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Permit B92-0278 - NORTHWEST MOTOR WELDING - CONTAMINATED SOIL REMOVAL AND FOUNDATION
„ %11I Trani\ YLIKTH 1c:23 It\-1-0N 2Jsf 7�cakwil� Permit No: B92 -0278 Type: B -BUILD Category: ACOM Address: 3400 S 150 ST Location: Parcel #: 004100 -0055 Zoning: C2 Type Const: N/A Gas /Elec: Wetlands: Water: N/A Contractor License No.: NORTHTS204M8 TENANT NORTHWEST MOTOR WELDING.. Permit Center. .Aut •sized Signature Signature:_ Print Name:___, f _iJ BUILDING PERMIT Units: 000 Front: Buildings 001 Left.: Fire Protection: N /A.. UBC Edition:_. 1991 Total ****) f►.* ********** * * * * * * * * * *" *,* * * * *,t * * * * * * * * ** (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 Slopes: Sewer: N/A OWNER ENGINEERING DEVELOPMENT CORP :Phone: (206)243 -7552 3400 S 150TH ST, P.O.. BOX`; 68867, TUKWILA WA 98168 CONTRACTOR NORTHWEST'.ENVIROSERVICE, INC Phone:. 206 762 -1190 54 S DAWSON ST, SEATTLE, WA 98134 CONTACT ONEILL;, DENNIS 500-' MARKET PL TOWER, 2025 1 AV, SEATTLE, WA 98121 ******************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Description: REMOVE CONTAMINATED SOIL /REPLACE FOUNDATION. SETBACKS Back: Right: Date I hereby certi'fy that ..I have read and; examined ;.this.. permit 'and know the same to be'true "and correct. All provisions of law and ordinances governing this work will complied. with,.whether 'specified herein or not The granting %of.;this:..permit does not presume to give authority, to violate or cancel the { p•o.visidns of any other., .s,tate o r local .laws regulating construction or';the,.performance of work'. I am authorized-.to." sign for and obtain this buildipermit. Type of Occupancy: INDUSTRIAL PLANT Valuation: 34,000.00 Permit Fee: 827.33 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Date . 2.2.7e.1 Status: ISSUED Issued: 08/24/1992 Expires: 02/20/1993 Phone: .206 7280744 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT NO. CONTACTED DATE NOTIFIED � Q , l� (4 Rec) [� _!J fr\Q 0� "lQ 2., Y: (init. BY: (init.) DATE READY PERMIT EXPIRES 2nd r:DTIFICATION AMOUNT OWING 3RD NOTIFICATION BY: (init.) PLAN CHECK NUMBER Ct BUILDING - initial review FIRE .PLANNING ® PUBLIC WORKS O OTHER O BUILDING - final review p REVIEW COMPLETED PROJECT NAME SITE ADDRESS 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) cls� FLObF?<; : SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD SQUARE FEET OCC. LOAD TOTAL SQUARE FEET DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. PARTM N r DATi IN ... ; ...::. ;...:.,;::,::;: ° : ' <'» <;<<: > °<<> >: ?: >': «:REQUIREME /1/4 S Ic1 qZ a CONSULTANT: Date Sent - INIT: 8 INIT: INIT: (ROUTED) et BUILDING'ERMIT APPLICATION TRACKING SUITE NO. FIRE PROTECTION: (l Sprinklers ( Detectors (1 N/A FIRE DEPT. LETTER DATED: ZONING: REFERENCE FILE NOS.: MINIMUM SETBACKS: N- S- `°1/5)"2" UTILITY PERMITS REQUIRED? PUBLIC WORKS LETTER DATED: INI 8 qz TYPE OF CONSTRUCTION: INI Lo 3S BAR/LAND USE CONDITIONS? MEM r'Yes c/.0 Date Approved INSPECTOR: t�N UBC EDITION (year): 1911 TOTAL OCC. LOAD 08/17/ SITE ADDRESS , / SUITE # aaLOv \ .. c - +a - 17.�.r� - i VALUE OF CONSTRUCTION - $ 3 0 i PROJECT NAME/TENAN 0 oygl- k∎.aJksz T1) tz P. G ASSESSOR ACCOUNT# O Ok4 I OO --GC S (commercial) U Demolition (building) Other f,? w\rciAc„-1 e- °.J TYPE OF U New Building Li Addition O Tenant Improvement WORK: O Rack Storage U Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: C (��_ /� �^ (2..e v .o., E gD+-� M % �O1 L P-- ,.Y RA.J-s%.J cn '.d .i r 1 .puz. 'd�ac_ - `- T—a U r.1 O.faxZ d.J. BUILDING USE (office, warehouse, etc.) .- Ize CITE kort -- O t 5 C1u,. fr�.aj s MrE NATURE OF BUSINESS: � , 9,,,• , Qs 0,,x(a.2 / O co,-,u1 co , WILL THERE BE A CHANGE IN USE? ❑ No Yes If Yes, new building requirements may need to be met. Please explain .G► t-, (3f ,.IG -- Lo �2 1-1 -% 4.-WC- L Cat Gici-r w c.Q•1 JarrArorr SQUARE FOOTAGE - Building: —7 - 2- Tenant Space: t_s_ o. /%T2' Area of Construction: „ o o p /^T z /, WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? 0 No O Yes IF YES, EXPLAIN: UPu\dbL.1► -••% PROPERTY OWNER 1J V■AoZt,k, ` ,Acs- gPHONE ADDRESS - 3 tA b0 _ 1 C, - S,v`CNA j-r-t s. - t ��5y.k...�1u s., WU. ZIP CONTRACTOR fr ...)ot'�s-c cc,.��40A4uatcr< \,SC. PHONE ti Ga_ 19.0 1 ADDRESS S q s z}.„,,,, So .-t -. a,,�. -� L)----. ZIP 7813 ({ VT/A. ST. CONTRACTOR'S LICENSE 4t 0 O _ (Z'\ _ 4T _ S 7 4 V8 EXP. DATE 7 /a a l7 3 ARCHITECT - b2n -1"'.5 4 \(■Ncaon et.rt ultu,,f-" -,K PHONE ri _ 0 ?E-( ADDRESS s tM a1l s r- 0..,ac.��c� JL do 3_,5-- W- . g- c/4.4't'trc.. , v...la. ZIP Tg a. PLAN CHECK NUMBER BUILDING OWNER OR AUTHORIZED AGENT CONTACT PERSON BUILDU'C3 PERMIT - i > "Y��w� �� }i;. � � ry $; ' �t r s• q �., - s CiTY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter oulevard, Tukwila WA 98188 (206) 431 -3670 : wit • BUILDING PERMITFEE : ' PLAN CHECK FEE> ':` BUILDING SURCHARGE .: OTHER... - lXf- oc9, ••HEREBY; CERTIFY ,THAT 1 HAVE READ AND EXAMINED>THIS APP;LICATION<AND • BE;TRUE AND CORRECT, AMR I AM ;!AUTHORIZED TO..'APPLY F.OR.THIS PERM SIGNATURE ' DATE APPLICATION ACCEPTED PRINT NAME .- o 3191,TG G/026...,409e0.e ADDRESS SQo fyt PHO ) 72g -'74 � �! 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 subm ding application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed an�s subject to possible revision by the Building Division to comply with cuirent fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect'engin�er,o cor..!ractor licensed by the State of Washington, a notarized letter from the property owner authorizing the ager�t 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 fora 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 a.. •ur process or plan submittal requirements, please contact the Department R . . j, eity Development Building Division at 431 -3670. I,t) S 0/1_. c i C AUG 131992 PPUCATION :DESCRIPTION DATE APPLI J ATI N EXPIRES 6 1 a :AMOUNT RCPT. :# DATE CITY/ZIP s7 � /7 ?7 09/10101 COMMERCIAL — NEW : COMMERCIAL BUILDINGS /ADDITIONS :. Completed building permit aF Assessor Account Number': Two sets (2) of the following Specifications: Structural calculations stamped by a Washington State license engineer E Soils report stamped by .a Washington .Topographical . ,survey n Ener,ly calculations stamped by. a Washington State )icons engineer or architect L i Le description Working drawings stamped by a Washington State licensed architect, which :include: • • Site plan ••Architectural drawings • Structural drawings • .Mechanical drawings: Elevation's • • Civil drawings • • Landscapo plan Completed utility permit application Six (6):sets of civil drawings NOTE See utility permit application and checkbst for specific utili. submittal requirements ono for each one for each structure (one Jet' entire project RACK STORAGE;, I ) Completed building permit application;; Assessor Account Number Two (2) sets of plans, which include;' Building floor plan showing :. S U b Entire Space .where :racks; will be:located • Exitdoors ▪ Dimensions of all. aisles.: L I Tenant space floor plan'showing reolc storage layout,' aislek an exits;. NOTE:: :include dimensions: pl racks (height width and length); aisles and exit ways on plan Structural calculations stamped by a Washington: State license engineer (rack Storage 8 and over) RESIDENTIAL NEW. SINGLE-FAMILY DWEI.LINGS/ADDITIONS. .; J Completed building permit application (one for each structure Legal :description Assessor Account Number • : we sets (2) Of working drawings, which include,. • Site, plan --_ p. (O Plan, show closest h •. Foundation plan lnciude access to building; showing • Floor plan , width and length of access.) Roof plan i Building elevations (all views Building cross-section • .structural framing Plans.: Washington State Energy Code data Completed utility permit application Six: (6) sots of site plans showing utilities NOT :Building site plan and utility site plan may be combined See:. utrbry permit application and cheCklistfor specif c submittal requirements.: ••••dditional topographical and sotls.inlorinationmay be required if unique site": condition 1TTAL CHECKLIST COMMERCIAL TENAf 1T,IMPROV EMENI'S Completed building . pernilt application '(one for each — .tenant) Assessor Account Number':' Two(2) sets.of construc.tionpians, wnich (nr ludo Site plan • Location. of tenant space Existing and proposed; parking Landscape plan (if applicable; I a , change of use Overall building plan Tenant location ...Use of adjacent (common :wall) tenant • :Overall dimensions of building or footage Floor pi >n of properud tenant space Tenant apace plan with use of each room label) Exitdoors,:egress patterns :` New wall, and walls to be demolishe Construction details Cross sections shoWing'Vvall construction and :mettiod'o attachment for floor. and ceiling Structuralaalculations stamped bya Washington State licensed :: engineer may be:required if. structural: work: is to be done (2 :sets). NOTE if any utility work is to be done, 'ubmit separate permit • utility :: application and plans REROO Completed building permit application (one for each structure ;Assessor Account; Nurr ber<:' :Narrative describing'exisbng ;iron' material being remove material being installed NOTE .A certification letter is required prior to final ins ;'off of the:permlt =' ANTENNA/SATELLITE DISHES: Completed building permit application Assessor Account Number Stry cturalcalculatiens stamped by a;Wsshjnglon State engineer may be required '';RESIDENTIAL ;REMODELS;;: Completed,building permit t..pplication Assessor :Account Number: wo (2) sets of working draviings, which include 5it©, plan Foundation' plan Floor plan Roof plan Building. elevations (all views •: section . Structural flaming plans NOTE al anyutility wort _is toi be gone provide utility permit application and plans most be, submitted REROOFS Complete0 . building, permit application AssossorAccou Number :. • Narrative describing existing roof, material being removed; and materialbeinginstalled CTE{ A carjlfictrtion otter is required prior to final Inspection Off Ofthe permit •. license " X " Permits Permit Number Approved Plan /Lotter Date Issued Date Resub. Requested Channelization / Striping / Signing (3 V3 :4 J f--C_ r5" b / 9 Curb Cut / Access / Sidewalk Fire Loop / Hydrant Flood Zone Control x Hauling PA/902 - O021r/ g '.; i ' q - q — . - X Land Altering CZOD P/4✓9a— Qa1,2— g' a.a °cq &LHQ Landscape Irrigation Moving an Oversized Load Sanitary Side Sewer Sewer Main Extension (private) Sewer Main Extension (public) Storm Drainage Water Main Extension (private) Water Main Extension (public) Water Meter (exempt) Size No. 0 Deduct 0 Water only Water Meter (permanent) Size No. Water Meter (temporary) Size No. Other: Other: Date Plans Sec Ived Type of Review Date Routed to PWD Date Plans Approved Date Resub. Requested Comments (3 V3 :4 J f--C_ r5" b / 9 8/2/9-z. Plan Check No. 0 07 Project Name &UQ .� Suite No. Site Address ^ -' c ROUTING PERMITS REQUIRED f City of TuI \ .1 Public Works Department 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: (206) 433 -0179 UTILITY PROJECT TRACKING CHECKLIST CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN -OFF OF PROJECT :I HEREBY:; CERTIFY.THAT THAW READ MIS APPLICATION: 4ND 1( WTHE SAME :TO BE TRUEAND: CORRECT :; Contact Person sprint name): "Z"-\ `r-'.'- 4,4%,, WA/..SrrTc Address: , ;(.0,,.,.%s c �. Applicant /Authorized — Agent Signature: Print Name: ez r Date: 8 -( - -q)... Phone: ri 6 a.- klgb E v b c r81bq Phone: Date Application Expires: C r1 (. - - -It (",' Date Application Accepted: CI - I'`i O F Street Address: Engineer: • REQUESTED • WATER DEPOSIT/ REFUND /BILLING MONTHL << SERVICE BILLINGS TO: Cl Water DESCRIPTION OF s PROJE ❑ Multiple - Family Dwelling No. of Units: Ei Commercial/industrial City of T'u vita Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 PROJECT ><: ;;;:::;:: ; Site Address: 3 -i o o ' j 4 S o- G ,� INFORMATION Name of Project: a �i - r 1(�w �� a cr �-a t Pro.ert Owner: . \J\ r - � UJr� �. � ka� �. Phone No.: 3 g0c 15" c S - ' v o C-b 1l.:Z`raraT$ Street Address: St o k Contractor: jj . Mo5C..1 c-rc_ . t `+mac- • Street Address: '4 .. King Cty Assessor Acct #: oo'-j too - oo S5 ❑ Channelization /Striping /Signing ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) - No.: — Sizes: ❑ Flood Zone Control Hauling `g Land Altering 2. v cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times: Date: ❑ Sanitary Side Sewer- No.: Name: Street Address: Name: Street Address: ❑ Sewer ❑ Metro ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ New Building Square Footage: >>MISCE :INFOR MAT! ON'> >! �( Warehouse ❑ Manufacturing ❑ Remodel/ Addition King County Assessor's valuation of existing structures: $ UTILITY PERMIT APPLICATION Contractor's License #: 00 -- 27- }\T- SDoNvM Exp. Date: T7 ❑ Standby ❑ Single - Family Residential ❑ Duplex ❑ Apartments ❑ Triplex ❑ Condominiums Applir_ ^Flop # Phone: (206) 433 -0179 City /State/Zip:-•slw . , L . Phone No.: 7a8 o ?v /�( City /State/Zip: S.scrc va 1 181 ) Phone No.: City /State/Zi•• ❑ Sewer Main Extension ❑ Private ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑ Private ❑ Public ❑ Water Meter / Exempt:- No.: — Sizes* Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent - No • _ Sizes ❑ Water Meter/ Temporary:- No.: Sizes' Estimated quantity: Schedule: ❑ Other: Phone No.: City /State /Zip: Phone No.: City /State/Zip: ❑ Other: ❑ Church ❑ School /College /University ❑ Hospital El Other: Square footage of original building space: Square footage of additional building space: '7toa —Il 71. U.A. ?c313 3 ❑ Public Valuation of work to be done: $ 3 00 .64 04/22/92 SUBMITTAL CHL KLIST 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 • Identify public right -of -way and any easements • Use standard 24' x 36' sheets for all site plans CURB CUT /ACCESS /SIDEWALK 1 CHANNELiZATION /STRIPING /SIGNING O Dimensions O Type of surfacing • asphalt, crushed rock, etc.(and thickness) O Percent of slope and runoff direction O Size of curb cuts / locations O Vehicular and pedestrian traffic facilities, including signing and striping, wheel chair ramps, curb cuts O 20' of paving on all gravel driveways connecting to paved roads FIRE LOOP /HYDRANT O Type of pipe / hydrant O Size of pipe /location O Location and type of all valves O Type of bedding and backfill material / percent compaction O Distance from structures, storm and sewer facilities 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 eleva ions per Na tional o etiQ Vertical Datum (_LAND iiatitING.ACLEARING, CUT AND FILL) — 0 Corttotif mmap (2' intervals] sliAing Estimate of yardage, both cut and fill Ero ' nn control plan with temporary and permanent measures H ULIN +> ( 5uentities of materials to be hauled to and/or from site Copy of Certificate of insurance coverage (minimum $1,000,000) 1 ;2Y' $2,000 bond made out to the City of Tukwila for property damages caused by activities o t,.. --J6 Route map/ S 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 and meter box 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 material / 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 O Dimensions (L X W X H) of overall load sed contours SANITARY SI SEWER 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 existing system 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 existing system O Location of cleanouts and manholes O Type of bedding and backfill material /percent compaction STORM DRAINAGE (include existing topography and proposed grading and surfacing) O Type of pipe — concrete, ADS, etc. O Size of pipe / location O Percent of slope on pipe / length of run O Location of all structures O Square footage of area to be drained, including roof area O Type of bedding and backfill material / percent compaction 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 — copper, PVC, etc. O Size of pipe / location O Hydrant types and locations O Valve types and locations O Connection points) 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, service and meter box 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 and meter box 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 Alter t e u is Works Department has completed their review and the plans arp 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 resubmlttal requirements. t City of Tukwila Department of Public Works TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DIVISIOy DATE: AUGUST 21, 1992 Hauling Land Altering M E M O R A N D U M NOTIFICATION OF UTILITY PERMIT ACTION SUBJECT: UTILITY PERMIT AVAILABILITY /REQUIREMENTS Northwest Motor Welding 3400 South 150th Street Project No. P92 -0097 Contact Person: Jim Umbinetti Telephone No.: (206) 762 -1190 THE FOLLOWING PUBLIC WORKS PERMITS ARE AVAILABLE FOR ISSUANCE ACCORDING TO THE SITE PLAN APPROVED ON AUGUST 21, 1992: Permit fee $ 25.00 $ 55.50 TOTAL $ 80.50 John W. Rants, Mayor Ross A. Earnst, P. E., Director The Developer is referred to other City agencies, including the Fire Department and Building and Planning Divisions, for other requirements which may affect the commencement of this work. A copy of the confirmed Utility Permit Application Form and two (2) sets of site plans have been inserted into the permit file. JP /cd cf: City Utilities Inspector (w /copy of plans /application) Development file (w /copy of plans /application) CD.D18.NWNOTOR.UPA 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 431-3665 J Site Address: t) ^ O R MAT 10 N N ame of Prnionf • ' Property Owner: Street Address: Engineer: -Street Address: Contractor: Street Address: King Cty Assessor Acct #: 004 too — cpo s-s Contractors License #: 00— 27— 11 SD 0( 1 0 1ZExp. Date: RML: • RE DE . VlC Ltlit■fdS7 ED Water ESCRIPflONOE:.PRO 1E No. of Units: -"' • Commercial/Industrial INFORMATION City of Tirkwila [A pplication # Central Permie„ stem — Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 UTILITY PERMIT APPLICATION L.L.) . \ NN:SRMSL... "ri 3 o \1\I\ ° 50 0 \f \IN I c-sr . Cc r-a \t lx... r2x), Lcc... . 514 e). . O Channelization/Striping/Signing 0 Curb Cut/Access/Sidewalk 0 Fire Loop/Hydr. (main to vault) — No.: Sizes: O Flood Zone Control 0 Hauling )21' Land Altering Z 0 O Landscape Irrigation O Moving an Oversized Load Est. start/end times: Date: O Sanitary Side Sewer— No.: Name: Street Address: El Sewer El Metro cubic yards Applicant/Authorize _Agent Signature Print Name: Date: ' `7,, Phone: 1 - Date Application Accepted: c A F El Standby 1:1 Motel C=1 Triplex El Single-Family Residential ID Multiple-Family Dwelling O Hotel El Duplex El Apartments CI Condominiums Phone No.: City/State/Zip: Phone No.: City/State/Zip: • Phone No.: City/State/Zip: Phone No.: City/State/Zip: CI Other: O Manufacturing El Hospital O Other: Date Application Expires: Phone: (206) 433-017' C s , u..A4 ce8 Sewer Main Extension ElPrivate El Publ; O Storm Drainage O Street Use O Water Main Extension OPrivate El Publ El Water Meter / Exempt:— No.: Sizes_ Deduct 0 Water Only 0 O Water Meter / Permanent — No • - Sizes O Water Meter/ Temporary:— No.: Estimated quantity: Schedule: O Other: Warehouse Cl Church CI School/College/University El Office Cl Retail El New Building CI Remodel/ Square footage of original building space: Square Addition FQPILW Square footage of additional building space: King County Assessors valuation of existing structures: $ Valuation of work to be done: $ 3 •i od REC YICEOTiF. . ' Contact Person (print name): Z , NN. t c Address: . c,.L Lb c r V3k.k Phone: (3 04/22/S Street Address: Engineer: Street Address: Contractor: Street Address: :WA d E P :REFUND /BILLI O;N T E RVIC .............. I5 LUNGS TO ?' >` ?> Street Address: ❑ Water ❑ Sewer ❑ Metro ❑ Standby MISCEL EOU INFORMATI>? T City of Tukwila Central Permit System – Engineering Division Vo(a-LT;q7 6300 Southcenter Blvd., Suite 11100, Tukwila, WA 98188 6Q ° a'"? $ Phone: (206) 433 -0175 ESCRIPTION OF >P ❑ Multiple - Family Dwelling No. of Units: E Commercial/Industrial Street Address: Name: ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ New Building Square Footage: King County Assessor's valuation of existing structures: I HEREBY:. CERTIFY THAT I HAVE READ TI Application # UTILITY PERMIT APPLICATION Site Address: 3'- o j 1 S IN FORMATI O N N of Project:. o�wwr- r 1tw -4a�c � Property Owner: . \ ost 3c1 oo- \So �o�i�. - rr� Sc - V VW 011-E C-1 '='1 -1 S.). 5 %-- - 1 .- 5 • 5 c , \ M Ruz.c.rc_ \o., s�� . 3- 1 ),D.. S ST A- R MI,TS<< ❑ Channelization /Striping /Signing . 0 UESTED ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) – No.: Sizes: ❑ Flood Zone Control 02/92.. Hauling Land Altering Z o v cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times* Date: ❑ Sanitary Side Sewer– No.: Name: King Cty Assessor Acct #: ooLj t ao -- 00 5'5 Contractor's License #: 00– AZT– }AT= SaoyY xp. Date: 9/a a /9'2 ❑ Single- Family Residential ❑ Duplex ❑ Triplex ,E( Warehouse ❑ Manufacturing ❑ Remodel/ Addition °LiCATION AND. ❑ Apartments ❑ Condominiums Sewer Main Extension ❑ Private ❑ Publi ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private ❑ Pull ❑ Water Meter / Exempt: – No.: Sizev— Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent– No • _ Sizes. ❑ Water Meter / Temporary: – No.; Sizes:_ Estimated quantity: Schedule: ❑ Other: ❑ School /College /Universit ❑ Other: Square footage of original building space: ❑ Church ❑ Hospital Square footage of additional building space: Valuation of work to be done: $ 3 4/ ado Phone No.: City /State /Zip:'Tt-w\ui . l . Phone No.: '7a 8 - o ? e-( City /State /Zip: �`ra�sZ f� via . 181 Phone No.: 7 ;- I 1 9, 0 City /State/Zip: 'F,O.K\rc u34 . Phone No.: City /State /Zip: Phone No.: City /State/Zip: ❑ Other: )IREC; Contact Person name): -3---\ �tzr C col -. Applicant /Authorized Agent Signature: Print Name: ca Address: Co , Rd440.S -v..)-% Date: 8 - to - -`�..., Phone: 1Ga -• \Lqp cj T - 1,..i `r8t'b l Phone: VDa- - 119t. Date Application Accepted: Ct „� ��- RiIMIL!. Date Application Expires: !� C C, Street Address: Engineer: Street Address: Contractor: Street Address: :WA d E P :REFUND /BILLI O;N T E RVIC .............. I5 LUNGS TO ?' >` ?> Street Address: ❑ Water ❑ Sewer ❑ Metro ❑ Standby MISCEL EOU INFORMATI>? T City of Tukwila Central Permit System – Engineering Division Vo(a-LT;q7 6300 Southcenter Blvd., Suite 11100, Tukwila, WA 98188 6Q ° a'"? $ Phone: (206) 433 -0175 ESCRIPTION OF >P ❑ Multiple - Family Dwelling No. of Units: E Commercial/Industrial Street Address: Name: ❑ Hotel ❑ Motel ❑ Office ❑ Retail ❑ New Building Square Footage: King County Assessor's valuation of existing structures: I HEREBY:. CERTIFY THAT I HAVE READ TI Application # UTILITY PERMIT APPLICATION Site Address: 3'- o j 1 S IN FORMATI O N N of Project:. o�wwr- r 1tw -4a�c � Property Owner: . \ ost 3c1 oo- \So �o�i�. - rr� Sc - V VW 011-E C-1 '='1 -1 S.). 5 %-- - 1 .- 5 • 5 c , \ M Ruz.c.rc_ \o., s�� . 3- 1 ),D.. S ST A- R MI,TS<< ❑ Channelization /Striping /Signing . 0 UESTED ❑ Curb Cut/Access /Sidewalk ❑ Fire Loop /Hydr. (main to vault) – No.: Sizes: ❑ Flood Zone Control 02/92.. Hauling Land Altering Z o v cubic yards ❑ Landscape Irrigation ❑ Moving an Oversized Load Est. start/end times* Date: ❑ Sanitary Side Sewer– No.: Name: King Cty Assessor Acct #: ooLj t ao -- 00 5'5 Contractor's License #: 00– AZT– }AT= SaoyY xp. Date: 9/a a /9'2 ❑ Single- Family Residential ❑ Duplex ❑ Triplex ,E( Warehouse ❑ Manufacturing ❑ Remodel/ Addition °LiCATION AND. ❑ Apartments ❑ Condominiums Sewer Main Extension ❑ Private ❑ Publi ❑ Storm Drainage ❑ Street Use ❑ Water Main Extension ❑Private ❑ Pull ❑ Water Meter / Exempt: – No.: Sizev— Deduct ❑ Water Only ❑ ❑ Water Meter / Permanent– No • _ Sizes. ❑ Water Meter / Temporary: – No.; Sizes:_ Estimated quantity: Schedule: ❑ Other: ❑ School /College /Universit ❑ Other: Square footage of original building space: ❑ Church ❑ Hospital Square footage of additional building space: Valuation of work to be done: $ 3 4/ ado Phone No.: City /State /Zip:'Tt-w\ui . l . Phone No.: '7a 8 - o ? e-( City /State /Zip: �`ra�sZ f� via . 181 Phone No.: 7 ;- I 1 9, 0 City /State/Zip: 'F,O.K\rc u34 . Phone No.: City /State /Zip: Phone No.: City /State/Zip: ❑ Other: )IREC; "X" Permits Date Routed to PWD Date Plans Approved Permit Number Approved Plan /Letter Date Issued , s):ed. Channelization / Striping / Signing '/2 /92- Curb Cut / Access / Sidewalk Fire Loop / Hydrant Flood Zone Control Hauling Ph - 0.2-¢1 /oW 9a — D.24 x Land Altering C c, C y, Landscape Irrigation Moving an Oversized Load Sanitary Side Sewer . Sewer Main Extension (private) Sewer Main Extension (public) Storm Drainage Water Main Extension (private) Water Main Extension (public) Water Meter (exempt) Size No. 0 Deduct ❑ Water only • Water Meter (permanent) size No. Water Meter (temporary) Size No. Other: Other: Date Plans Received Type of Review Date Routed to PWD Date Plans Approved Date Resub. Requested Comments cr i3 /9Z , s):ed. 8//3/9z '/2 /92- Plan Check No. PciA -0 699 faa7� Pro ect Name or+hwe i Mol Weld( n9 loci ti t ? S Lt 5sss t (5Qf/ Suite No. ROUTING PERMITS REQUIRED City of Tukwila •Public Works Department 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: (206) 433 -0179 UTILITY PROJECT TRACKING CHECKLIST CONDITIONS OF PERMIT ISSUANCE OR FINAL SIGN -OFF OF PROJECT HAULING HAULING FWD Permit No: PW92 -0241 Issue Date: Status: k ISSUED Approval 08/241 Parcel Na: 004100 -0055 ppr�oval Letter: 08/21/1992 08/24/1992 Expires: 10/24/1992 Site Address: 3400 S 150 ST Location: INSIDE BUILDING UNDER FLOOR SLAB Start Time: Bond Number: B2372262 End Time: Signature: TENANT NORTHWEST � r • . �..: _ ....�... + •=z. ST MOTOR WE�L'DI•N• G��• "' '• �. 400 S 150 ST ,,.� ENGINEER DAMES & M 0 0 ,,.'x�Tt W k�I`LA WA , . ,; ;� . ,R E f`� '�''�' 'r ` . 3 - ' �" : '•' „ }� �� .r ' ' 3 � phune (206) 7tL' -0744 500 MARrET;.;PL' E TpWE.R, : ;2025,.,F.IR'aT, AVE, ' ..9,8121 CONTACT UMBINETWJIM 'Phone:'' 762 -1190 54 SO.ADAWSON ST.,,. SEATTLE, WA. 98134 CONTRACTOR NORTHWEST ENVIROSERVICE, INC Phone;:'; 206 :7:62 -1190 54 S, DAWSON ST; SEATTLE, WA 98134 *****************************4********************************* ,'k' k k • * 'k . ■ P1J n' C,iieck Irsipect,i� Fee. •" �+!c ,0t7 her Fee' . ! T'0 TA FEES: . L FEE' . :, . • ' t ''. ** * * * ** ** / * * ** •k *•k* *** *_k. *k *. * * **'k ***k,•** k* k k k* k *'k* k. * : . 'k'k'.Jt'k'k * ** 1,''A VC ' � j � * � k k * **** The under s igned hereby a� p l i tor;r i i pe. s,ion;tt0,.- • haul i:ng r,' '' map in a'cc'ordanc;e w'i• tit -... the " 'f,al,low,i'ng, cori`ii'iti'ons: y 31:x r .., 1- Flagging, �sign'ing and con'i`n'gcha be i wi MUTCD.for'1•traffic 2- Contractor shall pro'i'd'e ,ce,rtit•'ie,d`,flaggien, far ;- traffic control ' ,'Ni 3- Sweep or,otherwis'e clean ; st.r�reets t'o` of ,Public Wo,r:s each night ; •r,ounidph a uli.ng route (no flus'h'ing�al'lowe' ) , . •, • , }; / 4- Notify tc,i,'ty.itncp 'ector before 12.01 k, + ?„y l n_auii o,n'•.� rida,y ,prece'ding..,.,any ;we.ekend work . •� ..,. ., r '_� �� .; ;�; 5- Permit is ? between the weekday ?hours ;of 7 00a m'. and '�J 30 "p'. m. only'. 6- Clean and;;r,emove debris from city ca n;: tcht basins iarid around hauling .routes. l'� , °� � ,, �' ,.n .4 t. $ ,is ,•« 7- Provide adequate t;em access 'as not to i nterfer:.e wi th other vehicle movement or'',ca�use 'tr •ticks to`':travel over curbs, 8- All vehicles ''i» ust n a'k "e. complete =stops prior;' to enter�.i'n'g" puu'l; c right -of -way. + :'`' ' - .. * * * * * * + : . ' j as :. + °. i t ;;F:;g , / �:i '• ; ,,y� • 'r iti •ti * * ' -:lrt ' t t �I.: ,,.4 * * * * * * * t ,5 k i f .. -• r • k • k • k • k • k • k • k • k • k • k • k 'k * •k'•k * '•k:•k.•k *' °k *� *;, *'•k •k;• * * • ' k °•k • k •k •k •k 'k:•k;k��S''k,l�•* * •k *'k * •k •k * •k •k * * * * •k •k *'k * * THE APPLICANT MUST NOTIFY THE• I; NS. P: EC,TO,.,OF :• .C.OMMEN.CEMENT AND COMPLETION OF WORK AT •LEAST 24 HOURS IN ADVANC .4,33,` (),T9.: Date: ,5-24 **************• k• k*****• k***************• k**• k********' k***** * **** **•k *'k•k•k * * * * *•k•k * *•k** APPROVED FOR ISSUANCE BY: JAP 9-- 155 u ed By: J\i - uthorized•Permit C- ter Signature Date * *•k *** * * *'k•k * *** ** * ** ** ** **- k ** * * * * * * *** 4k ************** *•k* *•4•**** *'k *•k *•k **•k * *•k** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for the project approved herein. Final Inspection Approved By: LAND ALTERING Permit No: PW92 -0242 Status: ISSUED Project: NORTHWEST MOTOR Address: 3400 S 150 ST Location: INSIDE BUILDING UNDER FLOOR SLAB Parcel #: 004100 -0055 Wetlands: Water•cp,u,r.s.e:: Slopes: Contractor. NORTHWEST ENVIRU. SERVI "':, e• .INC :`' No NORTHTS204M8 TENANT NORTHWEST :MO70R" WELDING 3400 S , ,.1'5OE S1`, T:UK4II;LA., WA, `' ENGINEER DAME: &;rMOORE - . ,,.: °i P.h,of�e: (206)728 -0744 500�,.,M�' KET4': PLACE r TOWER , 2025 FIRSTL V t'. • ;AR ,,, .A E,• SEAT7'L�E�t'9,8121 CONTACT UM &1 J'IM'k ., . ,:. '� <. < ,;r� � ) -1 1 9Q Phone`. f 2Q6 762 5!;,,' *'b. DAW.SON ST,..'* SEATTLE. 98134 ; ,r '' ':", 5`1,. CONTRACTOR NU THWEST • ENVIROSERVME; `EI,NC. =5 Phone: '206 762 -1190 ``'5'4� S DAWSON .,ST, SEATTLE, WA e981'4 �:: ` '.," % v , `. . ei ****' k**• k****! k'('**' k' k* *•k1'k'k;k'k•k'kle*.J 1' k' k** e'k' kk**• k*• k***' k* ft*' k *•k *.tk °k**** Additional „ Y `,:... ' REMU' E AND,: R EPL 7 ACE CON.TAMINATE Grading/F01 (V'a•v.rl._ 1 1.• '-"N ?f1l1{ Fill,/, .... Total Q { :oUnt No: 000/322. �iu'n t No: 00'0/34 5 830 : 0 her:.1 :r J" :�', t r: ,'... , Acco,unt No 000/38b...904;` , .Va 1 cca'r:-i' 00 11 I hereby clr yiat I have read and 'eXamixedith-i.s....permit"and,,Mow}kthe same to be tru4,,IA'nd.eekrect. All provisions 'Of:':', otidinanCesf:goverr4ng this provisions q other 'state or localfavikfeguiatl or the Altering permThiS4pArmit?, become null anOoid the,.".Wk is not THE APPLICANT MUST"NATIFY THE CITYZINSPECTORAF COMENCEMENVAND COMPLETION OF WORK AT LEAST 24 HO R-S ADVAN,CER 433-0179. _ _ --_-� *A** •k 'k 'k 'k * * * * * * k`•k:k k; k *5 *)* *. * ' k :k''k' k' •k'•k •k •k . k •k k •k •k •k •k •k * k k 'k •k 'k •k * * •k •k * * •k •k 'k APPROVED FOR SSUANCE : JAP Issued: 08/24/1992 Approval Letter: 08/21/1992 Expires: 02/20/1993 P wD Issued By: j JG Date: Authorized Permi Center Signature . ' A' A' k****' k***• k * * *•k* **'A'k'k'A'k*'A* *'k *** ******' k' k****' k***'k' k*' A' A' k• k**'A'A'Ak**'k*'A *'k'Ak•k **'k** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for this project approved herein, Final Insp Approved'By: Inspector :signature Date: ******** k*********** k*** Jr********** ****** *****k** ITY OF TUKWIL.A, WA TRANSMIT * ** * * * *** ** ** ************ k*** k*** •* * * **k*** ********* *k* ********* TRANSMIT Number: 92000905 Amount: 30.00 08/31/9,2 12:10 Permit' No B92-0278 Type: B- BUILD BUILDING PERN➢9!102/92. ptrc;el Noa. 0041.00 -0055 Address,e 3400 S 150 ST Payment , iethoda CHECK Notation: NW ENVIROSER.VXCE Iri.it: SAO It*.* k*** k**************** k* *k** **** * *kk** *k **** * **** *4 **** ******* Account Code - Description. P a i d 000/322.100 BUILDING - NONRES 30.00 Total (This Payment): 30.00 Total Fees: Total All Payments; Balance: 857.33 857.33 .00 GENERA 30.00 TOTAL 30.00 CHECK 30.00. CHANGE 0.00 2991A000 10:40 Total Fees: Total All Payments: Balance: 516.83 201.83 315.00 1** ****•*********************** k*• ********* ******h **** * **k******* ITV OF TUKKWILA, WA TRANSMIT h* * *** ** ***k * ** ** * ** * **** h * * *k•* ** * * *** * * * *** * ** * ** k**** * k ** *•k* ** TRANSMIT Number: 92000832 Amount: 201.83 08/13/92 09:28 'Permit No: 892-0278 Type: 8 -BUILD BUILDING PERWA / Parcel Na: 004100-0055 Site Address: 3400 S 150 ST Payment. Method: Natation 4D FAVIYD k.Ut�C:2. Irtit« ***•****************** ** **** * * * ** * * * * ** *** * * ** * * * * * ** *fir *•** * * *•k * ** Account Cade Description 000/345.830 PLAN CHECK - NONRES Total (This Payment): Paid 201.83 201.83 GENERA 201.83 TOTAL. 201.83 CHECK 201.83 CHANGE 0.00 2440A000: 09:07 S Account Code 000/322.100 ,000/366.904 F ie**•* A' **hkk************* ***k ***** **** uric******** ************* **** ;ITV OF TUKWILA, WA TRANSMIT ***************** k;* h*******: 4***** * * * *, * * * * * *** * ** * ** * * ** ** * * **k* TRANSMIT Number: 92000800 Amount: 625.50 08/24/92 16:49 Permit No: B92-0278 Type: B -BUILD BUILDING PERMIT Parcel No: 004100-0055 Site ;.Address: 3400 8 150 ST Payment Method :. CHECK, Notation: 'NW ENVIROSERVICE k *kk**** ** * ****k* * * * * * *k* ** ** hk** ***kk* ** * * ** *fie * * *h * * **k * *7t **k Total Fees: Total All Payments: Balance: Description BUILDING -- NONRES STATE BUILDING SURCHARGE Total (This Payment): 827.33 827.33 .00 ].n i t� : 6 DL M (. Paid 621.00 4.50 62'3.50 ,;;; GENERA 625.50 GENERA 55.50 GENERA 25.00 TOTAL 706.00 CHECK 706.00 CHANGE 0.00 2781A000 08 :50 * k***** # * ***** , *****k f***** h********* *k•****rt * ** *** ***** CITY OF TUKWILA, WA Reprinted:. 08/24/92 16:59 TRANSMIT ***** k* ** h******k***k**** ** * * * **k** * * *h * * * * * *** ****k**** 'TRANSMIT Number: 92000882 Amount: 55.50 08/24/92 16:53 Permit Na: PW92-0242 Type: PW-LA LAND ALTERING PERMIT Parcel No: 004100 -0055 Site, Address: 3400 S 150 ST Location: INSIDE BUILDING UNDER FLOOR SLAB Payment Method: CHECK Notation:.ENVIROSERWICE Init: DLM * * * * * * * *,• * * ** * * ** * * ** *• ******k*** * * * * * * * * * * * ** * * * * * * * * * * *iA* ** Account Code Description Paid 000/322.100 BUILDING - NONRES 31.00 000/345.830 PLAN CHECK - NONRES 22.50 Total (This Payment): 55.50 Total . Fees: Total All Payments : Balance: 35.50 55.50 .00 ?,?/ . laic l Total Fees: Total All Payments: B.aiance: 25.00 25.00 .00 ********• h******************** k**h* k **•h * * * * *&* * * * * ** * ** **h * * * *h* x < OF. TUKWILA, WA TRANSMIT / C*** k************************* **k * * **** *h* **** * * * ** *h ** **k* tRANSMIT Number: :)2000881 Amount; 25.00 08/24/92 16:51 Permit No: PW92-0241 Type: PW -HAUL HAULING Parcel No: 004100 -0055 Site Address: 3400 8 150 ST Location: INSIDE BUILDING UNDER FLOUR SLAB Payment Method: CHECK Notation: ENVIROSERVICE Init: DLM * * * * ** * * *,k**** * * *** *.h *A * * * * ** * * * * *** *•hA **A * *k ***A **• *** * * *A* ** Account Code Description Paid 000/345.830 PLAN CHECK - UTILITY 10.0() 000/342.400 INSP FEE •- UTILITY 15.00 Total (This Payment): 25.00 e �l��laa Address: 3400 S 150 ST Tenant: NORTHWEST MOTOR WELDING Type: B -BUILD Parcel #: 004100 -0055 CITY OF TUKWILA Permit No: 892 -0278 Status: ISSUED Applied: 08/13/1992 Issued: 08/24/1992 •k lt***k** **•kk****•k*** * k* k*• k***********• k*•****** *k *k*k*•k **kk*** *k* Permit Conditions: 1. IF ADDITIONAL EXCAVATION BEYOND 200 CUBIC YARDS BECOMES NECESSARY, THE CONTRACTOR SHALL IMMEDIATELY NOTIFY JOHN PIEROG AT 433 -0179 OR RISK HAVING THE LAND ALTERING PERMIT REVOKED: 2 . No changes w i l l be • made -a to the plans unless ..:approved by the Architect and the';Tukwila Building Division. °,:'..:.:,;.. 3. All permits, inspection records, and approved plajs",:shall be maintained a.vai.labl.e at ' job:.. site prior to the 'sta.rt of any construction. ,. These-documents are to "be;'maintained available until•,final inspection approval is' granted. 4. When special inspection,_'is required either the owner, architect = %or : engineer shall notify. ;the Tukwila Building Divisi,o;n''/'of appointment of! :the inspection agencies prior to the f it et ,bui lding inspection'. Copies of all special inspe'.ct shall ` be submitted to the Building' Division in.a timely manner. Reports, shall contain address, project name, permit number; and type of inspection being performed, 5. The {``special inspector shall ;submit;,a final.. signed report stating whether the work requiring special inspection was, to at.he best of the inspectors', know;ledge, ' in.,conformance with approved plans and specIflcations.nd. the applicable work -. manehip''provisions,of the, UBC 6. Allts,tructural° concrete',shall be' inspected (Sec ' 306 (a) ,. UBC) i 7. All structural welding shall be done'`by ,W.AB.O. certified welderAand ;$pecial inspected (Sec: 306 (;a) 5 'UBC) . 8. SubgrOde preparation including drainage,' excav,ation, compac and fill requirement. sha:l 1, conform :st'ri ct ly wit recommendations ,given i n the soils report. =;_ •Geotechni ca l engineer4`;wshall pro letter confirming the subgrade prepartati`o'n has' •been accomplished and is ,in accordance with the cond i ti, i and ; or the: - footing'' design by 'KPF_ Consulting Engineers. Letter shall bear the seal and',; signature of '`the: Geotechn i ca'l ,en'gGineer. This requirement will be a condi tion of final=' inspection approval .- 9. Notify the City of ,' ukw.i.l.a Building ''Division prior to placing any concrete , T h , l s - procedure ° 1 s' ` >i ' a d d i t i o n n to any requirements for special irspection 10. Validity of Permit. The issuance of a permit or approval of plans, specifications and computations shall not be con- strued to be a permit for, or an approval of, any violation of any of the provisions of this code or of. any other ordinance of the jurisdiction. No permit presuming to give authority or violate or cancel the provisions of this code shall be valid. COMMENTS: ype o nspedan ev.6 ‘-t Cr- t rtd -.S its. L o S g N 0 i G i arZ G I G w..1 4t.--- O rJ q /2.-25117— • PI Y Pr-t:.- "l r a ( A Nip r'; e -`zt-k (.("`1"1it - t /Nt' 6....E-- ,R,. - c- , ve0 . AJk ti-o r r C, R--_'t-v, ‘ ` .t- -- cTF- se t AL- 1 ra gP t'\.Z cA) u vo 1^1 PI 0) rJ Li to Ncz-eP ""1-o A P a...= A-i* c. *� P os-r t2, E' e RA. clorc am, .m. S.t IT` 6 SIN A fin?- I.SSU;- • Phone No.: ( . %.,-:-..-9 • ro ect: N ' /%J - t .A"Z.Q 1 ype o nspedan i� ress: itrU S- ISO 11: a .: •; Special Instructions: Date Wanted: Z. • / q - 93 am, .m. Requester: Phone No.: C CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 a Approved per applicable codes. Inspector: INSPECTION RECORD Retain a copy with permit • 561 2- 07-7 PERMIT NO. (20.6) 431 -3670 ❑ Corrections required prior to approval. Date: 4.2 4 53 ❑ $30.00 REINSPECTION, FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Project; vi �Y�- tCRIR- UV Z D i !�C "Type ofTnspedbn: R NIA Address: 3 S /-s0'� Date Called: Date Wanted: 2-/k - 93 am. p.m. Special Instructions: SwI Is* ►3 qNA FA- 1.)A -... LFT vn c r -- `ri4 O wTcow -- "r 70 K Nd►� Requester: ,�^ (� �t ,JG�TeN�- Phone No.: ?r / (D7 o. pU t3Ll C_ IJJd g_v-S INSPECTION RECORD Retain a copy with permit . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ltd Approved per applicable codes. Inspector: I Recept No.: ❑ Corrections required prior to approval. COMMENTS: �-t e i Li- ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. sq Ca 8 PERMIT NO. (206) 431 - 3670 Date: /2„5 ro ect: ype o nspe 7,. Address: ] -10 S , ( .. Date Called; Z ^ r i Special Instructions: Grp c oe 0A-... ' -, x.e C-)J64 . ed SI n: Date Wanted: 2 - /2.: 93 am. Requester: 1%Yl .- Phone No.: 640 -SE CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. COMMENTS:. ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ate: INSPECTION RECORD �, Retain a copy with permit 02.7 g PERMIT NO. (206) 431 -3670 ❑ Corrections required prior to approval. ,1A 1M1 ype o nspe. ion. ' al l 4 an;....... . - -.- / . // % i t � ii j r Date . e� : o . •e at In" ructions: Date Wante• - ` �" am. .m. Requester: Phone No,: ci C— ,-^ R Approved per appiicablVcodes. INSPECTION , RECORD Retain a copy with permit 4/ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -3670 ❑ Corrections required prior to approval. COMMENTS: ;;#7,6 y0, S 4 r '7t-i � c.���A-at.a s ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter. Blvd., Suite 100. Call to schedule reinspection. I. r ecC k f� u 10014 r ° u41tA 5r-0A' T p � of h n b,el� ( t; C��tt to Cal j--G � '", Is I b e a Instruc ons: • • I 441 1 t) , 1\. AN ? e4 Date Wanted:,. -- — ‘7?--- am)p.m. Requester: Phone r 7554- [Zc Approved per applicable codes. Inspector: INSPECTION RECORD Retain a copy with permit iNsPE CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431 -36 ❑ Corrections required prior to approval. COMMENTS: - 5 , � • ,{) C0-4 o - Date: 07., z �� Z ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. I Recept No.: Date: COMMENTS: '3 ,. /6.4 d., / A. ,/,',4. / -77t. or ,0 654 / 16 .4G 7 / � L rtJi?o 4 Gg2074,/ 7 4v r b'i 1.iCG/ dh , S i k . -ah -( 40-ll r , he j n ce....f� - 4,: )7� w , , -.400 h 0, S -' o 1 .6", 1 C' /e -- 4,'_( /20(2 - ' ' utri./ . /I d ��/",r7^ii ic #1 b ,0Ch A, 4 c„••/ f-- /-1 ,'l r, re ghcl �� ( n1 we o ,4 i , et- , hb. /�yl Oi l� 4,.,, ,�,��.. „ow > y' v / Shy, law% 0.-ells. -ells. / ` hi 4,1,,, .L .d. ,, c.-4 � uwd G .7e.s pc o ,S101 Lao. --.6 V- a.V;nt 5 c C v ' 4_ Jo /vice 12#,! S . G vde— )-'r n, .6 *e_,er^ " , l,.ro/2 0r o g 6 r �.)i, iii .4,- t /4#,w ,c;q, is . , csr -ti! , ZZ U1t it }Z c )L /OS-^ , S / i ro c k• _. ,, 1..r A.•�� ypeo ns coon; � cri, u'. /..,. -,. /( Ad# ress• �� Date Calie ; 8,// S pecIai Instructions: Date Wanted: 9 Requester: Phone No.: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ❑ Approved per applicable codes. ( INSPECTION RECORD Retain a copy with permit PERMIT NO. (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. Call to schedule reinspection. I Receipt No.: Date: Stop Work # J Y2 CITY OFT '' NILA BUILDING 13IVFSI6N 6300 SOUTHCENTER BLVD. TUKWILA, WASHINGTON 98188 TELEPHONE (206) 431 -3670 ALL PERSONS ARE HEREBY ORDERED'TO AT ONCE STOP WORK PERTAINING TO CONSTRUCTION, ALTERATIONS OR REPAIRS 50 4) ON THESE PREMISES AT THIS ORDER IS ISSUED BECAUSE /. .,,- WARNING: The failure to stop work, the resaning of work without f permission from the Builds g'Division;,or the removal, mutilation or concealment of this notice is pu' ishable by fine al nd imprisonment. • T February 15, 1993 Cert No. 9209 -02 City of Tukwila Building Department 6230 Southcenter Boulevard Tukwila, Washington 98188 Attention: Dave Larson Reference: Northwest Motor 3400 S. Permi Dear Mr. Larson: This is to advise you that special inspections are completed for the above referenced project. Special inspections were performed for the following activities and copies of reports have been sent to you. 1. Reinforced concrete cast in place All work inspected conformed to Tukwila Building and Land Development approved plans, specifications Director's Rules, SBC and related codes and /or verbal or written instructions from the Engineer of Record. Our last and only report is dated 9 -2 -92 and is number 76440. Respectfully, CASCADE TESTING LABORATORY, INC. Dennis H. Stack President DHS:lal CASCADE TESTING LABORATORY, INC. TESTING & INSPECTION / ENGINEERS / GEOLOGISTS 12818 N.E„ 126TH PLACE KIRKLAND: 12081 623 -9600 KIRKLAND, WASHINGTON 98034 FAX: 12061 623 -2203 No. B92 -0278 SEATTLE: 12061 825 -8700 EVERETT: (206) 259 -0817 RECEI FEB 1 7 1993 DE VELOPMENT Welding /P.O. #16373- 012 -005 TUKWILA BUILDING DIVISION NOTES THE ADDENDUM TO THE SCOPE OF WORK AT NORTHWEST MOTOR WELDING FACILITY IS APPROVED UNDER BUILDING PERMIT B92 -0278, SUBJECT TO THE FOLLOWING CONDITIONS. 1. THE INTERIOR OFFICE AREA WHICH WILL BE IN THE AREA OF PROPOSED WORK, SHALL BE SECURED FROM ON -SITE PERSONNEL UNTIL THE WORK IS COMPLETED AND THE TEMPORARY SHORING IS REMOVED. 2. BACKFILL UNDER SLAB AREA WILL BE COMPACTED TO 95% DENSITY PRIOR TO PLACING OF NEW FLOOR SLAB. DAMES & MOORE,INC. WILL SUPERVISE AND CONFIRM THIS PROCESS. 3. A FRAMING INSPECTION IS REQURIRED FOR THE NEW BEARING WALL TO BE CONSTRUCTED. MEMO FOR RECORD DATE; 8/12/92 FROM: BLDG OFFL SUBJECT: WORK WITHOUT A PERMIT AT 3400 S. 150TH ST (OLYUMPUS PRESS) , -D 178 FIRE MARSHAL CALLED ME AT 3:40 PM, 8/11/92, AND SAID ONE OF THE FIRE DEPT INSPECTION CREWS WERE REPORTING A POSSIBLE DANGEROUS ROOF CONDITION THAT THEY NOTED DURING A ROUTINE INSPECTION. THE CREW WAS STILL ON THE SITE AND WERE REQUESTING A BUILDING INSPECTOR TAKE A LOOK AT IT. I CONTACTED DAVE LARSON (BLDG INSP) AND HE DEPARTED FOR THE SITE AT 3:44. DAVE CALLED BACK AT 4:10 REPORTING THAT HE THOUGHT THERE WAS A POTENTIAL PROBLEM. EXCAVATION WORK WAS BEING ACCOMPLISHED INSIDE THE BUILDING, IN CONJUNCTION WITH SOME SORT OF CONTAMINATED SOIL CLEANUP PROJECT, AND A PORTION OF THE CONCRETE FLOOR AND A FOOTING FOR A ROOF SUPPORTING COLUMN HAD BEEN REMOVED. THERE WAS NO RECORD OF ANY PERMITS FOR ANY OF THIS WORK AND DAVE SAID THE TEMPORARY SUPPORT OF THE ROOF MIGHT NOT BE ADEQUATE. HE SAID THERE WERE NO NON - CONTRACTOR WORKERS IN THE IMMEDIATE VICINITY BUT THERE WAS PORTION OF THE BUILDING AT THE FAR END WHERE NON - CONSTRUCTION PERSONNEL WORK. DAVE'S CONCERN WAS THAT IT APPEARED THE TEMPORARY BRACING LOOKED LIKE IT MIGHT BE OVERSTRESSED AND HE THOUGHT THAT IF THE ROOF COLLAPSED THERE WAS A POSSIBILITY IT MIGHT AFFECT THE AREA WHERE THE PEOPLE WERE WORKING. I RECOMMENDED THAT HE AND THE FIRE DEPT PERSONNEL CONTACT THE MANAGER AND HAVE THEM EVACUATE THE BUILDING UNTIL A BUILDING PERMIT WAS OBTAINED, WHICH WOULD REQUIRE DOCUMENTATION BY A LICENSED STRUCTURAL ENGINEER CERTIFYING TO THE SAFETY OF THE ROOF AND TEMPORARY BRACING. I TALKED TO DAVE AGAIN AT 5 PM, JUST BEFORE GOING HOME, AND HE SAID THEY HAD POSTED A DANGEROUS BUILDING TAG, ROPED OFF THE AREA, AND THE BUILDING HAD BEEN EVACUATED. HE SAID SOMEONE WOULD BE IN TO FIND OUT WHAT WAS NEEDED AND APPLY FOR PERMITS THE NEXT MORNING. FRED BENZ FROM NORTHWEST ENVIROFIELD SERVICES CALLED THIS MORNING AND SAID THEY HADN'T REALIZED THEY NEEDED A BUILDING PERMIT BUT HE AND THE STRUCTURAL ENGINEER WOULD BE IN THIS MORNING TO DISCUSS THE SITUATION. HE, BRUCE ERICKSON (KPFF CONSULTING ENGINEERS, AND DENNIS O'NEILL FROM DAMES & MOORE CAME IN ABOUT 9:45 AM. WE HAD A MEETING ATTENDED BY THOSE THREE PLUS MYSELF, BOB BENIDICTO (SR PLAN CHECKER), AND JOHN PIEROG FROM PUBLIC WORKS. DURING THE MEETING THE FOLLOWING THINGS WERE DISCUSSED: O'NEILL DESCRIBED THE REASON FOR THE EXCAVATION INSIDE THE BUILDING (REMOVAL OF CONTAMINATED SOILS). HE SAID THE SOIL RECEIVED CITY OF ruf;wIIA AUG 13 1992 WAS BEING LEGALLY REMOVED FROM THE AREA AND WOULD BE LEGALLY DISPOSED OF. JOHN TOLD THEM THEY WOULD HAVE TO GET THE APPROPRIATE PUBLIC WORKS HAUL PERMITS, POST THE REQUIRED BONDS AND INSURANCE DOCUMENTS, AND SAID HE WOULD CHECK ABOUT THE NEED FOR A LAND ALTERING PERMIT. O'NEILL SAID THEY WERE CONCERNED ABOUT BEING ABLE TO ALLOW THE OLYMPUS PRESS PEOPLE BACK IN THEIR AREA TO WORK. I SAID WE WOULD NEED A SIGNED STAMPED STATEMENT FROM THE STRUCTURAL ENGINEER INDICATING THERE WOULD BE NO DANGER TO THAT PORTION OF THE BUILDING IF THE OTHER PART OF THE ROOF WAS TO COLLAPSE. HE INDICATED THE ENGINEER WOULD GO TO WORK ON THAT IMMEDIATELY AND WE SHOULD HEAR SOMETHING BEFORE THE END OF THE DAY. O'NEILL ASKED HOW LONG IT WOULD TAKE TO GET THE PERMIT AND I TOLD HIM WE WOULDN'T BE ABLE TO GET IT ISSUED BEFORE NEXT WEEK AT THE EARLIEST. HE SAID HE DIDN'T HAVE A PROBLEM WITH THAT AND THEY COULD PUT THE PROJECT ON HOLD UNTIL THEY OBTAINED THE PERMIT. I TOLD HIM HE SHOULD INDICATE IN HIS PERMIT APPLICATION THAT THE WORK WOULD RESUME TO GET THE REMOVED ROOF SUPPORT COLUMN BACK IN PLACE AS SOON AS THE PERMIT WAS ISSUED. HE HAD NO PROBLEM WITH THAT AND UNDERSTANDS MY CONCERN IS THAT I DON'T WANT THE TEMPORARY SUPPORT TO REMAIN THERE ANY LONGER THAN ABSOLUTELY NECESSARY. THE PERMIT APPLICATION MUST ALSO INCLUDE THE ENGINEERING FOR THE TEMPORARY SUPPORT NQW IN PLACE. /e):0 . THE MEETING ENDED ABOUT 19430 M. x October 28, 1993 Ms. Karen Rutka Willis Caroon P.O. Box C 34201 Seattle, WA 98124 City of Tukwila Department of Community Development Rick Beeler, Director RE: Bond release Enviroservices Dear Ms. Rutka, The City of Tukwila releases the Bond (#2372262) provided for the Home Depot Project. Permit number PW92-0241. This project has been completed and signed off by the Public Works inspector. All conditions and requirements have been met for the hauling permit. If you have any questions or need any further assistance please contact me at 431-3672. ) eLiet sirerel /,1„4/144-e Denise Millard Permit Coordinator City of Tukwila John W. Rants, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 4313665 AMMO. CERTIFICA'T( OF INSURANCE ISSUE D T /12/92 E j2 M /DDIYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND WILLIS CORROON CORPORATION OF SEATTLE P.O. Box C -34201 Seattle, WA 98124 (206) 386 -7400 INSURED NORTHWEST ENVIROSERVICE, INC. P.O. Box 24443 Seattle, WA 98124 COMPANY A LETTER PI COMPANY B LETTER COMPANY `, LETTER COMPANY D LETTER COMPANY E LETTER COVERAGES 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 ' LTR, TYPE OF INSURANCE i GENERAL LIABILITY B1 X ;COMMERCIAL GENERAL LIABILITY GLCM 340 -4360 I X !CLAIMS MADE, OCCUR. 1 OWNER'S & CONTRACTOR'S PROT. x WA Stop Gap x Contractual Liability AUTOMOBILE LIABILITY B x ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON•OWNED AUTOS GARAGE LIABILITY x , Form MCS - 90 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM ;OTHER A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY Contractors Pol Liabi CITY OF TUKWILA Dept of Public Works 6300 Southcenter Blvd Tukwila, WA 98188 Attn: John Pirog FAX delivery: 431-3665 ACORD 25•S (7/90) 1. CA 277 -0869 2. CA 277 -0870 U•S.L. &H. 159100201 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM /DD /YY) DATE (MMIDD /YY) 10/31/91 CPL 716 -6664 09/01/91 CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE COMPANIES AFFORDING COVERAGE National Union Fire Ins. Co. Commerce & Industry Eagle Pacific Ins. Co. 09/01/91 09/01/92 Duncan Bronson 10/31/92 09/01/92 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GENERAL AGGREGATE $ — 27000;00 $ 2,000,000 $ 2,000,000 $ 2,000,000 50,000 5,000 PRODUCTS•COMP /OP AGO. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) BODILY INJURY (Per person) BODILY INJURY (Per accident) $ S PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ STATUTORY LIMITS EACH ACCIDENT $ DISEASE — POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ $1,000,000 Each Loss $5,000,000 Total All Losses DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS AS RESPECTS THE GENERAL LIABILITY AND CONTRACTORS POLLUTION LIABILITY POLICIES, IT IS AGREED THAT THE CITY OF TUKWILA IS INCLUDED AS AN ADDITIONAL INSURED, BUT ONLY AS RESPECTS OPERATIONS PERFORMED BY THE NAMED INSURED IN CONNECTION WITH NORTHWEST MOTOR WELDING REMEDIATION. MED. EXPENSE (Any one person) $ COMBINED SINGLE _1 2,OUO7000 09/01/91 09/01/92 LIMIT 2=• 5,000,000 500,000 500,000 500,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 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. ©ACORD CORPORATION 1990 WILLIS CORROON Attention Mr. Fred Benz •sv• TRANSMITTAL RECORD To Northwest EnviroField Services Date August 13, 1992 Insurance Certificate and 54 South Dawson Re Bond to Perform Work on City Right- Seattle, WA 98134 of- Way /City of Tukwila P 9 - 0°11 Willis Corroon Corporation of Seattle 701 Fifth Avenue; 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206- 386 -7400 Fax 206 -386 -7960 Transport of Contaminated Soil We are pleased to enclose the following: Executed Bond to Perform Work on City Rights -of -Way with attached Power -of- Attorney. Remarks Please have this bond signed prior to filing it with the City. By Xi : Karen Rutka, Account Manager INSURANCE BONDS BENEFITS RISK MANAGEMENT Bongo. B2372262 FOND) TO 'r SRFORM ' ON CITY RIG -OF-WAY KNOT! ALL MEN BY THESE PRESENTS: That we NORTHWEST ENVIROSERVICE, INC. RELIANCE INSURANCE COMPANY As principal, and A corporation organized and existing under and by virtue of the laws of the State of Pennsylvania , authorized to do, and doing business as a surety company fn the State of Washington, as surety, are held and firmly bound unto THE CITY OF TUKWILA, a municipal corporation of the State of Washington, in the penal sum of Two Thousand and No /100 ( $2,000.00 •) Doilars, for t payment of which, well and truly to be made, we firmly bind ourselves, our and each of our heirs, executors, administrators, and assigns, jointly and severally by these presents. Sealed with our seals and dated this 13th day of August 19 92 The condition of the foregoing obligation is such that, Whereas, the above -named principal has applied for a permit to do certain work on a City of Tukwila roadway, street, alley, avenue or other public place known as various roadways used in the transportation of contaminated soil NOW, THEREFORE, if the above -named principal shall indemnify and save harmless the City of Tukwila from all claims, actions or damages of every kind and description which may accrue as a result of opening and /or work - ing.upon any roadway, street, alley, avenue or other public place, by him or those in his employ, in installing or making connections with any public or private sewer or water system, or any other purpose or object whatever, and that he will replace and restore such roadway, street, alloy, avenue or other public place to as good a state or condition as at the time of the commencement of said work, and maintain the same in good order to the decided• satisfaction of the City of Tukwila Director of Public Works and that he will comply with all the provisions of his or their franchise or permit, and all resolutions or'instruments relating thereto, then this obligation to be void, otherwise" to remain in full force and effect. 11/17/59 NORTHWE T'ENV '•. RVICE L INC. Pri • �. B RELIANCE INSURANCE COMPANY By: Karen P. Rutka, Attorney -in -Fact EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MWDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE � $ 1.,000,000__.___ C . x _ COMMERCIAL GENERAL L IABILITY GLC 7901671 09/01/93 09/01 /94 PRODUCTS-COMP /OP AGO $ 1.,000,000 _ _ xJ CLAIMS MADE pi OCCUR PERSONAL a ADV INJURY $ 140.00 5000__:..__ __ OWNER'S & CONT PROT EACH OCCURRENCE__ _ $__1,000,000__ x WA Stop Gap FIRE DAMAGE (Any one Ilre) $ MED EXP (Any one person) M 50,000_____ $ 5,000 AUTOMOBILE LIABILITY g J ANY AUTO BAP 7901672 09/01/93 09/01/94 COMBINED SINGLE LIMIT $ 1,000,000__ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) • $ X HIRED AUTOS BODILY INJURY $ x NON -OWNED AUTOS (Per accident) x Form MCS- 90/CA9948 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $ �^ ANY AUTO OTHER THAN AUTO ONLY: . EACH ACCIDENT $ _ ^ ^_ – AGGREGATEI $ EXCESS LIABILITY 'EACH _OCCURRENCE $ 4, 000,000 A UMBRELLA FORM CC 7929722 09/01/93 09/01/94 AGGREGATE $ 4,000,000 _ X OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS /EXECUTIVE - - -- INCL DISEASE • POLICY LIMIT $ -- — DISEASE - EACH EMPLOYEE OFFICERS ARE: EXCL $ OTHER A Environmental PEC 7901669 09/01/93 09/01/94 $5,000,000 Each Loss Pollution & $5,000,000 Total All Losses Professional Liability DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS As respects the General Liability and Contractors Pollution Liability policies, it is agreed that the City of I Tukwila is included as an Additional Insured, but only as respects operations performed by the Named Insured in connection with Northwest Motor Welding Remediation. CERTIFICATE HOLDER CANCELLATION City of Tukwila RECEIVED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Dept. of Public Works 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SEP .. 81993 6300 Southcenter Blvd. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Tukwila, WA 98188 TUKWILA OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Attn: John Pirog PUBLIC WORKS AUTHORIZED REPRESENTATIVE ' , . , ' Iw■ /1 Aa . CERTIFICATE OF INSURANCE DATE (M ) /1/93 PRODU�tiR WILLIS CORROON CORPORATION OF SEATTLE P.O. Box 34201 Seattle, WA 98124 (206) 386 -7400 INSURED NORTHWEST ENVIROSERVICE, INC. P.O. Box 24443 Seattle, WA 98124 COVERAGES ACORD 25 -S (3/93) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Steadfast Insurance Co. COMPANY B American Guarantee Ins. Co. COMPANY C Zurich Insurance Co. COMPANY D 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 uncap uronson �✓�^^-°� ©ACORD CORPORATION 1993 RELIA INSURANCE COMPANY LEAD OFFICE. PHILADELPHIA. PENNSYLVANIC POWER OF ATTORNEY KNOW ALL. MEN BY THESE PRESENTS. That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania. does hereby make. constitute and appoint its true and lawful Attorney -in -Fact, to make, execute, seal and deliver for and on its behalf, and as its act and deed and to bind the RELIANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorney(s)-in-Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of Article VII of the By -Laws of RELIANCE INSURANCE COMPANY which became effective September 7, 1978, which provisions are now in full force and effect. reading as follows: 1. The Board of Directors, the President, the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorneys -in -Fact and to authorize them to execute on behalf of the Company, bonds and undertakings; recognizances, contracts of Indemnity and other writings obligatory in the nature thereof, and (b) to remove any such Attorney -in -Fact at any time and revoke the power and authority given to him. 2. Attorneys -in -Fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them; to execute and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. The corporate seal is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. 3. Attorneys -In -Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of Indem- nity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By -Laws of the Company or any article or section thereof. This power of attorney Is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of RELIANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present, and said Resolution has not been amended or repealed: "Resolved, that the signatures of such directors and officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company In the future with respect . to any bond or undertaking to which It is attached." IN WITNESS WHEREOF, the RELIANCE INSURANCE COMPANY has caused these presents to be signed by Its Vie President and Its corporate seal to be hereto affixed, this 2 9 thday of November 19 90 STATEOF Washington COUNTY OF King On this 29th day of to me known to be the Vice-President of the RELIANCE INSURANCE COMPANY, arlc.- acknowj aged that he executed and attested the foregoing Instrument and affixed the seal of said corporation thereto, and that Article VII, bon, set forth therein, are still in full force. My Commission Expires: May 15 , 19 94 90R-1431 Ed. 6/79 KAREN P. RUTKA of SEATTLE, WASHINGTON ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP ARTICLE VII — EXECUTION OF BONDS AND UNDERTAKINGS .SS. November 19 •9 Cpersonally appeared Lawrence W. Carlstrom RELIANCE INSURANCE COMPANY 1, 2, and of the By -Laws of said Company and the Resolu- Notary Public In and for State Washing Residing at Tacoma t Robert D. Ritzhaupt , Assistant Secretary of the RELIANCE INSURANCE COMPANY, do hereby certify that the above and foregoing Is a true and correct copy of a Power of Attorney executed by said RELIANCE INSURANCE COMPANY, which Is etIil In full force and effect IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company this 13th day of Augus 19 92 Assistant Secrete Robert D. Rita aup WILLIS CORROON Date: To: Re: Gentlemen: cc: August 13, 1992 City of Tukwila Dept. of Public Works 6300 Southcenter Blvd Tukwila, WA 98188 Attn: John Pirog FAX delivery: 431 -3665 Northwest EnviroField Service, Inc. We are pleased to enclose documents indicated below: xx Certificate of Insurance including Additional Insured Clause Memorandum of Insurance Stevie Roberton Account Executive Original Policy (as captioned) Copy of Policy (as captioned) Loss Payable and /or Mortgage Clause Contract of Sale Clause Cover Note and /or Binder Other The enclosed is issued in connection with: Northwest Motor WeTding Remediation We trust you will find the enclosures to : be entirely satisfactory. Si Tamara Kelley /Northwest EnviroField Service Kelly Crowe /Northwest EnviroService, Inc. National Union Fire INs Co Commerce & Industry Eagle Pacific Ins Co Willis Corroon Corporation of Seattle Insurance Bonds Benefits Risk Management 701 Fifth Avenue 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206 -386 -7400 Fax 206 - 386 -7960 WILLIS CORROON September 1, 1993 City of Tukwila 6300 Southcenter #1100 Tukwila, WA 98188. Re: Northwest EnviroService, Inc. Seattle, WA Gentlemen /Ladies: We are pleased to enclose documents indicated below: The enclosed is issued in connection with: Evidence of Insurance We trust you will find the enclosure(s) to be entirely satisfactory. Very truly yours, By Stevie Roberton (206) 386-74 SR /mj(592) X cc: Northwest EnviroService, Inc. Steadfast Insurance Co. American Guarantee Ins. Co. Zurich Insurance Co. RECEIVED SEP - 81993 PUBLIC WORKS Certificate of Insurance Memorandum of Insurance Original Policy (As Captioned) Copy of Policy (As Captioned) Loss Payable and /or Mortgage Clause Contract of Sale Clause Cover Note and /or Binder Other Willie Corroon Corporation of Seattle Insurance Bonds Benefits Risk Management 701 Fifth Avenue 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206- 386 -7400 Fax 206 -386 -7960 CITY OF TUKWILA RECEIVED 6300 SOUTHCENTER BOULEVARD CITY OF TUKWILA TUKWILA, WA 98188 AUG 2 6 1992 PERMIT CENTER * * REVISION SUBMITTAL * * DATE 2 6 7, 7 — PROJECT NAME /1/61 L 4„e f 9— file, -7;,, t"e W , ADDRESS 39o0 S�L��, I 5 CONTACT PERSON D , ,, S 0 NC) G f PHONE _ ?4 ARCHITECT OR ENGINEER ft •it ek G J PERMIT NUMBER 9 2 0 2 7 8 (If previously issued) PLAN CHECK NUMBER TYPE OF REVISION: d S i ( _ SUBMITTED TO: i=4 c-ivZ ri) � z 6") 6zz -Sk - a SHEET NUMBER(S) "Cloud" or highlight all areas of revisions and date revisions. , - Gum 4 tatm ilia -6- 147 , �!�cc�ie! ,u . - , �- �,.� P.E. . -- C Gum. i . ,cecv a, 0. liAnb Pd . 2v, .a,,Vst 6' y/ 500 MARKET PLACE TOWER, 2025 FIRST AVENUE, SEATTLE, WASHINGTON 98121 (206) 728 -0744 FAX: (206) 448 -7994 City of Tukwila Department of Community Development 6300 SouthCenter Boulevard Tukwila, Washington 98188 Attention: Mr. Duane Griffin (Building Official) Dear Mr. Griffin: DAMES & MOORE August 26, 1992 Addendum Shoring Permit Northwest Motor Welding Facility 3400 South 150th Street Tukwila, Washington D &M Job No.: 16373- 012 -005 Pursuant with your discussions with Mr. Bruce Erickson of Kpff Engineering Consultants, please find enclosed the design and specifications for a temporary shoring system to be installed at the above - referenced site. We understand that the temporary shoring system will be an addendum to our previous approved building permit. As a result of petroleum- stained soils being located beneath the interior office area, we anticipate removing a limited amount of soil beneath a structural wall located within the interior office area. The area of proposed soil removal is presented in the attached Figure. We anticipate installing the temporary shoring, removing a portion of the structural wall approximately 8 feet long, removing an area of 6 feet square of the concrete floor and removing the petroleum - stained soils with a portable trackhoe. Previous analytical results indicate that petroleum- stained soils extend approximately 5 feet beneath the concrete floor and extend to a depth of approximately 5 feet below ground surface. The petroleum- stained soils appear to be associated with a leaking floor drain located within this area. We estimate that approximately 15 cubic yards of petroleum- stained soils will be removed and transported to the Woodworth & Company Treatment facility located in Tacoma, Washington. The transportation of the soils was accounted for in our previous hauling permit submitted to your office. Following the removal of the petroleum- stained soils, the excavation will be backfilled and compacted to 95% in accordance with our geotechnical program being conducted throughout the site. Subsequently, the concrete floor will be installed, the structural wall replaced in accordance with the enclosed design and the temporary shoring removed. Dames & Moore understands your concerns regarding the potential for on -site personnel to be injured during the implementation of the work described herein. Consequently, we will secure the interior office area by taping off this portion of the site and prohibit all on -site personnel form entering that area until the work is completed and the temporary shoring removed. We trust this information meets your current requirements. We appreciate your timely response and will commence with finalizing the field activities upon your approval. Please do not hesitate to contact us, if you have any questions or require additional information. UFFItTS WtRLnfIuE Respectfully submitted, DAMES & MOORE, INC. 2a-- Dennis'J. O'Neill Project Manager RECEIVED CITY OF TUKWII.A AUG 2 6 1992 PERMIT CENTER DAMES & MOORE 500 MARKET PLACE TOWER, 2025 FIRST AVENUE, SEATTLE, WASHINGTON 98121 (206) 728 -0744 FAX: (206) 448 -7994 August 12, 1992 City of Tukwila Department of Community Development 6300 SouthCenter Boulevard Tukwila, Washington 98188 ' Attention: Mr. Duane Griffin (Building Official) Dear Mr. Griffin: Geotechnical Backfiliing Monitoring Northwest Motor Welding Facility 3400 South 150th Street Tukwila, Washington D &M Job No.: 16373- 012 -005 Per your request, please find enclosed information regarding the proposed geotechnical monitoring program to be implemented during the backfilling of material at the above- referenced site. As a result of a subsurface environmental investigation previously conducted at the site, three areas associated with shallow petroleum- stained soils were identified at the site (see attached Figure). Based on analytical results obtained during our subsurface investigation, shallow soils within the three areas contained petroleum - stained soils which exceed State of Washington Model Toxic Control Act Method A cleanup levels for total petroleum hydrocarbons (TPH). Based on our evaluation of historical and current site activities, it appears that the source of petroleum hydrocarbons was a combination of surface machinery and a below grade drainage system. In accordance with Department of Ecology's (Ecology) guidelines /regulations, Dames & Moore initiated an independent cleanup program to remove the shallow petroleum - stained soils. Prior to the start of field activities, Ecology representatives were notified of the independent cleanup program. In addition, a site specific Health & Safety Plan was developed in accordance with OSHA regulations. Northwest Envirofield Services (NWES) was subcontracted to perform the excavating, shoring and backfilling activities, Initially, we anticipated the petroleum - stained soils were limited to less than 5 feet below ground surface (bgs) and limited in lateral extent. Following our initially excavation phase, petroleum - stained soils appeared to extend to a depth of approximately 10 bgs and beneath a footing support beam associated with the roofing system. At that point, a practicing license engineer specializing in shoring design from KFPP was subcontracted to design an appropriate shoring system. The designed shoring system was installed by NWES personnel. Based on the recent analytical results, we have basically removed the petroleum - stained which exceed MTCA Method A cleanup levels for TPH within the three areas of concern. Upon approval from your office, the remaining phases of field activities consists of: (1) installation of a replacement footing, (2) backfilling and compaction of the excavations, (3) resurfacing of the concrete surface and (4) transportation and treatment of the petroleum- stained soils to the Woodworth & Company, Inc. thermal desportlon /asphalt batching facility located in Tacoma, Washington. Presented below is additional information regarding the remaining field activities to be conducted at the site. OFFICLS \ \'OI(LDWII)Ii CITY OF RECEIVED AUG 19 1992 DAMES & MOORE FOOTING DESIGN AND REPLACEMENT As discussed earlier, KFPP has been retained to design a replacement footing for the footing that was disrupted during the previous excavating activities. KFPP designated project engineer has been instructed to submit the design and specification to your office for review and final approval. It is our understanding that KFPP is currently working on these items and will submit this information as soon as possible. REQUIREMENTS FOR BACKFILLING OF EXCAVATIONS A Dames & Moore geotechnical engineer has designed and will monitor the backfilling and compaction activities. The following scope of services are associated with the requirements for this project as regards to backfilling of excavations: • • • • Soils that are to be used for backfilling have been submitted and are currently being tested at Dames & Moore laboratory prior to the start of the backfilling operations. A test for laboratory compaction characteristics (i.e, a Proctor compaction test) will be conducted on each significantly different type of soil to be used. Testing will be in accordance with ASTM D -698. Backfill soils will be compacted in 8 to 12 -inch lifts using either hand - operated compaction equipment (e.g. gasoline powered vibrating plate compactor) or mechanized equipment that Is appropriate to the size and location of the excavation (e.g. backhoe- mounted HoPac; walk - behind roller). Where backfill soils are used to support a floor slab or parking pavement, the upper 3 feet will be compacted to at least 95 percent of the maximum dry density of the backfill soil. Soils greater than 3 feet below the bottom of the slab /pavement will be compacted to at least 92 percent of the maximum dry density. The bottom of the excavation will be free of debris and standing water prior to the start of compaction. Based on our previous environmental subsurface investigations, ground water is anticipated to exists at a depth greater than 40 feet bgs In the site vicinity. The subgrade receiving the initial lift of fill soil will be firm and free of loose or soft soil or organic materials. For the location where the existing 4 -foot deep footing for roof support has been removed and will be replaced, there are two alternatives for footing replacement. The first alternative is to construct the footing on the natural ground surface at the base of the excavation. In this case the backfill can be placed as recommended above. The second alternative is to place the new footings in the compacted fill at the 4 -foot depth. In this event, all fill placed beneath the footing and its zone of influence will be compacted to at least 95 percent of the maximum dry density. The zone of influence of the footing extends from the bottom edge of the footing downward and outward (away from the footing edge) at an angle of about 45 degrees from the horizontal. In situ density tests will be conducted during the fill compaction process to ensure that the fill soil is being compacted in accordance with the density requirements set forth above. These tests will be conducted by Dames & Moore using a nuclear densometer. For excavations with a maximum dimension of about 40 feet or less, the testing frequency will be one test for every 2 to three lifts. Test locations within the excavation will vary and may be selected at random. Additional compaction will be required where tests do not achieve the required density. Dames & Moore may waive the density requirement where visual inspection of the compacted soil indicates that an adequate degree of compaction is being achieved. RECEIVED CITY OF TUKWILA AUG 1 3 199 DAMES & MOORE CONCLUDING STATEMENT TRANSPORTATION AND TREATMENT OF PETROLEUM- STAINED SOILS Approximately 300 tons of excavated soils are currently stockpiled at the site. A temporary storage facility was constructed which consists of the soils stockpiled on and covered with visqueen sheeting and surrounded with balls of hay. Multiple sand bags have been placed on top of the visqueen to inhibit the sheeting from being disrupted. The petroleum - stained soils are scheduled to be transported and treated at Woodworth & Company thermal desportion /asphalt - batching facility located in Tacoma, Washington. The hauling will be provided by NWES. We anticipate the majority of the soils can be removed in one day and thus eight trucks (two trips each) will be employed to provide this service. A map showing the designated hauling route is attached for your review. Dames & Moore objective is to conduct this investigation in a safe and professional manner in accordance with local, state and federal guidelines /regulations. We understand our subcontractor was proceeding under the assumption that the site is located in the City of Seattle Jurisdiction. Consequently, the appropriate permits were not obtained from your office. We trust this information as well as the Information recently submitted by KPFF meets your current requirements. We anticipate the backfilling activities will take 2 days and completion of the overall project will be approximately 10 working days. We appreciate your timely response and will commence with finalizing the field activities upon your approval. Please do not hesitate to contact us, if you have any questions or require additional information. Attached: Plot Plan Hauling Map Respectfully submitted, DAMS & MOORE, INC. Dennis J Neill Project Manager RECEIVED CITY OF TUKWILA AUG 1 :9 1992 August 12, 1992 am Consulting Engineers Mr. Duane Griffin, Building Official Department of Community Development City of Tukwila 6300 Southcenter Boulevard Tukwila, WA 98188 Subject: Northwest Motor Welding Remediation Shoring Dear Duane: This letter is in response to your request during our phone conversation of August 12, 1992, that we provide a written statement concerning the structural adequacy of the roof shoring design for the Northwest Motor Welding soil remediation site. We will be providing you with structural drawings and calculations for the roof shoring which are stamped by a structural engineer registered in Washington State. The shoring has been designed in accordance with the Uniform Building Code, 1991 Edition. It has been designed to resist the applicable code prescribed forces. As our calculations will explain, the shoring does not affect the building's ability to resist earthquake and wind loads. I hope this letter addresses your concerns. Please feel free to call me with any questions at 622 =5822. Sincerely, Bruce Erickson, P.E. Project Engineer BE:cs 92835 1201 Third Avenue, Suite 900 Seattle, WA 98101 (206) 622 -5022 Fax (206) 622 -8130 Seattle Portland Loa Angeles Wei 13 1992 pps `t�'•.7iF'.:A �r "y7T $�' fi �G.r�rJ.d Lvig i t C O Fl C 0 B A T L D Glenn Blue 3416 S.W. Webster Street Seattle, Washington, 93126 Phone 206-932-2072 Fax 206-932-4136 v r r34.1,y6 L Dennis O'Neill, M.S. Project Geochemist /Geologist = : DAMES ( MOORE SOO MARKli'r PLACE TOWER 21)25 1ST AVENUE sLATTLE, %VAS! IING'rON 98121 (206) 728.074 FAX (206) 446.7991 L ' A • dv I g C'oiJ .JI ._.. i.. +fir...• •_ . - �avr� ..u•.u.�+..ur r+u..wr- Northwest EnviroField Services Fred Benz, P.E. Senior Engineer Remedial Services 24 Hour Service • (206) 762 -1190 54 South Dawson Street 1-800-441-1090. P.O. Box 80743 . Fax (206) 762 -9362 Seattle, WA 98108 i • SENT BY: N, W. E. 5, ; 2 -16-93 ; 14:45 ;NW ENVIROSERVICE INC cl C. West Pao Environmental, Inc. 54 South Dawson Street Seattle, Washln4ton 98134 (206) 763.2700 (206) 762.1190 February 16, 1993 Memo To: Mr. Clary Shank City of Tukwila Memo From: Mr. Fred Benz, P.E. Registered Professional Engineer State of Washington West Pao Environmental, Inc. (formerly Northwest EnviroField Service) Included for your review are reports from the Soils Engineers and Cascade Testing regarding the work done at N.W. Motor Welding. In addition, to their reports I reviewed the site at various times throughout the construction and assure you that all specifications and requirements were met and the project was completed according to designs and specifications provided to the City of Tukwila. If additional information is required please feel free to contact me at anytime. �1 Esc (?.e- ...e.b s , 206 431 3665;# 2 RECEIVED FEB 1 6 1993 COMMUNITY DEVELOPMENT SENT BY: N. W. E. S. wtMtr ITIMMI rtw,Ws FINAL REPORT SOIL REMEDIATION PROGRAM AND INDEPENDENT CLEANUP ACTION NORTHWEST MOTOR WELDING FACILITY 3400 SOUTH 150TH STREET TUKWILA, WASHINGTON For DIESEL RECON COMPANY JOB NO, 16373-012-005 October 13, 1092 IIIEMIMIMIMIIIIIMIIIIIIIP 2 -16-93 ; 14:45 ;NW ENVIROSERVICE INC ( Vk DAMES & MOORE 206 431 3665;# 3 SENT BY : N, W, E. S. 2 -16 -93 ; 14:46 ;NW ENVIROSERVICE INC-' 206 431 3665;# 4 �I. APPENDIX A REPORT OF GEOYECHNICAL MONITORING/INSPECTION SENT BY: N, W. E. S. mnww,h W tc3 "IP 2-16 -93 1 14 :46 ;NW ENVIROSERVICE INC -+ 206 431 3665;# 5 APPENDIX A REPORT OF GEOTECHNICAI. MONITORING /INSPECTION NORTHWEST MOTOR WELDING TUKWILA, WASHINGTON Job No. 16373-012-008 October 1, 1992 Presented herein Is the report of geoteohnloal monitoring and Inspection of backfliling and foundation preparation activities following removal of petroleum - stained soils from three areas of environmental concern at this site. Our report of recommendations regarding foundation design and construction and compacted fill soil placement was Issued on August 25, 1992. A Dames & Moore geotechnical representative was on -site during all backfllling operations, which extended from August 27 to September 10, 1992. During that period we provided advice on removal of unsuitable fill soils, selection and compaction of fill soils, selection of compaction equipment and methods, preparation of footing and slab subgrades and other matters of a geotechnical nature. We also conduoted laboratory compaction tests on proposed fill soils, conducted in -situ density tests using a nuclear densometer and used other methods to assess the adequacy of the compacted fill. Excavation and /or placement of compacted fill soil occured at three locations identified as Excavations #1, #2 and #3. Excavation #1 was the largest and deepest, and contained the replaoment footing for roof support. Soft unsuitable fill soils were removed from this excavation down to either firm fill soils or to the dense, undisturbed glacial till which was encountered at depths up to 12 feet below the ground surface. At the footing location, the undisturbed till was exposed, The bottom of the footing was set at a depth of approximately 8 feet, which was roughly 4 feet above the bottom of the excavation. Fill soil beneath the footing and within the surrounding zone of influence of the footing consisted of a mix of crushed stone combined with pit run sand and gravel (called "Mix 117" by Woodworth, the Tacoma supplier) This soil was compacted to at least 95 percent of the maximum dry density. Other fill soils In this excavation as well as the other two excavations consisted of recycled concrete as well as the Mix 117, Compaction was provided either by a manually operated vibrating sled or a backhoe - mounted "Hoepaok". The fill was placed In lifts that were typically 10 to 12 inches thick. Fill placed within the zone of influence of the footing and within 3 feet below the bottom of the slab was compacted to at least 95 percent of the maximum dry density. Fill at other locations within the excavations was compacted to 92 percent. SENT BY : N. W. E. S. We conclude that preparation of excavations, placement of compacted fill and preparation of subgrades for footings and floor slabs were performed in general accordance with the "Requlrbments For Baokfilling of Excavation' section of the August 12, 1992 Dames & Moore letter to the bIt of Tukwila, and with recommendations provided In the August 25, 1992 Dames & Moore 'Re of Geoteohnloaf Consultation" for this project. In our opinion the foundations for the footing and floor slabs are adequate to support the assumed loads for this project, as Identified In the August 25, 1992. 2-18-93 ; 14:47 ;NW ENVIROSERVICE INC-1 206 431 3665:# 6 t Sincerely, DAMES & MOORE, Ino. W. Martin McCabe, PE Senior Engineer SENT BY:N, W, E, SiNV Fhb tL NO . Au .2 y7 ;NW ENVIROSERVICE � y. N o 10 3 P.02 labrutarY 1S, 1993 Cart Ho. 0200 - 02 City Of TC wile Building Department 6230 Southosnter Boulevard Tukwila, Washington 9S2.412 Attention: nave Larson Referent:ge: Northwest Motor waldi /P.o.p1e373 ,, 013 -005 3400 B. 150th Permit No. 299 -03711 Deaf Mr. /Arson: This is to advise you that •paaial inspections are completed for the e.bore referenced project. Special inspections were perforated for the fol3.ovinq activities and copies of Marts have been sent to you. 1. Reinforced concrete pant in place ku1 work inspected conformed to Tukwila Building and band Development approved plans, specifications Director' a Rules, SRC and related codes end /or verbal or' written instructions from the Engineer of Record. Our last and only report is doted 9 -2 -93 4nd is number.79440. Respectfully, CASCADR TESTING LABORATORY, INC. Do H. Stack President Dxst ia1 CAISCACe LAISCIRATCXY, INC TaiTr1 S rlemsenmv / lI .* S / um' Ns., 4011M4 ten ter rcwiea ardr,• �S egilmbstio eW4rrut 81115-11703 Ia anw, wOMMIPOY+eN S•0741 f—t WHIM sue. 10•142017 RECtV AUG 13 1392 • • 16\ SK--2 tST I N er co L.VIr'1P E AX EP IPo,T i �,L E\, A T iON 5K-3 APPED 7 EXtSTtNG C,.OLt.t fZ�t� OVe17 AFTM.lg .54i 0 RAN) Cr i $. TPA.. Consulting Engines 1201 Third Avenue, Suite 900 Seattle, Washington 98101 (206) 622 -5822 Fax (206) 622-8130 e.‘_ 5K -3 AP 7e. A3 Il 2. ' 6 S aNe (sTlN C..0L.t.tMN (ZE r.o0V .S4A 0 PAN C- INSTAt..L.Ep ( st-A5 Consulting Engineers 1201 Third Avenue, Suite 900 Seattle, Washington 98101 (206) 622-5822 Fax (206) 622-8130 -- ExISTLN ADP EC) --- 11 'TON SN T?.INC's- 3Acwt )'AC$t, ENS? OF $M,4N1 LAN"PI.L l.t KO MQVSi ?E.NT ►S pE TEC 7 . - r c-e.N TE) c.o Lu on ry . Ex 1S 1'1Ne* T1ZL C sK-4 6 '-1 2 NQg..•Hu.JEST MOT ©1Z REME01AT1ON 5Ho RlNG- Root- SoFFt r A Low EST PO /N'T Go1-1.4 a. 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(30 t4. iiM1•01111111Mi nrcEmo erryoFTunviLA AUG 1 3 19142 5 sc I N1 A NOV het Crr OR ggreleDiATtON 1.1-01Z1 Nc_ / WOOD S pcg Ao:D$0 e a Apoes, f3eAM 1:47E.TLA.) E61 -Ac N Cr I- C2-) S es I_ AN c-t-is. 5 ",,rDpS0 OPT ory AL) s c s PA.c. AcOPE.p - N JE N s e2, AOPE.0 A- 3"--0" Aor,ev 2-k Etsc SLIDE. OF o NIP+ v 01.- C Prof. No. 12-85S Dete Own. by SK—a c7r M Q Cr TI2U.SS (2)zx6 w /c..Ace L'OFT'S A5 914.01,./r4 IN S E.C:r• A - Orr Sk -2 E_AlS't" L N G- Got.t.t Nei N Av �� wnsy 41+ tP EXPIRES 1/20/ 1" kpff consufflno engineers twin• wothinglon +1 '0 V 5e-CT IO t t-t r++ 4-4-+ A04 ,E1 ore, Pro). No. 9 za3S N ot2.TH -WEST 1% °TOP. Date f:�,r!L�t7IAT1 S H- O?2ING- w . Z uwn. by . 1.= v �►7 2,n / AoDs-✓, woos 5roAtE: �4 or Y4: S't't =cam .AN G-tSs Cop Tj oNA-L. Aaa.r:3 17 4 k,6 , ZA ce. L A-• Sloe. ccF cot_ (.3) qJ ,r LA. 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I At, L. p,« s ces 7t?n� 2 % z CITY OF TU kpff .F• " f - c: STrt N t+'rH %NAI-L. t� I PIMP SY s- rANtoAiap re, • - r e., ,r, -,O1L 1 N c- Pk. E:s!,,l.a6:Cam, c C vl'rt(AC "f fC�►� %-tA L'. 14 Cr ! hi r F: Yt , � f SW ILA: APPROVED AUC. 4'i 2 consulting engineers 1.0111• woMlnOlon J ■.1 • Pt 7 ' 70 _cc mil • �. ,. _........— f'I.l►i �. Iwo ,D1v.IsIR,N.,. ' C,f I C)N Arr N .....:.: 1 r `-► N P� -- INI c 1( <."C N w E• s -r ' f c..) 1'G. lu I �• I ►A "7' I i,}-k ore. (N Cr 'E.ktbTING woos cvl.4Mfl g ovk; PAM Aca•IE Sc 47R1 Al la,,crrwt.s1 (At' ?)20 d") ' All, / 7H rr:n- �(.2)• � 'y. ' x = (L) HEAt •5Hr.Ao, W61,7 5 7t.( PL, ttir. t. kc'EL '.' - r' L. _.__.. 12. 0 fesoc41.40 ors iU'' 1 7 7 ii1cAos 4 C , I- , AI',r c''N t+ 1IAYar. ILE COPY I Understand that the'Plan 'Check approvals are subject to errors and omissions and approval of plar'4' "dogs iio#'aiiffiorize the violatior of any adopted code or ordinance. Receipt of contractor's copy of approved plans acknowiedc.. By a —ocTl Date Permit No t.� R� Ar? 01 f.. N a l r.,`7' . 12.V-9F: P Cie, Cr RAN 5..) ..r i't l t c 'I" 1-' t_ - C,OM ('AC1E o "ro (35 'Jo PE.Nxt"ry' FOCrrl Proj. No. `, pwn. by M ei z S g (TI 0 7 3 I Z z A sk - ? 1? X C7 BERM ---r °AnaE CD --I i3 U C I ■• i dy:)1:)E b 6x12 eARTITION WA ILS ELEVATION - SLA . Ort GtZAt'E TO 1?.E 12eM 1o'-o" t2Etul Et:IA-110N pIT NOTE. ; Abt ED BEAM t tit=s PASTS SHALL BE. GP- Lx.12C14 NJ. , oI;' E T T Et , / E.�tbTl NC r - ST-4b L \ -- fZErn o r 13.EYoNb APT 13EAN7 t5 _ LNS'Tf , --> - Ask_-? G11E 1-101-E-5 poR ae,g• IN t =xtST. PA Z oN w AL -1-S 1 \ 1 (r ANb 5 t 1' NtE- , x , j r 4 E Y "TOENAIL A`( 5AMcs SpACIN(,- A5 - 7oENAIL.5 ?'0 "to 1 5 Ts �kts-r, tom! �t<V kpff consulting engineers motile woshinglon M(N, I > 4- k-e)G MIN, IF ›s' . 4 7 7ENAltr w /a..t NAIL Ev E=. 2 -:' THltzrJ — ,ois7 Ab o�✓� P o5? EC -'T'( ON $ L oG K I N U 112 z' Pam ��Eb 13ETI..�E:CN 13E,60 A-NW — '1675 ?� AL t O w BEAM TO A\', 055—rat—I GTt oNS Alooelo B EA M (,.) e. o a-I` CITY OF TUKWILA A PPRnvED AUG ;_'1 1992 x" ST; 73 H ri .SIP G DIVISION 157; t� I NoRTH\vE7 S"r o7'orz, 12E r1E0I Ar SH 0121 N<_— EXPIRES 1/20 / R� Prof. No. 92.81 Date a -ZS -9 L Dwn. by RECEIVED CITY OF TI IKWILA AUG 2 6 1992 PERMIT CENTER S k- 7 1 ink c 3 loft 3 c m G 4 t., ., C M .V 3 l(1 c ,' o' z . .T G,t o _p —33- a om -1 N -1 m o Q3 -< m A m z �Sv M t..s 7V m c I � E?( - I" "To IsTs. rAck SH012►NG- t3E.A1n Yo Rr:Tu TOISTS 10 n QYZl(rUNAL post IF 5 HORINC I3EAr" HAS PEFI.Ec T fElo I�7�(3t.E 2X4 - rt. ?LA Ex15-7. s-'ubb EN-1 2 -Ib d (V J 57u00 E>;IG1. 5-rub TOP !� soTToM LTYr•) To 4 1 t 4— i 3c! roP t 1 CrRA.J'E D)Z NEW WALL ELEVAfl O N e 12' v. rr' " 3 2 6 G - k) !N7 AP,A w7E >c'TE rz t ,,Z G-t_u 1= (C bx) OF1t Sfbt OF E x157,,s - r 2 x Tt2E=A TF> SILL 2.x S 7+.05 PQ:,t rto, -Ien 13EL0t.. Eh157. :.-'I =TS I b` c7,C. rte,/» -. h15'i . 5t AG -O►.t- (r'E Abe_ Riyerton,4ieigh • • • sc•ua +K et 'I • Rese•vo.1 ... ••••••:%., C • • •.. Washington, -• •1. Memorial Cem. 1 � - •SEATTLE`.tTACOMA 'PROVED' " PE i LETTER DATED , h a 0 2,000 Scale in Feet 4,000 Reference: USGS quad map, Des Moines, WA 1949, photorevised 1968, 7.5 minute series. i! ii • i •• .. • ••• LIG Ks• • AUG (3 1992 • •1..1.• Figure 1 Site Vicinity Map Northwest Motor Welding Facility Seattle, Washington _ Dames & Moore {` � e Sty a m • Mean -- C1 -Area ( -8 .:•..---, ! cc, rn :• : Below-Grade Equipment Associated With lift 1: 52 . Former 43, 23 Hydraulic . - 0 Lift Area --I— . CP C< • rn . aS 0 n ; Legend: Property Bodndaly • • HA-6 •1 HA-1 - Hand Augers B - Exploratory Soil Borings AB-1 - Auger Soil Boring j HA-12 Machine Shop 411 HA-8 Approximate ...7.:7.!.,A Area of f 12 Caustic ::. al il _1 Tank Staining 1 c c , iiii. ta::::: -.E i;q HA-7 AHA IN- Floor Drain CrYP) - 1. HA-11 HA-1 - I HA-3 HA-9 .r•'" Packing Area Former Solvent Storage • A rea HA-10 S. 150th Street - , , - ' — Welding! Storage Area I 1 0 0 0 0 0 Sand Blast Booth Lunch Room i 0 1 1 1 1 ; .1 • :1 Current Drum Storage Area • B-3 Tank Vent lines 1 1 x4-1-- Storm Drain • AB-2 Former UST Locations (Beneath Building) x ic ic x x x -X • B-2 Asphalt Covered Area r-------, Former Drum Storage Gate Parking Area ill AB-1 A A4,1 p Pr 5 Cat 1'4;1 w74 4 ra Ze see couc.e? cA.4.,• fe Figure 4 Sample Locations Northwest Motor Welding Facility Seattle, Washington Dames & Moore _ Legend: Restraom--±* Steam Clean Area Below-Grade Equipment Associated With Lift 0 Former Hydraulic Lift Area 11 0 (« f Property Boundary fHA-6 0 a 1. 4 HA-1 - Hand Augers B - Exploratory Soil Borings AB-1 - Auger Soil Boring J • Machine Shop Approximate Area of Heavy Staining I 4-5 f HA-12 e4 Floor Drain (ryp) 0 HA-3 HA-9 • HA-8 ale 1 HA-7 Packing Area S: 150th Street Welding/ Storage Area Caustic Tank Sand Blast HA-2 Booth Current Drum Storage Area � B-3 0 0 HA-11--1 Lunch Room HA-1 Tank Vent Lines Storm Drain • AB-2 i Office Former Storage ■ Area HA-10 A.4 UST Locations (BeneAn Former Solvent Building)4 i• AB-1 X -X -X X X B-1 B-2 Asphalt Covered Area cz 1 --- • --------- . P.. Former ._._.< Drum co 03 Storage 5 Cl) Parking Area Gate ego rostd oi-' /)tom 6.70 (z) Figure 4 Sample Locations Northwest Motor Welding Facility Seattle, Washington Dames & Moore • ( • z rn "d > WY. lifer• • •••••• • II ye/ • •I• Cr, Or somas - T 1 C ::;• r.r -S- t\ Legend: HA-1 B-1 AB-1 Restroom Steam Clean Area Below-Grade Equipment Associated Wth Lift Former Hydraulic Lift Area X s • • HA-6 HA-8 HA-7 Caustic Tank Welding/ Storage Area 0 6 Sand Blast Booth • Machine Shop Hand Augers Exploratory Soil Borings Auger Soil Boring C. Inferred area of elevated hydrocarbon concentrations HA-5 Property Boundary HA-3 . HA-9 J HA-1 Packing Area I Lunch Room - z Ag ifi 65 / 60(0 avw 7jo " Current Drum Storage Area 1 0 AB-2 B-1 Former B-2 Drum Storage B A Tank Vent • • Lines i Storm Drain Asphalt Covered Area . 1 R4–Floor Drain Foer Former UST S-.40 HA-12 Solvent • .0; Office Former HA-4 Locations Parking Area ; ti X ca 2 Storage (Beneath w t A rea HA-10 c; ' 1111 Building) I . l A . . ..., - A,e.4., . • AB-1 . . S. 150th Street Gate Figure 7 Areas of Contaminated Soil Northwest Motor Welding Facility Seattle, Washington Dames & Moore _ — H S N.W. Motor Welding Facility 3400 - 150th South Street June 10, 1992 Erosion Control Plan Northwest EnviroField Services Seattle, Washington EXPIRES: 3/6/ Dust and Erosion Control Plan Dust control during excavation and hauling of contaminated soil or backfill will be monitored continuously. Excavation operations will be confined to interior site areas and the excavated material will be inherently moist, and prevent or reduce the potential for dusting. The contaminant is a petroleum product of significant viscosity which will also reduce or eliminate dusting or particulate migration. (As a control measure to reduce dusting, light water /agent spray mists may be used.) Erosion control will prevent the environmental impact of water runoff on various areas of the site, the following steps will be implemented. Plastic sheeting will prevent rainwater penetration and absorption to existing stockpiles and protected areas. Sandbags will be used to secure plastic sheets and to provide substructure to areas such as berms. Straw bale berms or soil berms will be used in stable conditions where applicable. Design Areas: Backfill Bermed /Plasti Sheeting /Rainwater Mgmt. Waste Water Handling Bermed /Plastic Sheeting/Rainwater Stockpiles Plastic Sheeting /Sandbags Berms: Will be constructed from straw bales in the vicinity of the excavation. Alternative: berms may be constructed from imported soil back fill. Plastic Sheeting(Visqueen): Plastic sheeting at least 3 mil in thickness. Sandbags: Sandbags will be woven, sunlight- resistant nylon bags filled with sand and tied closed. Sandbags shall be suitable for frequent handling and all- season use. Rainwater Management: Rainwater accumulation will be monitored daily and any accumulation will be disposed of as directed by Engineer. (Refer to SPCC plan for further Environmental and Wastewater guidelines.) Temporary Cover - Stockpile and Jxcavation Temporary cover will be black, plastic sheeting at least 3 mil in thickness. After placement and pouring of solidified soils at the end of ,S jll Kits each working day the cells will be completely and securely covered. The cover will be secured in place by sandbags placed around the perimeter. The temporary cover will be maintained until the permanent liner and fill material are replaced on the soil cells. Temporary Wastewater Discharge Area Potential wastewater from various locations around the site will be collected by vacuum truck and transported to Northwest EnviroSerivce, Inc.'s TSD facility as required. Some of the wastewater areas include; excavation areas, and any portions of the site requiring runoff control. Attached is the Wastewater Discharge Log to be utilized. Each vehicle is equipped with a spill kit according to Department of Transportation guidelines for hazardous materials. All operational personnel have been trained in response requirements for various situations. Operational Personnel Project Management Ken Ewalt - Project Superintendent Kory Holm - Project Superintendent (alternate) Terry Luder - Site Safety Officer Remediation Operations Paul Comutt - Eq Op Ron Patterson - Laborer Larry Bates - Laborer All Operational Personnel are thoroughly trained including but not limited to the following: - 40 Hour HazMat Course (EPA /DOE) - CPR Training (American Red Cross) - Basic First Aid Training (American Red Cross) - Annual 8 hour HazMat updates - Respirator fit testing 3 Tvpical .Daily Schedule 07:30 11:00 thru 13:00 15:00 17:00 Safety Meeting / Daily Briefing Lunch Breaks on Varied Schedule Start Shutdown and Cleanup Site Security End of Shift Wiw r � s 0.17N ad* 160TH ST a 'DALE IACY- TON 0 VA %N ISLAND DUE ANNE _SEATTL BURIEN 39 NORMANDY PARK 188TH TH YARRO 15P B )MCM BELL .UE son 4 NEWPOR 28 SE 1767 KANGIFY DMOND AL. ELD 3 LAKE SAMMAMISH Kt YOUNGS SOUTH PRAIRIE ELTY ACK MOND MAPLE VALLEY WILKESO 62 Iklbildairkt T � ' - %MAI 5:--c 44 E e s L MP" i VIIIIVIIIN HD ; i C1�R1 /� LAKE K PORT ORCHARD SUOUAMISH DUPONT ERTON SOUTHWO o• )I viLLE owl V�V ALL BRE ALGON` • 1 1 ��� _ �Ma1 /r �r� T \wrifilka* :.� v _ �r/ .iil ....� ISLAND ��r w � o �► }■■ � ll • , . I . IM MUM M 441 : I %l UMt MUM Tit �� •TE1v. "' LJ Jg YALLUPr� �II!r / .ai Q MM IT - r 1=1ERKLAN 1r -i p • �; 17RTN ' I T z ■�� HE tin freiniin ' ` BEACH BOTHELL c I� H sT LAK z ORES s „ ®. �WOOD PK ORGETOWN CLAW UM 72 RNATION CHINOOK KING PIERCE L CITY 73 o 4 SELLECK KANGLEY CUMBERLAND 75 C7v r.. v fit;. �• j DO PIERCE ( flA p WILLIS CORROON ‘ 54 South Dawson Attention Mr. Fred Benz • Northwest EnviroField Services 220-tawut 2no -'z, 2d.tio6 TRANSMITTAL RECORD C , Willis Corroon Corporation of Seattle • 701 Fifth Avenue, 4200 Columbia Center Date August 13, 1992 Insurance Certificate and Re Bond to Perform Work on City Right- Seattle, WA 98134 of- Way /City of Tukwila Transport of Contaminated Soil PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206 - 386 -7400 Fax 206 - 386 -7960 We are pleased to enclose the following: Executed Bond to Perform Work on City Rights -of -Way with attached Power -of- Attorney. • Remarks Please have this bond signed prior to filing it with the City. By � .�1 /M 1 Karen . Rutka, Account Manager INSURANCE BONDS lIENENTS RISK MANAGEMENT reltua «nu) prtrlt•Cn 1n •n,' • BOND TO l^ ;:7rORt.1 ./JOFtg ON KNOW ALL KEN BY THESE PRESENTS: That we NORTHWEST ENVIROSERVICE, INC. RELIANCE INSURANCE COMPANY A corporation organized and existing under and by virtue of the laws of the State of Pennsylvania , authorized to do, and doing business as a surety company in the State of Washington, as surety, are held and firmly bound unto THE CITY OF TUKWILA, a municipal corporation of the State of Washington, in the penal sum of Two Thousand and No /100 ( $2,000.00 '} Dollars, for the payment o wnicn, we and truIyI to a made, we firmly bind ourselves, our and each of our heirs, executors, administrators,. and assigns, jointly and severally by these presents. ' CITY RI Sealed with our seals and dated this 13th 19 92 • The condition of the foregoing obligation is such that, Whereas, the above -named principal has applied for a permit to do certain work on a City of Tukwila roadway, street, alley, avenue or other public place known as various roadwa s used in the transportation of contaminated soil NOW, THEREFORE, if the above -named principal shall indemnify and save harmless the City of Tukwila from all claims, actions or damages of every kind and description which may accrue as a result of opening and /or work - ing.upon any roadway, street, alley, avenue or other public place, by him or those in his employ, in installing or making connections with any publi or private sewer or water system, or any other purpose or object whatever, and that he will replace and restore such roadway, street, alley, avenue or other public place to as good a state or condition as at the time of the commencement of said work, and maintain the same in good order to the decided. satisfaction of the City of Tukwila Director of Public Works and that he will comply with all the provisions of his or their franchise or permit and all resolutions or instruments relating thereto, then this obligation to be void, otherwise to remain in full force and effect. 11/17/59 • NORTHWES.iENV B Bond No. B2372262 -0E-WAY Pri As principal, and day of August RVICE1 INC. RELIANCE INSURANCE COMPANY By: f /454 Karen P. Rutka, Attorney -in -Fact KNOW ALL MEN BY rHESE PRESENTS. That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania. does hereby make, constitute and appoint its true and lawful Attorney -in -Fact. to make, execute. seal and deliver for and on its behalf, and as its act and deed and to bind the RELIANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorney(s) -in -Fact may do in pursuance hereof. This Power of Attorney is granted under and by authority of Article VII of the By -laws of REUANCE INSURANCE COMPANY which became effective September 7, 1978, which provisions are now in full force and effect reading as follows: 1. The Board of Directors, the President. the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by the Board of Directors shall have power and authority to (a) appoint Attorneys -in -Fact and to authorize them to execute on behalf of the Company, bonds and undertakings, recognizances, contracts of Indemnity and other writings obligatory In the nature thereof, and (b) to remove any such Attorney -In -Fact at any time and revoke the power and authority given to him. 2. Attorneys -in -Fact shall have power and authority, subject to the terms and limitations of the power of attorney Issued to them, to execute and deliver on behalf of the Company, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory In the nature thereof. The corporate seal Is not necessary for the validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. 3. Attorneys -in -Fact shall have power and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indem- nity or other conditional or obligatory undertakings and they shall also have power and authority to certify the financial statement of the Company and to copies of the By -Laws of the Company or any article or section thereof. This power of attorney Is signed and sealed by facsimile under and by authority of the following Resolution adopted by the Board of Directors of REUANCE INSURANCE COMPANY at a meeting held on the 5th day of June, 1979, at which a quorum was present. and said Resolution has not been amended or repealed: ' "Resolved, that the signatures of such directors and officers and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the RELIANCE INSURANCE COMPANY has caused these presents to be signed by ha Vice President. and its corporate seal to be hereto affixed. this 2 9 th of November 19 90 STATEOF Washington COUNTY OF King onthls • 29th • day of to me known to be the ,Vice-President of the RELIANCE INSURANCE COMPANY, a Instrument and affixed the seal of said corporation thereto, and that Article VII, tion, set forth therein, are still In full force. My Commission Expires: May 15 .19 94 • SOR -1431 Ed.1179' HEAD OFFICE, PHILADELPHIA, PENNSYLVANIA • POWER OF ATTORNEY KAREN P. RUTKA of SEATTLE, WASHINGTON ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP ARTICLE VII -- EXECUTION OF BONDS AND UNDERTAKINGS November ,19 '9personallyappeared Lawrence W. Caristrom • RELIANCE INSURANCE COMPANY Vice President Assistant Sec o 1"rfged that he executed and attested the foregoing of the By -Laws of said Company and the Resolu- Washing Notary Public in and for State Residing at Tacoma t, Robert D. Ritzhaupt , Assistant Secretary of the RELIANCE INSURANCE COMPANY, do hereby certify that the above and foregoing Is a true and correct copy of a Power of Attorney executed by said RELIANCE INSURANCE COMPANY, which Is 'still In full force and effect. IN WITNESS WHEREOF, I have hereunto eel my hand and affixed the creel of said Company this 13th d a f Augus t ... Robert D. Rita aup.' 19 WILLIS CORROON( Date: To: Re: Gentlemen: August 13, 1992 , City of Tukwila Dept. of Public Works. 6300 Southcenter Blvd Tukwila, WA 98188 John Pirog FAX delivery: 431 -3665 Northwest EnviroField Service, Inc. We are pleased to enclose documents indicated below: CC: xx Certificate of Insurance including Additional Insured Clause Memorandum of Insurance The enclosed is issued in connection with: Northwest Motor Welding Remediation We trust you will find the enclosures to be entirely satisfactory. S' cerely, Stevie Roberton Account Executive Tamara Kelley /Northwest EnviroField Service Kelly Crowe /Northwest EnviroService, Inc. National Union Fire INs Co Commerce & Industry Eagle Pacific Ins Co Original Policy (as captioned) Copy of Policy (as captioned) Loss Payable and /or Mortgage Clause Contract of Sale Clause Cover Note and /or Binder Other Willis Corroon Corporation of Seattle Insurance Bonds Benefits Risk Management 701 Fifth Avenue 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206- 386 -7400 Fax 206- 386 -7960 L115 - - UAIC(MM /UU /TT) UAIC(MM /UU /TT) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000;000" -" B X COMMERCIAL GENERAL LIABILITY GLCM 340 -4360 09/01/91 09/01/92 PRODUCTS•COMP /OP AGG. S 2,000,000 X CLAIMS MADE OCCUR, PERSONAL & ADV. INJURY $ 2,000,000 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE 5 2,000,000 x WA Stop Gap FIRE DAMAGE (Any one Tire) $ 50,000 x Contractual Li abi 1 i ty MED. EXPENSE (Any one person) S 5,000 AUTOMOBILE LIABILITY 1 . 2,000;000'"` COMBINED SINGLE B X ANY AUTO 1. CA 277-0869 09/01/91 09/01/92 LIMIT t. 5,000,000 ALL OWNED AUTOS 2. CA 277-0870 BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON•OWNED AUTOS (Per accident) GARAGE LIABILITY x Form MCS -90 PROPERTY DAMAGE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S . OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS C AND U.S. &H. 10/31/91 10/31/92 EACH ACCIDENT S 500,000 — 500,000 DISEASE—POLICY LIMIT $ EMPLOYERS' LIABILITY 159100201 500,000 DISEASE —EACH EMPLOYEE S OTHER Contractors $1,000,000 Each Loss A • Pollution CPL 716 -6664 09/01/91 09/01/92 $5,000,000 Total All Losses Liability DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /SPECIAL ITEMS AS RESPECTS THE GENERAL LIABILITY AND CONTRACTORS POLLUTION LIABILITY POLICIES, IT IS AGREED THAT THE CITY OF TUKWILA IS INCLUDED AS AN ADDITIONAL INSURED, BUT ONLY AS RESPECTS OPERATIONS PERFORMED BY THE NAMED INSURED IN CONNECTION WITH NORTHWEST MOTOR WELDING REMEDIATION. CERTIFICATE HOLDER CANCELLATION CITY OF TUKWILA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Dept of Public Works EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 6300 Southcenter Blvd MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Tukwila, WA 98188 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR . Ae f OltI . CERTIFICATI - OF INSURANCE PRODUCER INSURED CO WILLIS CORROON CORPORATION OF SEATTLE P.O. Box C -34201 Seattle, WA 98124 (206) 386 -7400 NORTHWEST ENVIROSERVICE, INC. P.O. Box 24443 Seattle, WA 98124 PE OF Attn: John Pirog FAX delivery: 431 -3665 ACORD 25•S (7/90) THIS CERTIFICATE IS ISSUED Ab 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. COMPANY A LETTER COMPANY B LETTER ;'COMPANY C LETTER COMPANY D LETTER COMPANY E LETTER COMPANIES AFFORDING COVERAGE National Union Fire Ins. Co. Commerce & Industry Eagle Pacific Ins. Co. ISSUE DATE (MM /DD/YY) 08/12/92 COVERAGES 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. POLICY EFFECTIVE POLICY EXPIRATION LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Duncan Bronson 6 (.44.-44,460.. M ©ACORD CORPORATION 199C N.W. Motor Welding Facility 3400 - 150th South Street June 10, 1992 Erosion Control Plan Northwest EnviroField Services Seattle, Washington I EXPIRES: 3/6/ Dust control during excavation and hauling of contaminated soil or backfill will be monitored continuously. Excavation operations will be confined to interior site areas and the excavated material will be inherently moist, and prevent or reduce the potential for dusting. The contaminant is a petroleum product of significant viscosity which will also reduce or eliminate dusting or particulate migration. (As a control measure to reduce dusting, light water /agent spray mists may be used.) Dust and Erosion Control Plan Erosion control will prevent the environmental impact of water runoff on various areas of the site, the following steps will be implemented. Plastic sheeting will prevent rainwater penetration and absorption to existing stockpiles and protected areas. Sandbags will be used to secure plastic sheets and to provide substructure to areas such as berms. Straw bale berms or soil berms will be used in stable conditions where applicable. Design Areas: Backfill Bermed /Plastic Sheeting /Rainwater Mgmt. Waste Water Handling Bermed /Plastic Sheeting /Rainwater Stockpiles Plastic Sheeting /Sandbags Berms: Will be constructed from straw bales in the vicinity of the excavation. Alternative: berms may be constructed from imported soil back fill. Plastic Sheeting(Visqueen): Plastic sheeting at least 3 mil in thickness. Sandbags: Sandbags will be woven, sunlight- resistant nylon bags filled with sand and tied closed. Sandbags shall be suitable for frequent handling and all- season use. Rainwater Management: Rainwater accumulation will be ,monitored daily and any accumulation will be disposed of as directed by Engineer. (Refer to SPCC plan for further Environmental and Wastewater guidelines.) • 1 f - It Temporary cover will be black, plastic sheeting at least 3 mil in thickness. After placement and pouring of solidified soils at the end of each working day the cells will be completely and securely covered. The cover will be secured in place by sandbags placed around the perimeter. The temporary cover will be maintained until the permanent liner and fill material are replaced on the soil cells. Temporary Wastewater Discharge Area Potential wastewater from various locations around the site will be collected by vacuum truck and transported to Northwest EnviroSerivce, Inc.'s TSD facility as required. Some of the wastewater areas include; excavation areas, and any portions of the site requiring runoff control. Attached is the Wastewater Discharge Log to be utilized. Spill Kit Each vehicle is equipped with a spill kit according to Department of Transportation guidelines for hazardous materials. All operational personnel have been trained in response requirements for various situations. Dperational Personnel Project Management Ken Ewalt - Project Superintendent Kory Holm - Project Superintendent (alternate) Terry Luder - Site Safety Officer Remediation Operations Paul Cornutt - Eq Op Ron Patterson - Laborer Larry Bates - Laborer All Operational Personnel are thoroughly trained including but not limited to the following: - 40 Hour HazMat Course (EPA /DOE) • - CPR Training (American Red Cross) - Basic First Aid Training (American Red Cross) - Annual 8 hour HazMat updates - Respirator fit testing Typical Daily Schedule 07:3.0 11:00 thru 13:00 15:00 17:00 Safety Meeting / Daily Briefing Lunch Breaks on Varied Schedule Start Shutdown and Cleanup Site Security End of Shift CC 5i ili° t}� 1111 $hV 1101^ S IRDALE 'RACY- TON 0 FOX ISLAND 'TTILAC FM IIL , CTR rcon1 tiAY TILLICUM 25 ANAWAY 2.3 " rI OUE - ANNE SEA TLE BURIEN f11 � � 5 p FI -‘ ' ©►� Mkt ! O F t� T . 11 .i ' • 1411141v1L1-?, - ram!, Bo J YALLUP � aro lw KLA w N p i ' 1 I R$ �I�1�(F.� 1 fACMIL ER DALE 9 \ ' OOKDALE 9 " f AL G'NA • -*Al II BELLE UE SF. 1751 WOODI NEW OR! NEWPORT 28 KANGLEY DMOND AL- ELD 3 LA I" SAFIF /AM ISI/ ELTY MAPLE VALLEY — U'Ig MOND N � M PORT ORCHARD DUPONT EATON SOUTHWO LO ELAND WILKESO _ BRE T'EILACOOM t . T 5 5 RI LAK BO -ELL PK ORRE '/,' y If. C01\, f w2 °9. APR jig U `A ORGETCWN CLAW �INc. RNATION CUMBERLAND 72 L CITY CHINOOK KING • t 'A RIVIR SELLECK KANGLEY DO 'S <, PIERCE C 73 75 A' WIIJLIS CORROON tt. Northwest EnviroField Services 54 South Dawson Attention Mr. Fred Benz Fna 4 enln n r.acrr. TRANSMITTAL RECORD Willis Corroon Corporation of Seattle 701 Fifth Avenue, 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206- 386 -7400 Fax 206 -386 -7960 P ,2-vo97 Date August 13, 1992 Insurance Certificate and Re Bond to Perform Work on City Right- Seattle, WA 98134 of- Way /City of Tukwila Remarks Please have this bond signed prior to filing it with the City. We are pleased to enclose the following: Executed Bond to Perform Work on City Rights — of — Way with attached Power — of- Attorney. By Transport of Contaminated Soil x/t/ I4IY11 nRutka Account Ma Karen , Manager INSURANCE BONDS BENEFITS RISK MANAGEMENT KNOW ALL KEN BY THESE PRESENTS: That we 11/17/59 BOND. TO ': FORM 'vlORK ON CITY NORTHWEST ENVIROSERVICE, INC. As principal, and RELIANCE INSURANCE COMPANY Bond No. B2372262 RIGHTS -OP -WAY A corpor organized and existing under and by virtu of the laws of the Stat< of Pennsylvania , authorized to do, and doing business as a surety •mpany in the State of Washington, as surety, are held and firmly boun• unto THE CITY OF TUKWILA, a municipal corporation of the State of Was ' ngton, in the penal sum of Two Thousand and No /100 ( $2,000.00 j Dollars, for the payment of ' well and truly to be made, we firmly bind ourselves, our and each of o heirs, executors, administrators,. and assigns,• jointly and severally by the =e presents. Sealed with our sea - and dated this 13th day of August 19 92 • The condition of the fore_.ing obligation is such that, Whereas, the above -named principal has a'•lied for a permit to do certain work on a City of Tukwila roadway, street, a ey, avenue or other public place known as various roadways used in the tran 'ortation of contaminated soil NOW, THEREFORE, if the above -named pri ipal shall indemnify and save harmless the City of Tukwila from all claim actions or damages of every kind and description which may accrue as a re ult of opening and /or work - ing.upon any roadway, street, alley, avenue or other public place, by him or those in his employ, in installing or making onnections with an public or private sewer or water system, or any other p pose or object whatever, and that he will replace and restore such roadway, street, alley, avenue or other public place to as good a state or condition as at the time of the commencement of said work, and maintain the same in good order to the decided. satisfaction of the City of Tukwila Director of P .lic Works and that he will comply with all the provisions of his or their franchise or permit and all resolutions or instruments relating thereto, then this obligation to be void, otherwise to remain in full force and effect... NORTHWEST/ENV Fri B £RVICE. INC. RELIANCE INSURANCE COMPANY By: fy,t/;9rtC. lr1� Karen P. Rutka, Attorney -in -Fact KNOW ALL MEN BY THESE PRESENTS, That the RELIANCE INSURANCE COMPANY, a corporation duly organized under the laws of the State of Pennsylvania. does hereby make. constitute and appoint its true and lawful Attorney-in-Fact to make, execute. seal and deliver for and on its behalf, and as its act and deed and to bind obligatory in th of such officers, REUANCE INSURANCE COMPANY thereby as fully and to the same extent as if such bonds and underta'sangs and other writings ature thereof were signed by an Executive Officer of the RELIANCE INSURANCE COMPANY and seal%ci and attested by one other a hereby ratifies and confirms all that its said Attorneys) -in -Fact may do in pursuance hereof. This Power of • orney is granted under and by authority of Article VII of the By -Laws of RELIANCE INSURANCE COMPANY which became effective September 7, 1 8, which provisions are now in full force and effect, reading as follows: 1. The Board of Dir ors, the President, the Chairman of the Board, any Senior Vice President, any Vice President or Assistant Vice President or other officer designated by th Board of Directors shall have power and authority to (a) appoint Attorneys -in -Fact and to authorize them to execute on behalf of the Company, bonds d undertakings, recognizances, contracts of Indemnity and other writings obligatory In the nature thereof, and (b) to remove any such Attorney -in -Fa t any time and revoke the power and authority given to him. 2. Attorneys -In -Fact shall h and deliver on behalf of the Company, The corporate seal is not necessary for in the nature thereof. HEAD OFFICE, PHILADELPHIA. PENNSYLVANIA POWER OF ATTORNEY KAREN P. RUTKA of SEATTLE, WASHINGTON ANY AND ALL BONDS AND UNDERTAKINGS OF SURETYSHIP ARTICLE VII -- EXECUTION OF BONDS AND UNDERTAKINGS o power and authority, subject to the terms and Iimitntions of the power of attorney issued to them, to execute de and undertakings, recognizances, contracts of indemnity and other writings obligatory in the nature thereof. validity of any bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory 3. Attorneys -In -Fact shall have pow and authority to execute affidavits required to be attached to bonds, recognizances, contracts of indem- nity or other conditional or obligatory undertaki s and they shall also have power and authority to certify the financial statement of the Company and to copies of the By -Laws of the Company or any a 'cio or section thereof. This power of attorney Is signed and sealed by fa • [mile under and, by authority of the following Resolution adopted by the Board of Directors. of REUANCE INSURANCE COMPANY at a meeting hold • n the 5th day of June, 1979, at which a quorum was present, and said Resolution has not been amended or repealed: "Resolved, that the signatures of such direct() ' and officers and the seal of the Company may be affixed to any•such power of attorney or any certificate relating thereto facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be v • and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile sea • - : I be valid and binding upon the Company In the future with respect to any bond or undertaking to which it is attached." IN WITNESS WHEREOF, the RELIANCE INSURANCE COMPANY • . caused these presents to be signed by its Vice President, and Its corporate seal to be hereto affixed, this 2 9 thday of November. .' 90 sTpaEoF Washington 1 COUNTY OF King j es' On this • 2 9th • day of November .19 •9 (personally ap to me known to be the Vice-President of the RELIANCE INSURANCE COMPANY, a instrument and affixed the seal of said corporation thereto, and that Article VII, lion, set forth therein, are still in full force. My Commission Expires: May 15 .19 94 DOR -1431 Ed II/79' RELIANCE INSURANCE COMPANY Vice Prosiderd Notary P ' Ic In and for State Assistant Seer Lawrence W. Carlstrom !edged that he executed and attested the foregoing of the By -Laws of said Company and the Resolu- Washing Residing at Tacoma ',Robert D. Ritzhaupt , Assistant Secretary of the RELIANCE INSURA , E COMPANY, do hereby certify that the above and foregoing la a true and correct copy of a Power of Attorney executed by said RELIANCE INSU •• E COMPANY, which Is atlII In full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Company this 13th y of August 19 92 . le ;!..1 ... I 4 A A —4 • .0.- . 4/.. o D. Rita aup•/ ,WILLIS CORROON Date: To: Re: Gentlemen: cc: August 13, 1992 City of Tukwila Dept. of Public Works 6300 Southcenter Blvd Tukwila, WA 98188 Attn: John Pirog FAX delivery: 431 -3665 Northwest EnviroField Service, Inc. We are pleased to enclose documents indicated below: including Additional Insured Clause Memorandum of Insurance Original Policy (as captioned) Copy of Policy (as captioned) Loss Payable and /or Mortgage Clause Contract of Sale Clause Cover Note and /or Binder Other The enclosed is issued in connection with: Stevie Roberton Account Executive Northwest Motor Welding Remediation xx Certificate of Insurance We trust you will find the enclosures to be entirely satisfactory. Tamara Kelley /Northwest EnviroField Service Kelly Crowe /Northwest EnviroService, Inc. National Union Fire INs Co Commerce & Industry Eagle Pacific Ins Co Willis Corroon Corporation of Seattle Insurance Bonds Benefits Risk Management 701 Fifth Avenue 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206 =386 -7400 Fax 206- 386 -7960 ACO1•10. CERTIFICATE OF INSURANCE PRODUCER ' ' WILLIS CORROON CORPORATION OF SEATTLE P.O. Be W34981 Seattle, , WA A 98124 (206) 386 -7400 _•,___• INSURED NORTHWEST ENVIROSERVICE, INC. P.O. Box 24443 Seattle, WA 98124 ISSUE DATE (MM /DDIYY) 08/12/92 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY National Union Fire Ins. Co. LETTER PI COMPANY B Commerce & Industry LETTER iLETT R NY L+ Eagle Pacific Ins. Co. .... ..... ...._........ . COMPANY . LETTER D COMPANY - LETTER COVERAGES 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 OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDIYY) DATE (MM /DD /YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,0007000' B X COMMERCIAL GENERAL LIABILITY GLCM 340 -4360 09/01/91 09/01/92 PRODUCTS•COMPIOP AGG. $ 2,000,000 X CLAIMS MADE OCCUR• PERSONAL & ADV. INJURY $ 2,000,000 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 2,000,000 x WA Stop Gap FIRE DAMAGE (Any one tire) S 50,000 x Contractual Li abi 1 i ty MED. EXPENSE (Any ono person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE 1. 2,000,000 B x ANY AUTO 1 . CA 27.7 -0869 09/01/91 09/01/92 LIMIT 2% 5,000,000 ALL OWNED AUTOS 2. CA 277 -0870 BODILY per IN'URY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ X ' NON•OWNED AUTOS (Per accident) GARAGE LIABILITY x Form MCS -90 PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS C AND U.S.L. &H. 10/31/91 10/31/92 EACH ACCIDENT $ 500,000 159100201 DISEASE— POLICY LIMIT $ 500,000 EMPLOYERS' LIABILITY 500,000 DISEASE —EACH EMPLOYEE S OTHER Contractors $1,000,000 Each Loss A Pollution CPL 716 -6664 09/01/91 09/01/92 $5,000,000 Total All Losses Liability DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS AS RESPECTS THE GENERAL LIABILITY AND CONTRACTORS POLLUTION LIABILITY POLICIES, IT IS AGREED THAT THE CITY OF TUKWILA IS INCLUDED AS AN ADDITIONAL INSURED, BUT ONLY AS RESPECTS OPERATIONS PERFORMED BY THE NAMED INSURED IN CONNECTION WITH NORTHWEST MOTOR WELDING REMEDIATION. CERTIFICATE HOLDER C I T Y OF TUKWILA Dept of Public Works 6300 Southcenter Blvd Tukwila, WA 98188 Attn: John Pi rog FAX delivery: 431 - 3665 ACORD 25.S (7/90) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 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 REPRESENTATIVE Duncan Bronson CACORD CORPORATION 1990 • , AC1 /I:i1• CERTIFICATE OF INSURANCE ISSUE DATE (M /DD P RODUCER THIS - CERTIFICATE IS ISSUEDAS 'A OFINFORMATIONONLY AND WILLIS CORROON CORPORATION OF SEATTLE P.O. Box C -34201 Seattle, WA 98124 (206) 386 -7400 INSURED 0 TR NORTHWEST ENVIROSERVICE, INC. P.O. Box 24443 Seattle, WA 98124 COVERAGES 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. TYPE OF INSURANCE AUTOMOBILE LIABILITY B X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON•OWNED AUTOS GARAGE LIABILITY x Form MCS -90 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION C AND EMPLOYERS' LIABILITY OTHER Contractors A Pollution Operations & Professional Services City of Tukwila Dept. of Public Works 6300 Southcenter Blvd. Tukwila, WA 98188 Attn: John Pirog ACORD 25 -S (7/90) U.S.L. &H. 159100201 770 -7188 POLICY NUMBER GENERAL LIABILITY B X COMMERCIAL GENERAL LIABILITY GLCM 340 -4381 X CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. x WA Stop Gap x Contractual Liability 1, CA 277-0898 2. CA 277 -0899 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY A LETTER COMPANIES AFFORDING COVERAGE American International Surplus Lines Ins. Co. COMPANY LETTER Commerce & Industry COMPANY G. LETTER COMPANY D LETTER COMPANY E LETTER Eagle Pacific Ins. Co. POLICY EFFECTIVE POLICY EXPIRATION DATE (MM /DD /YY) DATE (MM /DD /YY) 09/01/92 09/01/93 09/01/92 10/31/91 10/31/92 09/01/92 09/01/93 $1,000,000 Each Loss $5,000,000 Total All Losses DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS As respects the General Liability and Contractors Pollution Liability policies, it is agreed that the City of Tukwila is included as an Additional Insured, but only as respects operations performed by the Named Insured in connection with Northwest Motor Welding Remediation, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL Eton MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, • •: I -a AUTHORIZED REPRESENTATIVE Duncan Bronson LIMITS GENERAL AGGREGATE PRODUCTS•COMP /OP AGO. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one Ilre) $ MED. EXPENSE (Any one person) $ COMBINED SINGLE 09/01 /93 LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE S STATUTORY LIMITS EACH ACCIDENT DISEASE— POLICY LIMIT RECEIVED SEP 1 0 1992 TUKVViLA PI 'RUC WORKS $ 2,000;00 $ 2,000,000 $ 2,000,000 $ 2,000,000 50,000 5,000 I. 57000;000 2S. 2,000,000 DISEASE —EACH EMPLOYEE $ 500,000 500,000 500,000 (472) © ACORD CORPORATION 1990 • WILLIS CORROON September 1, 1992 City of Tukwila Dept. of Public Works 6300 Southcenter Blvd. Tukwila, WA 98188 Attn: John Pirog Re: Northwest EnviroService, Seattle, WA Gentlemen /Ladies: We are pleased to X Stevie Roberton (206) 386 -7447 SR /mj(472) Inc. enclose documents indicated below: cc: Northwest EnviroService, Inc.. National Union Fire Ins. Co. of Pittsburg, PA Commerce & Industry Eagle Pacific Insurance Co. American International Surplus Lines Ins. Co. S E P I RECEIVED 0 1992 TUKvviLA P UBLIC' WORKS Certificate of Insurance Memorandum of Insurance Original Policy (As Captioned) Copy of Policy (As Captioned) Loss Payable and /or Mortgage Clause Contract of Sale Clause Cover Note and /or Binder Other The enclosed is issued in connection with: Evidence of Insurance We trust you will find the enclosure(s) to be entirely satisfactory. Very truly yours, Willie Corroon Corporation of Seattle Insurance Bonds Benefits Risk Management 701 Fifth Avenue 4200 Columbia Center PO Box 34201 (Zip 98124) Seattle, WA 98104 Telephone 206- 386 -7400 Fax 206 - 386 -7960 FROM t UPFF jjj TO Consulting Engineers 1201 Third Avenue, Suite 900 Seattle, Washington 98101 (206) 622.5022 Fax (208) 622.8130 I 206 431 3666 WWI 14GOIId1 c11fn1 N.t. J F (DOT(N C7. CA l.,_C Fo 1a, N O 12. "T V EA.) ' 1\4( 77 - 0a, ft t .re1S DIATI rrz e.PPoz_E,r> ors N1 4' Mtookm. BOO Y`r1 Af'tK .T ')L_AL E 1 AZ Ayr-, viA 9 ,3)2) KPFF 12.01 71i112o AVE, $ t4 l ?. 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