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Home My WebLink AboutPermit 4745 - 7-Eleven - DemolitionCITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT PERMIT # 4i45 Control # 27 -174 Work to be done Demolition Site Address 14209 -14215 Interurban Avenue S.Suite # Tenant Southland Corp. Building Use Retail Assessors Account #336590 - 1505 - 0;1480- 0;146b -U. Property Owner Southland Cnrpnration Phone # 575 -6711 Address 1nlq Andnver Park West, Tukwila Zip 98188 Contractor Westlrinod (' p z Phone # 251 -0638 Address_ 7011 S 1 �4t st _ Kent, WA ' 111 p /98032 BUILDING PERMIT ONLY Approved far Tcguanre h �% A , .r 1� FOR Sq. ou Warehouse e Retail Other lOcc. Load 1st F1. 2nd F1. 3rd F1. Total Fire Protection: ❑ Sprinklers ❑ Detectors 'Zoning-' Type of Construction Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 10,000 Bldg. Permit Fee Receipt #7280 $ 30.0 Plan Check Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ n/a Other Receipt # $ Other Receipt # $ TOTAL t ' $' 30,C Special Conditions J 0 FOR SIGN PERMIT ONLY ❑ Permanent ❑ Temporary ❑ Single Face ❑ Double Face L] Wall Mounted J Free Standing ❑ Other Building face Setbacks: Front Side Side Rear Square Footage of each sign face Total square footage of sign Special Conditions THIS PERM!! BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONL'U FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT l HAVE READ AND"EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE..CQMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 05,, CANCEI,� THE PROVISI94S OF ANY OTHER STATE O{} LOCAL LAW REGULATING COSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. //Signed -(7., ) /f( l `t fie l Lrel, C (i/ Date .i . % rl:; j ' LICENSED CONTRACTORS DECLARATION I hereby affirm that 1 am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Date Contractor (signature) OWNER- BUILDER.DECLARATION V ( ) 1, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date_ S "t"ittua 7GAYi ''_; tin:rur ss.;.r s:: CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1849 Type of Inspection �pihro Site Address / / 20? r` avp .20, Requestor INSPECI:1N RECORD PERMIT # 7ys Date 03 /V 8 Date Wanted /' Project (. Phone # a.m. p.m. Special Instructions Insp ction Results /Comments: -49 .4fl1L () deA, g' Inspector ? Date .V ' r //p G City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 1201) 433 -1100 Gary 1. VanDusen, Mayor MEMORANDUM TO: AIle r-8 7 -17)x! ,hnut ►,l 24I t thyp FROM: (Jtt f� 011.(,t_c� DATR: R-3- a7 SUUJICT: v'') /GC e ittP Ch +'6 e 124 f a� \bong, %od, 47 . .i_/' ! 1/1,66 ?'1& £ 'W 11 GY , 10-P ) Mc° ae6r__c M -/ k • 4/424 maitiat, c p uYU 1 Y44/4441-14-, .4 p • 011.14 PROOUCER CERTIFICA OF INSURANCE CORROON do BLACK OF OREGON P. O. BOX 8699 PORTLAND, OREGON 9727 TEL: (303) 2244135 ISSUE • ATE (MMRi0/YY)' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO 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 LETTER Fireman's Fund Insurance Company INSURED • WESTWOOD CORPORATION DEVELOPER AND CONTRACTORS '3030 S. W. MOODY AVENUE PORTLAND, OR 97201 -4897 COVERAGES COMPANY B California Union Insurance Company COMPANY C LETTER COMPANY D LETTER C';:mPANY E LI.'-rE 1 CERTIFICATE NO. 3 TINB a TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY MOWED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, ANO CONDI- TIONS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE GATE (MMIDO/YY) POLICY EXPIRATION DATE (MWDO/YY) ALL LIMITS IN THOUSANDS OBNERAL LIABILITY COMMERCIAL GENERAL LIABILITY ,;:AMTS MADE OCCURRENCE OWNER'S & CONTRACIURS PROTECTIVE s _men_ fED oPo MXX 80163868 AUTOMOBILE LIABILITY ANY AUTO All OWNED AUTOS SCHEDULED AUTOS IINVO AUTOS NON OWNEO AUTOS GARAGE LIABILITY -410400_11en.aer MXX 80163838 10/11F 10/1186 GENERAL AGGREGATE PROOUCTS•COMP/OPS AGGREGATE PI:ASOHAL £ ADVERTISING INJURY EACH OCCURRENCE $ 2, $ 2 000 • 0/1/8 FIRE DAMAGE (ANY ONE FIRE). MEDICAL EXPENSE (ANY ONE PERSON) $ 1,000 $ 1,000 $.50 $ 10/1 /8 CSL $ 1 ICI SWAY INJURY (PER PERSONI $ NI $ T PROPERTY . DAMAGE $ EXCESS UABILITY OTHER THAN UMBRELLA FORM EOU 005001 10/1/86 10/1/ WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EACH OCCIMWENC $1,000 $1,000 AOOMOATI • STATUTORY ✓ O V OTHER 1 4 1986 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES/RESTRICTIONS/SPECIAL ITEM 'WE Or MICE AND WAREROIBE LOCATED AT 7611 B. CERTIFICATE HOLDER CE061- SPIEEER- HOSFORD co E TRAreIBLL CRCCA COMPANY 10300 8. We GREENSBURG ROAD, #200 PORTLAND, OREGON 97223 CANCELLATION (EACH ACCIDENT) (DISEASE-POLICY Lam) co SE•EACH EMPL0121) ..I (Y OF '1'i1K i iu, MAY iyi; / 3UILDIN( DE,; 1800 =UT, 1/888ZpGTOII SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX. PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER•NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE N0 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA IVE .1 • GENERAL FORM • sM 41111/ FIREMAN'S FUND AMERICAN INSURANCE COMPANIES FIREMAN'S FUND INSURANCE COMPANY TIIE AMERICAN INSURANCE COMPANY NATIONAL SURETY CORPORATION ASSOCIATED INDEMNITY CORPORATION AMERICAN AUTOMOBILE INSURANCE COMPANY HOME OFFICE SAN FRANCISCO. CALIFORNIA Bond No. SLR ■450357 KNOW ALL MEN BY THESE PRESENTS, That we, WESTWOOD CORPORATION, DEVELOPERS & CONTRACTORS (hereinafter called Principal), as Principal, and THE AMERICAN INSURANCE COMPANY a corporation organized and doing business under and by virtue of the laws of the State olNew Jersey and duly licensed for the purpose of making, guaranteeing or be- coming sole surety upon bonds or undertakings required or authorized by the laws of the State of Washington (hereinafter called Surety) as Surety, are held and firmly bound unto CITY OF TUKWILA hereinafter called Obligee) in the just and lull sum of SEVENTEEN THOUSAND AND NO /100THS Dollars ($17_, 000.00 ) lawful money of the United States of America, for the payment of which, well and truly to be made, we hereby bind ourselves and our and each of our successors and assigns, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH THAT, WHEREAS, the Principal has applied for a Demolition Permit for removal of buildings at 14209 Interurban Avenue South, Tukwila, Washington. NOW, THEREFORE, if the said Principal shall, during the period of this permit, faithfully observe and honestly comply with the provisions of Tukwila Ordinance No. 1393 regulating the removal of the buildings at 14209 Interurban Avenue South, then this obligation to be void, otherwise to remain in full force and effect. IN WITNESS WHEREOF, said Principal and said Surety have caused these Presents to be duly signed and sealed this day of May , 19 S7 . WESTWOOOD .CORPOIAON 5th LOPERS C0N RACTORS Principal r � ' THE ArERICPtN INSURANCE COMPANY surety BY:.. _ �.;'_ �f. ,'_!�_� Lynette G. Harris 360481 -2 -69 Attornuy•,n Fact • GENERAL KT POWER OF TICAMERICAN INSURANCE COMP A 'Y KNOW ALL MEN BY THESE PRESENTS: That THE AMERICAN INSURANCE COMPANY. a Corporation duly organized and existing under the laws of the State of New Jersey. and having its principal oMice in the City and County of San Francisco. California. has made. constituted and appointed. nd doe...by these presents make, constitute and appoint LYNETTE G. HARRIS PORTLAND, OR its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in its name. place and stead. to execute. seal. acknowledge and deliver any and all bonds, undertakings. recognizance% or other written obligations in the nature thereof and to bind the Corporation thereby as fully and to the same extent as if such bonds were signed by the President. sealed with the corporate seal of the Corporation and duly attested by its Secretary. hereby ratifying and confirming all that the said Attorneytsl•in -Fact may do in the premises. This power of attorney is granted pursuant to Article VIII. Section 30 and 31 of By -laws of THE AMERICAN INSURANCE COMPANY noss in full force and effect. "Article VIII, Appointment and Authority Assistant secretaries, and Attorney-in -Fact and Agents to accept Legal Process and Make Appearances. Section 30, Appointment. The Chairman of the Board of Directors, the President, any Vice-President or any other person authorized by the Board of Directon, the Chairman of the Board of Directors, the President or any Vice - President, may, from time to time, appoint Resident Assistant Secretaries and Attorneys -in -Fan to represent and act for and on behalf of the Corporation and Agents to accept legal process and make appearances for and on behalf of the Corporation. Section 31, Authority. The Authority of such Resident Assistant Secretaries, Attorneys-in-Fact, and Agents shall be as prescribed in the instrument evidencing their appointment, and any such appointment and all authority granted thereby may be revoked at any time by the Board of Directors or by any person empowered to make such appointment." This power of attorney is signed and sealed under and by the authority of the following Resolution adopted by the Board of Directors of THE AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 211h day of September. 1966. and said Resolution has not been amended or repealed: **RESOLVED. that the signature of any Vice - President. Assistant Secretary. and Resident Assistant Secretary of this Corporation. and the seal of this Corporation may be affixed or printed on any power of attorney. on any revocation of any power of attorney. or on any certificate relating thereto. hl facsimile, and any power of attorney. any revocation of any power of attorney. or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Corporation. IN WITNESS WHEREOF. THE AMERICAN INSURANCE COMPANY has caused these presents to be signed by its Vice - President. 14th dayof February 19 83 THE AMERICAN INSURANCE COMPANY V,ce.Pre.ident and its corporate seal to be hereunto affixed this STATE OF CALIFORNIA, CITY AND COUNTY OF SAN FRANCISCO On this 14th day of February , 19 83 , before me personally came Richard Williams to me known, who, being by me duly sworn, did depose and say: that he is Vice - President of THE AMERICAN INSURANCE COMPANY. the Cor- poration described in and which executed the above instrument; that he knows the seal of said Corporation; that the seal affixed to the said instrument n such corporate seal; that it was so affixed by order of the Board of Directors of said Corporation and that he signed his name thereto by like order. IN WITNESS WHEREOF. 1 have hereunto set my hand and affixed my official seal. the day and year herein first above written. By NIUSSIIMINSINSOSSOGGIONSININNOSNIONCISHISINI ,r- �i OFFICIAL SEAL SUSIE K. 6IUERT NOTARY PUIUC - CAUFCRN1A MT $ COWRY Of SAN RIAIKISCO My Commission Expires Nov. 17, 1944 STATE OF CALIFORNIA, CITY AND COUNTY OF SAN FRANCISCO I, the undersigned, Resident Assistant Secretary of THE AMERICAN INSURANCE COMPANY, a NEW JERSEY Corporation, DO HEREBY CER- TIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked; and furthermore that Article VIII, Se:- lions 30 and 31 of the By -laws of the Corporation, and the Resolution of the Board of Directors, set forth in the Power of Attorney. are now in force, CERTIFICATE Signed and sealed at the City and County of San Francisco. Dated the 360711- TA -5-01 5th day of _ May 19 87 Re%ident Aeskiant Sc.rciar) 1 CCT¼OC 0 0 1 1 1 ■ 0 kn cs3 co tf) 1 ■ CITY OF TUKWILA , Building Dlvision BU( )ING PERMIT APPLICTTION '6200 Southcenter Boulevard 3.7—/171-/ Tutwila, Washington 98188 k. Control # .(206) 433 -1845 Site Address v, ,✓t"• I / 1tj Suite# Floor# Project Name /Tenant JUjctliail4'ic Valuation of Construction l' SS 000 Assessors Account# Property Owner TlJC (..7TH LArn}t, r")leron -$4— 1c,(0 Phone 575 -�•7 / 1 Address 10Js />,)J) E?z_ L E 57D1 u.uILA1 Zip 78)8 Applicant Li,- =; 0c' o> Phone ,;75)-0(„..'S Address 7 0 / l / -�r.. -1 ., )4 :AY I Li11 Architect/Engineer TT . _t. • Zc.,•tsvL77,barc , Phone 9ss •- '7 Address /o00(D , J r }-�� / �Lz_EAA)E/ A. Zip `jvor:)4- Contractor 1.,_)E: j (,,)LA-3 ('o P License# i`,.)E5TOCp / .rj, Phone 2 S) - (DC 3(,, Address 7M ;, %c o` ` S7 ) X -/o-r; t'#4 . Zip 77o32 Class of Work: ❑ New ❑ Addition ❑ Tenant Improvement ❑ Remodel (residential) ❑ Reroof 'Demolition ❑ Interior Demolition ❑ Other Describe work to be done-i. E E-Y• r S j /vJV Av/ i_ t>Ji06 S Zip `/5303 z_ Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use Will there be a change of use? ❑ Yes ❑ No If yes, describe change of use, including square footages of changed areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? ❑ Yes ❑ No If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. (print name) -:),A (t'uizi i • Applicant /Authorized Agent (signature) Contact Person (please print) JoE rAR1C,. Date Phone 7.Si -a� ?�; FEES: Building Permit Fee Plan Check Fee Bldg Code Sur Charge Energy Sur Charge* Other *New construction only OFFICE USE ONLY (000/322.100) $ ,30,OO Receipt# 17c2$0 (000/345.830) Receipt# (000/386.904) 3-s>9- Receipt# (000/386.907) Receipt# ( ) Receipt# TOTAL SQUARE FOOTAGE /BUILDING USE INFORMATION (OWES: $ Date Paid Date Paid Date Paid Date Paid Date Paid Square Foota'e 'f Entir- Buildin FLOOR USE /Occ Type SQ.FT. LOAD USE /Occ Type\ SQ.FT. L0/10 USE /Occ Typ_ SQ.FT. GTLITZ TRACKING DEPT. DATE IN DATE OUT COMMENTS OCC AL SQ.FT AL OCC. BLDG FIRE Iaeit-, Dolts PLNG Approved for rssuanceT Type of Const. T4�ta�a�; Date Approved: Approved (I ni ti a-1-s-)'------ ----- - -P_er _lette.r dated Fire Protection: ❑ Sprinklers ❑ Detectors 7U • ' • / . . aL .. 0- - Appro =d- Pccb-6":1"ubo-7--)-4/e_ 11 1 01 :i: ■L' 1 Zoning Setbacks: N Parking stalls required for: Site Parking stalls provided: Site ADDITIONAL PARKING STALLS REQUIRED: PWD 6,021 Approved (Initials) E ------W Tenant Space Tenant Space N Per letter /plans dated I" /,(1l For 11(1(.1.1,4/? g 4tyrni 110 >`Q0 -t CITY OF TUKWILA , Alk Building Division BU SING PERMIT APPLI( TION _`n Tt w Sa, Washinr onul9818d Q� l /t/ T��M11a, Washington 98188 BU( ti� Control # Q �� I .(2U61 433 -1845 )u2/5 _ Site Address \� l iruT.,,,,,t, N A,�r�, <'• Suite# Floor# Project Name /Tenant -7— I ) STc,'g�`> Valuation of Construction �i01 /0/crto Assessors Account# Property Owner -1.1-E. `*.)u-rH-e -Jb p'iZPGiZATia(J Phone S7 `,- —L % L Address 'c35 AMI>c )E'R TARK l.L)t= -5 j) `rUK WILI\, L43H . Zip 7 S(tiE Applicant 71 -LJ0c Cam , Phone 'ZS`(-- C (o -._,U Address 7W S, )&:,qtr.... 5-r k. &''r> Li/15H Zip 7c3-_ Archi tect /Engineer' i Colo c.,`rq,v7 , /»X • Phone 4.$5 —74c/4 Address ne x> 10, 6- , 3t" '7r r�� F�� Irvu�) Om • �- zip Y ��9 —. I �� Contractor V_1 5 ( )Co�l_i C. or.r• / License# l.),3E.5iWC�b1(al21K Phone 'ZS-) -DC,3 Address '7(v 1 \ S, 1 V)011— c�T, Gl�-�T) Lk)ASi-1 . Zip c( F';e�'Z- Class of Work: ❑ New ❑ Addition dTenant Improvement ❑ Remodel (residential) ❑ Reroof Demolition ❑ Interior Demolition ❑ Other Describe work to be done 'RE; mc,V C E•,4 1 `r1 N[� Fvi r —i>,10 , <", Type of Const. (UBC) Occ. Group (UBC) Square footage of entire building Square footage of tenant space Building Use Will there be a change of use? ❑ Yes [] No If yes, describe change of use, including square footages of changed, areas Will there be storage or use of flammable, combustible or hazardous materials on the premise or area of construction? ❑ Yes No If yes, explain I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO DO THIS WORK. Applicant /Authorized Agent (signature) �2w,� Date (print name) �� D e C 1z.-rr S Contact Person ( please print) ‘�C)E 4 ,'� Phone,, r) — e) (038 OFFICE USE ONLY FEES: Building Permit Fee (000/322.100) $ ,30,00 Receipt# ��? () Date Paid Plan Check Fee (000/345.830) Receipt# Date Paid Bldg Code Sur Charge (000/386.904) .1- .-50 -- Receipt# Date Paid Energy Sur Charge* (000/386.907) Receipt# Date Paid Other ( ) Receipt# Date Paid *New construction only TOTAL (OWES: $ g5 ) ,(J,((} _ SQUARE FOOTAGE /BUILDING USE INFORMATION Square Footage of Entirg Building: FLOOR USE /Occ Type SQ.FT. -OCC - LOAD USE /Occ Type SQ.FT. OCC LOAD, USE /Occ TYPE, SOFT, OCC ,j DAD TOTAL SQ.FT. TOTAL OCC. y 1 Ji TOTAL � TRACKING DEPT. DATE IN DATE OUT COMMENTS, r BLDG /rj"��J -16 cf) Approved for Issuance Type of Const. To Mahan: Date Approved: FIRE Approved (Initials) Per letter dated Fire Protection: • Sprinklers ❑ Detectors PLNG Approved (Initials) • BA' • L' 0 U 'A I I IN Zoning Setbacks: N S E W Parking stalls required for: Site Tenant Space Parking stalls provided: Site Tenant Space ADDITIONAL PARKING STALLS REQUIRED: I• PWD ✓ �� 1 � �4 Approved (Initials $1' Per letter /plans dated t..../1)- For ticuA l.in q mi t - -M b IP.1161 January 12, 1989 AL p k, ,NC. Southland Corporation 1035 Andover Park West Tukwila, WA 98188 Attn: Greg Aveldson Dear Greg, Phone (206) 783 -8956 RECEIVED JA,i'i 1 / CON 3 i DEPT Enclosed please find a copy of the permit and the results from the soil samples that were taken from the Interurban project. If you need any further information please give me a call. Sincerely, Sharon L. Taster Lee Morse General Contractor, Inc. 9434 Dskldes Wary S.W. • Sulu 1 • Seattle, Wlsshlnaton 99109 .t 11.1 IYjk1171 rr, r i•: +r •( r n 1 'Itj•1•.i11 �qy�I� rt t ,. - 4.,- r. ;o .'rpt►gf}4, .4.1 .i i �` rr, ,F -.1 ii ;( t- `�sK..irrlr :04.., !r:rr� I t 'YT.t'(i. 1:► . t.14.1.,r 4'r y : i1T `ItTfd/. I'lli t I l' '. •. ,. n(�i�� WI-014r? •1r,' "''. •'1 • 77/N . T • .�t 1 .!?.IT ■w:,r ... a ,c •� :ltd �• . +tb"71t+ , •'".1 t; , j,4t. •11.1 f .• :I, , ?rt!r ;',. :;2, ,tl'in Am.T1 SPECTRA Laboratories, Inc. 5013 Pacific Hay. E. 8A -12 • 73coma, WA 98424 • (206) 922 -5120 December 27, 1988 Analytical Resources, Inc. 333 Ninth Avenue North Seattle, 98109 -5187 Custcuer #81570 Client: Lee Morse Project: Interurban Spectra # 'Sample ID Zbta1 Petroleum Hydrocarbons, ppm (TPH) 18556 2419 A 6 18557 2419 H 4 18558 2419 C 152 18559 2419 D 7 Ibtal Petroleum Hydrocarbon testing performed by EPA Method 418.1 SPECTRA LABORATORIES, INC. Steven G. Hibbs, Chemist Corroon & Black of Oregon March 27, 1989 City of Tukwila 6200 S. Center Blvd. Tukwila, WA 98188 RE: Westwood Corporation, Developers & Contractors Demolition Permit - Ordinance No. 1393 Gentlemen: r Insurance /Surety Bonds 1600 S.W. Fourth Avenue P.O. Box 8699 Portland, Oregon 97207 503/224 -4155 FAX No. 503.274 -2155 There is on file with the City a $17,000 bond covering a Demolition Permit for work at 14209 Interurban Avenue South in Tukwila. Please advise if the work covered by this permit has been completed so that the bond can be closed at this time. Thank you. Very truly yours, CORROON & BLACK OF OREGON Ly Harris Su ety Department cc Westwood Corporation wwwm f AR 2 91999 CITY OF TUKWILA 621)0SO117YICRNTERBOULEVARD, T1'Kit7l.a, II tSIuv(;TU,v9 188 October 24, 1989 Westwood Corporation 7611 South 180th St. Kent, WA 98032 Attn: Joe Park PHONE u (2061.133-1800 Gary 1.. VanIh ra, ,thn Re: Demolition Permit 114746, Southland Corporation Dear Mr. Park: According to our records permit 114746 for demolition work at 14225 Interurban Avenue South has not been signed -off by the City Inspector. The only outstanding item is removal of the underground tanks. A permit is required through the Tukwila Fire Department (575 - 4404). When the tanks have been removed to their satisfaction we may then sign -off the permit and release the $1.7,000 bond. If you should have any questions or need my assistance in resolving this issue, please don't hesitate to contact me at 433 - 1851. Sincerely, 46464.4.04 Becky L. Davis Permit Coordinator Enclosure cc: Nick Olivas, Fire Marshal Duane Griffin, Building Official •A THE BOUTHLAND CORPORATION LANE PREMO Real Estate Manager Washington Division 1035 ANDOVER PARK WEST /SEATTLE, WA 98188/(206) 575 -6711 FAX (208) 575 -8022 asammassum.. ELEVEn NI® 11111111111•1111111111111111 21 March 90 Ms. Shellie Bates City of Tukwila 6200 Southcenter Blvd. Tukwila, WA 98188 (-' L![ [PI IR • [NIAR 26 1990 C‘r. RE: Removal of Westwood's $17,000 Bond 7-Eleven Store #27482, Interurban A 58th Avenue, Tukwila, WA Dear Ms. Bates, Pursuant to our telephone conversation I am enclosing copies of our permit to remove the gas tanks at the above listed location, contract with Lee Morse, General Contractor to do same, invoice upon completion, and Waiver of Lien. Please feel free to contact my office or Lee Morse if there are any additional questions. Sincerel THE RPORATION Lane Premo, Construction Manager LP/ses (043) Enclosures cc: Westwood Corp., Mr. HalFerris Kent, WA 7-Eleven Food Stores / Washington — Hawaii Division lliibil°0NUcTli LAN D 98188.0027 ( 1 5 CORPORATION 1035 Andover Park West / Seattle, WA 9 188-0027 / Phone 206 575-6711 / FAX (206) 57 -8022 '1..71 #it ip ,t• 7 0111 �o1T"*rNrr!*,0t17�1q*;. OrdIh. 0 ,Uy i L•: � ∎0%:,0 , hn P, r.h..l.,{+-,• ^ Y ..r S•P N 'i i•••'M`f'+4416•fr luxe' 044. -05: '4 .i._. 1 ; 7 ,INi„ e.1 .y Y� if:� r.r.1..• t6J thiv M �M9i r . 4_ _1;'!Y S;i�+rj�:�S,.1�q j�S.�+'� ?ri ,{ ;.r e,(. • ,S r k ui�, �. ,� /4"'l'�;,1!! ,Y-"' rj, ;,', ''rte ,�,�� ; .. t r 41,011: �` F . f': . 1: "� �'i ,'f ��+f � T� t't fo '� ■•44' #j'' — 1'4.4' Y. , • • j 1 ,yj�^ S e4'44t• • CONSTRUCTION A..CEMENT AGREEMENT dated November 29 1035 Andover Park West a Texas corporation, 88240NOftaPOi PROJECT NAME OR NUMBER: C892349101 2340 -27482 , 1988 , between The Southland Corporation, Tukwila, f� 98188 Lee Morse General �[ vAtIceM94,StagF4RWS ( "Owner ") and Contractor, 9434 Delridge Way S W, Owner and Contractor agree as follows: Seattle, WA ("Contractor"). 98106 ARTICLE I THE WORK 1.1 The Contractor shall perform all work, furnish all equipment and purchase all materials, other than the equipment and materials to be provided by Owner and shown on the drawings and specifications, neces- sary for the construction and completion of removal of gasoline tanks ( "Project "), as described in the Contract Documents. ARTICLE II CONTRACT DOCUMENTS 2.1 This Agreement is intended to be read in conjunction with the Contract Documents described below. To the extent that definitions, terms, or conditions of the Contract Documents conflict with the Agreement. the Contract Documents will control. 2.2 The Contract Documents consist of: 2.2.1 Drawings numbered and dated. 2.2.2 Specifications dated 11 -29 -88 2.2.3 General Conditions. 2.2.4 Insurance Specifications. ARTICLE III PROJECT SUM $ 12,020.72 3.1 Owner shall pay Contractor the sum of. $ 11,120.00 + WSST $ 900.72 form 4400167 9/80 Ppe1of4 ( "Project Sum "). 3.' Owner shall make payments of the Project Sum to Contractor set forth below: On or before the fifth day of each month Contractor shall submit an invoice for payment for work completed up to the date of the invoice, less the aggregate.of previous payments. Upon substantial completion of the work, Contractor shall submit an invoice for payment of the entire unpaid balance, less retainage for incomplete work and unsettled claims. Retainage shall be released upon final approval of all work by the owners representative and upon receipt by the Owner of the • as -built drawings, a complete Release and Waiver of Liens, any written guarantees of work or materials required by the specifications and all Contractor's Weekly Construction Reports. Owner shall make payments within 30 days of receipt of invoices. Any retainage shall be paid upon final completion of the work. Retainage will be withheld at the rate of 10 %. ARTICLE IV GUARANTY BOND 4.1 Contractor (sitsB) (shall not) obtain a performance or surety bond in form acceptable to Owner. ARTICLE V ASSIGNMENT 5.1 Owner has selected Contractor as general contractor for the Project because of Contractor's particu- lar abilities to perform the Work. Therefore, Contractor shall not be permitted to assign, or broker, its duties and obligations under the Agreement. ARTICLE VI TIME OF COMMENCEMENT AND COMPLETION 6.1 The Work shall be commenced UPON NOTICE TO and completed PROCEED BY OWNER IN WITNESS WHEREOF, Owner and Contractor have executed the Agreement this .JCn111C.��i , 19 .J OWNER: CONTRACTOR: By Attest ��'`(�C�, n- f2.9J\O" 1 Attest C lY ck- i (--0 B form 4400157 9 /50 Pps2of4 19 day of ADTENEUM TO ARTICLE 13.1 CONTRACT DOCUNENS Contract Number C892349101 Deductibles: Fire, extended coverage, vandalism and malicious mischief and all other perils, $500.00. Any and all deductible losses shall be borne by the Contractors in the same portiow pgcfri 11 -'ti that the amount of each Contractors' loss bears to the total loss to all contractors on the project. Uninsured losses shall be borne by each contractor individually. END OF ADDENDUM TO ARTICLE 13.1 GENERAL CONDITIONS ARTICLE 1 CONTRACT DOCUMENTS { The intention of the Contract Documents is to include all labor, materials, equipment and other items as provided in Paragraph 3.2 necessary for the proper t .ion and completion of the Project and the terms and conditions of payment therefor, and also to include all Work which may be reasonably inferable from the ..ontract Documents as being necessary to produce the intended results. 1.2 The Contract Documents shall be signed in not less than duplicate by Owner and Contractor. By executing the Agreement, Contractor represents that he has visited the site and familiarized himself with the local conditions under which the Work is to be performed. 1.3 The term work, as used in the Contract Documents, includes aU labor necessary to produce the construction required by the Contract Documents, and all materials and equipment incorporated or to be incorporated in such construction ( "Work "). ARTICLE II OWNER 2.1 Owner wiU provide general administration of the Agreement until issuance of the final payment. 2.2 Owner shall at all times have access to the Project to review the Work wherever it is in preparation and progress. 2.3 Owner will have authority to reject Work which does not conform to the Contract Documents. 2.4 If needed to complete the Project, Owner shall secure and furnish all surveys. 2.5 If needed to complete the Project, Owner shaU secure easements for permanent structures, or permanent changes in existing facilities. ARTICLE 1I1 CONTRACTOR 3.1 Contractor shall supervise and direct the Work, using his best skill and attention. The Contractor shall be solely responsible for all construction means. methods, techniques, sequences and procedures and for coordinating all portions of the Work under the Agreement. 3.2 Unless specifically noted in the Agreement, Contractor shall provide and pay for all labor, materials, equipment. tools, construction equipment and machinery, (water, heat, utilities) transportation, and other facilities and services necessary for the proper execution and completion of the Work. 3.3 Contractor shall at all times enforce strict discipline and good order among his employees, and shall not employ on the Project any unfit person or anyone not skilled in the task assigned to him. 3.4 Contractor warrants to Owner that all materials and equipment incorporated in the Project will be new unless otherwise specified, and that all Work will be of good quality, free from faults and defects and in conformance with the Contract Documents. AU Work not so conforming to these standards shall be considered defective. 3.5 Contractor shall pay all sales, consumer, use and other simile taxes required by law and shall secure all permits. fees and licenses necessary for the execution of the Work. 3.6 Contractor shall give all notices and comply with all laws, ordinances, rules. regulations, and orders of any public authority bearing on the performance of the Work, and shall notify Owner if the Drawings and Specifications are at variance therewith. 3.7 Contractor shall be responsible for the acts and omissions of its employees and all Subcontractors, their agents and employees and all other persons perform- ing any of the Work under contract with the Contractor. 3.8 Contractor shall review, stamp with his approval and submit all samples and shop drawings, as directed for approval of Owner, for conformance with the design concept and the information iven in the Contract Documents. The Work shall conform to the approved samples and shop drawing. 3.9 Contractor shall at all times keep the Project free from accumulation of waste materials or rubbish caused by its performance of the Work. Upon completion of the Project, it shall remove all of its waste materials and rubbish from and about the Project as well as all tools, construction equipment, machinery and surplus materials and shall clean all glass surfaces and leave the Project "broom clean" or its equivalent. except as otherwise specified. 1 10 Contractor shall indemnify and hold Owner and its agents and employees harmless from and against all claims, damages, losses and expenses including attor• s' fees arising out of or resulting from the performance of the Work. provided that any such claim. damage, loses or expenses (1) is attributable to bodily injury. .ness, disease or death. or to injury to or destruction of tangible property. other than the Project, including the loss of use resulting therefrom, and (2) is caused in whole or in part by any negligent act or omission of the Contractor. any Subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, regardless of whether or not it is caused in part by a party indemnified hereunder. In any and all claims against Owner or any of its agents or employees by any employee of Contractor, any Subcontractor, anyone directly or indirectly employed by any of them or anyone for who'.• acts any of them may be liable, the indemnification obligation under this paragraph shall not be limited in any way by any limitation on the amount or type . damages. compensation or benefits payable by or for Contractor or any Subcontractor under worker's compensation acts. disability benefit acts or other employee benefit acts. The obligations of Contractor under this paragraph shall not extend to the liability of Owner. its agents or employees arising out of (1) the preparation of maps. drawings. opinions. reports. surveys. change orders. designs or specifications, or (2) the giving of, or the failure to give, directions or instructions provided such giving or failure to give is the primary cause of the injury or damage. 3.11 Contractor shall submit for approval a certificate of Substantial Completion when the work is sufficiently complete so that Owner can occupy or utilize the work for its intended use, and an application for final payment when the work has been totally finished. 3.12 Contractor warrants that no git't or gratuity or any promise of gift or gratuity, has been given. offered, or made to, or for the benefit of any employee or agent of Owner for the purpose of influencing the selection of Contractor. Furthermore. Contractor certifies that no gift or gratuity or any promise of a gift or gratuity will be offered or made to, or for the benefit of any employee or agent of Owner as a result of Contractors receiving the Agreement. .13 At the time of Contractor's submittal of the certificate of Substantial Completion, Owner and Contractor shall, at Owner's option, jointly inspect the Project and compile a list of defective work. ARTICLE IV SUBCONTRACTS 4.1 A Subcontractor is a person who has a direct contract with the Contractor to perform any of the Work on the Project. 4.2 Unless otherwise specified in the Contract Documents or in the instruction to bidden, Contractor. as soon as practicable after execution of the Agreement. shall furnish to Owner in writing a list of the names of Subcontractors proposed for the principal portions of the Work. Contractor shall not employ any Subcon• tractor to whom Owner may have a reasonable objection. Contractor shall not be required to employ any Subcontractor to whom he has a reasonable objection Contracts between the Contractor and the Subcontractor shall be in accordance with the terms of this Agreement and shall include the General Conditions insofar as applicable. ARTICLE V SEPARATE CONTRACTS 5.1 Owner reserves the right to award separate contracts in connection with other portions of the Project or other work on the site under these or similar gene,., conditions. 5.2 Contractor shall afford Subcontractors and Owner's other contractors. if any, reasonable opportunity for the introduction and storage of their material and equipment and the execution of their work. and shall properly connect and coordinate his work with theirs. 5.3 Any costs caused by defective or ill-timed work shall be borne by the party responsible therefor. ARTICLE VI ROYALTIES AND PATENTS 6.1 Contractor shall pay all royalties and license fees. Contractor shall defend all suits or claims for infringement of any patent rights and shall save Owner harry ss from loss on account thereof. ARTICLE VII ARBITRATION 7.1 All claims or disputes arising out of the Agreement or the breach thereof shall be decided by arbitration in accordance with the Construction Industry Art tration Rules of the American Arbitration Association then obtaining, unless the panics mutually agree otherwise. Notice of the demand for arbitration shall t tiled in writing with the other party to this Agreement and with the American Arbitration Association and shall be made within a reasonable time after the dispu has arisen. The award rendered by the arbitrators shall be final, and judgment may be rendered upon it in accordance with applicable law in any court having jury diction thereof. form 4400157 9/80 Pao* 3ol4 ARTICLE VIII TIME 1 8.1 A11 time limits stated in the Contract Docu( .s are of the enact to the Agreement ('Time Limit 8:2 If the Conthator is delayed at any time in me progress of the Work by changes ordered In the Work, by labor disputes, fire. unusual delay in tranaporation. unavoidable casualties, causes beyond the Contractor's control, or by any cause which Owner and Contractor may mutually determine justifies the delay, then Time Limits shall be extended by change order for such reasonable time as Owner and Contractor shall mutually determine. t 1 ,. , . . ). . r..i.• . ,. • , .ar..rt . , r ..1. • ARTICLEIX • • • ., . , PAYMENTS 9.1 Payments may be withheld on account of (1) defective Work not remedied, (2) claims filed, (3) failure of Contractor to make payments properly to Su; tractors or for labor, materials, or equipment, (4) damage to another contractor, or (5) unsatisfactory prosecution of the Work by Contractor. L. 9.2 Final payment not due until contractor has delivered to Owner lien waivers covering material and his labor included in the work, as well u lien waiver from all subcontractors, and major material suppliers for all material and labor, or shall post a bond pursuant to the provisions of Article X. If any lien renuins unsatis- fied after any payments have been made, Contractor shall refund to Owner those sums, when combined with the outstanding unpaid Project Sum, necessary to discharggee all liens, including all costs and reasonable attorneys' fees. 9.3 The making of final payment shall constitute a waiver of all claims by Owner except those arising from (1) unsettled liens, (2) faulty or defective work discovered after the date of Substantial Completion, (3) failure of the Work to comply with the requirements of the Contract Documents. or terms of any special guarantees required by the Contract Documents. The acceptance of find payment shall constitute a waiver of all claims by Contactor except those previously nude in writing and still unsettled. , . • _ .... t...,.,,:., • , • ...:. ,,....;.. r. - I.:.re.V J, . • • _ : 1J2-1' ..5: •:f :.1 "i• •,' irr•.,tr; •), •-.. . ARTICLE X • .1 • .. • MECHANICS AND MATERIALMENS LAYS . . • BOND OF INDEMNIFICATION • 10.1 Contractor shall obtain a payment bond in form and from a corporate surety,•mutually acceptable to Owner and Contractor, whenever any lien is affixed. attempted to be affixed, secured or claimed against the Project. Such bond shall be payable to the lien claimant, describe the Project refer to the lien with sufficient clarity to identify the lien and be of a dollar value equal to the amount clahned under the lien.•• .,,: v ^car . , • 10.2 Contractor shall not allow any proceeding to be brought apinst the Project to establish, enforce, or foreclose any lien, or claim of the lien; referred to in the bond. • .. ..P . •• , , :1. 1.14 •.•7.411. ' ' •,::. .r.- !•t to . 10.3 This Article shall not be construed u a general waiver of lien rights against the Projez..�..,ct by the Contractor, or any Subcontractor. or materialmen, for the benefit of Owner. " ••►'' . ,��, -`t�• .r. , wo,••.- . •,1. ,, ... a �. 2Z : •• y .. - • — .•I1: •t.,n; ..err r, I:Iw M1t1,19 ..... ARTICLE XII • ts•r 1`•.: • PROTECTION OF PERSONS AND PROPERTY • . . . • t c. 11.1 Contractor shall be responsible for initiating, maintaining and ll safety precautions and programs in connection `with the Work. Contractor shall take all reasonable precautions for the safety of. and shall provide aU reasonable protection to prevent damage, injury or Ions to (1) all employees on the Project and other persons who may be affected thereby, (2) all the Work and all materials and equipment to be incorporated therein, and (3) other property at the project site or adjacent thereto. Contractor shall comply with all applicable laws, ordinances, rules, regulations and orders of any public authority having jurisdiction for the safety of persons or property or to protect them from damage, injury or lou.•AU damage or Toss to any property caused in whole or in part by Contractor. any Subcontractor or anyone directly or indrectly employed by 'any of them, or by anyone for whose acts any of them may be liable, shall be remedied by Contractor, except damage or lou attributable to faulty Drawings or Specifications, or to the ecu or omissions of Owner or anyone employed by it or for whose acts it may be table but which are not attributable to the fault or negligence 1 . . • • • 1 : 1 .. . :: ,:: „ ,•r, • . r. • ► •r :^... .. . :� ;. aet) ......:• ..,wt ...CI 41 .. • .. 11 .'A,. \. nu•wJt :a ••.•'•.0•ARTICLEXII '1 • I • 'c ila' OWNERS LIABILITY INSURANCE . 12.1 Owner shall be responsible for purchasing and maintaining its own liability insurance and, at its option, may maintain such insurance as will protect it apinst claims which may arise from operations under the Agreement. +t ..r.^ ' • , : a. , . St • • - . • . . • . . • :.• .-,.i.,• .)nil.:• •).•': •t , — r-.• or'• • - . :te(/..,l) t•. .,. ..+i�0..'II. • }.. . . .,.•, , :<•4I •, .1. ARTICLE XIII •.. +.a,t" r) r,:. •BUILDERS RISK COVERAGE r F • 13.1. The Owner shall purchase and maintain builder's risk coverage or elect to seUdnsure the Project u follows: '• , • ' 13.1.1 Coverage: All risk of direct physical loss or damage from any external causes except u excluded. 13.1.2 Perils not insured: Wear, tear, deterioration, rust, rot, mold, vermin or ituects; loss of market, loss of use; mechanical failure, delay, faulty workman. ship, latent defect; settling, shrinkage or expansion; infidelity or dishonesty, mysterious disappearance, inventory shortage; earthquake; surface waters, and flood waters; freezing, electrical failure, error or ommiuion in design, plan or specification; Was Risks; radioactive contamination or nuclear damage, all as defined in the master policy and such other exclusions specified in the muter policy. 13.1.3 Property Excluded: Contractors' and /or Subcontractors' equipment of every description. Automobiles or other vehicles designed for highway use watercraft, aircraft. Machinery, tools, equipment and property of similar nature not destined to become a permanent part of the installation of ucture. Money, notes, securities, plans, blueprints, specifications. and other similar papers. Trees, gran. shrubbery or plants. 13.1. Deductibles: Fire, extended coverage, vandalism and malicious mischief, 5250.00; All other perils, 51000.00. Any and all deductible losses shall be borne by the Contractors in the same proportion that the amount of each Contractors' lou bean to the total loss to all contractors on the Project. Uninsured losses shall be borne by each contractor individually. . . •.• • , - . ,:•. . 13.1.5 This insurance shall include the interests of the Owner, the Contractor. Subcontractors, and Sub-sub-contractors. 13.2 Any loss insured under Paragraph 13.1 is to be adjusted with Owner and made payable to the Owner as trustee for the parties, as their interests may appear %ARTICLE XIV CHANGES IN THE WORK 14.1 Owner, without invalidating the Agreement, may order changes in the Work consistins of additions, deletions, or modifications, the Project Sum and the Time Limits being adjusted accordingly All such changes in the Work shall be authorized by written change order signed by Owner. 14.2 The Project Sum and the Time Limit may be changed only by change order mutually acceptable to Owner and Contractor. ' 14.3 The cost or credit to Owner from a change in the Work shall be mutually acceptable to Owner and Contractor. . ARTICLE XV CORRECTION OF WORK 15.1 Contractor shall correct any Work that fails to conform to the requirements of the Contract Documents where such failure to conform appan during the progress of the Work, and shall remedy any defects due to faulty materials, equipment or workmanship which appear within a period of one year from the date of Substantial Completion of the Project, or within such loner period of time as may be prescribed by law, or by the terms of any applicable special guarantee required by the Contract Documents. The provisions of this Article shall apply to Work done by Subcontractors, as well as to Work done by direct employees of Contractor .. • • • ARTICLE XVI TERMINATION BY CONTRACTOR 16.1 If, through no fault of Contractor, Owner fails to issue payment pursuant to the provisions of Article 111 of the Agreement within 30 days of the date pay ment shall be properly payable, Contractor may, upon seven days' written notice to Owner, terminate the Agreement and recover from Owner payment for al Work executed and for any proven loss sustained upon any materials, equipment, toots. and construction equipment and machinery, including reasonable profii and damages. • ... t.. :f:.. .. t . . :,.. • sat 1t. )7::..1. ti:_ .7) trait(. le ;Jib); tit tkYfili: is `. ;Y s::a'.' .. .. i...... L�, :(. . ARTICLE XVII TERMINATION BY OWNER 17.1 If Contractor fails to abide by any provisions of the Agreement, or defaults in lu obligation to perform the Work in accordance with the Contract Docu,. .cs Owner may, after seven days' written notice to Contractor and without prejudice to any other remedy it may have, make good such deficiencies and may deduce the cost thereof from the payment then or thereafter due Contractor or, at its opdon, may terminate the Agreement and take possession of the site and of al materials, equipment, tools, and construction uipment and machinery thereon owned by Contractor and may finish the Work by whatever method it may deerr expedient, and if the unpaid balance of the Project Sum exceeds the expense of finishing the Work, such excess shall be paid to Contractor, but if such expense exceeds such unpaid balance, Contractor shall pay the difference to Owner. • '• • form 4400157 9/80 Peps 4 of 4 +TICE — TO — PROCEED tontrect Number: C892349101 Project Numberle): 2340 -27482 Oats: January 18, 1989 To: Lee Morse General Contractor 9434 Del ridge Way S W #B Seattle, WA 98106 (Full Name and Susiness Address of Contractor) Issuing Office: IOwner) The Southland Corporation 1035 Andover Park West Tukwila, WA 98188 Pursuant to the captioned Contract dated. , 19 and Amendment (s) of Contract dated. 19 you are hereby notified to proceed. The Work , , is to be commenced within calendar days after receipt of this Notice — To — Proceed and com- pleted withinl_,..calendar days after receipt of this Notice — To — Proceed. • • • sinature of Owner's Representative (Name) Greg Aveldson, Construction Manager Typed or Printed Name of Owner's Representative • ,:,;.;.11:.:.:.::::::::::::::::%:.:.:.:.:.:.:.:.:.:.: TO 8E COMPLETED BY CONTRACTOR AND ONE EXECUTED COPY RETURNED TO OWNER ,,,,,,__._____ .. To: (Owner) SOUTHLAND CORPORATION 1035 ANDOVER PARK WEST TUKWILA WA 98188 (Address to Issuing Office) From: LEE MORSE GENERAL CONTRACTOR 9434 DELRIDGE WAY S W #B SEATTLE WA 98106 (Full Name and Business Address of Contractor) Receipt and acceptance of above Notice • To • Proceed Ls hereby acknowledged this day of , 19 Based on the date of receipt of this Notice - To • Proceed, the time of completion un er the Contract will be 19 . F•d" Name and Business Address of Contractor (Street, City, State and Zip Code) Signature of Authorized Representative of Contractor Date Typed or Printed Signer's Name and Title form 0200022 2/76 .. F LP, CERTIFICATE OF INSURANCE ` SEE REVERSE SIDE FOR INSTRUCTIONS 111111101111111111 011110104111111111 Issued to: The Southland Corporatiorr- (As additional named insured) 1623 S Andover Park WP s r Tukwila. WA 98188 An -n: Orvar N. J. Litsio INS. B Contractor Insured: Construction Manager COVERING: (Show Project Number, Contract Number and Address) KIND OF INSURANCE POLICY NO. POLICY PERIOD LIMITS OF LIABILITY 1. a) Workers' Compensation b) Employer's Liability a) Statutory Benefits State of. b) $500,000 one accident & aggregate disease 2. Comprehensive General Liability Bodily Injury & Property Damage & aggregate 5500,000 combined single limit including Contractual Liability & Completed Operations 3. Comprehensive Automobile Liability Bodily Injury & Property Damage per occurrence 5500,000 combined single limit UNDER WORKERS' COMPENSATION POLICY: 1. Does policy contain "All States Endorsement "? 2. Does policy provide compensation for exempt employees by use of the "Voluntary Compensation Endorsement "? UNDER GENERAL LIABILITY POLICY OR POLICIES: 1. Does policy provide Independent Contractors or Owners Contractors Protective coverage? 2. Does Property Damage Liability Insurance include coverage for XC and U? 3. Is The Southland Corporation added as an Additional Insured? 4. Is Broad Form Contractual coverage provided? 5. Is Broad Form Property Damage provided? 6. Does policy contain Waiver of Subrogation in favor of Owner? YES NO MMIMIMENIM UNDER AUTOMOBILE LIABILITY POLICY: 1. Does policy provide coverage for Owned, Non-Owned and Hired Automobiles? 2. Does policy contain Waiver of Subrogation in favor of Owner? In event of cancellation of the Insurance, thirty 130) days written notice shall be given to The Southland Corporation at the above address. NAME OF INSURANCE COMPANY ADDRESS SIGNATURE OF AUTHORIZED REPRESENTATIVE In event of cancellation of the contract, seven (7) days written notice will be given to the above named Insurance Company. (Signature of above Construction Manager) form 7500023 9 /80 INS. B • INSURANCE SPECIFICATIONS The Contractor. at its own expense. shall provide and maintain insurance as follows: (a) Worker's Compensation including occupational disease coverage as required by all applicable Fed- eral. State. Maritime and other laws including employers' liability with a limit of S500,000. The policy shall be endorsed to include all states•coverage. a waiver of subrogation in favor of Owner and voluntary compensation benefits for employees not subject to the act. The policy should include coverage for Long Shoremen and Harbor Workers Act, Jones Act or Voluntary D.C. benefits as required by labor union agreements, or by law. (b) Liability Insurance (excluding automobile liability) with a combined single limit of $500.000 per occurrence and aggregate for bodily injury and property damage in forms providing coverage not less than a standard comprehensive general liability policy.including hazards of operations including explo- sion. collapse. and underground coverage` elevator coverage. independent contractor coverage, broad form property damage liability coverage, products completed operations coverage, and broad form contractual coverage for liability assumed under this Agreement. Contractual liability coverage limits shall be. equal to the above limits. The policy shall name The Southland Corporation as an additional insured. The policy shall include a waiver of subrogation and cross - liability endorsements in favor of Owner. (c) Automobile Liability the Contractor shall provide and maintain at all times during the period that the contract is in force and effect at their own cost. insurance protecting for automobiles and trucks used by them either on or away from the site of Work. A combined single limit of 5500.000 per occurrence for bodily injury and property damage is required. Policy shall include coverage for all hired, owned. and non -owned automobiles and trucks. The policy shall include a waiver of subrogation endorsement in favor of Owner. (d) The Contractor and each Subcontractor shall purchase and maintain insurance coverage on all tools and equipment. including rental equipment. used in the prosecution of the Work. The Contractor shall furnish Owner with satisfactory evidence of the required insurance prior to commence- ment of the Work with a provision that at least thirty days prior written notice will be given to Owner in the event of cancellation or material change. Sold To Southland Corporation To 1035 Andover Park West - 5 1.239 CONS i DEPT Tukwila, Wa 98188 Attention: Greg Avelson Shipped To Tank Removal - Tukwila, Wa Address //t4 -;7--/Y INVOICE Phone (209) 793.9956 OUR NUMBER 1825 DATE 12 -29 -88 CUSTOMERS OROER SALESMAN TERMS upon completion F.0.8. job site J Tank Removal as per contract A¢reement X13642 10. 500. 00 Extras: Pump and dispose of 20 inches of gas left in tank Pump fee 200. 00 Disposal fee- 1,200 gallons @ .35C per gallon ' 420. 00 Sub Total 11, 120. 00 Tax 900. 72 Total Balance Due $ 12, 020. 72 ••. • 9434 o.kwgo wry sew. • Suit. e • Seattle, Washington 99109 T1 • • '. • • • February 8, 1989 Lee Morse General Contractor Attn: Sharon 9434 Delridge Way S W Suite B Seattle, WA 98106 RE: TANK REMOVAL AT INTERURBAN Our records show that you have received payment in the amount of $12,020.72. Please complete the attached Waiver of Lien and return to me. Our company policy specifies that all Waiver of Lien need to be signed, notarized, and the statistical survey completed at the bottom of the page. Thank you for your help. If you have any questions please call me. Sincerely, Cindy Nelson Administrative Secretary (003) cc: Store File #27482 7- Eleven Food Stores / Washington Division . 1035 Andover Park West /. Seattle, Washington 98188.0027 / Phone (206) 575.6711 / FAX #(206) 575 -8022 • THE SOUTHIAND 1.wJ CORPORATION �� %� WAIVER OF LIEN mo COOr011T1ON F.C:F_iVED 1w; 1 E29 CO, :PT KNOW ALL MEN BY THESE PRESENTS, That the undersigned Lee Morse General Contractor, 9434 Delridge Way S 1J Suite B, Seattle, WA 98106 763 -8956 for and in consideration of $ 12,020.72 representing the accumulated amount paid to the undersigned, receipt whereof is hereby acknowledged, does hereby waive, release and surrender any and all lien or claim or right of lien, to the date of this waiver, for labor and /or services in the above amount furnished upon the premises situated in the County of Ki ng State of Washington Tanks , described as follows. Removal of Gasoline (Title) Subscribed and Sworn to before me this, the d 'f a�f y `• `ter'' �� • 1 ■ otary`� P1ib11 County ag. State of The Southland Corporation requests your cooperation in providing the following information which will be used for statistical purposes only. Information provided will not affect your business relationship with The Southland Corporation. Please check appropriate boxes if ownership of your company from the following groups is greater than 50 %. ❑ Black ❑ Hispanic ❑ Other Minority ❑ Women If none of the above is applicable, please check form 4400197 2/84 City of Tukwila Fire Department OFFICE MEMO TO: Duane Griffin, Building Official _FROM: David Ray, Fire Prevention Officer pL%L SUBJECT: Tank Removal at 14211 Interurban Avenue South DATE: March 27, 1990 RECEIVE, MAR 8 1990 TLifti�N. iI PUBLIC 'N01-‘,.., The tank was physically removed from this address on or before January 30, 1989. There was the odor of gas in the hole. A soil test was conducted, but the results of that.. test were never returned to the fire department. Before releasing the bond, you may want to obtain .. copy of that report. poomwo MAR .3 01990 CITY OF "I Uit'vViLA PLANNING DEPT. Gty of Tukwila Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575-4404 191. ELE�YEtI 04 April 90 Ms. Shelly Bates City of Tukwila 6200 Southcenter Blvd. Tukwila, WA 98188 Dear Ms. Bates: VANWN A\PR5 1990 f Ctt`t -i . :.a PLANNING ULP I . As pursuant to our conversation, please find enclosed the information you requested: If there is anything else that you need please don't hesitate to contact my office. Sincerely, ',THE SOUTHLAND CORPORATION Lade Premo, Construc ion Manager LP /ses i TS 'U THLAND 7•Elevn Food Stores /Washington r Hawai Division LI) CORPORATION 1036 Andover Park West / Seattle, WA 98188.0027 / Phone (206) 676.6711 / FAX ;2061 576.8022 TO: PROM: DATE: SUBJECT: City of Tukwila 6200 Southcenter Boulevard Tukwila Washington 98188 (201) 433-1800 Gary L. VanDusen, Mayor MEMORANDUM ,pC6 ICI Iggo i t Tom- 5outhlonol Corp, fiat RQ to D.rve _ ro2nn c) -tocl and 'i rror m.ed hr ho``t 3- a.ncsrnPr so V' t€? one_ rT - e o r i n a..) Wy o n, o n.�... h rimed STEx q o x) p-e r _ i C. e r- c---)o:■ hi 2_ cud iod mc__ in (kb ou orn-_ WOK. (10 /T2.MEMO) City of Tukwila Fire Department TO: FROM: SUBJECT: DATE: OFFICE MEMO Duane Griffin, Building Official Lt. Steve Kohler, Fire Prevention Officer Soils Analysis at Southland Corporation, 14211 Interurban Avenue South August 14, 1990 On August 9, 1990, this office received the requested results of the soils analysis taken at 14211 Interurban Avenue South tank removal site. All total petroleum hydrocarbons, p.p.m. (TPH) fell within E.P.A. guidelines. There is no longer any reason to hold the bond. City of Tukwila 672_ Fire Department, 444 Andover Park East, Tukwila, Washington 98188 (206) 575 -4404 CITY OF TUKWILA 6200 SOUTHCENTER BOULEVARD, TUKWILA, WASHINGTON 98188 August 16, 1990 Corroon & Black of Oregon Lynn Harris, Surety Department P.O. Box 8699 Portland, OR 97207 PHONE # (206) 433.1800 RE: Westwood Corporation, Developers & dContractors Demolition Permit - Ordinance No. 1393 Dear Lynn: The demolition work done under Permit number The Fire Department has signed off the soils underground tanks. Bond No. SLR 6450357 can Corporation, Developers & Contractors in the Sincerely, sdhe&sid Boxy Shellie L. Bates Permit Technician cc Westwood Corporation 4746 has been completed. tests for the removal of be released to Westwood amount of $17,000. Cary l.. VanDuscn, Mayor CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 BUILDING PERMIT PERMIT # 41746 Control # 87_174 Work to be done Demolition Site Address 14209 -14215 Interurban Avenue S.Suite # Tenant Southland Corp. Building Use Retail Assessors Account #336590- 1505 - 0;1480 - 0;1485 -0. Property Owneriand Cnrpnration Phone # 575 -6711 Address 1035 Andover Park West, Tukwila Zip 98188 Contractor Westwood Corp Phone # 251 -0638 Address Kent, WA ' , p 98032 FOR BUILDING PERMIT ONLY S q • Ft. Office Storage/ e Wa rehous Retail Other Occ. Load 1st F. 2nd F. 3rd F1. Total Fire Protection: E] Sprinklers J Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL 10,000 Receipt #7280 $ 30.00 Receipt # $ Receipt # $ Receipt # $ n/a Receipt # $ Receipt # $ FOR SIGN PERMIT ONLY Q Permanent [] Temporary [] Single Face [] Double Face J Wall Mounted 0 Free Standing ❑ Other Building face Setbacks: Front Square Footage of each sign face Special Conditions Side Side Rear Total square footage of sign MIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS Af ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND.EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BF,,C911PLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE 0 CANCEE THE PROVI 0 OF ANY OTHER STATE 0g LOCAL LAW REGULATING CO�1STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �igned r �C L t� 'ter - ! :)ckLCer. -G-C/ Date \ , '� % —.LF47 LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of the Business and Professions Code, and my license is in full force and effect. Date Contractor (signature) OWNER - BUILDER.DECLARATION > I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature)_ Date