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Permit B92-0068 - XEROX CORPORATION - SINGLE FAMILY RESIDENCE DEMOLITION
This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. B92 -0068 Xerox Corporation 15447 65th Avenue South RECORDS DIGITAL D- ) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # tode Exemption = Brief Explanatory DeSctiptiop �t�tutel ule The Privacy Act of 1974 evinces Congress' intent that Personal Information — social security numbers are a private concern. As such, individuals' social security numbers are Social Security Numbers redacted to protect those individuals' privacy pursuant 5 U.S.C. sec. DR1 Generally — 5 U.S.C. sec. to 5 U.S.C. sec. 552(a), and are also exempt from 552(a); RCW 552(a); RCW disclosure under section 42.56.070(1) of the 42.56.070(1) 42.56.070(1) Washington State Public Records Act, which exempts under the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card Personal Information — numbers, electronic check numbers, credit expiration 29 DR2 Financial Information — dates, or bank or other financial account numbers, RCW RCW 42.56.230(4 5) which are exempt from disclosure pursuant to RCW 42.56.230(5) 42.56.230(5), except when disclosure is expressly required by or governed by other law. Permit No: Type: Category: Address: 15447 65 AV S Location: Parcel #: 359700 -0320 Wetlands: 0 Water Dist: N/A Units: 001 TENANT OWNER CONTRACTOR B92 -0068 B -DEMO RES DEMOLISH.: SINGLE- FAMILY RESIDENCE'' Demolition; Fee: 30..00 Cash4ond: 2,000:00 Bond Number:;: 7197510969 Permit Center Authorized Signature DEMOLITION PERMIT (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Slopes: Sewer Dist: Buildings: XEROX CORPORATION 1851 E FIRST ST STE 460 ,.SANTA ANA CA XEROX CORPORATION 1851 E FIRST ST S.TE. 460 SANTA ANA CA NUPRECON, INC 15323 N.E. 90TH REDMOND, WA,, , 98052 **************** * * * ** * * * * * * ** * * * * * ** * * * ** *fir * * * * * * * * * ** ** ** Permit Description: Valuation.;. 18,000. Investigation 'Fee: Total Permit Fee: ********,*'*•** * * * * * * * * * * * * * * * *** * * * * * * * * * * ** ate I hereby certify that I have read and examined this permit and, know the same toz;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 ` performanje of work.; I ;am ; authorized to sign for an obtain this buil g permit. Signature: 1 e;1/1-2- bate: 7 __ Title: 0 N/A 001 Status: ISSUED Issued: 03/10/1992 Expires: 09/06/1992 Phone: , , 92705 Phone: 92705 Phone: (714)565 -1435 (714)565 -1435 206 881 -0623 .00 030.00 This permit shall become null and void if;the work, isnot within 180 days from the date - ' :I ssuance .. orA f' work ; i's � suspended or abandoned for a period of ':day_s. from, the °; ;inspection. City of Tlikwlli& Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Permit No: PW92 -0066 Status: ISSUED Project Name: XEROX Site Address: 15447 65 AV S Location: Parcel *: 359700 -0320 Signature:_ Final Inspection Approved By: WATER METER PERMIT Inspector Signature Date Title: (206) 4313670 Issued: 03/10/1992 Approval Letter: 03/09/1992 Expires: 05/09/1992 Wetlands: 0 Water Course: 0 Slopes:0 Water Dist: N/A Sewer Dist: N/A Type: SFR No of Units: 001 Square Feet: Contractor License Number: ENANT XEROX 15447 65 AV S , TUKWILA , WA , ,INER XEROX CORPORATION Phone: (714)565 -1435 1851 E FIRST ST STE 460 , SANTA ANA CA , , 92705 DNTRACTOR NUPRECON, INC. Phone: 206 881 -0623 15323 N.E. 90TH , REDMOND, WA , , 98052 DNTACT ARIE DE VOS Phone: 206- 881 -0623 115323 NE 90TH , REDMOND , WA , 98052 ******************************************** * * * ** * ** * * ** * * * * * * * * * ** * * * * * * ** Additional Description: Developer Construction Cost: TEMPORARY DISCONNECT METER INFORMATION: Water Meter Size: .00 Quantity: Work Order . #: Type: .00 FEES: Regular Connection: .00 Acct No: 401/388.102 Install Deposit: .00 Acct No: 401/386.520 Plan Check: ' .00 Acct No: 000/345.830 Inspection: . .00 Acct No: 401/342.400 Turn On Fee: .00 Acct No: 401/343.405 Special Connect Fee: .00 Acct No: 401/388.101 Other Fees: 25.00 TOTAL FEES: 25.00 ************************************************ * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** I understand that the charge for the meter installation portion of the water meter /service installation is based on the actual cost of materials plus labor including 17% overhead. I agree to pay the installation fee (deposit) on the signing of this application and the balance of the cost when billed (overpayment will be refunded). Further, , I agree to pay the regular connection charge, administrative plan check fee, inspection fee and turn -on fee as part of this application.I further understand that the water service piping from the public main to the water meter box and shut -off valve (Corp stop) shall be constructed at my sole expense. THE APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT AND COMPLETION OF WORK AT LEAS 24 HOURS I'$ ADVANCE. FOR AN INSPECTION CALL 433 -0179. Company: ___ Date: * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4i /fill * ** * * * * * * * * * * * * * * * * * * * ** APPROVED FOR ISSUANCE: 4AP Issued By: ∎"� -" IJ� 3 o"_LQ Authorized Permit Center Signature Date ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. * city of Th /il _ (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 « Tukwila, Washington 98188 Permit No: PW92 -0067 Status: ISSUED Project: XEROX Site Address: 15447 65 AV S Parcel No: 359700 -0320 Wetlands: 0 Water: N/A Type of Install: SFR Number of Units: 001 New SQ FT: Contractor License No: APPROVED FOR ISSUANCE BY: Issued By: Final Inspection Approved: SANITARY SIDE SEWER Exist SQ FT: Inspector Signature Date Watercourse: 0 Slopes: 0 Sewer: N/A TENANT XEROX 15447 65 AV'.S., TUKWILA , WA , OWNER XEROX CORPORATION 1851 E'FIRST ST STE 460 , SANTA ANA CA CONTRACTOR NUPRECON,INC 15323 ' N. E. ' 90TH , REDMOND, WA ,, , 98052 Issued: 03/10/1992 Approval • Letter: 03/09/1992 Expires: 05/10/1992 Add SQ FT: Ditsip jo-cLa Phone: (714)565 -1435 , 92705 Phone: 206 881 -0623 Description: ABANDONMENT ************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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:' 24'' URS 'IN AD ANCE. FOR AN INSPEC CALL 433 -0179: Signature: Date: 4(17 Company: * * *,' * * * * * * * * * * * * * ** Authorized Permit' Center Signature "'Date ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily net the standards and conditions for side sewer construction. PERMIT NO. CONTACTED DATE READY DATE NOTIFIED BY: (Init.) PERMIT EXPIRES 2nd NOTIFICATION BY: (Init.) AMOUNT OWING t. 3RD NOTIFICATION BY: hit PLAN CHECK - NUMBER e ta- coth % 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) OCC. LOAD SQUARE FEET SQUARE FEET OCC. LOAD SQUARE OCC. SQUARE FEET LOAD FEET TOTAL SQUARE FEET OCC. LOAD OCC. LOAD SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. (I BUILDING - 1OMAtzga final review INIT: ;/yeti FIRE PROTECTION: • S.rinklers FIRE DEPT. LETTER DATED: s -• - c.72 10MAR TYPE OF CONSTRUCTION: EME• ZONING: BAR/LAND USE CONDITIONS? Yes UBC EDITION (year): (BUILDING - initial review ,<FIRE () PLANNING 5/9d k PUBLIC WORKS 0 OTHER - ✓ z . REVIEW COMPLETED PROJECT NAME ROUTED INIT: BUILDINGr?ERMIT APPLICATION TRACKING UIR CONSULTANT: Date Sent Date Approved - REFERENCE FILE NOS.: INIT: 1 MINIMUM SETBACKS: N- INIT: 3/9/9 UTILITY PERMITS REQUIRED? PUBLIC WORKS Lb tR DATED: S Pl 0 INSPECTOR: J a 1 W- 'TOTAL OCC. LOAD 08/17 SITE ADDRESS SUITE # / 5 7 6 5 VALUE OF CONSTRUCTION - $ ,F/ 80 a-c) PROJECT NAME/TENANT X � 0 X ASSESSOR ACCOUNT # 369-100 ^ o3 &c (commercial) Demolition (building) 0 Other TYPE OF New Building U Addition Li Tenant Improvement WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: ) EL i \X D L L S 14 .0 nn FL ( pp, BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? 0 No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? 0 No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER Z p PHONE ADDRESS � 0 0 , �� -{p � � , 1 - 4,1, Bev ZIP y7 /657:p CONTRACTOR /vi fie -TONE ( pp, F � � ZIP 9,©3'NZ ADDRESS 2 • ; _ ♦` et-f-e-.4.4_,OL K u pp i r 44, ! P WA. ST. CONT'ACTOR'S LICENSE # EXP. DATE /0 2l 623 7 ARCHITECT PHONE C� a ADDRESS Oa PR 0, 69 /s" s . 3 AL p 90 0 ZIP ? 5 CITY OF TUKWIL4 Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 PLAN CHECK NUMBER 6qa-(n. DATE APPLICATION ACCEPTED BUILDIN PERMIT APPLICATION DESCRIP.TION> BUILDiNG'PERMIT FEE PLANCHECK FEE< > € BUILDING SURCHARGE' OTHER: TOTAL :AMOUNT'. RCP.T< ::# DATE BUILDING OWNER SIGNATURE OR AUTHORIZED AGENT CONTACT PERSON CATI 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 EXPIRES s. 0 COMMERCIAL one"for entire project Carr pleted building permit application (one for each: structure ;! Legal description AASSessor.Axount Number' Two sots (2) of Working drawings, which inclu Slto >plan .-�► (giplan showcosesthydrantloratlon Foundation plan Include access ro t wilding' she ing Fl pla . width.and length or access ): Ro • ,Building elevations ".(ail views) ; Building cross - section • Structural framing plans Washington State Energy Code data COMMERCIAL TENANT IMPROVEME Completed building permit' application (one for eachstructure n • tenant) .:; RE ROOF :<: Working Details entennelsatellitedish an Structural calculations stamped engineer may be required 'ashington NEW . COMMERCIAL BUILDINGS/ADDITIONS n Completed building permit application (one for each structure) Assessor Account Number Two sets (2) of the following: Specifications Structural calculations stamped by a;. Washington: State licensed engineer • nl IMN Soils report stamped by a Washington State licensed engineer Topographical survey Energy calculations stamped b engineer or architect Legal description (- Working drawings stamped by a Washington State licensed. architect, which inclucie. • 7 Site plan • Architectural drawings • Structural drawings Mechanical .drawings • • Elevations Civil.drawmgs Landscape plan; Completed utility permit application' Six. (6) sets'of civil drawings NOTE : 'See utility permit application and checklistlforspeciec uhh submittal requirements RACK STORAGE: Two:;(2) sets of plene, which inclU Building;tloor plan showing; NOTE': Include dimensions of raolc (height, width and length), aisles end exlt ways: on plan • Structural calculations stamped by aWashington State license " " engineer (rackstorage 8' and oval) RESIDENTIAL NEW SINGLE-FAMILY < DWELLINGS /ADDITIONS SUBMITTAL CHECKLIST Completed utility permit application (6) sets at site plane showing utilities NOTE Building aito.plan and udUtysite'plan may be combInod ;,See ut llry permit application and checklist for specific submittal requirements Additional topographical and soils information may be required tL unique plans which include;. °cation •of : tenant space •;Existing and proposed parking Landscape plan (if applicable, r e „change of use :Overall building plan . : Tenant .locabon •:Use of adjacent (common Wall) tenant Overall dimensioni of building or square footage Floor plan of proposed tenant space enent space plan With use of each room labelled xit doors,: egress patterns:: ow Walls existing wall, and walls to be demollshe Construction:details Cross sections showing wall construction and method attachment for floor and Ceiling; n Structural c stamped by Washington State licensed engineer, may be required if structural work rs to bedone (2'se NOTE If any. utilityworkls to: be done, submit: separate utildyper application and plane 'Completed building permit application Assessor ' Account Number: : r Narrative describing existing roof, L_ material being;installed,: NOTE A certification leiter. . is required pnot to final Inspection and sly • off of the permit ANTENNAISATELLiTE .DISHE Completed building permit Assessor we (2).sets o • life plan oundation p oar plan. oaf plan> . , wildi elev • *view tuilding cross secboh tructural:frari'iing plans' NOTE if any utility work Is to.be done and plans must be submitted :;REROOFi Co mpleted building permit apphgati Assessor Account Number ve desctibing existing roe material being install off Oof t TE A certlf+catron le tter ls. required prior ;o ^ /Inal Inspac he permit 41XIII PERMITS PERMIT NUMBER APPROVED PLAN /LETTER DATE ISSUED COMMENTS Channelization /Striping /Signing mpl i ,sh-- srR Q qa 3-q-q Curb Cut/Access /Sidewalk Fire Loop /Hydrant Flood Zone Control Grade /Fill Hauling Landsca • e Irrigation Moving an Oversized Load y Sanitary Side Sewer Nb ar1do n m , en'c' p c o f to 3-q -qw 3 -Crqa Sewer Main Extension (private) Sewer Main Extension (public) Storm Drainage Water Main Extension (private) Water Main Extension (public) O Deduct Water Meter (exempt) Sze: No.: ❑ Water Only Water Meter (permanent) Size: No.: Water Meter (temporary) Size: No.: X. Other: UJ D`�4 t -PV f `re . IB annort ' Q- 6Dlp(o 5 -( 1 "c'a 3 — 10 -- qa Other: DATE PLANS RECEIVED TYPE OF REVIEW ••l TO PWD ;A •`S APPROVED •A ; - SI:. REQUESTED COMMENTS a-a� qa mpl i ,sh-- srR Q qa 3-q-q PLAN CHECK NUMBER Ufa OO &L ROUTING PERMITS REQUIRED PROJECT NAME UTILITY PROJECT TRACKING GHECKLIST SITE ADDRESS 154 CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN - OFF OF PROJECT SUITE NO. :I HEREEM.CERTIFY<TH . T:I: HAVE RE` , a THIS APPLICATJPW Applicant /Authorized A. - i•n. r-. —', _ .' 4.r,. O r d 1,I. D KNO{N Contact Person jprint name): Address: j23 Date Application >TtlE SAME; TO B 4115.!P4:::. ND: c9/313C9T : ��}} AR Expires: ID 1.)(0_ h✓ i VAS • N 0 7 W Phone:FR /i71/6 S a ct _ 9 „ Print Name: 4 e _ • s i Phone: d _S Date: 2— 8V-66 Date Ap • icatio Accepted: % _ is yr >INFORM4TIO to % ' . .s� Property Owner: k E. Rj )( i A , 1 f Street Engineer: Street Address: King Cty Assessor Acct #: Iv 1p AO .0 Sir I p . _ Q Contractor's License #: gzeall City /State /Zip: . Date: Contractor: Street Address: > PERMETS<:< EQUESTED. WATERM DEPOSIT/ >RE FUND /HILLI 1M ONTH ;;:SERVICE BIE LINGS1., T MISCELLANEO `IN • City of Tut_ ✓ila Central Permit System — Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Site Address: . � 6' 7 76 77.46. I( Q Name of Project: ❑ Channelization /Striping /Signing O Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) -- No.: Sizes: O Flood Zone Control ❑ Land Altering fc cubic yards ❑ Hauling ❑ Moving an Oversized Load Est. start/end times: Date: ❑ Landscape Irrigation O Sanitary Side Sewer — No.: ❑ Sewer Main Extension ❑Private Name: Street Address: Name: Street Address: No. of Units: ❑ Motel ❑ Triplex ❑ Commercial/Industrial ❑ Office ❑ Retail ❑ New Building Square F King County Assessor's valuation of existing structures: $ UTILITY PERMIT APPLICATION ❑ Public ❑ Warehouse ❑ Manufacturing ❑ Remodel/ Addition ❑ Condominiums Phone No.: City /State /Zip: Phone No.: City /State/Zip: Phone No.: Phone: (206) 433 -0179 g/698 ❑ Street Use ❑ Storm Drain ❑ Water Main Extension Private ❑ Public ❑ ❑ Water Meter / Exempt:— No.: — Sizes' Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent — No • — Sizes ❑ Water Meter/ Temporary: — No.: ____ Sizes Estimate quantity: Schedule: ❑ Other: Phone No.: City /State /Zip: Phone No.: City /State/Zip: ❑ Water ❑ Sewer ❑ Metro ❑ Standby ;DESCRIP:TION `OF PROJEC:T< ` , �,Singie - Family Residential - ❑ Multiple - Family Dwelling ❑ Hotel ❑ Duplex ❑ Apartments ❑ Other: ❑ School /College /University ❑ Other: ❑ Church ❑ Hospital Square footage of original building space: Square footage of additional building space: Valuation of work to be done: $ 02/05/82 SUBMITTAL CHEC LIST 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 ramp, 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 O Copy of Certificate of insurance coverage (minimum $1,000,000) O $2,000 bond made out to the City of Tukwila for property damages caused by activities O Route map 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 SANITARY SIDE( EWER O Type of pipe - conc1bie, 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/ength of run O Connection point(s) to public O Location of cleanouts O Type of bedding and backfill 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 Location and size of thrust blocking O Size and location of mains, including elevations (profile) WATER METER - EXEMPT O 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 backfill materials /percent compaction WATER METER - TEMPORARY O Address and hydrant location O Size of meter O Estimate of quantity and schedule 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. ro act; ype o nspect on: i° . I. Address: /.5.5 (p-.5 S. I:te : I: . ; Special Instructions: Date Wanted: 3- 03-T7 ety.o.m. Requester: Phone No.: I E 'TTION N0. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206) 431 - 670. ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. apt No.: Date: Projectir EDX type of I Date Ca e : DateWanted . i ` W _. ao► b Ad dy: -.: 6*. al Spec a Instructions: T � � 1 :00 pm r F. S� ~ 1a --- �-�m p.m. I Requester: iii Phone No,: yt 0 / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. COMMENTS ; nspector: irJ r ,-e c c ,. (")- U • ta-k- wag a4A.re r r � ° L.i ' t L- (n.) nJ - - �c�c,, � .... p c -�- /` i c.AJ SA.A.A) C � kma ¢ y 0L Wi -4-4* - It4SPECTION RECORD Retain a copy with permit (206) 431 - 3670 ❑ Corrections required prior to approval. f ❑ ,$30,00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Project Name 2/7 K.. Address / City of Tukwila FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575-4404 Sprinklers: Fire Alarm: Hood & . Duct : Halon: �. Monitor: Pre- Fire: Permits: 1,,)x'4 In Al),/ TUKWILA FIRE DEPARTMENT FINAL APPROVAL FORM Retain current inspection schedule Needs shift inspection Approved without correction notice Approved with correction notice issued Authorized Signature Gary L. VanDusen, Mayor Suite # f Date Control No,,NV - tea/ Permit No. .s'***** ?4 k************* * * * * * * * *k*h**kk** * **. * **** * *h ** ** • TUKW WA • TRANSMIT . •• *** *.* *.4 k* **U. ** * * * * * * * * * * ** * * * *44 * * ** * * **** * * *k** * *. * * * ** *** ** *** *** ,1RANaM,I:T,'Nuinber: •.ra200617. a •Amount: 25.OU 03/10./82 i4 41. permit N o .:•P149,2- 0.0.66 '.•'type» Pit -WM WATER ME TER . P` I ,, Marc a No. 3 870.0 03; t�3� t/ r 5i'b'.e Ad:dresaa 15447 C AV 5 Payment :etMod ».CASH. No tat i6 :n : xriita. aLU ik ic:***,*, 4***** ***,**.******:*•** **. * ** * *� * * *44*' *•ti4 ** * *k* * * * *A �Vr. * * * * * * *.k ** Account .Cade •tercri?ption Peid �401/3'43.40;r . • 'WATER.; TURN -ON FEE: • Total tTMi� 'Payment.): 25.•00. s yyf 5 r�i?? Total Fees: 'Total All Payments: Balance: 2.1.00 25 .,0 0 00 GENERA 25.0 TOTAL 25.0 CASH 25.01 CHANGE 0.01 7809A000 14 :3! 20.007 20.00 .00 h r;lr: k*'** k** k* k*k *k****k*****k**** *****k*k.***** k * ******** 1.1Tsv OF TUKW1LA, WA . TRANSMIT M1 ...* **k**.*:* k********* ** * *.k ****** * * * *k.k * *k *k *k.*k *fit * * * *k****kk *k* 'TRANSMIT.Numbers 92090.177 Amount: 20.00 !4x.19 :Permit :: No: pW92• -Upb7 Type: : 1214.-$SS SANITARY SIDE SEWER. .Par c e"1 No; 359700.Al20 3/.1 /92 Site Address: . 15447 C5 : AV .S- €Wm.erit.'Method; CASH Notation:. NUPPECON — Twit:. SLR +44!0 *kk#44i, Ift4i4 41 *kk *�Ir *** *kk ek *k4Fkkk,k * *** *;k.kihk4 4 ******k **# `Aecaunt..Co40 peso. i ption ,paid 04015,42.400 INSP FEE UTILITY 20.00 Total (This payment)': 20.0 GENERA TOTAL CASH CHANGE 7808A000 20.00 20.00 20.00 0.00 14:39 ***** k* * * ** * * * ** * *k * ** * * * **** * **** *k* k*****k*********.******k* ** CITY OF TUKWILA, WA TRANSMIT ********** k************* kk** A***** * *k*k********* ******k* ****k *** TRANSMIT'' Number: 92000143 Amount: 30.00 02 /28/W ,. ±2 permit Not B92 -006$ Type B -DCMO; DEMOLITION PE M Parcel Na. 3557.00 -0320 Site Address: 15447 65 AV S Payment Method: CHECK Natation. NUPRECON INC. In it: SLU ********** k* r** k**' r** k* k**** *k**** ** *** * *****,r ** * ******** **k**** Account Code Description Paid 000/322.100 BUILDING RES 30 «00 Total (This Payment): 30.00 GENERA TOTAL CHECK CHANGE 30.00 30,.00 30.00 0 :00 7431A000 14:18 Address: Tenant: Type:. Parcel # :. 1544.7'65 AV S XEROX CORPORATION B -DEMO 359700. - 0320.` CITY OF TUKWILA * **** ** * * ** ** * fir * * * * * ** fir***' k*• k********* k****** ** ****** *•k ***** * * * * * ** * *k** Permit Conditions: 1. No changes will be made to the scope or work unless approved by the Tukwila Building Division. 2. 'All permits, inspection recor,,,,ds, end approved plans shall be maintained available o the start of " i any demolition Tb.e,se,4c s�ale1` e; m' , pined , available until f th 1 1.°"'i'nspecti n approval p is.':.*irt , t,ed. Validity of :. Permit;: Th a permit o" . s a ce of approval plans, spec s, .t�friF' tion a ompaons h sal�rl of b` ,c on- �� p e rmi�t f o a r utti "; ,, v 1,11t •; strued to ���, or', or an a r�va1��o ,�� rr. vi ion of any o. feWe provisions of 'this code' lor of an'y;� othe ord i nan e of he . u'ri sd:i ct i ori, No permit` presuming g �;to 'cgtii ' .� a` rov.isions. *of thls, author�i� on °� 11� ; olate �'o r r cana�l�� '.MA's &� t r� ' , shall valid. 4 Remo . eeds �concr� tone found ations flat c Permit No: B92 -0068 Status: PENDING Applied: 02/28/1992 Issued: w e �' e n - . cret co a ete <patios mason ..y„ ;waal ls, garage floo dr"lve wayd' nd stiff �' 1ar structures a. a�1-�l loose miscellaneou ,mat la , l fr. m, such lot o�r. "e of .~ground, properly cap sa { �n ty r ,/ se er.. and ,ws;V'e`r* r e ct1ons ) , `p' op.er1y ;f111 Gor otn wise p ro t e Ff611 b se.m t .t, 11ars, septic .ten s w e s a, and t h'r, e c Q,a vaS n � �� ,. Ire . f ,—�_ - u •:rl. X (20c - ,. ,c./6 �-� ¢7kl GZ.5 >"T' C .toe Poe. yore. ins. • - v : -6 e M r A.dNar Fo : r ec 6s"3 evccac.. lrla�•jr `C.i- _ - y7 is O.-e.eG. /.c5 _tot benefit of etitle report ore to shoo, all eesesonts o6 — 7 " focnd "ere recovered during the course shwa lathe Surveyor's Certificate, - ree.eat yes utilized to perform angular lees otherwise noted. Traverse closures ti I f " i crr' r etc .5. x7fo. -3„ ca�..rlr orrzcdrJ Saroeypes Csriifieote •Trh'nep eetNdiy ripr.se.a. a son. Wuelk by awe ar•sa Str n' * OSA to e.aacrr..ace vita She r.e.ireieaes a1 the S t'jRecitf a •scl •t 25e reload of %Ro to J e.►1 19� ra $!t• 4`u .celr e , 0 1610. FO.' �i e7 a«irc0 rS.G�cwoc� 0 i 3 Z5O.00 11 /3 Z4 pA r l ,- (ith %.St /l i y'Eo r-�cr sores -SEE PING C Cp,�pr p -tc. zecoraeo.svcv Yoc.iG, .atv'4y25) 46. Afie i,. AO: 4 AZ- CrTre0 1 r ` 1 t 4 rS.edefr %ro t i .1 -•4r°ts! =S6a6 t t 11 6oZ ca:2:i/_ i .,r r r hpje`&a t1. i i N 1 to JT' eTOTfur Free scrag recorded Z.C. 1 7112290409 80ureaar SUM"' Zit= EDIMA3raititi bc00 3oW.csncer Blvd - T.krilla. tea. 98 XEROX seal Estate Qxrations1Seett! a 1 `istrirt Pot. S: 5E SEE 23, T 23N. s *E. tt.A. Clog County. lgi$,nP $g —aoto ,cam :rrre.,.rar.�; V �' : h 7G SSK 12 :5.:, - --- 4,7.0' .i.vc •- "4 54 wlr Co.C..t' a ,r.�e S M iill 75 •i0 220 e ■ 6 �.� i r[ OV gi..r.✓co rSCCSS Otf,C .aoFC e7e E2wtli e.Af nt./ .eo..lGtJG. TivCC -14 r.,. see ✓sy - l i.. Yom` `t - 1»: G/+/'r_ Coe ..r. SierC✓cY N42 42T S t,Ot,e Ma .�Laer /SI Im the deed free P & L to Xerox Realty recorded under X.C. Recording Fo. ae61160693 it states that 'Creator's warranties do not protect against bouedarr overlaps on the north or west boendaries of the preoiscs.- - H.R. Addition overlaps the north lime of Tercel a. See detail. Cotfelt survey - URS - 8: -T- Rec. f 1112290409 Recorded surveys: 11 -316, 14 -2.13 16 -2S, 16 -lee. 25 -1S13, 30 -2 :6. 55-109 Various Plat 1. Target Surveyors, inc. 1595 N.W. Glrnan Blvd. Suite 6 Issaquah, Wa. 98027 (200 0r.e.by: G. d. .0.1.: -T- fc ae w %'Ar J: = Sect.: .5°- 90 -097 ELM.. t¢ cald.ey:G R l,.pnrd.3p: 8 PL ss ft Fiat 43 rir. .arGc cc Ca...Acccsrr s'arr vac c ArAdr-e 1:4 J sa..t T of 1 APPROVED PER PUBLIC WORKS LETTER DATED rapai7i j 3/1Z. ftEgukrzil. o•mt iz wD IVIS m R Th i i wR hl R. - N, rLDI ,&PPA 6R e.tiGtri * 0� st- oE M * WI OL fl- �jti t.i1KCQ-aRuft3� aS S 'I. � T Rem it ST mZ Wtt!- 9E l yARoS42iCatq P2tUt aQE1t tl AS {S. A/07 - Co9P lY9TER L /A. .qT cqP S/D .S & A% t'W.. d iPry , c/rsrE 1c 4 7' L.E�4 fT '� !H D . �.� toss G9P 4 7 ",r �W 6' /yg,N, t f S H ?LiY E � -L 2. Act 7Z.7 2:: oAr Ga.Z. O . �' .ti/. O.�G /•c/C a 1 88 ° Z4 ¢7 " 4/ qr PTEO Z 44..40 X 0.0e •w• _at paQe yore , Inc. 19 Mac Auditor C • .k. rte --rte - rs.1 //69 449. • -- I - /�,• _ L . �ASc•��L 4• 5l83‘.79 F!J : e�6 A• ✓O r4c..0 451.3 ' &- :O< en • / • -.la .0,- =o•' /l "rte 0. 4'W X0 .6 ✓ I 'ituout benefit of a,title report Dor to show all easemc:nt5 of record. found were recovered during the course shown in the Surveyor's Certificate; ;trument was utilized to perform angular less otherwise noted. Traverse closures Fo : 1..%, ' Ltcra .■■>•e • 4 rG ✓CG D ZLQ = /.34 Zd FO: 4.. 4 CGC�7Ca7 GS /5.1.5c, e= 0 .03'N XO•Z'Z'er. pA.ri I .A Surveyor's Certificate •This "mop correctly'rEpresenls asurvey'•made by me or•undlr :my direction to conformance with the requireniehts of the Survey Recording -Act at the request of X RO X In -. 19.11_ . ck\� Certificate No. 116 91. (A/c27 774//5. 474 F'� /OAe .e CO.eoE 2 %.:Fe e(/G-, Y e/Ac/'0d e 4 ,47 • 7; .c•'cco.e SG/•e %Y //o" . /6 , ,-?f Z5 ) 250.00 69 N Z4 Z5. 57' co: /% "-t/' 0•7's✓. a•o2 5o. .e4,4. ,c MERIDIAN From survey recorded K.C. BOUNDARY SURVEY XEROX CORPORA'iION 6400 Southcenter Blvd. Tukwilla, Wa. 98188 XEROX Real Estate Operations /5eattic: D&strirt Por. SE SE SEC 23, T 23N, R 4 E, W.11. King County, WashIngtr''' An,Y! t,4/• �•odc/G�AC kNN x'6.5Y /7j , • GAP . ) • P4 /G F2.c ed: 7 7. - • A.iu /a!w 4.5 v q; 3gG.0 ca.c�C 7112290409. p e L NI r A- dP Rev �SavTf/ L {ti'w =: •--=' - ,47:;9 :IAvrc,ecie.��/ 400. ; 6,7v4//c7GE,,r ,e • : c or =FGC -i C ✓c Y /.9 /G. 9 Tic? ¢'v.°yG• r i lc�r /g "404:4/ r SURV YOR' REPORT In the deed from P & L to Xerox Realty recorded under K.C. 8401180693 it states that "Grantor's .warranties do not pro boundary overlaps on the north or west boundaries of the p M.W. Addition overlaps the north line of Parcel B. See. De J2EFERENCF. DATA Coffelt survey - URS - K.C.' Rec. i 7112290409 Recorded surveys: 11 -118, 14 -243, 16 -25, 16 -298, 25 -158, Various Plats Drwn.By: -. f3, chkd•ey:Gs R- A pprvd. By :, 3 Target 1595 N.V Issaquah, W Dal Sec F.B FILE COPY I unde .tand that the Plan Check approvals are subject to errors and omissions and approval of plans .a.es not authorize the violation of any ,• adapt code or ordinance. Receipt of contractor's copy o approv -pians acknowl ged. B D.te ,./4 .9. Po mit No `Ot -17 ..A 25. 57' —x r 7 2;J- 4,° Fa 250.0o ;9..3.20' /4 /3 23 24 /v3. 4/ • r'O: y4'3 .�.a/G7 �C - ' FO.' /j ••rte C. 7' O•oz :10. x -- 26 25 • 11/4 £4/t FG' 5 SURVEYOR REPORT t1'•••?• 1J7.0;77.. 11,■4,4 4. 7. 12 .Z •• • pp -4/TG- •At'e/z5 -(/ 400. .C.G: Crnr' FCG..r rS//,'✓ y In the deed from P & L to Xerox Realty recorded under K.C. Recording No 8401180693 it states that "Grantor's warranties do not protect against boundary overlaps on the north or west boundaries of the premises." M.W. Addition overlaps the north line of Parcel B. See Detail. REFERENT DATA Coffelt survey - URS - K.C.' Rec. A 7112290409 Recorded surveys: 11 -118, 14 -243, 16•-25, 16 -298, 25 -158, 30 -296, 55 -109 Various Plats MERIDIAN From survey recorded K.C. 1 7112290409 BOUNDARY SURVEY XEROX CORPORA7ION 6400 Southcenter Blvd. Tukailla, Wa. 98188 XEROX Real Estate Operations/SeattI0 District Por. SE SE SEC 23, T 23N, R 4E, w.I'i. King County, Wash.n9tu•. .111141111001.1i 41.110•1 Fo. *vac P � +' /evo9 3AG.0 co.a/C • �O e . f ► 5ci •' `'O At4fe- .4"4 7 i ' -' v/a. , =/4GC: /8 ••Goc;./S/' Drwn. By: G • G3. Chkd. By: G•51 A pprvd. By: Revisions: FO 100 60 25 10 0 /" 2 .r .4,/O C4' 4"/Z3'3G 4r ede. Co.a./G.‹cy . L -: ../O ¢ FE /• /'AZ Target Surveyors, Inc. 1595 N.W. Gilman Blvd. Suite 6 Issaquah, Wa. 98027 (206) 392 -8533 Dote: ?ic% Scale: / F.B.No. c 4 75 40 20 5 O454c gToFCo w 19- Are ver/tt Arr /A/ 2fb,✓ C45E. 77-1/.5 Job No. 90 Shut i 'CU 1 DEMoLmoi.1 CITY OF TUKWILA APPROVED MAR 10 1992 Bl iL al G DIVISION RECEIVED CITY OF TI IKWILA FEB 281992 PERMIT. CENTER City o fukwiia FIRE DEPARTMENT 444 Andover Park East Tukwila, Washington 98188 -7661 (206) 575 -4404 John W. Rants, Mayor Fire Department Review Control #B92 -0068 (513) Re: Xerox - 15447 -65th Avenue South Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. At all times during demolition, the provisions o article 87 of the Uniform Fire Code must be met. Access to this site must be maintained at all times.. (UFC 89.103(b)) Waste material must be removed in an approved manner. (UFC 89.105(e)) 2. If welding or other "Hot" work is to be done in connection with this work, you must obtain a welding permit from the fire department. (UFC art. 49) Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D.. file ncd March 3, 1992 March 9, 1992 Arie De Vos Nuprecon 15323 NE 90th Avenue Redmond, WA 98052 Dear Mr. De Vos: City of Tukwila Department of Public Works SUBJECT: Xerox (Demolition), 15447 65th Avenue Utility Permit Approval (P92-0029) The Public Works Department has reviewed subject project for utility permits. Please contact the Permit Coordinator at following permits prepared for pickup: 1. Water Service The side line if location. capped at Tem South and hereby approves 431 -3672 to have Disconnection Permit ora ,/Permit Fee = $25.00), The existing water service shall be abandoned and capped at the meter. 2. Sanitary Side Sewer (Abandonment) Permit (Permit Fee = $20.00) sewer can be capped at the property it is 6" in diameter at that If it is smaller, it needs to be the sewer main or manhole. You are referred to other City agencies, including the Department and the Building and Planning Divisions, for requirements and approvals which may affect the commencement of work. John W. Rants, Mayor Ross A. Earnst, P. E., Director the the Fire other this The above permits are being issued in accordance with the work shown on the enclosed approved plan. Any deviations from this plan should be submitted for additional review and approval prior to construction. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Far (206) 431-3665 Sincerely, AP If you have any questions or need clarification on any issue, please call me at:433- 0179. ' John ;A. Pier Associate En xcd:.. Utility Accountant City Utilities Inspector (w /copy of approved plan) Permit Coordinator Development File: Xerox (Demolition) Read Pile Enclosure a /s :JAP / amc amc :11:xerox. •,, P.E. ineer _ VNKN\W C. N.bIMKY\4KNK4 NVWW \Y /YW\KVVVYM!∎W\K\W/N!\ ~.•• _...- l /v�N! \!!KVl4NWWk■r \!`!!NN/ 111 YVVH MV• hV1AhWN !lN�4 \N.WKV \!! \tKNNl4K.. ..... .. . .. . ...._ VVN111VWY\` STATE OF WASHINGTON • r- DETACH TO DISPLAY CERTI' .,,, .,,; ,DEPARTMENT OF LABOR AND INDUSTRIES 3 Ttl S CERTIFIES THAT THE PERSON . SON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A rlr t1 N" . try •`:J•* •z' .;E+n { •• ` %¢9,...._.. ,::;..;_7 •' •r f ♦ / 41 lA1 a 7. ;11, ;,,V,,,,, •,1 ,A, tr .1,,`.i t, �Ji � , r r..i 1t!irl —tis 555 ,, i , l "• '.4, - �., ; , \. 04 • .��' ",i,t.ti " 3Y �- r ;3 ' ' 4:'.,, .� 1p Lii:ti �.:7e :iJ�o5:7c.LSY 71 = ,L r 1, d 3 I._ DETACH TO DISPLAY CERTIFICATE -4 • 0 . .e..n�.ar4t. �? - �. r ......:(5.1, -� - I�'� %ff, F..�$ Wi t _ r '__` .e.:3. d1- -_. y,7 d v, Gat. "As yuvE rrsz7 1. e38 ? 1d' 47 - 1. 24.ccArrr2 iaYZ - re _ s /. .,WO 0.6N. X 4.5.•."2".24. 3t nut benefit of a _title report ort to show ail eascaa,ts 0C. record- round were recovered during the course sh.wn is the surveyor's Certificate, ttuneai was utilised to perform angular less otherwise noted. Traverse closures __a pqa yors, Inc. u4: - D .t7 3wrar - . do- fGf✓s•C F A72: .4t r4 7sT.e-c 6✓3 t o�cac.. G.I'.3:•A -'l�iE tall.By :G I- earia;.as: 8rra.9': L. d. Oat.: �T - I•c!. '. f F.E.N.. L¢ x/A4 e-cc' - ¢7 AZ 6 Z3. -7' • sec .5 , 7 , ro •�C °s, _z -'4. ..' : .4. .rc S — T <s.Gc�<.lrOG/ f o 3' Vi i! i� 1\ r 1\ Serieyor's Certificate •T►is map note 1c11fripresfats eavrr,ywces 1y s>C ar.sa6er:sy61rec1Ha to eoatorneeca tar cs nitliiala'a1 tie SusarinecsrCag•zcl et tae retaast at X e Ro d Ja.►l 0,1U- $! ck t 4 Ira. atilt. (.c Ear CwEyFO rrs .>rre :sue P•C4P4 .e'..Cato c' vfilrer Y lk.'Lt W Arec Neoeo Sric✓6>/ yac.16, .-54e25 230.00" 69.3.2.0" /4 /3 F3 Zed Ffl= 44:7 t (+` 1 ts® i1 urz s 6 oi�::.•L� � � t G J tea: r't i t O 1 b 23 2V I Iron =racy recorded X.C. l 71122t0409 BOUICUAr 91RnFY rib= t basfic ltei Sc80 Sovthcenter Blvd. TJ.vi11a, Va. 96:8 XEROX Zeal Estate I7eraLions /$eattis Nistxirt tbr. te SEe SEC 23. T 23s. a t. ILA. ring County. 14sh7n4■ X 339.2 --8o1n /75., O FC J — /.•.e)e.crAe �4ac/77g/ G..I= c i 64'.SuKC'✓EY r h CiaN TDV) tv w . LF' ' - :E • Atac 4•40r4 ,�'LotclSr N M $MH9tE 7$ so ViteLv0e'g =gar In tba deed iron P & L to Xerox Realty recorded under K.C. Recording Re- aselisosel it states that "Grantor's warranties do not protect against bouadarr overlaps on the north or west hocnderies of the premises )(Ai. Addition overlaps the north lime of Percel S. See Detail. rotten survey - 131$ - X.C. Roc. tT 7112240409 Recorded servers: 11 -119, l4 -243, 15 -2S, 16 - 246, 25 -158, 30 -246, 55 -109 :tariois Plats PLF sR ' yu� ,aoz iris�+t� itiVIESYXa. .40 20 S 25 10 prr. r via rrucAs ocsk 412x,Q A-gmvrr- 14.w rw �a.IGt.SG 7#C•ICr..s - se foray- "- FO: f' s✓ocv 6j +IZ3�G 4YGGrGC Gew�e�tZ: S•aerrr - Fd-Kff Shoat t t e ty*rD: 4.PP,eox i.ac47i4 s ION DM 11+610 3.{t- 4mmgrt: AS SBotEj. /4:Teg RPmatittt.e Jr sQ'RaaltitE Reh- WILL Be sytaRo sezbeq 3� PRt VC 4 Qe.A. Vb REMA; {s. • s HttL1 $ -41 JUL i: Qcpartment of Labor & Industries Contractor's Registration Section PO Box 9689 Olympia WA 98504 -9689 WASHINGT .STATE BANKS ONLY &aeas 00T &.©c© ra uam D OOLT NOTE TO ASSIGNOR: This Account Will Not Be Released Until ONE YEAR After The Expiration Date Of The Certificate Of Registration, Provided There Are No Outstanding Summons And Complaints Filed Against This Deposit. This assignment is for the purpose of fulfilling the requirement of RCW 18.27.040. The undersigned does hereby assign, transfer and set over unto the State of Washington all right, title and interest in and to $ 6 , 0 0 0. 0 0 ( Six thousand and no /100 Dollars) of Account No. in the (bank name) Security Pacific Bank with full power and authority to demand, collect and receive said deposit and to give receipt and acquittance therefore, for the uses and purposes prescribed by said RCW 18.27. It. is understood and agreed that (bank) or time deposit in its possession and agrees to hold $ 6 , 0 Q 0. 0 0 until a release of this assignment is received from the State of Washington. It is further understood that this assignment is subject to judgments which may be rendered against the (business name) Nuprecon, I nc . and in accordance with the provisions of RCW 18.27. The deposit will be released to the State of Washington after 30 days notice on demand and with no other condition of release. Signed and dated at Redmond ACCEPTANCE ('1'o be completed by bank personnel) The undersigned hereby accepts the foregoing assignment of account or time deposit and agrees to hold the funds until an authorized release is received by the State of Washington. FIn the amount of 1$ 6,000.00 Account N bate 11 -19 -91 C Security Pacific Bank holds the said savings account SUBSCRIBED AND SWORN TO BEFORE ME This DATE &V 9 Notary P blic in and for the State of Washington .it " Iv e y commissio exp ires "�"""" """ "" "" " "" "" "" "" Re is ding RECEIVED DEC - 5 19Mt (NOTARY SEAL) ,Washington, this 14th day of November ,19 91 ,......,.�.,... , .; ... w.,.,... •,K.w.,.,... ,,..........�,. ." . ",..... gl gnature or bepo Nuprecon Address 15... City Redmond Inc. by John J. Hennessy NOTARIZED SIGNATURE OF AUTHORIZED BAN ' ERSONNEL g s r • f u� /: ank Personnel President State OP WA 98052 F625 -008 -000 assign /time deposit 3.90 l $ank ddre s 1 777 108th Ave NE Suite 270 City State Zip ."."...,.,,,..","...M......... ! Bellevue WA. 98004 • phone numt a ....M......,,...,... . . .M ..w..,....., . WY., .V t 206 - 585 - 2014 , . •" ..�.� te '�Bel Levue Western Inc Kibble & Prentice /Western P. 0. Box 3467 Bellevue, 066)4 98009 PRODUCER INSURED COMPANY E LETTER :t ::: COVERAGES -===z- nasal nnnnnrrr aaayyrssa�rsaaa:�s�_ - -- assn =a- - ^z_a= m- assn=- maaazzasaaa Maaaaanaasaawaraa:maas =saga THIS 1S TO CERTIFY THAT 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 SHOW: MAY HAVE BEEN REDUCED BY CLAIMS MADE CO LTR A U C E R T I F I C A T E 0_F I N S U R A N C E E NUPRECON INC 15323 N.E. 90th Redmond,. WA 98052 TYPE OF INSURANCE GENERAL LIABILITY CX) COMMERCIAL GENERAL LIABILITY 013 C 3 CLAIMS MADE DO OCCURRENCE IX3 OWNER'S & CONTRACTORS PROTECTIVE `X3 STOP GAP AUTOMOBILE LIABILITY DO ANY AUTO (X1 ALL OWNED AUTOS (Xl SCHEDULED AUTOS (X) HIRED AUTOS (X) NON -OWNED AUTOS C 3 GARAGE LIABILITY C3 EXCESS LIABILITY C 3 UMBRELLA FORM I 1 OTHER THAN UMBRELLA OTHER WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY ==== CERTIFICATE HOLDER SDL Corp. P.O. BOX 1685 Bellevue, WA 98009 POLICY NUMBER 101481050 801481049 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANY A Transcontinental Insurance Co. LETTER COMPANY B Continental Casualty Co. LETTER COMPANY C LETTER COMPANY D LETTER POLICY EFFECTIVE DATE 01/07/92 01/07/92 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS Re! Westin Hotel Renovation SOL Corp. and Seattle Westin Hotel are additional insureds as respects this project AUTHORIZED REPRE COMPANIES AFFORDING COVERAGE POLICY EXPIRATION DATE 01/07/93 01/07/93 mmmmmmanrsene ,a:s:sag==__________ ==== =n CANCELLATION aaauaasr man= ass: aspssa ==eaam=aaaaaa=aaaazeaa =es SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE - •IL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY K N THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE: 01/15/92 ALL LIMITS IN THOUSANDS GENERAL AGGREGATE $ 2000 PROOUCTS•COMP /OPS AGGREGATE $ 1000 PERSONAL & ADVERTISING INJURY $ 1000 EACH OCCURRENCE $ 1000 FIRE DAMAGE (ANY ONE FIRE) $ 50 MEDICAL EXPENSE(ANY ONE PERSON)$ 5 CSL $ 1000 BODILY INJURY (PER PERSON) $ .. BODILY INJURY (PER ACCIDENT) S PROPERTY DAMAGE S STATUTORY S $ I EACH OCCURRENCE 1 AGGREGATE S B (EACH ACCIDENT) (DI5EASE•POLICY LIMIT) (DISEASE•EACH EMPLOYEE)