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HomeMy WebLinkAboutPermit B93-0030 - BOATMENS - HOUSE DEMOLITION&frclikket41; Ci 7it1t1V�l� Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 Permit No: Type: Category: B93 -0030 B -DEMO RES DEMOLITION PERMIT Address: 11250 PACIFIC HY S Location: Parcel #: 092304 -9292 Wetlands: Water Dist: SEATTLE Units: 001 Contractor License No:AFFORAI106CF TENANT OWNER CONTRACTOR CONTACT BOND CO BOATMEN'S 11250 PACIFIC HY 5, I UKWILA," WA :98168 JONES RICHARD F 1830 S ANTHONY LA, FLORISSANT MO 6303 AFFORDABLE'-ABATEMENT INC,:', P.O. BOX „1572, -WOODINVILLE, 98043 ANTHONY M CHASE., P.0.' BOX ,1572,'• W00DINVILLE', "" 98072, AMERICAN BONDING .,COMPANY 85;7;11 (206) 431 -3670 Tukwila, Washington 98188 Status: ISSUED Issued: 03/04/1993 Expires: 08/31/1993 Slopes: Y Sewer Dist: VAL VUE Buildings: 001 hone: 206774 -3939 .Phon206 774 -3939 * * * * * *, ****'************** * * * * * *' * * * * ** * * * * * * * * * ** ** * * ** Permit Description: Valuation: DEMOLITION OF BURNED HOUSE Demolition Fee :' Casht Bond: * ** ***i: * * * * *' *; * * * * * * * ** 8 . 30.00 Investigation Fee. !.00 Total ... Perms t Fee: ;;,30. 00 Bond+ Number 92.59095 * * *M * * * * *;k * * * * *. * * *; *************`********,**** * * * * * * * * * * * * * * * * * * * * * *. * * * * * ** I hereby';certify°that I have read ande'xami ped this�perm�it and ":know ?the same to betr�ie 'and correct. All prov1isions of'.law' and' ordinances z' governing 'this work will be complied :with, 4hetther''specified herein or not The granting of this .permit does not °presume to give authority to violate or cancel the'provisi`ons of''any other state or.,1ocal laws regulating construction or the performance 'o.f,:; wor,.k....:.I -am authorized to :sign for an obtain this buii`d,i:n.g permit. Signature:_ IQs: Print Name:_( � v.) __ 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. CITY OF TUKWILA(- Department of Cori►., ►unity Development — Permit Centei- 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Building Permit Application Tracking PLAN CHECK NUMBER PROJECT NAME I 5 SITE ADDRESS MO -Priorfia, i+11, A SUITE NO. alA vnicL 1-(751, INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system 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 ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. DEPARTMENT DATE IN. DATE APPROVED.:. REQUIREMENTS / COMMENTS XI BUILDING - initial review — ' 33 2 ROUTED CONSULTANT: Date Sent - Date Approved - 3RD NOTIFICATION VI FIRE -3l� 1-. 141 f FIRE PROTECTION: ll Sprinklers Detectors AI N/A 6-/ 2-- FIRE DEPT. LETTER DATED: INSPECTOR: INIT: • PLANNING NA' ZONING: 1BAR/LAND USE CONDITIONS? ( )Yes (J No REFERENCE FILE NOS.: (NIT:_ MINIMUM SETBACKS: N- S- E- W- UTILITY PERMITS REQUIRED? O Yes [ Jo X PUBLIC WORKS 2/23/93 PUBLIC WORKS LETTER DATED: INIT: 3 OTHER INIT: BUILDING - final review TYPE OF •NSTRUCTION: /i: CERT. OFOCCUPANCY? OYes , No UBC EDITION (year): 1 9 INI Iyt ,/ J BUILDING OFFICIAL IFIZI = �' INIT: li'� ..� REVIEW COMPLETED AMOUNT OWING: CONTACTED A r1 i 1 ► 1.i1iiJ /. • ..i it ,.. DATE NOTIFIED _ B : init. 2nd NOTIFICATION BY: . (init.) 3RD NOTIFICATION BY: (init.) 01/08/93 CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 (206) 431 -3670 BUILDIN PERMIT APPLICATION DESCRIPTION AMOUNT >< RCPT .# BUILDING PERMIT:FEE I :: PLAN CHECK NUMBER PLAN SURCHARGE - OTHER TOTAL SITE ADDRESS SUITE # // -. S-0 ;�1 2, `, l--/e-dc rs C &tec ) VALUE OF CONSTRUCTION - $ '5`13 .0 D ASSESSOR ACCOUNT # "CD'i2 oV_ Z`r�, (commercial) Lg.- Demolition (building) (o'er =' 0 Other PROJECT NAME/TENANT / TYPE OF 0 New Building • Addition • Tenant Improvement WORK: 0 Rack Storage 0 Reroof 0 Remodel (residential) DESCRIBE WORK TO BE DONE: BUILDING USE (office, warehouse, etc.) /10/14 C' NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? No 0 Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: s F Tenant Space: Area of Construction: WIL,.kTHERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? Iti No 0 Yes IF YES, EXPLAIN: PROPERTY OWNER .c � `'l %/ S T�i-r S - CMG, �w 4 /u, . r 3---c,„, ,e.e\� / x%37 6- t� _ PHONE �� ? f.3/ - 73� Z P .vi71 - y7 32 �f -_3 `r 3 �; ZIPc/ �•6 9 ADDRESS L— kn,Ch'L iR, c,.-„/ �� PC — 'i- d . ■ /S 7 .2 /- CONTRACTOR 41-4--.4e-4/7/ ADDRESS p d i.a k e› I, n rA/fr WA. ST. CONTRACTOR'S LICENSE # 4!�,i„4 Z- /Gz. Gy r-' EXP. DATE 1-4,,,:2,4$ �f�� ARCHITECT Z PHONE ADDRESS /1//,g. ZIP 1 HEREBY;CERTIF:Y:THAND >CORRECTT 1 HAVE READ.AND;EXAMINED THIS AP;P,LICATION A,ND KNOW: BE >TRUE >A, AND. 1 A►M AUTHORIZED. TOa'APPLY FOR:: <THIS :PERMIT ..: E' BUILDING OWNER SIGNATURE, OR PRINT NAME AUTHORIZED ,,r7,6 AGENT CONTACT PERSON Ce4t 3'6:7 ADDRESS DATE l�.26--9' PHONE 7v_3.1, CITYIP /,c� 1 , %/T/AJJ 22c2 Z2 PHONE 7 APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition). No application shall be extenige(p than once. If you haver arq�bout our process or plan submittal requirements, please contact the epartment,of Community Development Building Division at 431 -3670. DATE APPLICATION ACCEPT RMIT CENTER DATE APPLICATION EXPIRES COMMERCIAL „ . NEW COMMERCIAL BUILDINGS/ADDITIONS,:,...1':•.:<;,::,::%,„:::.,i. .. 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'••NOTE•:::"...Seth."Utilik'perriiireP•O'1144Op:andChecIclist"for...speolfleutili •• • ••• • • ..., .." • • ' .• ....................".'.........".. •,••...'...,•"........, '....V...,...-....•.-.• ..'".".. ....'111?iiiiital: fe0UireP7fir?!4;''':::',4:4:ii:".....::::.';''''''":::'''':;.:...1:.'"....::;,'::".....':'',..:1.:.",...:]...a;:i.... ... ': I: ',.......'..,.........; ....', : • .::::''...::::,?..‘::::::::.:".....;..:: :::.:':::;.;........':::::'...l,'::::'''''..::::.'':::.;.::::::::::::,......:::::::fr.:.:::?:.':',11i:::::::..,.;;;....,.:',','*::;''*.i.....,........,...,.,,,, • ••• ; ••••••• CornPleted blinding perniit aPplicatori 1' • ". •••••:•••..- •'1.-:••••••••••.:".":":: Assessor•AccoUnt:Nuinber:-. Twe(-00tS , • • .............•••••••••• • BUilding froor•plan . • Entiro space where racks will • ••• • Dimensions of all aisles . • • riTenant space floor plan showing rack:. storage layout„,aisles and.: **dtit and Include dimerisions of racks (nnight, width ng Structural calculations stamped by a Washington State lic:ensecl:.• • ' engineer (rack storage and over). .• . RESIDENTIAL NEW SINGLE-FAMILY DWELLINGS/ADDITIONS : :•••:".. ' .•:*: • ri Completed building permit application (one for each structure) 1 . ...................................................... •• • COMMERCIAL TENANT IMPROVEMENTS Completed buliding permit applicaUan (one for each structura or - tenant) Assessor Account Number Sito plan • Location of tnant space • Existing and proposed parklng Tenant tocation * Use of adjacent (common wall) tenant t.!!!:'.••'..••••••'•'•:••• ot'prOn dtanant space • 19 na ... Completed building permit application (one for. each FIo 4 tenant Space pian Witt usa ot each room Iabelted Exit doors egress patiorns Construction details Cross sections showing weB construction and niethod ef Structural i . ". • • f atg.r! n.., a Washington State ltcensed app/ication and plans REROOF %."•1 • sessP.''''. •• :••••:::•••••'•••''• .. . •••••: •••'' • and ... . g bon • ..• • NOTE .4 don :letter' rag u■ia spe. Completed building permit application Assessor Account:NuMber....:::. TWo (2) sets of plans, which include.; ...:•!..:..-:'"•••••••• SitePlarf.(showing•building:and..'.1ciC.ationef:anierin. : • ..• Details antenna/Sateliite•-disii•and method ............................. Structurai calculations stamped by a:WashingtOnStato. Iiconsed *••••• • :• •: : . engirieeriiity bor require: Building otevauoris (afl views) • .1:: Building cross section •:•••••• • Structurai framing plans •:" •.Washington State Energy Code data Cornploted ". •:.: • 001Y. OeFmit. Six (6) sots of site plans shOWing. utili ties • . • •••• . ...NOTE .: Building Oa•plan and Utility'sitg plan inaype:carnalned':::Bae••:,,,:,,::.:::, •.• utility permit application, end..thecidit ior:speCific.';sttimitt4rp90iiamanta.:: Additional topographical and sells :information niey ro9t.prqqi,t•Y,17!9Y13:•...•. conditions:"' • •.• • • '• •• "" • • • . • •• ..•, ,• •••. •• •• ".'•:•..FtIDENT1AL.;•••REMODELS,.• • ....,.., . . .• ........ . • . .• • . Completed permit Go for each structure •AsiesSer:•ACCOunt Number •:" • • • • • • Fioor plan Roof pian • Buildtng cross section • Structural framing plans NOTE 1! any utthty work and Is b • 1 COnipleted•btinding permit application lone:for.eaCh . . • • . .?!■se.ssofAiicount Numbqr. .• .•••••••:; •• : : . LJ Narrative ldetibing existing roof, matenal being:rOinaiie0;: en Material being installod : • ;::NOTE::Aertifidation letter laleiu tad prlor.tp final inspection andsign,•.: structure " "i',i!�"E.`!SC} X11'°• 7�i� .'�oQ %�Ct;t('i?'A'}sj�r',w�1 i,�^r�7.��!.r,•�..�a.�. --n �.s�! .. 0 CITY OF TUKWI:L.A, WA TRANSMIT' ************** k*** ** * * * * * * * *k * * * * * * ** * *k ** *k ** * ** ** ** ** * * ** * * ** TRANSMIT Number: 93000147 Amount: 30.00 02/01/93 13:21 Permit No: B93-0030. Type: B -DEMO DEMOLITION PERMIT Parcel Na: 092304 -9292 Site Address:. 11250. PACIFIC HY S Payment. Method: CHECK Notation: AFFORDABLE ABATE Init: DLM ***** k****** kh******************** *** * * *k * * ** ** *k* **k * * ** * * *k * ** Account Code Description 000/322.100 BUILDING - RES Total (This Payment): Total Fees: Total All Payments: Balancer,. 30.00 30.00 .00 Paid 30.00 30.00 CITY OF TUKWILA Address: 11250 PACIFIC HY S Permit No: B93 -0030 Tenant: BOATMEN'S Status: ISSUED Type: B -DEMO Applied: 02/01/1993 Parcel #: 092304 -9292 Issued: 03/04/1993 *t4 * ** * *t4* tic ** tic• k***• kirk• k**************************** * ***•k**** *•k'k*'k*** * ** **A *•k* Permit Conditions: 1. 1 . LIMIT DEMOLITION ACTIVi'i,Y, a °T4 `W- :THTN{ i 0' it OF BUILDING EXTERIOR. �xi nW 2. PUMP EMPTY ANY; SEPTIC TANKS ' »ENCOUNTERED AND FTTH R RE- MOVE OR BACKF`T,LL" WITH ',SAND 1.) �' „,.,.?.ay"'r V k A li 1:. osta?s , •+ '''f 2. No changes w111,1,,,be 4)11p es'',' to ,the scope of workµf LIT, less p.roved by the Tukwqa Buy Ong, Divisiov ,, 3. Remove a ,,Weeds, concrete, stone Iou'ndatlons, flat,„,co : crate, co�,'ncrete pa�tios,, rnasonrs wal1s, garage flog= ,ts,1 driva- ways ar)d,,simi'lir structures and..ail °,,,l.,�. loose miscel lan,eou.s fir:. r t �d e;st P•• Xt t materlal from such,Tot o f parfcel of ground, properl'ys: +cap, sanite y serer and, wateco''nnecticps, properly fi'�.sl l or..= {: other wise 4protect�` all ,s basemen'ts,,w.,.cellars, septic eanks, „r` wells an paotherKexcava ions. �`: - ;y �r 4. BOND w'©ONDITI41N all work",' equired'r to be done pursuant ,t_ th4,'4 uond`it� ons of th'e.�`''demol, t on .,�� y ?�.� � perm'i•1<y•wsha 1 1 be fully �' perf orned .and completed_LLwith�in'xtt a +,t,ime�, ' irnit�,specified in the'`M: deny 11`ition rper rn t,w.,.,or;'',,iff nod time ) i'mit:r`is specIfied,z:w.1th .n ni, ,ety��•da y after .the,da'te t id bui1cding. "is` demolished T . �Cx T Itial e 1;'6 , '. Se c 16':04 '18 , `, ,, -,*' " ” i z . Val d�,i ty o'f,. Permit__„ .r Th ins * =,.. ' p { �:� � r �t�s`ua:pce of��a e��it or approval yaf p.1a i� specs f i*catfonsrta dr��conrputatior�s,•;si al:lip. not be con; struue3i t,9 Ibe a Alpermit for , or an •approva.l=.of- ,•:any virola"t.ioni� of a y\ of tike provisions of this ,code ,, r, .of any otha�r ' � . ordi ,rce eof'the'a,Jurisdiction. N9 permit't'presymin ' tog;giv`'e authoAl &ty .o �`vio1¢ .te or cancel the p`rov'i.sionsof 4t�his code shall e valid. e r y E'•��0. el INSPECTION RECORD Retain a copy with p'e rmit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 3O PERMIT 7 (206) 431 -3670 ro ea /` i r iesf r,i ype To spe ion: 0219n %Z►,� Address: 1/ 2-50 rge-,'Crc. late Call : Gf —y j Special Instructions: J 30 Date Wanted: c Requester: Phone No.: Approved per applicable codes. O Corrections required prior to approval. COMMENTS: , ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule relnspection. Date: �" 3ipi No.: ( INSPECTION RECORD C Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188. (2.3 0b30 PERMIT NO. t/ (206) 431 -3670 Project: �l' S Type of Inspection: ►-- 7��A./ � Address. / �/ ry C.:14 J / ,, Date Called: '� '. �'3 Special Inssruucc1 ons: � Date Wanted: y _.G "_3 an p.m. Requester: Phone No.: El Approved per applicable codes. Corrections required prior to approval. COMMENTS: 5 .dp� / /� —f o �,a yam" LA, f' Inspector: ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: AMP: _1•11K I.AA:Lei I 4,1 4 _ .,. . _ .... •_ v..r . 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit �9 3 ‘223o PERM T NO. (206) 431 -3670 • ro eot:13 ype o ns • = «an: Address; c s Date Called: 3 __L/ 93 Special Instructions; ! °© 7 Date Wanted; C1. area Requester: . Phone No,; E -Approved per applicable codes. COMMENTS: Corrections required prior to approval. Lk 12 -v''1 1-G7TrelitA P is en= O $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection. INSPECTi N RECORD Retake copy with permit CITY OF TLIKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 1393 D O PERMIT NO. (206) 431 -3670 • . : ", D P Ar ,A)1S or -6.64--m-s- Horn 614E53 (A w Fo ru7-t4 N AMC. Gt n zc"TJ YReo ns.. :, «A. De/li i' NO eia0 N / J A- 441A 1419 E°p)1 - Cp ,JN .9 c utt-S rJ r t=* c- - C46 r-t A cry ii--- 5 N o t.+ L. o itc'~Fc"r— Tt) 6 L-aG . A% r t� A C ift 0 j/ S 15ate Called: 3_4---53 TN (S / -10uSe /..S 'rJ 6EIT 72- S'NAPB 77014A Instructions: ,1,t 141c -mwnl), / Date Wanted' � — r 7 � am. .m. Requester (/v H t TE Nu LASE:- Phone No.: O' Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: • Acce -5S /5 PaSS1BC.0 $taT Eve pt 7vcE • ;. or -6.64--m-s- Horn 614E53 (A w Fo ru7-t4 N AMC. Gt n zc"TJ a cc-u PA-ric cvt< Sve-S ro e 7-0 w A NT- TO .. 7,i-y o IT. , NO eia0 N / J A- 441A 1419 E°p)1 - Cp ,JN .9 c utt-S rJ r t=* c- - C46 r-t A cry ii--- 5 N o t.+ L. o itc'~Fc"r— Tt) 6 L-aG . Ocl r• (-El-ten- %1- `Z;,'4- P1,JC, LAT 14 ► i r t.'S. St-:),:r7-7 c... r" cAA-,� r 0 .6S vt.= A N Y 2c') St r1 fit.- r i 7-6 $,Z p/t�-s.-K.V , T711 s N o u S NA-A A TN (S / -10uSe /..S 'rJ 6EIT 72- S'NAPB 77014A r?NE'`.. wis NfOJa it d€ Pa. r -.SE ve (S r6y 77404 ,1,t 141c -mwnl), / j Inspector: Date: `5 9, ❑ $30.00 REINSPECTION FEE REQUIRED. Prior to reinspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No,: Vale: C�RTI��i•CAT OF INSI�RAN:CE ............ . i ISSUE DATE ( ) 01125/93 PRODUCER Bratrud Middleton Insurance 4701 South 19th Street P. O. Box 11205 Tacoma, WA 98411 0205 DLT THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY CNA Re of Londe LETTER A Puget Sound Underwriters / Sphere Drake COMPANY LETTER B United Pacific Spec Risk /Reliance Ins . INSURED Washington Wrecking Company 13001 Martin Luther King Way 5 Seattle, WA 98178 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. COMPANY LETTER C COMPANY LETTER D COMPANY E LETTER BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD/YY) POLICY EXPIRATION DATE(MM /DD/YY) UMITS A GENERAL UABIUTY BFBI911271 & SDX915175 • 03/23/92 03/23/93 BODILY INJURY OCC. S X COMPREHENSIVE FORM PREMISES/OPERATIONS EXPLOEN &COLLAPSE HAZARD PRODUCTS/COMPLETEDOPER, CONTRACTUAL INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY BODILY INJURY AGG. 3 X PROPERTY DAMAGE OCC. 5 X PROPERTY DAMAGE AGG. 3 X BI & PO COMBINED OCC. 8 1,000,000 3 1,000,000 X BI & PD COMBINED AGG, X PERSONAL INJURY AGO. S 1 000 000 ••. E::zi:$•:zagi :..:;•;::•;• >i:•:.v. X r:$::: � •: ii$:•:': r •$: {r j �$: �$•v: ;. ?.';: is { ::. %:L•n:,.{ .; .<,.,, ,.;,;;�.;,,;.:;;<,;;$,,;�i,,,,; B AUTOMOBILE UABIUTY SH1G54307 01/28/92 01/28/93 (Per BODILY n) INJURY • ANY AUTO ALL OWNED AUTOS (Priv. Pass.) ALL OWNED AUTOS aPue ) HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY BODILY INJURY (Per accident) X X PROPERTY DAMAGE 3 X BODILY INJURY& PROPERTY COMBINED DAMAGE i 1,000,000 $ EXCESS UABIUTY EACH OCCURRENCE UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM %'•:•,,;.;•..,. ;;:,.:. :: WORKERS COMPENSATION AND EMPLOYERS' UABIUTY STATUTORY LIMITS f <:t '>' < :::.: ti ' EACH ACCIDENT $ DISEASE— POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/SPECIAL ITEMS , Other General Liability Ins: WA Stop Gap RE: DEMOLITION C!RTIFICATE HO1.DE11 :i::;:; :> ::;;.;:::;< ;.,.:;::.:..:::. :.; >::.:CANCELLA'!'Ip ; ;::<:.> . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE AFFORDABLE ABATEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE P.U. BOX 1572 WOODINVILLE, WA 98072 : LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION 011 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRE NTATIV ACORD.25 {719.9) :: .....: '� :...: : ,..:... : .,.ft:)ACOR.D CORPORATION'1990 INSURED: Washington Wrecking Company DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS - (Continued): ADDITIONAL INSURED ENDORSEMENT ATTACHED. COMMERCIAL GENERAL LIABILITY POLICY NUMBER: BFB1911271 & SDX915175 WASHINGTON WRECKING COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED d OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. Name of Person or Organization: AFFORDABLE ABATEMENT P.O. BOX 1572 WOODINVILLE, WA 98072 BOATMAN'S TRUST CO. 100 NO. BROADWAY ST. LOUIS, MO 63178 -4737 RE: DEMOLITION SCHEDULE DLT (If no entry appears above, information required to complete . shown in the Declarations as applicable to'this endorsement.) WHO IS AN INSURED (Section II) is amended to include as organization shown in the Schedule, but only with respect "your work" for that insured by or for you. this endorsement will be an insured the person or to liability arising out of CERTIFICATt:OF INSURAN ISSUE DATE (MM /DD/YY).. JAN,14 93 PRODUCER RKI INC. 1175 MAIN STREET LEBANON, OR 97355 (503) 451 -1313 FAX: (503) 259 -1092 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 AGRICULTURAL EXCESS AND SURPLUS IIW LETTER INSURED • AFFORDABLE ABATEMENT INC PO BOX 1572 WOODINVILLE, WA 90072 COMPANY B LETTER COMPANY C LETTER COMPANY LETTER COMPANY LETTER COVERAGES:' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMES 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. CC LTA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) UMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 'CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. X 5 YEAR SUNSET CLAUSE GLP7171353 NOV 15 92 NOV 15 93 GENERAL AGGREGATE 1,000,000 PRODUCTS-COMP/OP AGO. $ PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE(Any One Fire) S 1,000,000 S 1,000,000 S 50,000 5,000 MED. EXPENSE(Any One Person S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON•OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE UMIT BODILY INJURY (PER PERSON) ! is BODILY INJURY (PER ACCIDENT) EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT DISEASE.POLICY OMIT $ DISEASE•EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES /SPECIAL ITEMS ASBESTOS SPECIFIC LIABILITY POLICY. CERTIFICATE HOLDER BOATMEN'S BANK C/0 JEANNE JONES PROGRESSIVE INSURANCE AGENCY 8516 PAGE ST LOUIS, MO 63114 FAX 1-314-302-2977 jCompass Software 25S 4/92 to 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 LIA- BI N • _::..,::,_ - Y, ITS AGENTS OR REPRESENTATIVES. Amy r- i c a.n Bonding C omp a ny Tucson, Arizona To: CITY OF TUKWILA DEPT OF COMMUNITY DEVELOPMENT BLDG DIV 6300 S CENTER BLVD TUKWILA, WA 98188 Bond No.: 9259095 Principal: AFFORDABLE ABATEMENT, INC. Contract No: Description: ABATE & DEMOLISH THREE RESIDENTIAL STRUCTURES Amount: $ 6,000.00 RECEIVED / PR 2 1993 OMlMUINITY L' VELOPMENT The Bond Experts P.O. Box 12729 Portland, OR 97212 Mar. 31, 1993 American Bonding Company is the Surety on the above bond. We would appreciate your cooperation in providing the requested information. Please return this form to us so that we may'have current status information on the captioned job. A postage -paid envelope is provided. Thank you for your assistance. Kathie Locke PLEASE COMPLETE ONE SECTION ONLY I. IF THE CONTRACT HAS BEEN COMPLETED: 1. What was the completion date? Date of acceptance 2. What was the final contract price? Has the full amount been paid? 3. Was the work satisfactory? 4. Have all labor and material bills been paid? II. IF THE CONTRACT HAS NOT BEEN COMPLETED: t 1. What percentage of work has been completed to date? �/ (aril:(- ('yt Demo 2. Total amount paid to Contractor to date? .r 0- 3. What is the amount of retainage? U 4. What is the anticipated date of completion? U- w\t) 5. Is the Contractor paying labor and material bill AT -To � y� 6. Is tie work progessin satisfactorily? ���e ✓1»L± UbAka. 1g o� 1 oI - 0 0 7 "'cam 9 .- . 0Cy, I -- ' -k- vN r-,ex n► t � 6 +1 I I Li J- C b b 0 . L o N n{- C c l w F..0(NI 0. FIRM: A -. 11S ADDRESS: .�0 5-C - OL, S-1-f... 4t ((Sp BY: DATE: _._......... _.. :._.._......._.�,_..__.... PHONE : ( 9v 1 ) LI ! 1 .. Sri Y 1 g15R/g41 1 PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, that AFFORDABLE ABATEMENT, INC. 'AMERICAN BONDING COMPANY Tucson, Arizona 85711 BOND NO: 9259095 as Principal, hereinafter called Principal and AMERICAN BONDING COMPANY, of Tucson, Arizona, a corporation under the laws of the State of Arizona, as Surety, hereinafter called Surety, are held and firmly bound unto CITY OF TUKWILA as Obligee, hereinafter called Owner, in the amount of SIX THOUSAND DOLLARS AND NO /100 Dollars ($ 6 , 000.00 ) , for the payment whereof Contractor and Surety bind themselves, and their respective heirs, adminsitrators, executors, successors and assigns, jointly and severally, firmly be these presents. WHEREAS, Principal has by written agreement dated , 19 , entered into a contract with Owner for in accordance with Drawings and Specifications prepared by HEREINAFTER REFERRED AS OBLIGEE which contract is be reference made a part hereof, and is hereinafter referred to as the Contract. — FOR ABATE & DEMOLISH THREE RESIDENTIAL STRUCTURES NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such that, if Contactor shall promptly and faithfully perform said Contract, then this obligation shall be null and void; otherwise it shall remain in full force nad effect. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Owner having performed Owner's obligation thereunder, the Surety may promptly remedy the default, or shall promptly I) Complete the Contract in accordance with its terms and conditions, or .. 2) Obtain a bid or bids for completing the Contract in accordance with its terms and conditions, and upon determination by Surety of the lowest responsible bidder, or, if the Owner elects, upon determination by the Owner and the Surety jointly of the lowest responsible bidder, arrange for a contract between such bidder and Owner, and make available as Work progresses (even though there should be adefault or a succession of Signed and sealed this 28th day of January defaults under the contract or contracts of cornpletion arranged under this paragraph) sufficient funds to pay the cost of completion less the balance of the contract price; but not exceeding, including other costs and damages for which the Surety may be liable hereunder, the amount set forth in the first paragraph hereof. The term "balance of the contract price," as usdd in this paragraph, shall mean the total amount payable by Owner to Contractor under the Contract and any amendments thereto, less the amount properly paid by Owner to Contractor. Any suit under this bond must be instituted before the expiration of two (2) years from the date on which final payment under the Contract falls due. No right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the heirs, executors, administrators :. or successors of the Owner. , 19 93 AFFORDABLE ABATEMENT, INC. (Principal) (Seal) F.RICAN BONDING COMPi n 'dY GENERAL POWER OF ATTORNEY 9259095 Know all men by these Presents, That AMERICAN BONDING COMPANY has made, constituted and appointed, and by these presents does make, constitute and appoint SHARI K. JONES OF PORTLAND, OREGON its true and lawful attorney -in -fact, for it and in its name, place, and stead to execute on behalf of the said Company, as surety, bonds, undertakings and 'contracts of suretyship to be given to ,ALL OBLIGEES provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed in amount the sum of FIVE HUNDRED THOUSAND ($500,000) DOLLARS This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Company on the 15th day of November, 1991. "RESOLVED, that tho Chairman of the Board, the Vice Chairman of the Board, the President, an Executive Vice President or a Senior Vice President or a Vice President of the Company, be, and that each or any of them Is, authorized to execute Powers of Attorney qualifying the attorneyIn•lact named In the given Power of Attorney to execute In behalf of the Company, bonds; undertakings and all contracts of suretyship; and that an Assistant Vice President, a Secretary or an Assistant Secretary be, and that each or any of them hereby Is, authorized to attest the execution of any such Power of Attorney, and to attach thereto tho seal of the Company. FURTHER RESOLVED, that the signatures of such olllcers and the seal of the Company may be affixed to any such Power 01 Attorney or to 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 when so affixed and In the future with respect to any bond, undertaking or contract of suretyship to which It Is attached." In Witness Whereof, AMERICAN BONDING COMPANY has caused its official seal to be hereunto affixed, and these presents to be signed by one of its Vice Presidents and attested by one of its Assistant Vice Presidents this 28th Day of October, 1992. Atte t: b William R. McKenzie, Assistant Vice President STATE OF ARIZONA COUNTY OF PIMA I SS.; .AMERICAN BONDING COMPANY By On this 28th day of October , 1992 , before me personally camp James M. Boylan, to me known, who being by me duly sworn, did depose and say that he is a Vice President of AMERICAN BONDING COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is 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. OFFICIAL SEAL CHRISTIE TURLEY at, �� NOTARY PUBLIC My Commission Expires March 10, 1995 CERTI CHRISTIE TURLEY NOTARY PUBLIC My Commission Explres March 10, 1995 I, the undersigned, an Assistant Secretary of AMERICAN BONDING COMPANY, an Arizona corporation, DO HEREBY CERTIFY that the foregoing and attached Power of Attorney remains in full force and has not been revoked; and furthermore that the Resolution of the Board of Directors, set forth in the said Power of Attorney, is now In force, Signed and sealed at the city of Tucson, in the State of Arizona. Dated the 28th day of January 19 93 Florence E. Robert, Assistant Secretary Arne r•iCBrz Boridizzg Company Tucson, Arizona The Bond Experts P.O. Box 12729 Portland, OR 97212 Jun. 30, 1993 To: CITY OF TUKWILA DEPT OF COMMUNITY DEVELOPMENT BLDG DIV 6300 S CENTER BLVD TUKWILA, WA 98188 Bond No.: 9259095 Principal: AFFORDABLE ABATEMENT, INC. Contract No: Description: ABATE & DEMOLISH THREE RESIDENTIAL STRUCTURES • Amount: $ 6,000.00 American Bonding Company is the Surety on the above bond. We would appreciate your cooperation in providing the requested information. Please return this form to us so that we may have current status information on the captioned job. A postage -paid envelope is provided. Thank you for your assistance. Kathie Locke PLEASE COMPLETE ONE SECTION ONLY I. IF THE CONTRACT HAS BEEN COMPLETED: 1. What was the completion date? April 12, 1993 Date of acceptance April 12, 1993 2. What was the final contract price? N/A Has the full amount been paid? N/A 3. Was the work satisfactory? Building inspector signed off 4/12/93. 4. Have all labor and material bills been paid? N/A II. IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. What percentage of work has been completed to date? 2. Total amount paid to Contractor to date? 3. What is the amount of retainage? 4. What is the anticipated date of completion? 5. Is the Contractor paying labor and material bills? 6. Is the work progessing satisfactorily? FIRM: City of Tukwila ADDRESS: 6300 Southcenter Blvd 4100 BY: Shellie Bates Tukwila, WA 98188 DATE: July 7, 1993 PHONE: ( 206) 431 -3671 1 O Ifl) AA1 CITY OF KWILA 6200 Southcenter Boulevard, Tukwila, Washington 98188 MEMORANDUM TO: /0. -R/WT ' FROM: t./o.r4Wv A DATE. ,2/.23/9.3 SUBJECT: ./9.4 M471/ tae/ / 2 APO..I GKIC r,93 -' 2 /2) 1 B93 — D'2 9 B/Pic* 1ivrE B 93 - /g 31) P 'A'#v Z 9.9 - D '3/ (206) 433 -1800 If T/d -4 A')' `' 'Eir/ //✓sER n 111/22 tr. T1" !/G/Es' ,y 7 44A' T;S/ '7- .OA/Y Ph/ - . .. ,..• • " .. • • •