Loading...
HomeMy WebLinkAboutPermit B92-0040 - TUK-INN - RESTAURANT DEMOLITIONb92-0040 tuk inn demolition 13050 interurban avenue south TUK---/Q1■1 ErA(;) ��ga -ooloo November. 18, 1992 C City of Tukwila DepartmentofComtnunityDevelopment Rick Beeler; Director Bob Hart, Project Manager Kemper Real Estate Management Company 12720 Gateway Drive, Suite 107 Seattle, WA 98168 RE: Performance Bond No. 3S 746 077 00 Dear Bob: Enclosures cc: City Clerk, City of Tukwila Permit '4 John W. Rants, Mayor The City of Tukwila hereby authorizes the release of the above mentioned performance bond for $19,019 to Bedford Properties (dba Kemper Real Estate Management Company). Permit Number B92-0040 for the Demolition of Tuk-Inn was finalized on October 20, 1992 by the City of Tukwila Building Division. If you have any questions please call me at 431-3671. Sincerely, Bot-PP Shellie L. Bates Permit Technician 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431•3670 Fax (206) 431 A00111). CERTIFIc FE OF I PRoouctn z1400U 1•llc:r'i JAVi.iS OF t P LIFORMA, INC. P.O BOX 7607 • SAN' t RANC{:. CA 94120 F'HOl E: (4 5) 93'3-58 INSURED BEDFORD DEVELOPMENT COMPANY, INC ATTN: JERI ALBERS 3470 MT. DIABLO BLVD. #100 LAFAYETTE, CA 94549 ISSUE 2 / 21 / 92YY) 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 LETTER Y A AETNA CASUALTY & SURETY COMPANY s LETTER COMPANY C COMPANY COMPANY E LE TIER COVERAGES 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ' 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. CO TYPE OK INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIooIYY) DATE (MMM /0O/YY) n1000 I S C C A GENERAL LIABILITY O5GL5O04083SCA 10/01/91 10/01/92 GENERAL AGOREGATE 1 8000 X COMMERCIAL GENERAL LIABILITY PAODUCTS.COMPIOP AGO. 1 8000 X CLAIMS MADE X OCCUR. PERSONAL A ADV. INJURY A 1000 X OWNER'S A OONTRACTOR'S PROT. EACH OCCURRENCE ' 2000 X MISC. LIABILITIES FIRE DAMAGE (Any ono EN) 1 75 MED. EXPENSE (M one pereen) $ 10 AUTOMOBILE LIABILITY COMBINED SINGLE E ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per pereen) HIRED AUTOS BODILY INJURY NON•UWNEO AUTOS (Pet accident) i GARAGE UABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FUHM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS . EACH ACCIDENT $ AND DIS!AS!.POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE 4 OTHER DESCRIPTION OF OPERATIONS /►,OCATIONSNEHICLlSJ$PECtAL ITEMS THE CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS LIABILITY ARISING OUT OF DEMOLITION ;OF' °TUK INN, 1350 INTERURBAN AVENUE SOUTH, TUKWILLA, WA CERTIFICATE HOLDER CITY OF TUKWILLA 6200 S. CENTER BOULEVARD TUKWILLA, WA 98168 ACORD 26.S (71901 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Q_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA f/ % OACORD CORPORATION 1990 03/03/1992 10c30 BEDFORD PROPERTIES 415 263 6460 P.02 TOTAL P.02 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, THAT WE Bedford Development Company hereinafter referred to as "Principal" and LUMBERMENS MUTUAL CASUALTY COMPANY 99 0(J BO : NO. 3S 746 077 00 RECEIVED CITY OF TUKWILA FEB 2 7 1992 PERMIT CENTER as "Surety ", are held and firmly bound unto CITY OF TUKWILA hereinafter referred to as the "City ", in the sum of nineteen thousand and nineteen dollars ($19,019.00), lawful money of the United States of America, for the payment of which sum, well and truly to be made, we bind ourselves, our representatives, successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that whereas, the Principal has applied to the City of Tukwila for a Demolition Permit to demolish Tuk Inn located at and is required by the City to give this bond in connection with the execution of said demolition work; NOW THEREFORE, if the Principal shall well and truly perform and fulfill the completion of the demolition work applied for and City- required corrections to each application, then this obligation shall be void; otherwise to remain.in full force and effect until such time as the work performed has been inspected and approved by the City. In the event the Principal shall not have (a) completed the demolition required by the Demolition Permit, then the Surety shall within twenty (20) days of demand of the City make a written commitment to the City that it will either (a) remedy the default itself with reasonable diligence pursuant to a time schedule acceptable to the City, or (b) tender to the City within an additional ten (10) days the amount necessary, as determined by the City, for the City to remedy the default, up to the total bond amount. The Surety shall then fulfill its obligations under this bond, according to the option it has selected. If the Surety elects option (b), then upon completion of the remedy, the City shall notify the Surety of the actual cost of the remedy,. The City shall return, without interest, any overpayment made by the Surety, and the Surety shall pay to the City any actual costs which exceeded the City's estimate, limited to the bond amount. If the Principal or Surety fails to complete the improvements as requested by the City, the City's employees and agents are hereby authorized to enter onto said property and perform such work. This provision shall not be construed as creating an obligation on the part of the City or its representatives. In the event any lawsuit is' instituted to enforce the terms of this bond or to determine the rights of any party hereunder, the prevailing party in such litigation shall be entitled to recover from the losing party its costs, including reasonable attorney's fees, inclurred as a result of such lawsuit. IN WITNESS WHEREOF, we have hereunto set our hands and seals this' 26TH day of FEBRUARY , 19 92 Bedford Properties, Inc. 12720 Gateway Drive, Suite 107 Seattle, WA 98168 PRINCIPAL By: Mohan Vachani, Vice President STATE OF CALIFORNIA, ) SS. COUNTY Los Angeles ) On this 26th day of February 19 92 r before me KATHRYN E: POSTEL personally appeared William L. Cote L sonally known to me (or proved to me on the basis of satisfactory evidence) to be e person whose•name is subscribed to instrument as the Attorney -in -Fact of LUMBERMENS MUTUAL CASUALTY COMPANY ., and acknowledged to me that he (she) subscribed' the name of said company thereto as Surety, and his ( own name as Attorney -in - Fact OFF1CIAl SEAL KATHRYN E. POSTEL NOTARY PUBLIC CALFORNIA PANCIPAL OFFICE IN L0$ ANGELES COUMrY Commision Ex rea Febru 1 94 .LUMBERMENS MUTUAL CASUALTY COMPANY WILLIAM L. COTE, ATTORNEY -IN -FACT t GROUP • e LUMBERMENS MUTUAL CAS( LL Y COMPANY Home Office: Long Grove, IL 60049 POWER OF ATTORNEY Know All Men By These Presents: That the Lumbermens Mutual Casualty Company, a corporation organized and existing under the laws of the State of Illinois, and having its principal office in Long Grove, Illinois, does hereby appoint its true and lawful agent(s) and attorney(s) -in -fact, to make, execute, seal, and deliver during the period beginning with the date of issuance of this power and ending December 31, 1993, unless sooner revoked for and on its behalf as surety, and as its act and deed: Any and all bonds and undertakings provided the amount of no one bond or undertaking exceeds FIVE HUNDRED THOUSAND DOLLARS ($500,000.00) EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver any bond or undertaking which guarantees the payment or collection of any promissory note, check, draft or letter of credit. This authority does not permit the same obligation to be split into two or more bonds in order to bring each such bond within the dollar limit of authority as sot forth herein. This appointment may be revoked at any time by the Lumbermens Mutual Casualty Company. The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said Lumbermens Mutual Casualty Company as fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its regularly elected officers at its principal office in Long Grove, Illinois. THIS APPOINTMENT SHALL CEASE AND TERMINATE WITHOUT NOTICE AS OF DECEMBER 31, 1993. This Power of Attorney is executed by authority of a resolution adopted by the Executive Committee of the Board of Directors of said Lumbermens Mutual Casualty Company on February 23, 1988 at Long Grove, Illinois, a true and accurate copy of which is hereinafter set forth and is hereby certified to by the undersigned Secretary as being in full force and effect: "VOTED, That the Chairman of the Board, the President, or any Vice President, or their appointees designated in writing and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys - in-fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings, obligatory in the nature thereof, and any such officers of the Company may appoint agents for acceptance of process." This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the Executive Committee of the Board of Directors of the Company at a meeting duly called and held on the 23rd day of February, 1988: "VOTED, That the signature of the Chairman of the Board, the President, any Vice President, or their appointees designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to resolution adopted by the Executive Committee of the Board of Directors on February 23, 1988 and any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon the Company." In Testimony Whereof, the Lumbermens Mutual Casualty Company has caused this instrument to be signed and its corporate seal to be affixed by its authorized officers, this 04 day of September ,19 91. Attested and Certified! F.C.MoCullough, Seorotary William L. Cote of Los Angeles, California (OVER) by ItLzmP - eR nartonat. tnsueance caravans l . LUMBERMENS MUTUAL CASUALTY COMPANY --•)<C4 1 J.S.Kopiper,III,Senior Vice President STATE OF ILLINOIS SS COUNTY OF LAKE My commission expires: 5 -14 -94 CERTIFICATION FA 362- 8.5 -92 Power of Attorney - ,Term I, Grace E. Condon, a Notary Public, do hereby certify that J. S. Kemper, III and F. C. McCullough personally known to me to be the. same persons whose names are respectively as Senior Vice President and Secretary of the Lumbermens Mutual Casualty Company, a Corporation of the State of Illinois, subscribed to the foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly authorized signed, sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said corporation and as their own free and voluntary act for the uses and purposes therein set forth. 7 "OFFICIAL SEAL" ' ► Grace E. Condon O. $ Notary Public, State of Illinois ► S My Commission Expires 5114194 .rv,i,r dr.rirVirdr v'v Grace E. Condon, Notary Public I, N. J. Zarada, Secretary of the Lumbermens Mutual Casualty Company, do hereby certify that the attached Power of Attorney dated September 41 1991 on behalf of the person(s) as listed on the reverse side is a true and correct copy and that the same has been in full force and effect since the date thereof and is in full force and effeot on the data of this certificate; and I do further certify that the said J. S. Kemper, III and F. C. McCullough who executed the Power of. Attorney as Senior Vice President and Secretary respectively were on the date of the execution of the attached Power of Attorney the duly elected Senior Vice President and Secretary of the Lumbermens Mutual Casualty Company. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Lumbermens Mutual Casualty Company on this 26th day of February , 19 92 F y� N.J.Zarada, Secretary This Power of Attorney limits the sate of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the Company except in the manner and to the extent herein stated. PRINTED IN U.S.A. Signature STATE OF CALIFORNIA COUNTY OF CONTRA COSTA On 9 , 1992, before me, Lisa A. Kuhn, personally appeared Mohan Vachani person 11y known to me to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity, and that by his /her /their signature on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. i-vzieL 4 441.1,._- OFFICIAL SEAL. LISA A KUHN NOTARY AMC -C RINA Nr CONT CONTRA OSTA�COUits November .16 Kemper Real Estate Management Company 12720 Gateway Drive, Suite 107, Seattle, Washington 98168 • 206/241 -1103 • Fax 206/241 -2191 1992 City of Tukwila. Dept.: of Community Development 6300 Southcenter Blvd Tukwila, WA 98188 RE: 1 #B92'0'O4O Permit #B920041 IVEmPER Rea ESTATE manaGemenT L-.__-_J The City of Tukwila currently has a. Performance Bond or Cash Assignment in the amount of $11,030 for Tuk -Inn and one for $44,000 for Allied. These were required for the demolition of the above buildings. The demolition is now complete and we request that the Tukwila release the bonds. Permit No: Type: Category: Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Address: Location: Parcel #: Wetlands: Water Dist: Units: TENANT OWNER CONTRACTOR B92 -0040 B -DEMO NRES 13050 INTERURBAN AV S 000300 -0106 0 N/A 000 DEMOLITION PERMIT Permit Description: DEMOLISH SINGLE STORY RESTAURANT Slopes: 0 Sewer Dist: N/A Buildings: 001 (206) 431 -3670 Status: ISSUED Issued: 03/03/1992 Expires: 08/30/1992 TUK -INN 13050 INTERURBAN AVENUE S , TUKWILA, WA , , 98168 BEDFORD PROPERTIES. Phone: 206 241 -1103 12720 - GATEWAY DR. ,'SUITE 107 ,.SEATTLE WA , 98168 TLH ABATEMENT .:INC. Phone: 206 523 -4441 9221 ROOSEVELT WAY N.E. , SEATTLE, WA , ' 98115 ****************************,***************** * ** * * * * * * * * ** * * * * * * * * * * ** * * ** Valuation: 10,000.00 Demolition 30.00 Investigation fee': CashBo 11,000:00 Total Permit Fee: Bond Number :. 3S 746 077 . 00 ******** * * * * * * * * * * * * * * * * * * * * } *,� * * * * * ** Permit Center Authorized-Signature ::'Date.. • I hereb c ertify that I have read `and examined this permit' and know the same to' -Se true and correct. All prov'is'ions of and ordinances ' °:` governing "work will be complied Whether specified herein :. or not The granting of: this permit does not `presume 'to give authority t,iolate or cancel`:; the provisions of any other; state., or local laws regulating construction or ' th'e performance of work.- Pam `. authorized 'to an obtain this ' bui iding permit. Signature:' Print Name:_ Date : Title: .00 030.00 This permit shall become null and Vo1d i # work is not' commenced within 180 days from the date of Issuance, orif' wor.k {;•°i ;s uspended or abandoned for a period of480 days from the,last inspection. PERMIT NO. CONTACTED DATE READY DATE NOTIFIED BY: (init ) PERMIT EXPIRES 2nd NOTIFICATION BY: (init.) AMOUNT OWING / L . 3RD NOTIFICATION BY: ( init. ) on eo 1 v-ed `" Sobry a Q.:-..-1- q a - Dr!9 t \,..; BUILDING (PERMIT APPLICATION TRACKING PLAN CHECK NUMBER e - ooLio BUILDING - initial review FIRE 64 PLANNING Dad PUBLIC WORKS Q OTHER BUILDING - final review REVIEW COMPLETED PROJECT NAME K n SITE ADDRESS SUITE NO. I ant 1 ur baJ f \v5 INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that any time the status of the project may be ascertained. • Plan corrections shall be completed and approved prior to sending on to the next department. • Any conditions or requirements for the permit shall be noted on the plans 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 ". BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION (to be filled out by Plan Checker) F'l s SQUARE FE OCC. LO D SQUARE OCC. ET LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE OCC. FEET LOAD TOTAL SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. INIT: INIT: TYPE OF CONSTRUCTION: U1REI ENTS.. Detectors N/A b4 Ee3ct2 r,CONSULTANT: Date Sent - Date Approved - ROUTED `feSc1t 1Z. ,� i7/ FIRE PROTECTION: • Sprinklers FIRE DEPT. LETTER DATED: L - = 7 2 INSPECTOR: 5 INIT:1 UBC EDITION (year): plev, ,L$ / 4 / /9 ZONING :m_ �— IBAR/LAND USE CONDITIONS? ( )Yes (] No ��. REFERENCE FILE NOS.: 2. INIT: MINIMUM SETBACKS: N- S- UTILITY PERMITS REQUIRED? Yes No PUBLIC WORKS LETTER DATED: /.z8�9� INIT: TOTAL OCC. LOAD PROPERTY OWNER Is r^,d r'c (_�P4 -_ev 4,"6,s ]PHONE L /// _ / /Q3 ZIP 47 ;'l6G� ADDRESS / 1 • 7,) c 64' wi, • 1),-. 5 0 '1 /Cc) l CONTRACTOR IL 0 A L PHONE�c,,�) EXP. DATE s PHONE 5..3 yyy ) ZIP` e,/ sr- _ �1 „. c ADDRESS 7d.), i p ex c ve ta/e7v,/ . -5.(26.1 'L..,Lf WA. ST. CONTRACTOR'S LICENSE # L I./ e •i T . i 9. Li k ARCHITECT ADDRESS ZIP CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK � "I a oo o NUMBER -I SITE ADDRESS /3(> cr 1-vI Yea, PROJECT NAME/TENANT 1 Li k- l -�1G1 TYPE OF Li New Building Addition WORK: 0 Rack Storage 0 Reroof DESCRIBE WORK TO BE DONE: BUILDING USE (office, warehouse, etc.) 726234 cam? Scf f Lt ✓ct of 4— NATURE OF BUSINESS: SQUARE FOOTAGE - Building: r zl U 1:;H,�REBY< CERTIFY THAT ! H/AVE i�EAD.AND:E�gNIiNED T BE 'TRUE ;AND ;CORRECT, AND::I SIGNATURE BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON SUITE # BUILDI1'3 PERMIT APPLICATION : DESCRIPTION Tenant Space: BUILDING PERMIT FEE PLAN CHECK FEE , BUILDING SURCHARGE .g.. PRINT NAME - — g ay AMOUNT :: VALUE OF CONSTRUCTION - $ ASSESSOR ACCOUNT # Cirr, 3 ' ..ill ❑ Tenant improvement (commercial) .WDemolition (building) 0 Remodel (residential) 0 Other: Area of Construction: DATE APPLICATION EXPIRES RCPT :# DA (E (4.(6 iii qf3 OTHER: TOTAL ©6i 0 WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? xs No O Yes IF YES, EXPLAIN: WILL THERE BE A CHANGE IN USE? of 0 Yes If Yes, new building requirements may need to be met. Please explain: DATE PHONE .� _ // 3 ADDRESS i '(0 - CITY/ZIP 7b7 e'a i ) ��- • PHONE 1 ` _ / /G' 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 -- ,c)_ fQ 03116191 COMMERCIAL NEW COMMERCIAL BUILDINGS/ADDITIONS • ' • • • .• • • .• • • ' • • • .".,• ,••• ' • Completed building permit application (one fOr each Istructure)', • • . „.„ . . Assessor Account NuMber:::•:',. : :.::" ,.••• . . . . : Two sets (2) of the following • Specifications : . • Fl Structural calculations stamped by a Was ngineer : • • . , licensed e • • : •: . • • . • • " . .• : • . . .: • :: :1' . • . . . „ I I Soils report stamped byitashiritorl:StlitS:.licensed9ngiiie9(....1:::: • [ Energy calculations byi'aWashirtgiertStata licensed . . ... . . .. . .. . . . . engineer or architect •:" ..... . • ••••••.•• :CoMPleted.bUilding'.perniitappliCation . . • . . . . . . Two (2) sets of plans, which include j Building floor plan showing .. . .":""..•••••„. . Exit doors „ . raak 'StOragitaOut;:aiales".and. .• .• SU6MITTAL CHECKLIST NOTE • • a • • • •• • . •••••: ••••• arid exi ways plan h. "" .... . ..•Structural calculations stamped by a Washington State licensed .• Ong •Cvery, RESIDENTIAL NEW SINGLE FAMILY DWELLINGSIADDITIONS Completed building permit application each structure 40,j61 description . •••• Assessor Account Number Two sets (2) of working drawings which include Foundation plan include access to building showing Floo p lan width and length c/access) Roof plan Building elevations (alt views • Building oroA§ . ,,Washington.AtAtei : gnergy..pOcidspa . . ..Completed litiiitY,•parrn(tiiipPliCatiort Six NOTE Building ;site plan and utility site plan may be combined Sea utilityp checklist for specific submittal requirements Additional topographical and soils information may be required site conditions ......... . ''• Completed bulfOng'parrnIt Assessor Account Nu 1%:i ts of construcbon p which in clude Site plan • Location of tenant space • Existing and proposed parking Overaflbuildingptan . . . . • Tenant location Use of adjacent (common wall) tenant • • . . i.a.hed• . • • Tenant space Flee :pa . t: door egress . ,... • • ......... • •tails••••"::h.•: .• . . • :de showi wall . nstr°969•••!)ct... sect .. .; • - ° • se - .:.• nt fgr .. [I Structural calculations stamped by a Washington State • require .. ....................................................................................... .. .. . NOTE If any u ti lity . . .. • o re . ni - ve • REROOI • Comp leted . • (one fot,.0°°i11*"°t°°1 • . •••• . ............................ j (577:::: Is . ;permit ... .. ANTENNNSATELLlTE [J Completed building permit application Assessor Account Number • . 4 .. . • and plans must be submitted Two (2) sets of plans which include [7 Structural calculations stamped by a ... • oii9g jakillite die : . •••• engineer may be required • .:: oppjoe::042 RESIDENTIAL REMODELS Two (2) sets of working drawings, which inclu Site plan Foundation plan leer plan Roof plan Building elevations (all views Building cross section ructural framing plans • • • • • .• • -•- • • •... . •••••. ••• LI Completed building permit application Insta #:t9r tittitertertie100:10ete NOTE:•Aiporjkiairtion:!ettei is required pnor to fina . ..10spep off of the permit • • • S IX° PERMITS PERMIT NUMBER DATE PLANS APPROVED APPROVED PLAN /LETTER DATE ISSUED a ( Q - aa Channelization /Striping /Signing 0 Q Q cia Curb Cut/Access /Sidewalk Fire Loop /Hydrant Flood Zone Control Grade /Fill Hauling Landscape irrigation Moving an Oversized Load Sanitary Side Sewer -- rem() . D i6 c Nel Pwqa- S p7 3 qQ Sewer Main Extension (private) Sewer Main Extension (public) Storm Drainage Water Main Extension (private) Water Main Extension (public) Water Meter (exempt) size: o Deduct No.: ❑Wa er oniti No.: Water Meter (permanent) size: Water Meter tem • ra Size: No.: Other: Other: WO E Y "� PY �QIY\p. ►1 ' +n • �,►� • ; . �, a Li-la Other: DATE PLANS RECEIVED TYPE OF REVIEW DATE ROUTED TO PWD DATE PLANS APPROVED DATE RESUB. REQUESTED COMMENTS a ( Q - aa b r - o 0 Q Q cia PLAN CHECK NUMBER Pqa - - oott ROUTING PERMITS REQUIRED PROJECT NAME SITE ADDRESS UTILITY PROJECT TRACKING kL,HECKLIST L 30� - r*- ersarba� AvS CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN -OFF OF PROJECT SUITE NO. ; 1 HEREBY:CERTIFYTHAT.)'HAVE;READ THIS AppucATio ANDKNO!W;TNESAMIE 17. BDTR[ .E. AOND;CORRECT Applicant /Authorized -., • .: . _ - ` ,//- t, Contact Person _int name): pr g t co b Print Name: ( �a , 4�-- f ► Address: / 'a. 7 .a 67 a /)r . i i0 . 7 Date: -6 - 3 Phone: d_ �� - /�p '�� �� P hone: a y/ - 0 3 Date Application Accepted: Q, t ,� Date Application Expires: �� �, �a +1- PROJECT< INFORMATI CITY OF TUKWILA Central Permit System - Engineering Division 6300 Southcenter Blvd., Tukwila, WA 98188 Phone: (206) 433 -0179 Pro•ert Owner: Street Engineer: Street Address: Contractor: Street Address: King County Assessor Account Number: 2(-) 3'o 0 / ( WATER <:METEI ;DEPOS.IT! : >' :;:REFUND /BIU ) MONTHLY ;SERVICE;;: ::::.BILLINGS >' Cl Water Site Address: Name of Project: `t_ Li - r b■ 6i ` I G- I 4 i k DuPM 1 T LAC ❑ Channelization /Striping /Signing ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: ❑ Flood Zone Control ❑ Land Altering cubic yards ❑ Hauling ❑ Landscape Irrigation ❑ Moving an Oversized Load ❑ Sanitary Side Sewer - No.: ❑ Sewer Main Extension Private ❑ Public ❑ Name: Street Name: Street ❑ Sewer ❑ Multiple - Family Dwelling ❑ Hotel No. of Units: Cl Motel ❑ Commercial/Industrial MISCELLANEO ;INFORM;ATI! UTILITY PERMIIAPPLICATION / e c 1 - 7; kSIP,('I -)61 ❑ Metro ❑ Standby ❑ Sin • le -Famil Residential El Apartments ❑ Condominiums ❑ Duplex ❑ Triplex ❑ Office ❑ Retail ❑ New Building Square Footage: yd )--e9 King County Assessor's valuation of existing structures: $ ❑ Warehouse ❑ Manufacturing 144 1( &c> . PLAN CHECK NUMBER: it inn • i Phone No.: Cit /State/Zip: Phone No.: City /State/Zip: Phone No.: ,r' )3 - y y9/ Cit /StatelZi • : .S Phone No.: City /State/Zip: Phone No.: City /State /Zip: ❑ Storm Drain ❑ Street Use Sizes: ❑ Water Main Extension Private ❑ Public ❑ ❑ Water Meter / Exempt: - No.: — Sizes' Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent - No.: Sizes ❑ Water Meter / Temporary: - No • — Sizes' ❑ Other: SCRIP:TION ❑ Church ❑ Hospital ❑ Other: ❑ School /College /University al- Other: -e7e Lia ❑ Remodel/ Square footage of original building space: Addition Square footage of additional building space: Valuation of work to be done: $ 12/31/91 SUBMITTAL . CHUC, LIST O Type of pipe - cot± lele, PVC, etc. O Size of pipe /location O Percent of slope on pipe /length of run O Connection point(s) to public O Location of cleanout(s) and test Tec(s) O Type of bedding and backfill material /percent compaction O Invert elevations at structures and junctions SEWER MAIN EXTENSION O Type of pipe - concrete, PVC, etc. O Size of pipe /location O Percent of slope on pipe /length of run O Connection point(s) to public O Location of cleanouts O Type of bedding and backfiil material /percent compaction STORM DRAINAGE (including existing topography and proposed grading and surfacing) O Type of pipe O Size of pipe O Percent of slope /length of run O Location of all structures O Square footage of area to be drained, including roof area O Bedding material for pipe O Invert or flow line elevations STREET USE O Complete description of proposed activity O Map with address and outline of limits of activity relative to public right -of -way and easements O Proposed traffic control/detour (per. Manual of Uniform Traffic Control Devices) O Proposed schedule (times and dates) WATER MAIN EXTENSION O Type of pipe O Size of pipe O Hydrant type and locations O Valve type and locations O Connection point(s) to existing system O Type of connection - live tap, tee, etc. O Copy of Certificate of insurance coverage (minimum $1,000,000) 0 Location and size of thrust blocking O $2,000 bond made out to the City of Tukwila for property damages 0 Size and location of mains, including elevations (profile) caused by activities WATER METER - EXEMPT O Route map 0 Diagram of domestic system/tie in of exempt meter O Number /account for existing domestic meter O Size and type of material of meter and service O Site address WATER METER - PERMANENT O Type of pipe - copper, high density molecular plastic, ductile O Size and depth of pipe O Size of meter O Location and elevation of meter box (water meter - permanent and exempt) O Location and type of tap O Type of bedding and backlit' materials /percent compaction WATER METER - TEMPORARY O Address and hydrant location O Size of meter O Estimate of quantity and schedule All site plans shall be provided in one submittal for review by the Public Works Department. Six (6) sets of plans stamped by a licensed engineer are required along with this application completed and signed by the applicant's representative. The following information is necessary for Public Works Department evaluation and approval of site plans: • All utility construction is to meet the City of Tukwila Standards • Indicate scale of drawing and show north arrow • Identify location by address or distance to nearest intersection CURB CUT /ACCESS /SIDEWALKS/ CHANNELIZATION /STRIPING /SIGNING O Dimensions O Type of surfacing - asphalt, crushed rock, etc.(and thickness) O Percent of slope or runoff direction O Size of curb cuts/location O Vehicular and pedestrian traffic facilities, including signing and striping, wheel chair ramps, curb cuts FIRE LOOP /HYDRANT O Type of pipe O Size of pipe /location O Location and type of all valves O Type of bedding and backfill materials /percent compaction O Distance from structures, storm and sewer facilities at minimum separation O Location and size of thrust blocking FLOOD ZONE CONTROL (Requirements are under Flood Ord. No. 1462 and can be obtained from the Public Works Dept.) O Lowest finished floor elevation O Contours and elevations per National Geodetic Vertical Datum LAND ALTERING (CLEARING, GRADE AND FILL) O Contour map (2' intervals) showing existing and proposed contours O Estimate of yardage, both cut and fill O Erosion control plan HAULING LANDSCAPE IRRIGATION O Location of DSHS approved double check valve O Type of pipe - copper, high density molecular plastic, ductile O Size and depth of pipe O Size of meter O Location and elevation of meter box (water meter - permanent and exempt). Clearly show whether tap is on main or domestic service O Location and type of tap O Type of bedding and backfill materials /percent compaction MOVING AN OVERSIZED LOAD O Copy of Certificate of insurance coverage (minimum $1,000,000) O $5,000 bond made out to the City of Tukwila for property damages caused by activities O Business License with City of Tukwila O Route map I SANITARY SID: ;EWER After the. Public Works Department has completed their review and the plans are approved, the applicant will be notified by letter concerning the necessary permits and requirements; an approved set of plans will accompany the letter. If the Plans are not approved, the applicant will be notified by letter of necessary resubmittal requirements, 1! COMMENTS` (Inse ctor: INSPECTION RECORD Retain a copy with permit ' CITY OF .TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Appro�ied per applicable codes, D Corrections required prior to approval. e: . ac.) -. 92— O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. •: •• 1 • I .1 Address: �^� t D �i.! t a u s te - : •: s 1-- G — C 13-- Special Instructions: ....t. I ..... PI/O-Rra,(E � vA.1 tfit a De r„..„) . ° «uq" Date Wanted: 0° o' - Qc� p.m. Requester: 9/ a' /. Ph" • .: a41- 1 1 0 3 1! COMMENTS` (Inse ctor: INSPECTION RECORD Retain a copy with permit ' CITY OF .TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Appro�ied per applicable codes, D Corrections required prior to approval. e: . ac.) -. 92— O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. •: •• 1 • I .1 roe : .a. ype o nspect on: , © ress: Special nslNctions: r* .ram► i r �i. !. : :. Date anted: —'w � m Requester: Phone No,: Approved per applicable codes. COMMENTS: I Inspector 0 INSPECTION RECORD Retain a copy with permit 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188. Date: PER (206) 431 -3670, ❑ Corrections required prior to approval. ❑ $30.00 REINSPECTION FEE REQUIRED, Prior to reinspection, fee must be paid at 6300.Southcenter Blvd., Suite 100:1 Call to schedule reinspection. v.W,,7 '.' GI '... , y 4av n. -+a Artirwfmrrre City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Project Name Address Retain current inspection schedule Needs shift inspection Sprinklers: Fire Alarm: Hood & Duct: Halon: Monitor: Pre -Fire: Permits: Authorized Signature TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM Approved without correction notice Approved with correction notice issued el v f .4 'l Control No . 85 Permit No. Suite # .� s i■ rJ944, dJ'4/f / J s / 6 ' 4 / Dated City of Tuk14' (206) 43136 70 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: PW92 -0048 Status: ISSUED Project: TUK -INN Site Address: 13050 INTERURBAN AV S Parcel No: 000300 -0106 Wetlands: 0 Water: N/A Type of Install: COM Number of Units: 000 New SQ FT: Contractor License No: TENANT OWNER CONTRACTOR Issued By: Signature: Company: ,52 / v..>-- **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE BY: JAP Final Inspection Approved: Inspector Signature Date SANITARY SIDE SEWER Issued: 03/04/1992 Approval Letter: 02/28/1992 Expires: 08/31/1992 :Watercourse: 0 Slopes: 0 Sewer: N/A Exist SQ FT: 4620 Add SQ FT: TUK -INN 13050 INTERURBAN AVE S TUKWILA , WA , 98168 BEDFORD PROPERTIES Phone: 206 241 -1103 12720 - GATEWAY DR. , SUITE 107 , SEATTLE WA., 98168 TLH ABATEMENT INC. Phone: 206 523 -4441 9221 ROOSEVELT WAY N.E. , SEATTLE, WA , , 98115 Description: TEMPORARY DISCONNECTION ************************************************ * ** * * * * * * * * ** * * * * * * ** * * * * ** * * ** Inspection Fee: .00 Acct No: 402/342.400 Hook UP Fee: 20.00 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 24 HOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Ice W SC,Wet) col Date: Title: v� P * * * * * * * * * ** * * *rt * * * * * * * * * * * * * * ** CCtla 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 Tlikvid 1 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 WATER METER PERMIT (206) 4313690 Permit No: PW92 -0047 Issued: 03/04/1992 Status: ISSUED Approval Letter: 02/28/1992 Project Name: TUK -INN Expires: 05/03/1992 Site Address: 13050 INTERURBAN AV S Location: Parcel #: 000300 -0106 Wetlands: 0 Water Course: 0 Slopes:0 Water Dist: N/A Sewer Dist: N/A Type: COM No of Units: 001 Square Feet: Contractor License Number: ENANT TUK -INN 13050 INTERURBAN AVE S , TUKWILA , WA , 98168 WNER BEDFORD PROPERTIES Phone: 206 241 -1103 12720 - GATEWAY DR. , SUITE 107 , SEATTLE WA , 98168 ONTRACTOR TLH ABATEMENT INC. Phone: 206 523 -4441 9221 ROOSEVELT WAY N.E.., SEATTLE, WA , , 98115 ******************************************** * * * * * * * * ** * * * ** ** ** * * * * * * * * * * ** Additional Description: Developer Construction Cost: WATER SERVICE (TEMPORARY DISCONNECTION) 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: 25.00: Acct No: 401/38 Other Fees: .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 OF WORK AT T 24 H0i' IN AD ANCE. FOF; AN INSPECTION CAL 433 -0179. Signature: Title: U' Company: ` 5 - Data: 3 91, *********************************** Ta************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE: JAI) ��.►-� q Issued By �' ' _ .��� 5LS Authorized Permit enter 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 THE CITY INSPECTOR' OF COMMENCEMENT AND COMPLETION .00 k***** AA.*'********************** e*** k * * *k * * * * * * *. * * * * * * ** * * * * * * * * ** .1ITY,':OF TUKWILA,. WA ' TRANSMIT *. k****** h*******.*.** h-* :h **.* h ** **** * * *** * ** * ** * * * * * *** ** *fir *A ** * **** ` 1 RANSMIT Numroer': :920 Amount: ' 20.00 03/04%92 12 :08 Permit , .No.: PW92 -0048 .Type:, PW•-U S :SANITARY' S.I.DE SEWER: P ar•cel. ''N o . 00030.0 _ : ite.Addr 1303.0. INT. AV .S ` Payment : Method a , C tat HECK' . . N o i ' a m : MODERN SEWER zn i t C 6LR •**** A******* * * ** * * * * * * * * *A * * * * *AA * * ** * * * ** *fir * ***,k* Account Co'de:. Descry i pt.i.on Pa I'd 402/313!3. 102 • 3EWE11 - HOOK -Up 20..00 .Total: (This Payment)•. 20.60 Total F,aesx Total All Payments: Balance: 20.00 20..00 ..00 Total Fees Total All . Paymertitsa. Bal artre: ***` k** *** * * * * * ** ** * * * * * * * ** * * * +r *** ** * * *k * **** * **Or*lc t ** *fig ** CITY OF TUKWILA, WA 'TRAN3MT.T ` *.04 *,4 * * * *. * ** * * * * * ** * * * * *s4 * *:4* ** fink* * * * * * * * * * * ** ** ** * ***k * ** * * ** "TRAN,MX.T Number: 92.000153 ',Amaurlte 25.00. 0:3/04/:-12 12:10 Permit No:::PW92: -0047 Type: PW WATER METER.PERMIT Parcel No::000300.010.6 ; Site ; Ac dressz 13050 I AV S Payment: Method ,C HECK :: Notation 1. MQDERN SEWER Iri i t a 5L.B ********** 4(.*****.**** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** *fir * * * * * * * * * ** Account Code 14sscription :Paid 401/38. 8.101 WATER SPECIAL CONNECT 25.00 Total (This P cymeht) a 25.00 . AI5 SFr~ °7 Address: 13050 INTERURBAN AV S Tenant: TUK -INN Type: B -DEMO Parcel #: 000300 -0106 CITY OF TUKWILA *•k * * * * * * * * **** * * * * Ic * *,* * * ** * * * * ***•k * ** k* sir * * *'k * * * * *i* * ** * **•k ** * * ** ** k* * * *•k* Permit Conditions: 1. NO CHANGES WILL BE MADE TO THE SCOPE OF WORK INDICATED ON APPROVED PLANS UNLESS APPROVED BY THE TUKWILA BUILDING DIV- SION, 2. Electrical permit shall berj a . d through the Washington 'State 'Division of ,Labo . an'd Industries "°`and }� all electrical 'work will be ins�pa,�t''d' by thatl agency (277 727.z���, 3 : :Al1 „,i sppe`ction eco ds, arid, approved plans ishal l be maintained av'a ' abi ate h .Jobe = =srite' prio ` ,,ota. the `stii:tzt of any con strd � lion. '1711'e4,0 do are to - ma �" z 't �a tit 'i+ Sa ,� t p' r ° Gx? a� ., ava1 l able'ur` i l f n Inspection approval i � -.granted. p 'l /} i'ns` e a ._ d4 a ppr oved s *, u , All e r�r s, y � # ,� p� F a r t l�o x N e c o r�4 s, # �a n d a p � ' r� 5 s h a l �1� e ,� t t+a tF t` w•. maintai• . d available .at the ,job' � iit.e prior tb=:;th , star o;f any co � s:tructioh These , o o4ments are to be mar! nta,Airi;ed avail t�nt11 final 4 1(ns ,ec_tion approval is granted � Remo 'e al4l v � * eedst, ,concrete, stone foundations, .fla co ; v ,. tf r. ,�° `cre �er3 c nc,r`ete�; pati os� ,; masorlr•yJ�r�b 1 1 .garage t' 1 oor�s, drive way ; tandsimilar strut d all. loose. miscellaneous , ma a i31 from such lotYor parcel i o�f g ` `ln •, ,prop:erly cap sa ary sewer' arjd .water conieoi o ns., prope f i l l or ot wise ro e:c`t-- :: 14 a1l'aSe %ents, cell rs, s, ptic tanks ,r we I , If and ti the r , e x c.av a tr i o n p: {\` , 5'� ,._•.,. y. ,. Va .di* o Pi r•nu t. Th i ,ance' of a� t or approval! { pi � s ; , ' f cat`i s ` ci c o m u ��n ios-,„,sh c on ' t "-0 "�' F i,.ai f � �' ��� `s d. el l not be s . g lg r5 x e" st d to ' e a' er.mi�t ✓ . Iflto ,� or an pr•p arlt� any vi do e` � . � p ��' �.Y' ,� y a of : f e provisions of : this oode oi^,. -of ° other 4 t . ord1 nance th jurisdiction: p fii�G.�p:res ming toy "g ve auth C'' ty 4 r. violate or cancel the p.ro isi of this code sha 1 iv, :� Permit No: B92 -0040 Status: ISSUED Applied:, 02 /06/1992 Issued: 03/03/1992 February 28, 1992 Dear Bob: C - City of Tukwila Department of Public Works Bob Hart Bedford Properties 12720 Gateway Drive, Suite 107 Tukwila, WA 98168 SUBJECT: Tuk -Inn (Demolition), 13050 Interurban Avenue South Utility Permit Applicatio The Public Works Department has reviewed and approves the site plan for the subject project with clarifications as noted on the enclosed plan. Please contact the Permit Coordinator at 431 -3672 to have the following permits prepared for pickup: 1. Water Service (Temporary Disconnection) Permit (Permit Fee = $25.00) The existing Water Service shall be abandoned and capped at the meter. 2. Sanitary Side Sewer Temporary Permit (Permit Fee = $20.00) The sanitary side sewer shall of the work area. Please be sure to cover nearby existing catch basins with a filter cloth. This will prevent any sediment transport related to this construction activity from entering the basins. You are referred to other City Department and the Building and requirements and approvals which may work. Disconnection be capped outside John W. Rants, Mayor Ross A. Earnst, P. E., Director agencies, including' the Fire Planning Divisions, for other affect the commencement of this 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 431-3665 The above permits are being issued in accordance with the work shown on the enclosed approved plan. Any deviations from this plan should be submitted for additional review and, approval prior to construction. If you have any questions or need clarification on any issue, please call me at 433 - 0179. Sincerely, John A. Piero ef/ P.E. Associate En neer xc: Utility Accountant , City Utilities Inspector (w /copy of approved plan) Permit. Coordinator Development File: Tuk -Inn Read File Enclosure a/s City o }'Tukwila ■•••■••■•■•■•••11( z FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 Fire Department Review Control #B92 -0040 (513) Re: Tuk Inn - 13050 Interurban Avenue South Dear Sir: T.F.D. file ncd. John W. Rants, Mayor February 19, 1992 The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Demolition practices must conform to Cahpter 87 of the Uniform Fire Code. 2. If hot work or welding is done as part of this work, welding permit must be obtained from the fire department. (UFC art. 49) 3. Combustible waste must be stored in a safe manner and removed to an approved location. (UFC art. 11) Yours truly, 6 The Tukwila Fire Prevention Bureau i 148705 PARCEf. "A" LEGAL DESCRIPTION That portion of the Stephen Foster Donation Claim No. 38 in Section 15, Township 23 North, Range 4 East, W.M., in King County, Washington described as follows: COMMENCING at a point which bears North 40° 01' 05" West, 920.15 feet from a monument at the point of intersection of a curve on the centerline of the Duwamish - Renton Junction Road, said point of intersection being approximately 1,000 feet East and 20 feet South of the quarter corner between Sections 14 and 15, said Township 23; THENCE North 49' 24' 00" West, 835.00 feet on a line parallel to and 150 feet Northeasterly of the centerline of said Duwamish - Renton Junction Road, to a point which beh)s North 81° 44' 15" East, 199.1 7 feet from the point of a curve on the centerline of said Duwamish- Renton Junction Road, said point of curve being approximately 1,200 feet North and 440 feet West of the quarter corner between said Sections 14 and 15; THENCE South 40° 36' 00" West, 20 feet to the Northeasterly margin of the right -of -way of the Puget Sound Electric Railway; THENCE North 49° 24' West, along said right -of -way. 378.29 feet to the TRUE POINT Of BEGINNING; THENCE North 40 36' East, 150 feet; THENCE South 49° 24' East, a distance of 182.29 feet; THENCE South 40 36' 'Vest. 150 feet; THENCE North 49° 24" West, 182.29 feet to the TRUE POINT OF BEGINNING A non exclusive easement for ingress and egress over the following described property: That portion of the Stephen Foster Donation Claim No. 38, in Section 15, Township 23 North, Range 4 East, W.M., in King County, Washington described as follows: COMMENCING at a point which bears North 40° 01' 05" West, 920.15 feet from a monument at the point of intersection of a curve on the centerline of the Duwamish - Renton Junction Road, said point of intersection being approximately 1,000 feet East and 20 feet South of the quarter corner between Sections 14 and 15, said Township 23; THENCE North 49 24' 00" West, 835 00 fee'. on a line parallel to and 150 feet Northeasterly of the centerline of said Duwamish-Renton Junction Road. to a point which bears North 81° 44' 15" East, 199.17 feet from the point of curve on the centerline of said Duwamish - Renton Junction Road, said point of curve being approximately 1,200 feet North and 440 feet West of the quarter corner between said Sections 14 and i 5; THENCE South 40° 36' 00" West, 20 feet to the Northeasterly margin of the right-of'way of the Puget Sound Electric Railway; THENCE North 49° 24' West, along said right of -way, 408.29 feet to the TRUE POINT OF BEGINNING, THENCE North 40 36' East, 180 feet; THENCE South 49° 24' East. a distance of 212 29 feet; THENCE South 40 36' West, 30 feet; THENCE North 49° 24' West, 182.29 feet; THENCE South 40° 36' West, 150 feet to said Puget Sound Electric Railway right -of -way; THENCE North 49" 24' West, 30 00 feet to the TRUE POINT OF BEGINNING PARCEL A non-exclusive easement for ingress and egress over the following described property: That portion of the Stephen Foster Donation Claim No. 38, in the Northeast quarter of Section 15, Township 23 North, Range 4 East, W.M., King County, Washington, being a strip of land 30 feet on each side of and adjoining a centerline, described as follows: COMMENCING at a point which bears North 40° 01' 05" West, 920.15 feet from a monument at the point of intersection of a curve on the centerline of the Duwamish- Renton Junction Road, said point of intersection being approximately 1,000 East and 20 feet South of the quarter corner betwee;a Sections 14 and 15, Township 23 North. Range 4 East, W.M., in King County, Washington; THENCE North 49 24' 00" West, on a line 150.00 feet distant from and parallel with the centerline of said Duwamish- Renton Junction Road, a distance of 835.00 feet to a point which bears North 81" 44' 15" East, 199.17 feet from a monument at the end of a curve on the centerline of said Duwamish- Renton Junction Ftoad, said end of curve being approximately 1,200 feet North and 440 feet West of the quarter corner between said Sections 14 and 15; THENCE South 40° 36' 00" West, 20 feet to the Northeasterly margin of the City of Seattle's transmission line right -of -way, THENCE North 49° 24' 00" West, along said Northeasterly margin 326.2i feel to the TRUE POINT OF BEGINNING of said centerline: THENCE South 40° 36' 00" West, 100 feet to the point of terminus of said centerline in the Southwesterly margin of said transmission line right -of -way. ALL SITUATE in the County of K;ng. State of Washington. a a 0 O 0 0 t} 0 T V/ LEGEND ASPHALT CONCRETE POWER POLE W!TRANSFORMER POWER VAULT POWER VAULT- 3.8" DIA. POWER J BOX GAS STUB GUARD POSTS TELEPHONE BOOTHS CATCH BASiN WATER METER TELEPHONE VAULT TELEPHONE J BOX LIGHT STANDARD TELEPHONE MANHOLE ECOLOGY BLOCK TELEPHONE PAINT MARK WATER PAINT MARK UNDERGROUND POWER PAINT MARK OVERHEAD POWER 'V eles ( p(ce4-- +� l't✓� I .,.:O N Efr.le /Pv l 4 %4— ! rt ! &L.TA. / A.C.S.M. SURVEY A PORTION OF THE NE 1/4 OF THE NE 1/4 OF SEC. 15, TWP" 23 N., RGE. 4 E., W.M. GENERAL NOTES A commitment for title insurance for the site was provided to Barghausen Consulting Engineers, Inc. , by Bedford Development Company. The legal description, easements, and reservations shown upon this map were based solely upon that commitment, and no further research by Barghausen Consulting Engineers, Inc., into matters of record was requested nor has been attempted (First American Title insurance Company of Seattle, Washington, Commitment No. 212696 -5, dated October 15, 1991, at 7:30 a.m.). 2. Location of utilities are as mapped the week of October 21 to 25, 1991, the date of the field survey. Any utilities not visible or clearly marked in the field during that time period may or may not be shown on this map. Depth of water lines, gas lines, etc., are unavailable. ibis property is subject to an easement and conditions contained therein, recorded May 29, 1939, under Recording No. 3047588, in favor of Puget Sound Power and Light Company for electric transmission and distribution line and appurtenances thereto and incidental purposes over a non - specific portion of said premises and other property as now located or may he located by mutual consent. This property is subject to an easement and conditions contained therein, accorded June 17, 1968, under Recording No. 6363751 in favor of the Totem Pontiac Company, Inc., a Washington corporation, for ingress and egress. This easement is graphically depicted on the map. This property is subject to an easement and conditions contained therein, recorded October 17, 1968, under Recording No. 6421494 in favor of Texaco Inc., a Delaware corporation, for ingress, egress, utilities, sewers, gas lines, and other similar uses. This easement is graphically depicted on the map. 6. This prop eety is subject to an agreement and the terms and conditions thereof as recorded May 31, 1968, and June 17, 1968, under Recording Nos. 6356270 and 6363751, respectively, concerning the equal share of the costs of the construction maintenance or repair of the improvements described therein. 7. This property is subject to covenants, conditions, restrictions, reservations, and /or exceptions but omitting restrictions, if any, based on race, color, creed, or national origin contained in instrument recorded June 17, 1968, under Recording No. 6363751. Refer to that instrument for the particulars. 8. This property is subject to an easement and the terms and conditions contained therein recorded January 6, 1964, under Recording No. 5683663 in favor of the City of Tukwila for sewer lines. This easement is graphically depicted on the map. This property is subject to an easement and the conditions contained therein recorded January 24, 1977, under Recording No. 7701240409 in favor of Union Oil Company of California, a corporation, for the purposes of ingress and egress. This easement is graphically depicted on the map. 10. Parcel "A" is zoned "C -2" according to the City of Tukwila Planning staff. The building setback lines. as of October 31, 1991, are: a. Front yard - 20 feet h. Side and rear yard - 1O feet It appeais that the existing structure does not meet the rear yard setback. Reference should he made to the City of Tukwila zoning code and related ordinances for possible ramification, if any. 11. This property lies within Zone "X" (outside of a 500 -year tloodplain) according to Flood Insurance Rate Map, Panel 326 of 650, Map No. 53033CO326 D, effective September 29, 1989, published by the Federal Emergency Management Agency. 12 'There were no identifiable parking stalls or areas on the property at the time of the field survey. "A" suave �// .•. - -4.41,x•..• Mark , . Harrison, P.L.S. Registration No. 21467 POWER POLE. SURVEYOR'S CERTIFICATION I hereby certify to Bedford Development Company and First American Title insurance Company that the survey prepared by me entitled "ALTA/ACSM Survey" was actually made upon the ground and that it and the information, courses and distances shown thereon are correct; that the title lines and lines of actual possession are the same; that the size, location, and type of building and improvement are as shown and all are within the aoundary lines and applicable setback lines of the property except as noted; that there are no violations of zoning ordinances, restrictions, or other rules and regulations with reference to the location of said buildings and improvements except as noted; that there are no easements or uses affecting this property appearing front careful physical inspection of the same, other than those shown and depicted thereon; that there are no encroachments affecting this property except as shown; that all utility services required for the operation of streets or the survey shows the point of entry and location of any utilities which pass through or are located on adjoining private land; that the survey shows the location and direction of all storm drainage; and that any discharge into streams, rivers, or conveyance system is shown on the survey. This survey is made in accordance with the "Minimum Standard Detail Requirements for ALTA /ACSM I. -and 'Title Surveys" jointly established and adopted by the American Land Title Association and the American Congress on Surveying and Mapping in 1988, and meets the accuracy requirements of a Class s defin thejts`n. e i Dated 111111111111111111111111111111111111111111,11111111111 111111p 0 S0TH3)NGH 1 3 CHAINLINK FENCE f.' 6" EXTRUD CURB rr w z a. I I M • t1� erk en 52.00' lESBL - 6' EXTRUDED CURB `-' TAX LOT ----'- 000300- 0103 -•00 !, 22.50' INGRESS a WATER EGRESS ESM'T METER REC. NO. 7701240409 VII w I r POWER J BOX CRAWL SPACE 9.2: • OVERHANG — ,. ■ SINGLE STORY RESTAURANT ABANDONED AT TIME OF SURVEY 0 PLANTER UNDERGROUND /- TELEPHONE 7 PAINT MARK --- _ TAX LOT --- 000300- 0112 -02 ECOLOGY BLOCK BARRIER • • GAS - STUB -�-- - - 24' MUL71i -USE E~SXT BBBL REC. NO. 6421494 TELEPHONE \WATER PAINT MARK 1 ti , VAULT \ q, 4 ° -24f-00" W!! T N ) V 182.29"- 0 UNDERGROUND POWER PAINT MARK „ -POWER VAULT r 6" EXTRUDED CURB TELEPHONE BOOTHS TELEPHONE J BOX Qi OA; t-- z 4 1 a. 20' INGRESS & EGRESS ESM'T REC. NO. 6363751 6 ' f !p- r° I I I 9 I i OVERHEAD POWER PDgoass. wawa CATCH_ BASIN \I S 49° 24' 00 E 8" CONC. ©' TRUE T OF 0 BEGINNING (PARCEL "B" O -- 20' SEWER ESM'T ` j REC. N0. ± 5683663 1 30.00' 1119=019 Ord IMMO l AREAS EXISTING STRUCTURE (APPROXIMATELY) - 4600 SO. FT. PARCEL °A" - 27,343 S0. FT. PARCEL "B" - 4 868 SO. FT. PARCEL "C" - 6,000 SO. FT. ASPHALT - CURB 8 „ CONC..Lat to tU 0 1 O z TRUE POINT OF BEGINNING PARCEL. "A" . C-6.5 s S 49 24' 00" E ECOLOGY--' BLOCK BARRIER PARCEL Ai // SOUND ctv ril iI JI IIIIIiI1i!IItilII {IIII11111111111111I111jillltlt ill 4 5 6 7 8 NOTE: If the microfilmed document is less clear than this notice, it is due to the quality of the original document. ASPHALT CURB . pewEk VAULT `'Tl�Ull: POINT OF BEGINNING PARCEL "CI I i� POWER � INTERURBAN AVE. S. I -I III 9 , 10 11 MADE iNGERIAANY 12 ) 0E 6Z ee LZ 9Z SZ hZ Cr- ZZ tZ 03 li tat LI 9t St s,I £t Z It 01„ 6 g G 9 S 1 7 1 E Z I. Ww 0 II! II�IIfl IIf! I�I( fl� !Illilllllil!I�illllllil�illl III! III{ IIIII�!!l 1�!! 11! IJ�! 11�J! IlillJ�iil! IIIIII�I !I!!!I!!III! III! �I! I( I! illll !I!�!illl�ll!Ji!I!�illl�lll fll( I�IIIIIIiII�!! illlll L�ililllill�llllll !II�I!IIIJ!Il�l 1111! 1! I�ill illl!! �Illif!! li�llllflll !�IIIIII!!I�!iI!II!II�!!III BOWER GUARD POLE POSTS ECOt OGY BLOCK BARRIER 212.2W SITE - N l i'L ? 'i171z' " w a . I - 9eN t►i••\ y ai`a. a ►: ,, i JP •.S I it LIGHT ."" ft i 1 t� t; l:_ :: .. 41111111100 Y111EI zai Oi.II/ii UNDERGROUND POWER PAINT MARK p VICINITY MAP lift. NTS Date C 'CATCH BASIN (PUBLIC) I• 0 0 Permit No.. GUARD POSTS • 6" VERTICAL CURB LIGHT STD. SS 1' J ' U t 4 t`�G S 49' 24' 00° E H MANHOLE 64,98. OVERHEAD POWER UNDERGROUND TELEPHOe r PAN' MARK 6” EXTRUDED CURB CO. R/W I RI CITY OF TVKW1 UND CONC. MON. APPROVE I I BRASS DISK MA. :' 1992 r Fit E COPY I understand that thi Plan Check ultra veils are subject to error's missions and approval of dOeS not autttd a the violation of any adwted code or terdi acce. Receipt of contractor's c1 of move tale ac, n owleugeo. rr CErpr: vine. . G DIVISION x °• • 'Ll ! BL1TC', s ' ) EARLIIC CT a` l . , I ta_R;�1 • E.V7U -.'G tVY i ,- t \ c �'. 163.00' —r 9O° 0 0 0 tn SCALE: V' 20' 5 49° 24' 00" E 115.02' NOV 1 1991 RECEIVED CiTY OF TUKWILA FEB 6 1992 PERMIT CENTER ci FOUND CONC. MON. W /BRASS DISK IN MON. CASE 1-1-91