDED IN VOLUME 11 OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: COMMENCING AT THE INTERSECTION OF THE WESTERLY MARGIN OF PACIFIC HIGHWAY SOUTH (S.R. 99) AND THE NORTH LINE OF SAID LOT 12, THENCE E SOUTH 18°26'00" WEST 47.48 FEET ALONG SAID WESTERLY MARGIN TO A POINT OF CUSP WITH A CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 27.00 FEET AND THE TRUE POINT OF BEGINNING; THENCE NORTHERLY 24.02 FEET ALONG SAID CURVE THROUGH A CENTRAL "' ANGLE OF 50°58'38" TO A LINE LYING PARALLEL WITH AND 10.00 FEET ,° WESTERLY OF SAID WESTERLY MARGIN, AS MEASURED AT RIGHT ANGLES x THERETO; THENCE SOUTH 18 °26'00" WEST 2.65 FEET ALONG SAID PARALLEL LINE TO THE BEGINNING OF A CONCENTRIC CURVE CONCAVE WESTERLY HAVING A RADIUS OF 25.00 FEET (A RADIAL LINE THROUGH SAID BEGINNING BEARS :° NORTH 61 °16'37" EAST); THENCE SOUTHERLY 8.20 FEET ALONG SAID CURVE THROUGH A CENTRAL ANGLE OF 18 °47'56" TO A LINE LYING PARALLEL WITH AND 5.00 FEET WESTERLY OF SAID WESTERLY MARGIN, AS MEASURED AT RIGHT ANGLES THERETO; THENCE SOUTH 18 °26'00" WEST 13.11 FEET ALONG LAST SAID PARALLEL LINE TO A POINT OPPOSITE HIGHWAY ENGINEER'S STATION 465 +45.36 AS SHOWN ON RIGHT -OF -WAY PLAN FOR S.R. 99 MP 21.09 TO MP 21.28, SHEET 2 OF 2 SHEETS PREPARED BY WASHINGTON STATE DEPARTMENT OF TRANSPORTATION, APPROVED APRIL 7, 1995; THENCE SOUTH 71 °34'00" EAST 5.00 FEET TO SAID WESTERLY MARGIN; THENCE NORTH 18 °26'00" EAST 1.23 FEET ALONG SAID WESTERLY MARGIN TO THE TRUE POINT OF BEGINNING. THE PARCEL DESCRIBED ABOVE CONTAINS 75 SQUARE FEET, MORE OR LESS. TOSCO NORTHWEST COMPANY SITE NO. 3154 BRH JOB NO. 91332.04 WILLIAM A. HICKOX, P.L.S. MAY 10, 1995 REVISED JUNE 14, 1995 a9q - 093;- t. H UTILITY EASEMEr & RIGHT-OF-WAY SKETr'-1 S 18' 26' 00" W 5-C2--95 a-16 4T 56" 117. 25.00 1-7.. 820' N 16' 26' 00" E 123' UTILITY EASEMENT DETAIL SCALE 1".7.5" PROJECT NO. 9133204 MAY 12, 1995 CHK'd WAH MAJ N cr 3r 12" W 10.00' S 18' 26' 00" W 265' A 50 58' 38" RL. 27.00' 24.02 PREPARED FOR: TOSCO N.W. 'CO. SITE NO. 3154 • HIGHWAY 99 ts.:107' 44' 00" Lz:50.77 S18' 26' 00" W SCALE 1=30' RECEIVED 'JUL 19 1995 TUKWILA PUBLIC WORKS BUSH, ROED & HITCHINGS, INC. CIVIL ENGINEERS & LAND SURVEYORS SEATTLE. WASHINGTON G2G.414 9510190953 EASEMENT (CORPORATE FORM) Tosco Northwest Company. A Division of Tosco Corporation, does hereby grant and convey to the City of Tukwila, a Municipal Corporation, an easement over and across, upon and underneath, the following described land for ingress and egress and for the purpose of laying, maintaining, and installing utilities and traffic signal equipment said land being described as: (See attached legal description. last revision dated June 14. 1995 and sketch dated May 12. 1995.) IN WITNESS WHEREOF, said corporation has caused this instrument to be executed by its proper officers and its corporate seal to be hereunto affixed this 18'6 day of , 194'5 . 1 By 6 ■ "" J , Vice. President By %s& �� 4hhrA rn ltk Assisfar►+ Secretary eq( o _pa -3a- 0 • 0 (10:100) .STATE OF WASHINGTON ) ) ss COUNTY OF KING ) On this 4:0 day of L-71.4-6- , l 199.5 :before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared off I..airhaa. and l tr cA # • 40a lr(sekn to me known to be the \tiro, President and 4.6sis +aHri- Secretary, respectively, of Toseo Co-r rd:01' ri the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that cth.&' authorized to execute the said instrument and that the seal affixed is the corporate seal of said corporation. . Witness my hand and official seal hereto affixed the day and year first above written. NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, RESIDING AT *stre-hr) CO SSION EXPIRES uw,c 3Q, /999 9510190955 The Grantor, Tosco Northwest Company, A Division of Tosco Corporation residing at 601 Union Street, Suite 2500. Seattle. Washington 98101 for and in consideration of the sum of In Dollars ($ 10.00 ), in hand paid, CONVEYS and WARRANTS to The City of Tukwila. 6200 Southcenter Boulevard. Tukwila, Washington 98188, the Grantee, the following described real estate: (See attached legal description, last revision dated June 14. 1995 and sketch dated May 12, 1995.) situated in the County of Dated this / STATE OF WASHINGTON, County of I�c� On this /f" l day of appeared ba - 1 4 cll_u.v■Lza avid IN WITNESS WHEREOF I seal the day and year first above Notary Public in and for the State said County. WARRANTY DEED (STATUTORY FORM) , State of Washington. day of 19 q5 Vice. ?es. e eq , -6 ,33- e Ld p la /dr Ass +, sec ss. (Corporate Acknowledgment) , 19 e , before me personally 1,1H A. LUd feetrem,1t,-7/ to me known to be the 14 e 4 -7 and ss%:sf -eri► f- de e -7 `/ of the corporation that executed the within and foregoing instrument, and ackn&ledged said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that `tke C-//Ley ct•k.e authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. have hereunto set my hand and affixed my official written. of Washington, residing at ' 1 ) eai -/arc— in :inn'+ 9 01 1 ow 0 rc6O 41O1% 0 a 0 a cu r. co cu 4• w l�k`.'.'% ii' v.....`: 7eRi-. �t.:: 4: x�Jr} Tdrr:+t yY: itAVxHK�:•' iac• KS. �w�sfAr. rutrw.«.» rn++... �ww.... nnnwrx.. i.... www.. nKw-... �nh. v+ ar. w. mxka+ uvw... x... r. euw... w. rrw` e•. v...+.+ w..... r.+ w.. wryrmrwc• r. aMrtMM :R' = A4Gn RIGHT -OF -WAY PARCEL DESCRIPTION THOSE PORTIONS OF LOTS 11 AND 12, BLOCK 2, ADAMS HOME TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 11 OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON, DESCRIBED AS A WHOLE AS FOLLOWS: BEGINNING AT THE INTERSECTION OF THE WESTERLY MARGIN OF PACIFIC HIGHWAY SOUTH (S.R. 99) AND THE NORTH LINE OF SAID BLOCK 2, THENCE SOUTH 18°26'00" WEST 47.48 FEET ALONG SAID WESTERLY MARGIN TO A POINT OF CUSP WITH A CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 27.00 FEET; THENCE NORTHERLY, NORTHWESTERLY AND WESTERLY 50.77 FEET ALONG SAID CURVE THROUGH A CENTRAL ANGLE OF 107 °44'00" TO A POINT OF TANGENCY ON THE SOUTH LINE OF THE NORTH 10.00 FEET OF SAID BLOCK 2; THENCE NORTH 89 °18'00" WEST 152.84 FEET ALONG SAID SOUTH LINE TO THE WEST LINE OF PARCEL A, CITY OF TUKWILA BOUNDARY LINE ADJUSTMENT NO. 90- 14 -BLA, RECORDED UNDER KING COUNTY RECORDING NO. 9101160627; THENCE NORTH 00 °37'12" WEST 10.00 FEET ALONG SAID WEST LINE TO SAID NORTH LINE OF BLOCK 2; THENCE SOUTH 89 °18'00" EAST 193.25 FEET ALONG SAID NORTH LINE TO THE POINT OF BEGINNING. THE PARCEL DESCRIBED ABOVE CONTAINS 2,228 SQUARE FEET, MORE OR LESS. SITUATE IN THE CITY OF TUKWILA, KING COUNTY, WASHINGTON. ..�_A rh Vr�a ��♦M+rK 4(t BUSH, ROED & HITCHINGS, INC. TOSCO NORTHWEST COMPANY SITE NO. 3154 BRH JOB NO. 91332.04 WILLIAM A. HICKOX, P.L.S. MAY 10, 1995 REVISED JUNE 14, 1995 11. N18'26'00 "E 123' sri C.7 ll� UTILITY EASEME " & RIGHT -OF -WAY SKET( I S18'26'00"W A- 18' R= 25.00 UTILITY EASEMENT DETAIL SCALE 1 ":5' PROJECT NO. 91332.04 MAY 12, 1995 CH 'd WAN MAJ N O' 3r rr' w 10.00' S18'26'00 "W 2.65' Ais50'58'38" R_ 27.00' L= 24.02 HIGHWAY 99 PREPARED FOR: TOSCO N.W. CO. SITE NO. 3154 A 10r 44' 00" R_27.00' L50.77 PECEOVED JUL 1 9 1995 TUKWILA PUBLIC WORKS S18'26'00"W SCALE 1 ":30' BUSH, ROED & HITCHINGS, INC. 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