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HomeMy WebLinkAboutPermit MI02-121 - BAHAMA BREEZE - DEMOLITION1 BAHAMA BREEZE 15700 SOUTHCENTER PY EXPIRED 8-27-03 MI02-121 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1157200292 Address: Suite No Tenants Name: BAHAMA BREEZE Address: 15700 SOUTHCENTER PY, TUKWILA, WA MISCELLANEOUS PERMIT 15700 SOUTHCENTER PY TUKW Owner: Name: )G SOUTHCENTER LTD Address: 25425 CENTER RIDGE RD, CLEVELAND OH Contact Persons Name: CHRIS FORTMUELLER Address: 1720 DIPLOMACY ROW, ORLANDO, FL Contractors Name: BUILDING BUSTERS INC. Address: 13001 MLK )R WY S, SEATTLE, WA Contractor License No: BUILDBI066BC Permit Number: Issue Date: Permit Expires On: M102 -121 08/22/2002 02/18/2003 Phone: Phone: 407 245.4606 Phone: 206 772.6556 Expiration Date: 07/02/2004 DESCRIPTION OF WORKS DEMOLITION OF SOUTHCENTER THEATER (22,623 SQ FT) AND HAULING OF DEBRIS Value of Construction: Type of Fire Protection: Type of Construction: 5,502,000.00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $2,433.75 1997 0024 Public Works Activities: Curb Cut/Access/Sidewalk/CSS: N Fire Loop Hydrant: Y Flood Control Zone: N Hauling: Land Altering; Y Landscape Irrigation: N Moving Oversize Load: N Sanitary Side Sewer: Y Sewer Main Extension: N Storm Drainage: Y Street Use: N Water Main Extension: N Water Meter: Channelization / Striping: Number: 0 Size (Inches): 0 Start Time: End Time: Volumes: Cut 560 c.y. Fill 2601 c.y. Start Time: End Time: Private: Public: Private: ** Continued Next Page * * Public: doe: Miscperm M102.121 Printed: 0842-2002 } City of Tukwila Department of Community Development / 8300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206 ) 431 -3670 Permit Center Authorized Signature: I hereby certify that I have read and examined this permit and know the same to be true and correct. Ali provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this • rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constr,!n or the p • one o work. I am authorized to sign and obtain this mechanical permit. Signature: Print Name: 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. doc: Miscperm MI02 -121 Printed: 08.22.2002 ig } City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 4314670 Parcel No.: 1157200292 Address: 15700 SOUTHCENTER PY TUKW Suite No: Tenant: BAHAMA BREEZE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: M102 -121 ISSUED 08/05/2002 08/22/2002 1: ***PUBLIC WORKS DEPARTMENT*** 2: The applicant must notify the City Utility inspector at (206)433.0179 upon commencement and completion of work at least 24 hours in advance, All inspection requests for utility work must also be made 24 hours in advance. 3: Abandoned side sewers and water service lines shall be capped at the main. Block storm drain manhole at access to storm system in right of way before removing existing strom drainage, 4: Flagging, signing and coning shall be in accordance with MUTCD for Traffic Control. Contractor shall provide certified flagmen for traffic control. Sweep or otherwise clean streets to the satisfaction of Public Works each night around hauling route (No flushing allowed), Notify City Inspector before 12:00 Noon on Friday preceding any weekend work, 5: Any material spilled onto any street shall be cleaned up immediately. 6: Hauling over 50 cubic yards shall require application for a Hauling Permit prior to any associated activity, 7: Clean and remove debris from City catch basin to and around hauling routes, Provide adequate temporary access as not to interfere with other vehicle movement or cause trucks to travel over curbs, All vehicles must make a complete stop prior to entering public right-of-way, 8: Salvage the fire hydrant and water meter. Deliver to Public Works Operations and Maintenance. 9: Temporary erosion control measures shall be implemented as the first order of business to prevent sedimentation off-site or into existing drainage facilities. 10; ** *BUILDING DEPARTMENT * ** 11: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 12: All permits, Inspection records, and approved plans shall be available at the Job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted, 13: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 14: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction, No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 15: ** *FIRE DEPARTMENT CONDITIONS*** 16: Please contact this office 24 hours prior to the disconnection of the Fire Sprinkler System, 17: These plans were reviewed by Inspector 510. if you have any questions, please call Tukwila Fire Prevention Bureau at (2Q6)575- 4407. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. doc: Conditions M102 -121 Printed: 08. 22.2002 } ig City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670 The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature:, Print Name: Date: 'CI doo: Conditions M102.121 Printed: 08-22.2002 CITY OF T ''KWI LA Permit Center 6300 Soutlicenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 srArr USE ONLY Project Number: Permit Number: ( Miscellaneous Permit Application Application and plans must be complete in order to be acceptrd for plan review. Applications will not be accepted through the mail or facsimile. Proje t: ValAe of Construction: Site Address : PA'&7 ✓ City State /7�i $1 oc� _...,1 y l c c%(to, l��l�i l�' Tax Parcel Number. //5 7 0 -' 12 -D�. Properly Owner. r-- l�Wes*fieid �ir , :r . City State/Zip: j�SA/13 el Phone: ( (7 ) ' 10�X/ysrt Street Address t. , I. . . 1» 0 ASR. Fax #: ( ) �' X178- g 2 '� Phone: ( ) Contractor: /cI9OQ Street Address: City State/Zip: Fax !l: ( ) Architect: ,t m City / State/Zip: Phone: (7027) gP 3 _ c 0 Street Address: -.'. e • ei C. e" S i, .Au City State/Zip: .G Fax 8: (701,,) t702ar,76,35 / b Engineer: /idC X Efl ee�'' »1 0 Metro Phone: (0953 )" r 7..3_'7 /-7 �7 Street Address: C City 5tate/Zip: o Fax: .) `) (�a 73 �J`r / / Contact Person: Chris r- -mg.e.ger Phone: ( ) % ...C%lo�� Street Address: i -o r iaki cv Rbt� t7 City StaldZi Fax": ( //022 )c �5 /_ p 'CD�J�o MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE • UESTED: (T0 HE FILLED OUT IIYAPPLICANT) Description of work to be done (please be specific): �1 : ,a 77d e) /) Se 7 * t Will there bo storage of flammable/combustible hazardous material In the building? ❑ yes El nir Attach lin ern/aerials and store o location on e Jaret 8 1/2 X 11111 n;Jet lndlcedn unntitltis & Material Sale( Data Shoots ❑ Above Ground Tanks Antennas/Satellite Dishes L/ Btilkhe�ari /Dock Commercial Reroof Demolition ❑ Fence ❑ Manufactured I•iousin •Reptacerttent only Parkin Lois ❑ Retainirt Walls ❑ Temporary,Facilities ILI Tree Cult AMMO Channellzallan/Striping ❑ Flood Control Zone ❑ landscape Irrigation ❑ Storm Drainage ❑ Water Meter /Exempt 11 ❑ Water Motor /Permanent N,_,,_,_ ❑ Water Motor Temp 11, ❑ Miscellaneous APPLICANT RE VEST FOR MISCELLANEOUS PUIILIC WORKS PERMITS Curb cut/Access/Sidewalk U Fire Loop /Hydrant (main to vauI1)11:. Size(s): ❑ Land Altering: 0 Cut cubic yards 0 Fill yarns CT— u(, (t.grading/elearing ❑ Sanitary Side Sewer N: (.3 Sewer Main Extension 0 Private 0 Public c) Street Use ❑ Water Main Extension 0 Private 0 Public sluts): 0 Deduct 0 Water Only Slzo(s): Slxe(s!j Est. quantity: gal Schedule: Moving Oversized Load /Hauling MONThILYSERVICE BILLINGS TO: Nance: Phone: Address: City / State/Zip: _•.- 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Name: Address: Phone: City /Sta e&Zip: Value of Construction • In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and Is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. 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 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once. Date application accepted: Date application expires: - ----c) 3 Application taken by: (initials) 9/9/99 mfsrpnU.doc ALL MISCELLANEOUS PE' 'T APPLICATIONS MUST BE SUBMITT ITH THE FOLLOWING: D ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN • BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED • ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT > STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER > CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) 0 SUBMIT APPI I( , \TION ANT) RI-QUIRT-I) (IIF(. 1ISTS TO -Above Ground Tanks/Water Tanks - Supported directly upon grade • exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1 PFRMIT RFVIEW Submit checklist No: M -9 0 :Antennas /Satellite Dishes Submit checklist No: M -1 0 Bulkhead /Dock Submit checklist No: M -10 0 Corrimerdial Reroof Submit checklist No: M -6 ga Demolition . Submit checklist No: M -3 it -. s- - 04 :Fences - Over 6 feet in Height Submit checklist No: M -9 0 Land Aitering/Grading/Preloads Submit checklist No M -2 0 Miscellaneous Public Works Permits Submit checklist No: H -9 0 Manufactured Housing (RED INSIGNIA ONLY) Submit checklist . No: M -5 AA Moving Oversized Load /Hauling .,:, , f Submit checklist No: M -5 0 Perking Lots " Submit checklist No M-4 0 ,Retaining Walls - Over 4 feet in height Submit checklist No: M -1 0 'Temporary Facilities Submit checklist No: M -7 0 Tree Cutting Submit checklist No: M -2 O Current copy of Washington State Department of Labor and Industries Valid Contractor's License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Forst H4, "Affidavit in Lieu of Contractor Registration ". `dulidIng Owner /Authorized Agent If tho applicant Is other OM the owner, registered architect/engineer, or contractor Ikonsdd.by the State of Washington, a notarized letter from the, property owner authorizing the agent to submit this permit•a►lcatlon and obtain the . ermit will be re uired as ! art of this submittal. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO DE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. :BUILDING OWNER OR UTHORIZED AGENT: Signature: jr' Date: it -. s- - 04 Print name: 17■0 rV ar t) J A y, Phone: (g63 1 4 /77 -4"/ 2 - Fax L: (3) 473 -[/ 29 , Ad. ress: S' r"' ` . 'f '/ 17 2 ' © City /Stat ,ip: cm-, 4- ( ice/ P " 9/919.9 miscpmcdac City of Tukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 4314670 Parcel No.: Address: Suite No: Applicant: Receipt No,: Initials: User ID: Payee: 1157200292 15700 SOUTHCENTER PY TUKW BAHAMA BREEZE 8020001220 LAW 1630 GMRI INC TRANSACTION LIST: Amount Type RECEIPT Permit Number: Status: Applied Date: Issue Date: Payment Amount: Payment Date: Balance: Method Description Payment ACCOUNT ITEM LIST: Chuck Current Pmts 6212667 Description 2,000.00 Account; Code BONDS /DEPOSITS 000/366,909 2,000.00 MI02 -121 PENDING 08/05/2002 2,000.00 08/21/2002 12:17 PM $382.25 Total: 2,000.00 CJ }i!iri� doc: Receipt Printed: 08. 21.2002 City of Tukwila 8300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1157200292 Address: 15700 SOUTHCENTER PY Suite No: Applicant: BAHAMA BREEZE Receipt No.: R020001233 Initials: SKS User ID: 1165 RECEIPT Permit Number: MI02 -121 Status: APPROVED Applied Date: 08/05/2002 Issue Date: Payment Amount: 382,25 Payment Date: 08/22/2002 03115 PM Balance: $0.00 Payee: DAN GILSTRAP TRANSACTION LIST: Amount Type Method Description Payment Check 0703 382.25 ACCOUNT ITEM LIST: Description Current Pmts Account Code INSP FEE - FLH /LI /WME INSP FEE - SME /SSS INSP FEE - STORM DRAIN INSP FEE - UTILITY LAND ALTERING PERMIT FEE LAND ALTERING PLAN CHECK PLAN CHECK - UTILITY 401/342.400 402/342.400 412/342.400 000/342.400 000/322.100 000/345.830 000/345.830 15.00 20.00 15.00 15.00 238.00 49.25 30.00 Total: 382.25 Printed: 08.22 -2002 City ofTukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 Parcel No.: 1157200292 Address: 15700 SOUTHCENTER PY TUKW Suite No: Applicant: BAHAMA BREEZE RECEIPT Permit Number: MI02.121 Status: PENDING Applied Date: 08/05/2002 Issue Date: Receipt No.: R020001120 Initials: SKS User ID: 1165 Payment Amount: Payment Date: Balance: 51.50 00/05/2002 03 :54 PM $0.00 Payee: APEX ENGINEERING PLLC TRANSACTION LIST: Amount Type Method Description Payment Check 11884 ACCOUNT ITEM LIST: Current Pots 51.50 Description Account Coda BUILDING - NONRES 000/322,100 47,00 STATE BUILDING SURCHARGE 000/396.904 4.50 Total: 51.50 • 31 08/06 .?7.1.0 TOTAL don: Receipt Printed: 08- 05.2002 INSPECTION RECORD Retain e copy with permit INSPECTION NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, 1100, Tukwila, WA 98188 121 PERMIT PERMIT NO, (206431.3670 _ • t Typo o Inspection: Data ca i • pecia Instructions: Data want , • : a.m. p.m. Roquostor. one: Approved pot applicable codas. E3 Corrections required prior to approval. COMMENTSs 2`6 63 N�:►i F lie °3 1-$ 017 .fr-tdv,40( c)() L‘ $47,00 REINSPECTION CH REQUIRED. Prior to inspection, tee must be paid at 6300 Southcenter Blvd., Suite 100. CaII to schedule reins . action. NSPECTION NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.3670 INSPECTION RECORD Retain a copy with permit 111■11•11110=1•1111101111111110•■•• 1F& ct: 4.1 ..., ., .4 .. A. i. 1 ..... .- Type of Inspection: , .. rats: - o.' 5c Date Ca e • : pec A nstruct ons: ., • MO "ante • : a,m. p.m. Requester: ono Approved per applicable codes. Corrections required prior to a val. COMMENTS: • ,A 4 1■1111111•1111•11011111•111111■111MINN. Inspector: Date: 0 $47.00 REINSPECTION FEE REQUIRED, Prior to inspection, fee must be 1"--4paid at 6300 Southcenter Blvd„ Suite 100, Cali to schedule reinspection, Receipt No,: Date: . • , •. • . • INSPECTION RECORD Retain a ropy with permit INSPECTION NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Pro) t: i CIa1Ad • .10 '.1 ' Type of Inspection: A• •5 /Da .SC Y Date calle•: 7 / 1-0/042 Special instructions: / Date wanted: / t a.m. / p.m. Requester: Piton o. : Ej Approved per applicable codes. Corrections required prior to approval. $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins.ection. *:1.4116 INSPECTION RECORD Retain a copy with permit .frir02-121 NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd„ #100, Tukwila, WA 98188 (206)431=3670 Warn /Oa greeie type of Inspection: ° . A' 10 .° Ai e 1 ' . . NI C/57040 SOCA: KI4/ Dille Ca a , : 9'13-01 SpocaI Inslruclions: on- Shie, pre-demo rneelin5 '/d 4heer1re Dati WAntQd Tale°02, MM. Requastor: Dah Gilstrattp Phone No:2 ..., 06 226-60.71 Approved per appliceble codes, ge COMMENTS: Corrections required prior to approval. Inspector Date: - EJ $47.00 RE1NSPECTION FEE REQUIRED, Prior to inspection, fee must be paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection. Receipt No.: Date: x,,,Y-PrAM,50-W"le#OMOtr!--: - • • INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 to 1, ype o ns ion: • A A. Date a e : 9 • pec a ns ruct ons: ate "ante.: r 4 '''' I t, '#)•.• An. pms . °questa: Phone No: egpproved per 'applicable codes. COMMENT: Corrections required prior to approval, 10111110Mal Date • $47,00 REINSPECTION FEE REQUIRED. Prior to Inspection, fee must be paid at t 300 Southcenter Blvd., Suite 100. Call to schedule relnspection. • ..-e• t 1ov ceArkg. 0 011111111111.11.01r,i7:-.004 i/it retvoi. rd.. OuVricai a. • g� =6 Lu 5 cc These plena have been review, by the Nuts ►io Works Department for confo tnncc is �blvct with crroctt and City standards, acCep Ruth • � � violations of omission responsibility the gpro'of the desig i gists totally with the designer, Additions, deletions o his acceptance drawings der this date will v • and will require a resubmittal of revised drawings► for subsequent approval. Iwo AI' Final acceptance is subject to field inspection by the Public 'Works utilities inspector. Dam Ry' aspismompossimmernewlimmilOOMMOMMOOP It From: Seattle Insurance Agency Inc. 208.314.2810 7 Building Busters Inc. w POLICY NUMBER: SCP0430428 (Building Busters, Inc.) CG 2010 03 97 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. Date: 8/22/2002 Time: 2:39:02 PM COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED • OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: 1) Westfield 8hoppingtown 8outhcenter, 633 8outhcenter, Seattle, WA 98188 2) Westfield America, Inc.; WEA 8outhcenter LLC: Westfield Corporation Inc,, and any and all of their respective partens, partners, subsidiaries and affiliates, together with any mortgagee from time to time of the Landlord's interests, are named as an additional Insured, as their interests may appear 3) City of Tukwila 4) Bahama Breeze Design Construction (If no entry appears above, information required to complete this endorsement will be shown In the Declarations as applicable to this endorsement.) WHO IS AN INBURED (Notion II) is amended to include as an Insured the person or organization shown In the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured, CO 2010 03 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1 CITY OF TIUKWILA AUG 2 2 2002 PERMIT CENTER Page 1 of 10 it } From: Seattle Insurance Agency Inc. 206. 374.2610, Building Busters Inc. Date: 8/22/2002 11 a 2:35:14 PM Page 1 of 2 Choices 1.800-8/34 75Y E ACORD,. CERTIFICATE Agency, S.W. 98116-4561 OF`- LIABILITY INSURANCE. DA1E(M / Yl PRODUCE* Seattle Insurance 4700 42nd Avenue Seattle, WA t• p.I.nwetiSoseleI�,k,.esAget►.eo'* ph: (206)937.4613 fax:(208)374•2810 Inc, #485 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 Western Heritage Insurance Company INSURED Building Busters, Inc. 13001 Martin Luther King Jr. Way S. Seattle, Washington 98178Moa� -- COMPANY Progressive Casualty Insurance Company "'ANY COVERAGES THIS 1910 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY nERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WItH REVECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT tO ALL HIE /ERRS, EXCLUSIONS AND CONDIt10N9 OF SUCH 12O1.ICIE8: LIM(t9 BROWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LIN TYPE OP *SUMAC, POLICY NUMSEM oA 00NYI OPOLICY E (MMrtief'IYO) N uM11$ A otNERAL UAwutY caMx GER14 „ PROT SCP0430428 07/02/02 07/02/03 OENENx AGGREGATE $ 2 000 000 , PRODUCTS COMP'VP AO $ 2000,000 , $ 1000,000 1 _._ .1000,-000 .. 1 $ (UtllY aAMI WD XJ ORS €RSx stay SHAM* _ OMENS 8 CONTRACT EACHOCCURRFNCC pitt, DAMAGE (My ens ka) MED tXP W+ cry + i 8 A11TC$TOwf WWI ANY AUTO ALL OWNED AUTOS SOLOMON/10S HIROO AUTOS NON OWNED AUTOS 01751880.0 06/13/02 06/13/03 COMB NED SII = UM T _—«,____�.._.. . _- �1�11uRv 1 1,000400 ._ s_ _ r:. 1 000 tY INJURY ItWEt anD PROPERTY MAW =s • .s - _ 1 �°' 0.07/MMO"' GARAGE LIMILWTY NW AUTO AUTO ONLY . FA ACC'Df NT OTHER MAN AUTO ONLY $ r _ _ . AOOREOATE 1 EXCESS LIABILITY MORELLAfORM OTHER TtW1 UMBRELLA PORN EACtIOCCURRfNCC 1 AOOREOATE 1 `. WOMEN. co./ENBATICN EMPLOYE RS' IMMO Y TOE PROPRIEiOW PARTNERSUICUtIVE Off MERE ARE AND _ . - l EXCL 111,4140.VI•W ET. E/01 ACCIDENT EL DISEASE • POLICY LIMIT 1 r EL DISEASE • EA EMPLOYEE 1 OTHER DESORPTION Of on *ATIONILOCATIONSNEHICLE$HPECUY, ITEir$ All operations of or on behalf to the Insured for the Certificate Holder. CERTIFICATE HOLDER__ _ - ____ _ .___ _ _ _ -.___ _ _____ ____ _:_ Westfield Shoppingtown Southcenter fi33 SAUthGenter Seattle, WA 98188 I /WORD 254 (1195) ...:.. .... .... . . .'. :...... CANC.EELLATgN ._ __. _ - _ __ _ . _ _ _._ ....__:.. . . .. _ . SHOULD MY Of THE A$OVE DE$CRI$ED POLICIES $E CANCELLED BEFORE THE EXPRATION PATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 MAIL --3D-- PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. NUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO Q$LIGATION OK Limon Y OF ANY KIND UPON THE COMPANY, n$ AGENTS OR REPRESENTATIVES• AUTHQRIiiP MPRESENTATIVF Seattle Insurance Agency, Inc. 0 ACORD CORPORATION 1988 • • • 6:19 FAX 407 245.6642 BAHAMA BREEZE 4 • 4 Mr. Don Tamaso at Of Tukwila Fire Department 444 Andover Patk East Tukwila, WA 98188 Re: Bahama Breeze . , 15700 Southcenter Parkway Tukwila, WA Dear Mr. Tames°, . VIA FAX 206-5754439 AND US MAIL of WO tooto 4 ok.. tit) cA*01411 In regards to the above-referenced project this isto advise you that we do not plan to salvage anything inside the movie theater anciltre preparing to'demolish the structure and haul qff all debris. ShOuld you have any questions, please do not hesitate to call me at 407-245- 4564. • Thank you for your assistance. Sincerely, • David Boyd DB/jb Cc: • Chris Fortmuelleis Day's Nason • Somdeth Inthalangsy • 11, • t . 100101,114 a malty cool, funky, Wendy spot from Durclon 144tautints, • 41002 08/01/2002 THU 08:17 FAX 0/3J/02 15L23 FAX 253 473 0599 APEX ENGANlststttti Agency Casa No. 'Olney ate Only n. Property Ownert ZdeS,•l'IL°'4, Maple Address: M-otctiL\e40%+-_- I •..- PUGET SOUND CLEAN Alit AGENCY 110 tinfoil Sttoet, Suite Soo Seattle, WA 98101.7038 www,pacloanah.org NOTICE OF INTENT ta, IjuttAttA 002 CITY Cf PARA ARROYO AUG 11 t /hived l IrJ , +.0 --gYLK5,-;;;4~-0,55-;- Phone: ,/0-• C. Asbestos Contractor: If r 1 r •. . , rr Phone: Contractor Sob No.: Site Mans or: _ 0 ti i)A 44.54 973 Local Phone: moo. of 1 Date MbeetoS 8 Structures: 1 wu Conducted: A1:UBRA Building la Cut fl lit1L4u No. entullgon ; tart formations • ate: uPxiuble • stosIdes• +s• ' 'SS ■F'0 Was Nontilabto Asbestos Identified? s Yes DNo Atteoh a ropy clam survey, If made • le ssbeatos is identified or lf no asbestos Is identified on survey. Date: 1 emoi t on Conine:tur: 41•It a10 �M eonMoc:or na No. o Streeter • Stitet I ? (List F to 1, apt, Orde tno non e • e as • sstos be p sae Ilya, list type and qty. 1 MO • Yu G. Asbestos Project nfur::..•�t 1 aid: w ro C lotion ►a e: or Days: t Hou • - , ,r• • e $u otul • , to be *moved: ANA•4c' '.tr&g$) Aye die ,G, 9.4 y S stem Imo tioa Boller lrurnaae Ins. Egyjguom ■ Firs ronfln "' Paints ■ ■ • t huh ■ Pips lei PMdse U Textured Catlin n . II I a a SS of ri> 'fnill • Cement Dd. • Cement file • *table fioorin or Rooiln at'l Other I f I Odrori • t ,t IL Al eat aNDewo t on - ro cat etugo es: 1. ingle•Famlly Residuum (Cheek box A & 0 ibr ubestoa removal & du/million) A. L0 Asbestos Removal Prgject B. D Demolition Pro set 31-1111711fT11 • • A. Prior Notice = . 10 Da s ?n'1'TTi '''1f mirr.1 S 25 Noa•Rt:fundable Pao Covers Asbestos Removal & D • lition Ems! LEI Ot: es Demo one W di No As • - etos Removal Pro sot t 1 T t ' I 1 r fast or z 4$ -1 9 a • eats fist o as • to ininAlIONIN l0 , a s 10 Da S SO NM' 260.999 1 near f t or 60.4 999 a •tore fest of asbestos NZ.% 1 000 - 999 Ls ter eft or 3 000.49 999 • uar. et of asbestos 10 Dar 10 Da a 30 57 0 • to ' ,00' • r ' at of a• • 000 a s fact o aI • etoe 1 • • awl; 32. 00 • cat Fcc 7. • Snien Qncy• Asbsaro acor i Pmergency Demolition, pr • act Prior odes I do hereby o■tiy that die b%tortwottPn QonvaUud In dds nottnatian ♦ wppla n t tl Ma d eafb*$ haeIn itti tote best of my know/Wee, • ' t a lets, S/IAeoiwO ��■ Pu +ea Sound Clean Air Mem/ cut No. 00.100 (Rsvise0 917/00) AM 18"1.461%. Doe Agency Use Only R vlewea Ay 08/01/2002 TUTJ 08:17 PAX 0//31/92 16:23 rAX 253 473 049g AP1:X ENGANlstil<ING Agency Casa No. 42 day Cite On/y • 4-6 cli e0.4- -4 I PUGET SOUND CLEAN AIR, AGENCY 110 Union Strout, Suits Soo Seed*, WA 96102.2038 www.psaleanair.org r�l�n,t 411 •`1 *roc NOTICE OP INTENT ,tbJuuAiuu'•tUO2 Date Received ,rgmey Use Only A, Prulect Type: 1, 0 Asbestos Remnvat prdpetty Owners M Jun_ Address. . 0 _ i • • Phone: Contractor Job No,; w.e. State: Phone ./10•-• 4/72. State g Y (/S zf .: 96f • ,� • IIIFIV 00 - . 9 i_ ar Get • 0 • • . 9 999 • oars et of asbootos Cl . #d6 4 - i j C. Asbestos • 'n • iss„ • t IF 0 ■ I. ► ' ' i • 77 :7 Contr e . Owtier/ • 0: , `tll d 3 25 Non•Rafundablc Pea Covers Asbestos Removal & Demolition Phone: Contractor Job No,; C t r: State: Zio: Pax: tt• Ad dry: /5 Sim Mans r: City. 1 ki 'O'7 1,15:4 5q3 Looal Phorw• s • ostos : arvoy or Mttt'l Presumed Data As • otos 6 wu Conducts& 'Via Friable As • stos (dentf ; e o 00 Wa+Nonlilablo Asbestos ldentlfiod? i• Yes ONo Attsah a copy of the survey, if nonPrie • la atbostos is iduntiflad or if no asbestos is idintittod on survey. AImRA Dulldtns Inspectors j` vrammunosnownimeseenvo Cartifl stion Jto.: / Q QQQ '7t / , — Demolition (urination nano t on Contractor: glut ate: • Z Data, aN,, IMO 'ill tintmtlir ♦MI nS No, o Strua a: sear on oa state? Tra t (List Fire $pl�'t,) 2. D Ord, ad De. olitlol attuo ao of no ° o • e os • egos • e a np see oi emu ' Yet if yet, list typo and qty, dot No Crmlmumi . linfiarna • Caooatt Od. " Camont t' " YdabM Alpo n : or Raoth ' it'1 1111, Ai'•AosJDsmo tonroact aago cot 1..in&1e•ttatnlly Residence: (Check box A & 19 for mbestolf removal 4 darnolltion) A. Ambottua Removal PrgJaot 8. D De na1 • • o Pro set NIT1i..,,, '. ,, A. Prior Notice B. 10 Days , `tll d 3 25 Non•Rafundablc Pea Covers Asbestos Removal & Demolition rte! j'1► , . r�� • 1 oyta W th o . • • at • ono al Protect 10 Days $150 MP* 0 . L: r , of o 41- 9 square et of aabeatos Ow back) - 10 Days t _ - $150 NOV 260 • .• f naa 60 . 4 • 99 s' uare foot of asbestos 10 Da 300 IIIFIV 00 - . 9 i_ ar Get • 0 • • . 9 999 • oars et of asbootos 10 Da s 5750 vII •• ;� t • A • 4001 •is cat of **autos • +f msrgencyAsbautos • to act or • Fsausmattcy Demolition Prt ict 1' •a A ' or No co 52,000 Twice Pro cat Foe 1 do htniby candy ?last tens littomodinn rsnWta l in 0i4 nodal: ion At wpplanocW1 data dsocribsd ;min is, to Ow best at my knowls4c. & let., ‘7444WI‘o( 1444 e I I matww • Mtuntln: bate Pulp 5ao04 Ctca► Air ASaney Pam No. 44460 (Revised 9(7100) AM • Agana), Usa Oaly Riv1tw_Q ay 18 N titp • • 6:19 FAX 407 245 8842 3 BAHAMA BREEZE Mr. Don Tamaso city Of Tukwila Fire Department 444 Andover Pafk East Tukwila, WA 98188 Re: Bahama Breeze 15700 Southcenter Parkway Tukwila, WA Dear Mr. Tamaso: VIA FAX 206 -575 -4439 AND US MAIL • In regards to theiabove- referenced project this Into advise you that we do not plan to salvage anything Inside the movie theater and'are preparing to demolish the structure and haul qff all debris. . Should you have any questions, please do not hesitate to call me at 407 -245- 4564. Thank you for your assistance. Sincerely, • David Boyd DB /jb Cc: Chris Fortmueller Dayls Nason • Somdeth Inthalangsy - CSJM I\ • • 10 i is a rosily cool funky, islet* spot from ()adult Reli1.urrnts. '¢4 a002 t. ta*$ PERMIT COORD COPY PLAN REVIEW /ROUTING SUP ACTIVITY NUMBER: MI02 =121 PROJECT NAME: . _ BAHAMA BREEZE DEMO SITE ADDRESS: _.15700SOUTHCEN`fiER PARKWAY XOriRinal Plan Submittal ,__.,,OResponse to incomplete Letter # DATE: 08- 05 -02. Response to Correction Letter # Revision 11 After Permit Is Issued 10(/ .4440 BuildtAg Ivlsion (gj... Public W% rks /co indL 0./4`00" Fire Prevention Fa- UV 14. ,1.-4)" Punning Division (� Structural ❑ Permit Coordinator ❑ R. RMINAZLO1 LOJ COMPLETENESS: (Tues., Thurs.) Complete Er Incomplete ❑ Comments: DUE DATE:._ Not Applicable ❑ Permit Canter Use Only INCOMPLETE LETTER MAILEDt. — LETTER OF COMPLETENESS MAILED' Departments detarminad Incomplete: Dldg ❑ Fira ❑ Ping 0 PW ❑ Staff InIttal>i:, TUES/THURS ROU INC: Please Route 5 Structural Review Required ❑ No further Roviuw Required ❑ REVIEWER'S INITIALS:._ DATE: APIBMINUDigaingliMs DUE DATE: O.O Approved ❑ Approved with Conditions 0/ Not Approved (attach comments) ❑ Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILEDt_ ..._ Departments issued corrections: Bldg 0 Fire 0 Ping 0 PW ❑ Staff Initials: PERMIT COORD COPY Documents/rooting slip.doc 2•2a -02 DEPARTMENT OP LABOR AND INDUSTRIES REGISTERED AS PR6VIDED BY LAW AS C! ST ONT,,, fI •4131;ntla = c..1,;i4L.fi.!0;p1:0 F CTIVE"DATE • t; I- BUILDING 'BUSTERS INC 13001 MLK OR WY S SEATTLE WA 98178 r(25-os2-ouu (4/91) \4 1)viach Anti 1)ilphly (.411g-it:ale ;N.