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Home My WebLink AboutSEPA EPIC-244-84 - THE TECTON COMPANY - RIVERVIEW PLAZA STORAGE SHEDRIVERVIEW PLAZA 16000 CHRISTENSON RD EPIC- 244 -84 NOTICE OF ACTION I ai -110 gli Notice is given under SEPA, RCW 43.21C.080, that City of Tukwila took the action described below on October IS , 1984. • • Any action to set aside, enjoin, review, or otherwise challenge such action the grounds of non - compliance with the provisions of Chapter 43.21C RCW (State Environmental Policy Act) shall be commenced on or before November 29, 1984 Description of agency action: Approve Shoreline Management Substantial Development Permit No. `84= 28 =SMP to construct a 147.5 square foot storage shed. Description of proposal: Location of proposal: 16000 Christensen Road Type of environmental- review under SEPA: Determination of Nonsiqnificance was issued September 25, 1984, VI C= 244-841) Documents may be exanii nea`-duri ng regular business hours at the Planning Department, City Hall, 6200 SZduthcenter\Boulevard, Tukwila, WA. Name of agency, proponent, or applicant giving notice: City of Tukwila This notice is filed by: Rick Beeler, Associate Planner Date \October 18, 1984 • Published: Record Chronicle, October 21 and October 28, 1984 cc: .Applicant City Clerk Mayor Department of Ecology File AFFIDAVIT OF DISTRIBUTION I, Becky L. Kent Hereby declare that: ❑ Notice of Public Hearing ❑ Notice of Public Meeting ❑Notice of Application for Shoreline Management Substantial Development Permit Notice of Action was . mailed to each of the following addresses on October 19 BNSF Burlington Northern Inc. Glacier Park Co. 810 3rd Ave. Tax Dept. 208 Central Seattle, WA 98104 R.W. Peterson 290 Andover Park East Tukwila, WA 98188 Tri -Land Corp. 505 Baker Blvd. Tukwila, WA 98188 Albert Rosellini 230 Andover Park East Tukwila, WA 98188 Tri -Land Corp. 220 Andover Park East Tukwila, WA 98188 Dojac Corporation 130 Andover Park. East Tukwila, WA 98188' Raymond Feichtmeir 16000 Christensen Rd: #105 Tukwila, WA 98188 City of Seattle Water Dept. County City Building Seattle, WA 98104 Name of Project Tecton Company File Number West Valley Associates 1313 East Prospect Seattle, WA 98112 Pam Morlan Tecton Co. 16300 Christensen Rd. #114 Tukwila, WA 98188 Adrew Polich 531 Strander Blvd. Tukwila, WA 98188 Bob Chen 512 Strander Blvd. Tukwila, WA 98188 Jemma Assoc. 345 Andover Park East Tukwila, WA 98188 84- 28 -SMP ,1984. Signature NOTICE OF ACTION • Notice is given under SEPA, RCW 43.21C.080, that City of Tukwila took the action described below on October IS , 1984. Any action to set aside, enjoin, review, or otherwise challenge such action the grounds of non - compliance with the provisions of Chapter 43.21C RCW (State Environmental Policy Act) shall be commenced on or before November 29, 1984 Description of agency action: Approve Shoreline Management Substantial Development Permit No. 84- 28 -SMP to construct a 147.5 square foot storage shed. Description of proposal: Location of proposal: 16000 Christensen Road Type of environmental review under SEPA: Determination of Nonsignificance was issued September 25, 1984, [EPIC- 244 -84) Documents may be examined during regular business hours at the Planning Department, City Hall, 6200 Southcenter Boulevard, Tukwila, WA. Name of agency, proponent, or applicant giving notice: City of Tukwila This notice is filed by: Rick Beeler, Associate Planner Date October 18, 1984 Published: Record Chronicle, October 21 and October 28, 1984 cc: Applicant' City Clerk Mayor Department of Ecology File ry . • NOTICE OF ACTION • Notice is given under SEPA, RCW 43.21C.080, that City of Tukwila took the action described below on October 18 , 1984. Any action to set aside, enjoin, review, or otherwise challenge such action the grounds of non - compliance with the provisions of Chapter 43.21C RCW (State Environmental Policy Act) shall be commenced on or before November 29, 1984 • Description of agency action: Approve Shoreline Management Substantial Development Permit No. 84- 28 -SMP to construct a 147.5 square foot storage shed. Description of proposal: Location of proposal: 16000 Christensen Road Type of environmental review under SEPA: Determination of Nonsignificance was issued September 25, 1984, (EPIC- 244 -84) Documents may be examined during regular business hours at the Planning Department, City Hall, 6200 Southcenter Boulevard, Tukwila, WA. Name of agency, proponent, or applicant giving notice: City of Tukwila This notice is filed by: Rick Beeler, Associate Planner Date October 18, 1984 Published: Record Chronicle, October 21 and October 28, 1984 cc: Applicant. City Clerk Mayor Department of Ecology File • NOTICE OF ACTION Notice is given under SEPA, RCW 43.21C.080, that City of Tukwila took the action described below on October 18 , 1984. Any action to set aside, enjoin, review, or otherwise challenge such action the grounds of non - compliance with the provisions of Chapter 43.21C RCW (State Environmental Policy Act) shall be commenced on or before November 29, 1984 Description of agency action: Approve Shoreline Management Substantial Development Permit No. 84- 28 -SMP to construct a 147.5 square foot storage shed. Description of proposal: Location of proposal: 16000 Christensen Road Type of environmental review under SEPA: Determination of Nonsignificance was issued September 25, 1984, LEPIC- 244 -84) Documents may be examined during regular business hours at the Planning Department, City Hall, 6200 Southcenter Boulevard, Tukwila, WA. Name of agency, proponent, or applicant giving notice: City of Tukwila This notice is filed by: Rick Beeler, Associate Planner Date October 18, 1984 Published: Record Chronicle, October 21 and October 28, 1984 cc: Applicant' City Clerk Mayor Department of Ecology File WAC 197 -11 -1350 •DECLARATION OF NONSIGNIFICANCE Description of proposal Construction of 147.5 square foot storage shed. Proponent The Tecton Company Location of proposal 16000 Christenson Road Lead Agency City of Tukwila File No. EPIC - 244 -84 This proposal has been determined not to have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review by the lead agency of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. lliextx1xxmoxammextxuerximMixxxxttxtoMex Responsible official Bradley J. Collins Position /title Planning Director /Responsible Official Address and phone 6200 Southcenter Boulevard, Tukwila, WA 98188 Date Ce -•0 Signature ----CITY OF TUKWILA CENTRAL PERMIT SYSTEM TO; • REVIEW ROUTING FORM BLDG PLNG I PROJECT 1?1\,\AQ6G p1 LOCATION 140 c%AZIST iS DATE TRANSMITTED J](p , -4172(Na `T RESPONSE REQUESTED BY (k, 3 ( l i 4 STAFF COORDINATOR pct._ RESPONSE RECEIVED THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. CN 84 Z9'0 • 4 4 - 4 2-- 4 FILE 84'- j -Vtke FIRE I ( POLICE P FILE NO. ITEM COMMENT DATE C 0 COMMENTS PREPARED BY C.P.S. Form 11 CITY OF TUKWILA PERMIT NUMBERS 22 -gMf CONTROL NUMBER g4 -2-q3 CENTRAL PERMIT SYSTEM - ROLA FORM TO: a BLDG. Q PLNG. [ . P.W. a FIRE a ;POLICE a P. & R. PROJECT ?1,\ItiZ4t tJ Pl.ps2 . ADDRESS 16000 C_- ZISila) .S rW DATE TRANSMITTED jCt , -2-7)1 I q,g4 C.P.S. STAFF COORDINATOR6"1�'� RESPONSE REQUESTED BY__L Aa ?,( t 9 S4 RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: a a a a a a a a a a a a a a a a D.R.C. REVIEW REQUESTED El PLAN SUBMITTAL REQUESTED EI PLAN APPROVED [� PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 A1' CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM r 2 'This questionnaire must be completed and submitted with th'e °a pp-hfi ea .i:oq;: for j permit. This questionnaire must be completed by all persons applying for a permit from the City of Tukwila, unless it is determined .by the Responsible Official that the permit is exempt or unless the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. A fee of $60.00 must accompany the filling of the Environmental Questionnaire to cover costs of. the threshold determination. I. BACKGROUND 1. Name of, Proponent: le 2. Address and Phone Number• of Proponent: A;a 9 C///p 6577- 27/09.iU R,D; os- 7- am /.0 // AJ /.vA . 9X/ ,?7 - .5_//7 3. Date Checklist Submitted: R 4. Agency Requiring 'Checklist: e/7//9/= 77,4ezw2. �4 - 5. 'Name of. Proposal, if applicable: .6. Nature and,Brief Description,of the Proposal (including but not.limited.'. to.its size, general design elements, and other factors that 'will give an accurate understanding of its scope and nature): A 9' ��' /S / /c3)744AGE SHED PDR GAROE.ULNG` .i i s AND /Y/A /i1/TENANG'E EQL/ /P/nE�v r 70 .SF s 'i..r ALITACEN7- T4 EX /S'7 /NG 7/?. .98.1-/ E/j/CLO'SI.IR2, 1 z/ F //1/ /cSH .14 "9Q4A' /A/G /Y/ATE/4 /ALS (.51// ALL //MATCH T #DSE aF g.e /S'r//UG DPP/& . DrvE 0) 4 /Gy517" PLLE "v /Lc_ AF BFLOCIA1TED AA) Fx)ST%NG LkA iDSCA P /NG `• AS LJ T7LE AS POSSI SLE., '7. Location of Proposal '(describe' the physical setting of the proposal, as well as the extent of the land area affected by'any environmental im- pacts, including any other'.information needed to give an accurate under- standing of the environmental setting of the proposal): L • 4 i 8. Estimated Date for Completion of the Proposal: 9. List of all. Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local): (a) Rezone, conditional use, shoreline permit, etc. YES /NO (b). King County Hydraulics Permit YES NO (c) Building permit YES1/ NO • (d) Puget Sound Air Pollution Control Permit YES NO4/ (e) Sewer hook up permit YES NO t/ (f) Sign permit YES NO c/ (g) Water hook up permit YES, NO c� (h) Storm water system permit YES NOt.--- (i) Curb cut permit YES NO (j) Electrical permit (State of Washington) YES ENO (k) Plumbing permit (King County) YES NO (1) Other:. 10. Do you have any plans fob future additions, expansion, or futher activity related•to or connected with this proposal? If yes, explain: 401 11. Do you. know of any plans by others.which may affect the property covered by • your proposal? If yes, explain: 12. Attach any other application form that has been completed regarding the pro - posal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) 1. Earth. Will the proposal result in.: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- i ng of the soil? C6 #QT FLO9RLNG FoR Sff'D (c) Change in topography or ground surface relief fea- tures? The destruction, covering or modification of any unique geologic or physical features?. ( -2- Or YES MAYBE NO x (e) Any increase in wind. or water erosion of soils, either on or off the site? (f) Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal rdsult.in: (a) Air emissions or deterioration of ambient air quality? (b) The creation of objectionable odors? (c) Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: (a) Changes in currents, or the course or direction of water movements, in either marine or fresh waters? (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of surface water in any water body? (e) Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction or rate of flow of ground waters? Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? (g) -3 YES MAYBE NO x x • (h). Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise avail- able for public water supplies? Explanation: 4. Flora. .Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of'flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of . existing species? (d) Reduction in acreage of any agricultural crop? Explanation: 5. Fauna. Will the proposal result in: (a) Changes in the diversity"of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish or wildlife habitat? Explanation: YES MAYBE NO 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use— Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: 9. Natural Resources. Will the proposal result in: (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? Explanation: 10. Risk of Upset. Does the proposal involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: YES MAYBE NO X • • 11. Population. Will the proposal alter the location, distribution, density, or growth rate of the human population of an area ?.. Explanation: 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation /Circulation. Will the proposal result in: (a) Generation of additional vehicular movement? • (b) Effects on.existing parking facilities, or demand for new parking? (c) Impact upon existing transportation systems? (d) Alterations to present patterns of circulation or movement of people and /or goods? (e) Alterations to waterborne, rail or air traffic? (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? • Explanation: 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of public facilities, including roads? YES MAYBE NO • (f) Other governmental services? Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: 16. Utilities. Will the proposal result in a need for new systems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? • (e) Storm water drainage? (f) Solid waste and disposal? Explanation : -(4) MOUE J Ito-NT POLE 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: YES MAYBE NO 19,,r% -lr4e- larley,E.Jensen rchitect A.1.A. 51,ta'fayette Circle sfeyette,:CA 94545 455) 284.4393 ri.)AzA ai4��. ,r14 41 7 -10 -A4 ACV) Mt!- iza2F 7o 1MTctt iHTTTJTTTF is 1{ i • • k1012-r H ft 411 NC: Wt.. ,levf to'. • 41AY.H b414-e4 kf ?1 • t.etosJRE 6tyo }J H GHAT' t:,�C]hrrN e.44 1451.,P E nom. r.1E "ttUt'o Ftr4tH to MN cold 1 't 1of -Pi VAT to ti~! F-iarlcyEJensen Architect' A.LA. • • 251 ' Lafayette Circler Lafayette,.CA 94549 (415) 284.439? r2 N �v t v✓ P14Z4 ' o P -,4 '4# ft7 • TEUtat.1 Gott 04 1,1 G�FPI +irN N : t rp 5y IA Fit KA-1-61-t I (6 ) f 141 pLyvia 04 • 7roc.6,0 • ove42. A-frocce vintp evtg 112," 4 MAlatzy e7 2*1- i-,•;(6.-rfe; PC-4-e. LAFA-(E-rre- 14G41 • k) orP•rpa•Atate,' .-160 11-t com e-1-112.1i2ret,le.4.1 • 9.4•6.0 . WA_ • :p 0 . • • - • •igexe>4.61e-- . _ t12.01e-ti•-ry LI hie. A-,& LL c2- t.i.A42/ 7" 14-14+. H Viler fr-L- f 21 " C C a • I';,tQ 1 -a—U41,11 W:01 +I hn J417* A-Ve'lar4 aca 1+41911 19r4 • 40pIN ‘721, V A N j4 alF4,4 .41—rbefrriAriel GZ c rtd • V-dricto-i21-; H .1.1 !no -*tig cra *el:J(3340 cA .LNgvid 1047g [Ni%cer4)-r+IvIti Nve s. Ciq -19Wa_te-7 „ 47)-11. • •i .1 -21/-(-0,-16/6/ CITY OF TUK•ILA Central Permit System MASTER LAND DEVELOPMENT APPLICATION FORM 0Q; PLEASE WRITE LEGIBLY OR TYPE ALL REQUESTED INFORMATION-'- INCOMPLETE ( ,z 2T �1 APPLICATIONS ACCEPTED FOR PROCESSING. SECTION I: GENERAL DATA TYPE OF APPLICATION: D BSIP I) APPLICANT: OSHORT PLAT DCONDITIONAL USE 0 SUBDIVISION DUNCLASS. USE NAME /99/%%ELA / /O/44H/V WSHOREL PERMIT PRD DPMUD INTERURBAN D VARIANCE D CHG. OF ZONING DCOMP. PLAN AMENDMENT TELEPHONE (..W6) 2# / 578% ADDRESS//, &)(5 EW/9 /STEA) SEi1) /%,c. # //y 72'/'/L4 J /4)A ZIP Cj 9M ) PROP . OWNER: NAME R.11,21.0 5,(7/4472 TELEPHONE (2e)6 ) 2'// -z/ ICI ADDRESS_ /bQCXZoe,Y /aVE�i L ZIP 4 ? 3) PROJECT LOCATION: (STREET ADDRESS, GEOGRAPHIC, LOT/BLOCK)/i6 o f/f /,S7S &JI ) RA 7714'') /LA /)i9. 9B /e8 SECTION II: PROJECT INFORMATION DESCRIBE BRIEFLY THE PROJECT YOU. PROPOSE K 9/6" K /5,'Al' ,. gf}/RD�2) /it%lr 311-7? I . I_/ i i I /' • • I ff .i P Jr.OP /f _ 5) ANTICIPATED PERIOD OF CONSTRUCTION: FROM Qc /, / q TO )g7-,,,Q.8.,/q84,1 6) WILL PROJECT BE DEVELOPED., IN PHASES? OYES le NO IF YES, DESCRIBE: PROJECT STATISTICS:. A) ACREAGE OF PROJECT SITE: NET ?, Sy GROSS'• EASEMENTS B) FLOORS OF CONSTRUCTION: TOTALII FLOORS INCLUDES: D BASEMENT D MEZZANINE' TOTAL GROSS INCLUDES: D BASEMENT D MEZZANINE FLOOR AREA - SITE UTILIZATION: EXISTING PROPOSED NOTES ZONING DESIGNATION COMP. PLAN DESIGNATION BUILDING FOOTPRINT AREA LANDSCAPE AREA PAVING AREA TOTAL PARKING STALLS: - STANDARD SIZE. - COMPACT SIZE - HANDICAPPED SIZE TOTAL LOADING SPACES AVER. SLOPE OF PARKING AREA AVER. SLOPE OF SITE O 0 D D O 0 IS THIS SITE DESIGNATED FOR SPECIAL CONSIDERATION ON THE CITY'S ENVIRONMENTAL BASE MAP? DYES ONO SECTION III: APPLICANT'S AFFIDAVIT , BEING DULY SWORN, DECLARE THAT I AM THE CONTRACT PURC ' ER OR OWNER OF THE PROPERTY INVOLVED IN THIS APPLICATION AND THAT THE FORE- GOING STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. DATE SUBSCRIBED AND SWORN BEFORE ME TH I S ID DAY OF M ,Pas r , 198'5". NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON RESIDING AT SFA rT I.F X l7ll/fy141//2_ (SIGNATURE OF ONT4P.C,T PURCHASER OR OWNER) • • • Speed Message From • • WilsonJones GRAYLINE FORM 44 -900 2 -PART G1983 • PRINTED IN U.S.A. Signed -CITY OF .TUKWILA CENTRAL PERMIT SYSTEM • ENVIRONMENTAL�REVIEW ROUTING FORM BLDG • G P.W. PROJECT. fly, \(t Q' S L IPLAi LOCATION ((Q� �C, C s 1 S TO: FIRE CN e4 2 Cl .•PIC a44 -84 FILE 84•- 2J-'SA/1,1 POLICE P & R DATE TRANSMITTED /j(, 2:71 «s 4 STAFF COORDINATOR,C.� THE ATTACHED .ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND•CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. FILE NO. RESPONSE REQUESTED BY hock, -31J HO 4 RESPONSE RECEIVED ITEM COMMENT DATE COMMENTS PREPARED BY. C.P.S. Form 11 CITY OF TUKWILA CENTRAL PERMIT SYSTEM ENVIRONMENTAL REVIEW ROUTING FORM TO; . BLDG 1 1 PLNG P.W. PROJECT . n,N.LCP.:&Aft(.2- PLPJ1J LOCATION 1(,cZ)CJ, C{ j S.) FILE N0. DATE TRANSMITTED AsMtb, • 2 ( ( 4 RESPONSE REQUESTED BY / )(k. 31, (c(a T STAFF COORDINATOR EtC RESPONSE RECEIVED CN .'1C� *PIC 244-64 FILE 84,- 2z-vvte FIRE POLICE P &R THE ATTACHED ENVIRONMENTAL CHECKhLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. ITEM COMMENT' ONLY. IMPACT UPON•POLICE ORIENTED PUBLIC SAFETY WOULD BE THE REMOVAL AND.' REPLACEMENT OF THE EXISTING LIGHT POLE. IT WOULD APPEAR FROM THE SITE .SKETCHES THAT THE NEW LOCATION WOULD AFFORD H ON CHRISTENSEN TRAIL I}.LUMINATION /THAN THAT • PROVIDED PRESENTLY...THIS IS A PLUS. `PJL DATE COMMENTS PREPARED BY C.P.S. Form 11 CITY OF TUKWILA CENTRAL PERMIT SYSTEM ENVIRONMENTAL TO; PROJECT BY_,AU G 2 7 1984 :TUKWILA FIRE PREVENTION BUREAI REVIEW ROUTING FORM BLDG PLNG P.W. FIRE CNe4 -2 c • . EPIC Z 44 64 FILE 64- Zs— Sn/t.i° 1 POLICE P &R LOCATION ((Qc Zc, CaS1.ZS 1'LI DATE TRANSMITTED , 2 :((c2 `C STAFF COORDINATOR THE ATTACHED .ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. FILE NO. RESPONSE REQUESTED BY /(_j(4. 3I1 Icta 4+ RESPONSE RECEIVED ITEM. COMMENT DATE COMMENTS PREPARED BY C.P.S. Form 11 CITY OF TUKWILA PERMIT NUMBERS =LB -gMr CONTROL NUMBER g4-2g0 CENTRAL PERMIT SYSTEM - ROUTI FORM TO: Q BLDG. 0 PLNG. [ . P.W. .Q FIRE Ei POLICE Q P. & R. PROJECT la\VIRONINNJ PILPyLtor ADDRESS 1C:OOC- L. t121Sna)Se ■.S rW DATE TRANSMITTED (,(, 2:71 L ct 4 RESPONSE REQUESTED BY C.P.S. STAFF COORDINATORCTj"Z.�'� RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: Q 574 r4 , o7 Avid/ .�.LCes 40144a.6/e o r (6 l*...r6. s ,a /e / /au tees ? Q S/-6? 7i spec/4../ e r,s9i7 a Q a a Q a Q Q a a a a Q Q Q a D.R.C. REVIEW REQUESTED [] PLAN CHECK DATE 7/Z g PLAN SUBMITTAL REQUESTED 0 COMMENTS PREPARED BY PLAN APPROVED `5 467! C.P.S. FORM 2 /-Dg1 -e/`9C/ 1 • T6Li j CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM l f • ciTy This questionnaire •must be completed and submitted wi th the"app1= -e ta.o'offor�t permit. This questionnaire must be completed by all persons applying for a - permit from the City of Tukwila, unless it is determined by the Responsible Official that the permit is exempt or unless the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. A fee of $60.00 must accompany the filling of the Environmental Questionnaire to cover costs of. the threshold determination. I. BACKGROUND 1. Name of Proponent: 4,4-04)D /47, 7( ,7,9 /A 2. Address and Phone Number. of Proponent: /4/9 l'//P/ 772F:4A9zE,U R0,-710-5- 7- G1/ //9/i , , Z/JA. Q ,' — y/- -2./ /7) Date Checklist Submitted: R-3 4. Agency Requiring Checklist: G' /T% x2/= 7 ', /..0 /z 4 5.. Name of Proposal, if applicable: '/,p0,4E-,//426._ 8/7,_,c-z) 6. Nature and.Brief Description of the Proposal .(including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature) :,9 9 �'k /5 ��5►TppgGE OWED FOR G4R.OffiliNG ToOLS ANO MAr4./TEN,4,vc - 0 --emu r 70 13E at//2.7- "9.6TACENr TD EX /S'T /N6- 78,41.S4' ENCL4S -2/ E, 1/4'a /7/11/..51.4/ 44 47pDF //vG- /VAT6-R,ALS C5HAL1 //1ATL'/W 7&1sE of Err /ST /ivG at .o s ONE (J) 4 /&//7 R . 'O i4S LI77L6 AS POSS /i3LE., 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent' of the land area affected by any environmental im- pacts, including any other; information needed to give an accurate under- standing of the environmental setting of the proposal): .0 ie mr A' AP 8. Estimated Date for Completion of the Proposal: 9. List of all. Permits; Licenses or Government Approvals Required for the Proposal (federal, state and local): (a) Rezone, conditional use, shoreline permit, etc. ..YES / NO_ (b) .King County Hydraulics Permit YES NO (c) Building permit YESI/ NO • (d) Puget Sound Air Pollution Control Permit YES NOQ/ (e) Sewer hook up permit YES NO t/ (f) Sign permit 'YES Wt.,/ (g) Water hook up permit YES NO (h) Storm water system permit YES NO (i) Curb cut permit YES NO (j) Electrical permit (State of Washington) YES 1--NO (k) Plumbing permit (King County) YES NO .- (1) Other:- 10. Do you have any plans for future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: .11. Do you. know of any plans by others.which may affect the property covered by ..your proposal? If yes, explain: 12. Attach any other application form that has been completed regarding the pro- posal; if none has been completed, but is expected to be filed at some future date, describe the nature of . such application form: II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) 1. Earth. Will the proposal result in.: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- ing of the soi 1 ? C An- F R /NG- Foie 67/e.D (c) Change in topography or ground surface relief fea- tures? (d) The destruction, covering or modification of any unique geologic or physical features? -2 YES MAYBE NO x (e) Any increase in wind or water erosion of soils, either on or off the site? (f) Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which. may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? (b) The creation of objectionable odors? (c) Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: (a) Changes in currents, or the course or direction of water movements, in either marine or fresh 'Waters?. (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of surface water in any water body? (e) Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction or rate of flow of ground waters? (g). Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? -3 -_ YES MAYBE NO x _x_ K x • YES MAYBE NO (h) Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise avail- able for public water supplies? Explanation: 4.. Flora. Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? • (b) Reduction of the numbers of any unique, rare or endangered species of flora? • (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: 5. Fauna. Will the proposal result in: (a) Changes in the diversity.of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? '(d) Deterioration to existing fish or wildlife habitat? Explanation: • 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use... Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: 9. Natural Resources. Will the proposal result in: . (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable, natural resource? Explanation: 10. Risk of Upset. Does the proposal involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: YES MAYBE NO x X 11. Population. Explanation: • Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation /Circulation. Will the proposal result 'in: (a) Generation of additional vehicular movement? (b) Effects on existing parking facilities, or demand for new parking? (c) Impact upon existing transportation systems? (d) Alterations to present patterns of circulation or movement of people and /or goods? (e) Alterations to waterborne, rail or air traffic? (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? • Explanation: 14.. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of public facilities, including roads? YES MAYBE NO (f) Other governmental services? Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: .16. Utilities. Will the proposal result in a need for new systems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e) Storm water drainage? (f) Solid waste and disposal? Explanation:,(,) mavE 1 10-#7- P046 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: YES MAYBE NO x 1 • :: pp.Rv..ri 170 .H L.. fir4'U>x6, • i"jcl4 4- {'% !i �;- ouTi.E :� _ ;try, 6./NTIstr, _ 0.1r-4 zax�a. c poal=2,0) . "--- N I ..r) 1 + K. o, zI A■ le ..1 t; . h.v.vvv.4.x...I.Nx.‘1.-A i 1 it / • iarleyEJensen rti #act A.I.A. 51,teayette circle dfeyette,A 9454$ 45) 284.4398 izivevi5k1 1?1.,Az ti'[oP.�G' FFANy /dry'- !' -o Mara- 7- 10 -e'.4 mi-. f2a2r To filATo -)c '6I• tt-Ai rac Ot4f4A-1 ro MAU GotoR TrocTUIzE ors .40,,doe' eta. 04:912* (1 •Lce,AT.4.2 -1-4HT 77-17, i, 1' 11 . ._ i-I, . ' . '; ,----i: ; • -i - i ii,„ -- 41-4 i --11 r 1 il Hem.) KfL. :feetf 41AT-0 G441J4 1■1o12--rH 1.■/A-rioN1 LoOqP-eh - MAIG4-1 rlrk 1 PO4-. *To coo to 11AZ,14 ceto 12.• -rt4411)ft-ed or EgWitr4A • VA-r io Y41"=11-o" HarleyEJensen . . Architect,A.I.A. 251- Lafayette Circle LafeYette,CA 94549 (415)284•439 rtAtA ‘-'11012-Aare- 444 11-t COP-i flAf..1%r• 44R.I•tri:Wvgi4 . PAre GLaoofit *TAP e`f MFfz pLywo. 4110 4IVCCO �--- A/69- iX,Co Par ;,, • • 112 FL-1410 8 �8:. u.. n - x at -couc. Bt.K. it • H/04z1.-y 36144,t4 A!?Gk{irl.T,:-..A„ A.- 2 t ; 4„A S Y6.rfe; G .E IAFAYe rC: �..GR °145 41 12.1Ve}2V1: VII 11.4 • ir9 t4 ; 641.1 PAP y Gi•l lzihr try - J ¢: Ac rt1KvII LA, WA- h1:E�✓% -1 't A aok :F'1-11,N . • pP.e7T r GE F -I r,*r'►o\1 : A el 1-60'!.x 1 1 to " -4-a1274.6!. a bD rOf2 e4ulefritsii" ►h rdFe.FiP !3u!Lr AG7�Gr'it�1r XI5r1 N� . i'P7H �1/ U. i%INIJH A►JD F M - L f� H Tie e p 4 way o ,c ;. • B01LL'>I t.14•*. . H X15r I t.16t L-160417 �a -flu' e* . t.OG rE-Q Ah: pi QJU E .I rINJ& p 1■1t ee. p!>f UR-U1✓ 7 . �� rYL. A' F,r51 Wit. . A L.. E CM ISTENSEN RD • ANDOVER PA RR. WEST E.9 T :1 ... • • Job • Of CITY OFT (u'u UK�ILA Central Permit System 1(/ -7t--02-7/v/ MASTER LAND DEVELOPMENT APPLICATION FORM PLEASE WRITE LEGIBLY OR TYPE ALL REQUESTED INFORMATION—INCOMPLETE ACCEPTED FOR PROCESSING. r I • APPL I CAT 1 DIMS WILL NOT # z u0 6r0 �4,n,8o BE SECTION is GENERAL DATA TYPE OF APPLICATION: ❑ BSIP ❑ SHORT ❑ SUBDIVISION SHORELINE ❑ PRO ❑ PMUD ❑ BAR PLAT PERMIT INTERURBAN PLAN ❑ CONDUSEONAL ❑UNUSESS• ❑ VARIANCE ❑ OGF ❑ AMEN•DMFrNT APPLICANT: NAME /99MEL A /1/0/1)4 /9A) TELEPHONE (W6) 2.4 /- 578 ADDRESS /d 3D/i (28/9/87-.1036-/1.) /1C. //y ?/1/L4, /v /9. ZIP q9 2) PROP. OWNER: NAME Rj fJl//yfjJ/yn ,v7/// TELEPHONE (Z6 ) ZL/1 -- l /C' ADDRESS ./bD(eLediR /.Q�/t 96A) Z1P gf / 3) PROJECT LOCATION: (STREET ADDRESS, GEOG 2APH 1 C , LOT/ BLOCK) 69jf /R ,cy s 7,) /41), 7W(&) /Li /)9, 98188 SECTION 11: PROJECT INFORMATION 4) 'DESCR I BE BR I EFLY THE PROJECT YQU. PROPQSE. 4 9 /6 //X /Sl //..A4ADee-j_)//0,- 5) 6) 4 ANTICIPATED PERIOD OF CONSTRUCTION: FROM 0c77';'/ ,/ TO cgs / WILL PROJECT BE DEVELOPED.,IN PHASES? OYES NO IF YES, DESCRIBE: 7) PROJECT STATISTICS.: A) ACREAGE OF PROJECT SITE: NET �. 5-? GROSS' EASEMENTS B) FLOORS OF CONSTRUCTION: TOTAL17FLOORS TOTAL GROSS FLOOR AREA SITE UTILIZATION: ZONING DESIGNATION COMP. PLAN DESIGNATION BUILDING FOOTPRINT AREA LANDSCAPE AREA PAVING AREA TOTAL PARKING STALLS: - STANDARD SIZE. - COMPACT SIZE - HANDICAPPED SIZE TOTAL LOADING SPACES AVER. SLOPE OF PARKING AREA AVER. SLOPE OF SITE INCLUDES• ❑BASEMENT ❑MEZZANINE' INCLUDES: ❑BASEMENT ❑MEZZANINE EXISTING. PROPOSED • NOTES ❑ ❑ ❑ ❑ ❑ ❑ 1S THIS SITE DESIGNATED FOR SPECIAL CONSIDERATION ON THE CITY'S ENVIRONMENTAL BASE MAP? ❑ YES ❑ NO SECTION III APPLICANT'S AFFIDAVIT I , Q/221.e.42.1. .�% �/J�jyf , BEING DULY SWORN, DECLARE THAT I AM THE CONTRACT PURCHASER OR OWNER OF THE PROPERTY INVOLVED IN THIS APPLICATION AND THAT THE FORE- GOING STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. DATE SUBSCRIBED AND SWORN BEFORE ME THIS 6 DAY OF RV C., 5 T , 19 V. NOTARY PJ LI,C IN AND FOR THE STATE OF WASHINGTON RESIDING AT9 rrl,F (S I GNATURE OF ONTR:P CT PURCHASER OR OWNER ) -L'ITY OF TUKWILA CENTRAL PERMIT SYSTEM • REVIEW ROUTING FORM EPIC a44 - 4 FILE 84-2.S- sn/l.a TO: BLDG PLNG P.W. 1 FIRE 1 POLICE P & R PROJECT tN,(,tC(Z\(t (Z6G IPI "Zust LOCATION 16, ,C c) c2 C 3S FILE NO. DATE TRANSMITTED /,v�, 2.(q4 RESPONSE REQUESTED BY 01, 311 Ici414 T STAFF COORDINATOR F4,Cr..._ RESPONSE RECEIVED THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. ITEM- COMMENT / ale .i Ze I rr�. DATE 6% ? / .//�y COMMENTS PREPARED BY L`� C.P.S. Form 11 CITY OF TUKWILA PERMIT NUMBERS = Z-6-S.M CONTROL NUMBER 04 -Lq3 CENTRAL PERMIT SYSTEM - ROUTS FORM • TO: 0 BLDG. Q PLNG. P.W. .Q FIRE Q POLICE Q P. & R. PROJECT 14\4cPPNICaNi PLAZA- ADDRESS 1(OCDC- c„ 2-1-Sn )s` S r2-0 DATE TRANSMITTED & C.t , .7, I t 4 C.P.S. STAFF COORDINATOR ,C : k. RESPONSE REQUESTED BY RESPONSE RECEIVED pct. tcla4 PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: Q a Q a a a D.R.C. REVIEW REQUESTED [� PLAN SUBMITTAL REQUESTED [i PLAN APPROVED EJ PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 l.i • CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM/ " r `• %, -; ILA This questionnaire must be completed and submitted with the "a'pp•1-The ` permit. This questionnaire must be completed by all persons applying for a permit from.the City of Tukwila, unless it is determined by the Responsible Official that the permit is exempt or unless the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. A fee of $60.00 must accompany the filling of the Environmental Questionnaire to cover costs of. the threshold determination. I BACKGROUND 1. Name of Proponent: /)/ /I /oz) ,4. 2. Address and Phone Number. of Proponent: / 2 69/12,,4f7 -22 0,9 0 �.„0,'V /05 7-G1/ //2 /L, . /1JA. QTY /f'7 - .? y/- 2//7) Date Checklist Submitted: R -,3 Tga 4. Agency Requiring Checklist: (1/,ry ,9, T/, ','z4 5. Name of Proposal, if applicable: a/.9,pn,c,U //VrT (37 -Aeb 6. Nature and•Brief Description of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its, scope and nature) :,9 9 G /iX /S h.'67:0,'.9GE ei/ED FafR SAROEAI /NG TaOL,S 94/D /YJA /AJTE i,4WJCE EQ / /P/l9Eiv T 7,0 B4 SG/ALT ,9LDTACE/VT TO EX /S'T /NG TR, S,V f4/CL ,5-2/) , 1 // F //1/ /�S// .9QDF /A/G /VATER /ALS (.51.J1 AL1 /0A7-47f/ T7DM DF E r /ST /r1lG OFF /a E 22L/Jer.s . DA/&" /�rJLE Iv /LL dE RELzi'ATEp AND Px Ls-rho G- LAAJDSc'HP /,& rs T/7 DE .D israR.. D .4S L /77LE AS POSSI131.E. 7 Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other information needed to give an accurate under- standing of the environmental setting of the proposal): 4. L • L I 8. Estimated Date for Completion of the Proposal: 9. List of all. Permits, Licenses or Government Approvals Required for the Proposal. (federal, state and local): (a) Rezone_, conditional use, shoreline permit, etc. ..YES ✓ NO_ (b) .King County Hydraulics Permit YES NO (c) Building permit YES//"NO (d) Puget Sound Air Pollution Control Permit YES N04/ (e) Sewer hook up permit YES NO t,-- (f) Sign permit 'YES NOt/ (g) Water hook up permit YES NO c� (h) Storm water system permit YES NO (i) Curb cut permit YES NO (j) Electrical permit (State of Washington) YES ✓NO (k) Plumbing permit (King County) YES. NO (1) Other: 10. Do you have any plans for future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: .11. Do you. know of any plans by others.which may affect the property covered by ..your proposal? If yes, explain: 12. Attach any other application form that has been completed regarding the pro- . posal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) 1. Earth. Will the proposal result in.: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- ing of the soil ?. CE•eur FI R /NO- ibR SAWED (c) Change in topography or ground surface relief fea- tures? (d) The destruction, covering or modification of any unique geologic or physical features? -2- Or YES MAYBE NO X. x • • (e) Any increase in wind or water erosion of soils, either on or off the site? (f) Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? (b) The creation_of objectionable odors? (c) Alteration of air movement, moisture • or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: '(a) Changes in currents, or the course or direction of water movements, in either marine or fresh waters? • (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of surface water in any water body? (e) Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction or rate of flow of ground waters? (g). Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? -3- YES MAYBE NO x •. (h) Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates,-detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise avail- able for public water supplies? Explanation: 4.. Flora. Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: 5. Fauna. Will the proposal result in: (a) Changes in the diversity.of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish or wildlife habitat? Explanation: YES MAYBE NO 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use.., Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: 9. Natural Resources. _Will the proposal result_in: . (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable, natural resource? Explanation: 10. Risk of Upset. Does the proposal involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: YES MAYBE NO • • 11. Population. Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? Explanation: 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation /Circulation. Will the proposal result'in: (a) Generation of additional vehicular movement? (b) Effects on existing parking facilities, or demand for new parking? (c) Impact upon existing transportation systems? (d) Alterations to present patterns of circulation or movement of people and /or goods? (e) Alterations to waterborne, rail or air traffic? (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of public facilities, including roads? YES MAYBE NO -74 (f) Other governmental services? Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: .16. Utilities. Will the proposal result in a need for new systems, or alterations to the fol lowing utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e) Storm water drainage? (f) Solid waste and disposal? Explanation:-(A) mauE 1 1 CG#T 1°049 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: YES MAYBE NO Rv. v, oo Hat-1 6,41 -rci4 t7 ✓i-pc oait�t; ,arm 1 � 1 d vrJ ,a►-1 sr- FG01 -1-,G tax a,6 A.G. • ice. . Maill sMkcs ■&..`RA it a I E.Je Ise .rchitect A.I.A. i 511,a'fayette Circle ofeyette, -CA 9454$ 75) 284.4398 19[4=4 0-44„ .:rc? c1}�r A' 7 =10 -64 Per F_ To MMT6I -tKt'6a • 51.061 1 It I 1 Ij 11 � I li e,t-yo i4 It wt. No Mil. F to, QR-e6 - tikTGH y ->puTh• F-1- .4J• • ► -ou • ax t44 e.ge.wsLipa ii W T g.vAT 101 Eitt3.1i0�� Harley E•Jensen Architect _ .A. 251'tafeyette Circle Lafayette, CA 94549 (415) 294•439c.? 414 TEG -100 C,oM pkt.1 sr' 61.990g- ‘Pf Pip MHz:- mit . f2A2rii. To () ,11.1C0 \(--- • \I* 'r49 PAr fia v7," R.,6,00. es.(144t141. 4044..44544.- 4 - (-------4--reA0PH aria4ougs. find 1-1146-12.1-Y. 2*1-- 1.04 .--i/61 C- re; PLe- LAroyETre- . cA 14G41 q-ive}2-VieNk) PL-,1A a0(2.1k4e.‘ • -rpt Terot-i,comeAoy e,Hfzir 404.0 rtm.y./164.) WA.. 7- 10-04- • `?,"")E•AJ4-1. !'■;e' fi,d1,Y.A; c„. •*54.1,■-■1 - • A 4) • /t. 1"=2a I PEDESTRIAN BRIDGE • 11,1-4 )1111-11,i-141(r) • ..• .. • • M.:: • 1.••••••••- V A•• E r M I G t f T -1 1 2 -1 p'i a .1 : Vh . ��P r0 (��'. SUILr .d+C)sz,ce, 1� r XPublN� . -rP WA‘1;1. •1 ,J eA 1 A40 F �l1J VAV H -r& *€ o p J AAF2 -5kr, P�JILt�IiJG;s. tlf; ��CISTIt�Gi l- I611417 �?'IDcLl. 27 l✓ Loo.ocr -Q Y aJU 'l4.1 ItJl1 NV�- p�El.t 1.6 To Ps p1>*ifiR -e110 .�� err , ��•N![AtTit Date Scale Drawn Job Sheet Of (,i /P.i y y6/ CITY OF TUK•ILA Central Permit System MASTER LAND DEVELOPMENT APPLICATION FORM PLEASE WRITE LEGIBLY OR TYPE ALL REOUESTED. INFORMATION -- INCOMPLETE APPLICATIONS-WILL—NOT ACCEPTED FOR PROCESSING. # Zug X11 #271b BE SECTION I: GENERAL DATA TYPE OF APPLICATION: ❑ BSIP ❑SHORT ❑SUBDIVISION SHORELINE ❑ PRD ❑ PMUD ❑ BAR PLAT PERMIT INTERURBAN APPLICANT: PLAN ❑ CONDUSEONAL ❑UNUSESS• ❑VARIANCE ❑ CZONING DAMEN•DMFrNT NAME 199/),EL% /%,' QL0.9 ) TELEPHONE (Z ') z/11/ -5787 l, ,31/3 ef// 1, TEA)SE'3 4'o. /�4' %L Ka- J /Lft Lvl7. ZIP q 6155 2) PROP. OWNER: NAME A2.041/%134Wf, Fi�rr/�1�/ TELEPHONE (Z)6 ),Zz// - 2/ /C' ADDRESS /6Dm rnfi�R /.47-/Li 'EA) / fl TZ/Ki /L G 11.)4 Z I P Gjfi / PROJECT LOCAT 1 ON : (STREET ADDRESS, GEOGRAPH 1 C , LOT/ BLOCK) /,642-) [�jf jQyg-fE/US' ;1 ] RD, 7- /E-&) /GF9 /»A2. 618/88 SECTION 11: PROJECT INFORMATION 4) 'DESCR I BE BR I EFLY THE PROJECT YQU. PROPOSE. G% //,)' l$ .Alir D�iU /�� ✓c E/i ;/ is / /' i/j _• i /i ■ !I /1 EIUI'1d.SL(L 5) ANTICIPATED PER 1 OD OF CONSTRUCTION: FROM p0; / /qgeV TO (je T, ,.Q8J2 `�� ?!* q¢ 6) WILL PROJECT BE DEVELOPED,IN PHASES? OYES Na NO IF YES, DESCRIBE:. PROJECT STATISTICS.: A) ACREAGE OF PROJECT SITE: NET ,- sy GROSS`- EASEMENTS B) FLOORS OF CONSTRUCTION: TOTAL1IFLOORS INCLUDES: ❑ BASEMENT ❑MEZZANINE TOTAL GROSS INCLUDES: ❑ BASEMENT ❑ MEZZANINE FLOOR AREA - EXISTING PROPOSED NOTES SITE UTILIZATION: ZONING DESIGNATION COMP. PLAN DESIGNATION BUILDING FOOTPRINT AREA LANDSCAPE AREA PAVING AREA TOTAL PARKING STALLS: - STANDARD SIZE - COMPACT SIZE - HANDICAPPED SIZE TOTAL LOADING SPACES AVER. SLOPE OF PARKING AREA AVER. SLOPE OF SITE ❑ ❑ ❑ ❑ ❑ ❑ IS THIS SITE DESIGNATED FOR SPECIAL CONSIDERATION ON THE CITY'S ENVIRONMENTAL BASE MAP? OYES ❑ NO SECTION III: APPLICANT'S AFFIDAVIT TO/172644L % jjJjA92 . , BEING DULY SWORN, DECLARE THAT 1 AM THE CONTRACT PURCf ER OR OWNER OF THE PROPERTY INVOLVED IN THIS APPLICATION AND THAT THE FORE - GOING STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. DATE SUBSCRIBED AND SWORN BEFORE ME TH 1 S DAY OF AV cti S T 1 9 NOTARY PI; L1C IN AND FOR THE STATE OF WASHINGTON RESIDING ATTTI.E' (SIGNATURE OF P ONTt &,CT PURCHASER OR OWNER) CITY OF TUKWILA CENTRAL PERMIT SYSTEM REVIEW ROUTING FORM PLNG P.W. PROJECT 1?_IN4N22\IlCNG PLPfq-PS CN e - -2c10 PIC a4 4 -64 FILE 64- j--viA, FIRE 1 POLICE P & R LOCATION I(00 c1U, crzis%SS �1 te2_10 DATE TRANSMITTED AU(.t) , 2:71 Ns 4 STAFF COORDINATOR ,C_ FILE NO. RESPONSE REQUESTED BY (11, 3I1 1cp 4 RESPONSE RECEIVED THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL. REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. ITEM COMMENT /i�/1_Jl'ti D L 7,udP.se;E�/I - `✓`D.��9�Sc ,yD .rzb -P At- /PA, 2e-.e-‘ 5 ■ DATE - Z 'COMMENTS PREPARED BY C.P.S. Form 11 CITY OF TUKWILA PERMIT NUMBERS T SN r CONTROL NUMBER gel- -2_q3 CENTRAL PERMIT SYSTEM - ROUT. FORM III TO: a BLDG. Q PLNG. P.W. a FIRE 0 ;POLICE a P. & R. PROJECT ?„I,\i \It tJ PLAZA- ADDRESS 1W300. tjaS'AS S DATE TRANSMITTED &(t, 2:7/ (q4 RESPONSE REQUESTED BY __ a, 3l L'9 a 4 C.P.S. STAFF COORDINATOR ,CV_gD -- RESPONSE RECEIVED PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: a a 0 a 0 a a a 0 0 0 a a D.R.C. REVIEW REQUESTED [i PLAN SUBMITTAL REQUESTED [J PLAN APPROVED [I PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 (1/-6a4 "d`161 CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM }} This questionnaire must be completed and submitted with .the "app-1 -ea do for �t permit. This questionnaire must be completed by all persons applying for permit from the City of Tukwila, unless it is determined -by the Responsible Official that the permit is exempt or unless the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. A fee of $60.00 must accompany the filling of the Environmental Questionnaire to cover costs of. the threshold determination. I. BACKGROUND 1. Name of Proponent: ,p P /lA)// /V U 2. Address and Phone Number' of Proponent: /, 2,') 6y/p /,q*T- -ti(E,U RD; SOS 77.1/ /} /i AJ /1)r4. QX /fr7 — 2 y/- 2//72 3. Date Checklist Submitted: R- 3--Ra 4. Agency Requiring Checklist: e//y19, 7Z'A /U /z 4 5. Name of Proposal, if applicable: 4, ,c7/, ,U //V�r 6. Nature and,Brief Description of the Proposal (including but not limited ,'. to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature) :,9 k /S .' /cSTdrP,9GE BHEL) fOR GAWDEAJ /NG 7.0.04.5* AND 41A /4/TENAA/C - � 2/hO/r7&7U r 7 2 BE7 1?1 7 AOTACENT TD EX /:927;116- 7W/4S,v EyCLOSURE, L!%QLL F //!/ /�5W AyD /17PDA-jN- /M976-4 /ALS di/ALL 70/970/1 7.405E: DF EY /ST //VG 22L ev-S Dv C/) 4/6 "/7. p�LE f)/c� dF PFLO/'A rE/-) AA) n cxi s-rin iAtA) t 1P //u/.. rs -rp ti e Dis ni R. D AS L., TILE. As POSS /134 E.. '7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other . information needed to give an accurate under- standing of the environmental setting of the proposal): 42.7.40/ 4DT 07- 1z �� ) R /4) 8. Estimated Date for Completion of the Proposal: 9. List of all. Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local): (a) Rezone, conditional use, shoreline permit, etc. YES ✓ NO (b). King County Hydraulics Permit YES NO (c) Building permit YES,/ NO • (d) Puget Sound Air Pollution Control Permit YES NOQ/ (e) Sewer hook up permit YES NO t/ (f) Sign permit YES NO (g) Water hook up permit YES, NO c�.s (h) Storm water system permit YES NOt„,— (i) Curb cut permit YES NO (j) Electrical permit (State of Washington) YES ✓N0 (k) Plumbing permit (King County) YES NO (1) Other: 10. Do you have any plans fors future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: 11. Do you. know of any plans by others.which may affect the property covered by your proposal? If yes, explain: 12. Attach any other application form that has been completed regarding the pro- . posal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required 1. Earth. Will the proposal result in.: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- ing of the soil? Cemeitir FLoaR /No- Fog 6fiZQ (c) Change in topography or ground surface relief fea- tures? ) The destruction, covering or modification of any unique geologic or physical features ?. . -2 ( YES MAYBE NO X_ x • (e) Any increase in wind or water erosion of soils, either on or off the site? (f) Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal rdsult.in: (a) Air emissions or deterioration of ambient air quality? (b) The creation of objectionable odors? (c) Alteration of air movement, moisture • or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: '(a) Changes in currents, or the course or direction of water movements, in either marine or fresh 'waters? (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of surface water in any water body? (e) Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction or rate of flow of ground waters? (g) Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? -3 YES MAYBE NO x • (h). Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise avail- able for public water supplies? • Explanation: 4. Flora. .Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of'flora (including trees, shrubs, grass, crops,,microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction-of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: 5. Fauna. Will the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish or wildlife habitat? Explanation: YES MAYBE NO 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use.. Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: 9. Natural Resources. Will the proposal result in: (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? • Explanation: 10. Risk of Upset. Does the proposal involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: YES MAYBE NO X • • 11. Population. Will the proposal alter the location, distribution, density, or growth rate Of the human population of an area? Explanation: 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation/Circulation. Will the proposal result in: (a) Generation of additional vehicular movement? • (b) Effects on.existing parking facilities, or demand for new parking? (c) Impact upon existing transportation systems? (d) Alterations-to present patterns of circulation or movement of people and /or goods? (e) Alterations to waterborne, rail or air traffic.? (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of public facilities, including roads? YES MAYBE NO • (f) Other governmental services? Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: 16. Utilities. Will the proposal result in a need for new systems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? • (e) Storm water drainage? (f) Solid waste and disposal? Expl anati on :,(Ai) MOUE ) 100-Hr I001-9 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: YES MAYBE NO - N x Rv.vio0 t 6►-1 .1 4 flOorU%6, • aq 4 L410 • 0.h G ..o1.3;)24-. • —A l 2b a+.. 000go, :o 4 • M.XkliMai■NMAA ,r °�arley,EJensert architect A.I.A. 51;t;afeyette circle 6feyette,tA 94549 175) 2844393 jaivevi5k4 ri4szeli% o GHQ Rfn :: ,'°� pithy 7-10-a4 • iv) iza9r To MATGf-t 4)e-,r'61 • EA-o6, 6`4 • *Ti/Ci.,0 Ot4teol .ro MAV GoLoFL Trrx-rthaE ofs .474(to'a. Pea. 0.012- (1*,,bd 1! 1 • 1 il , . I I _....... 11 I ' . - - i I • •--- • - • • • --• • • . . , - • , • - • rfr .1-10‘.41 :ferF -to • 4krA4• e:4614 Nop-T-H VA-ri.ot\J 1-00\hze6 - frtkrGH -W0111 e.4-64/• <-0,ro coo t.111-1 Mkros er rut _ kNA I c0.1 - ' t-!..1 • Vk T'7 ax .51-1 t.J4 "rg•kl-f: e.1461.sLifie VA-1100 y4[l•I7Il . HarteyEJensen Architect A.LA. 251 Lafayette Circlet Lafayette, CA 94549 (4P5)284439 \1 \/ ■.•4 r1-ALA • ‘oroP-rA4e- .48 k7 eot-1 f34441d 44F-Ven>10eht • pArs.itp 11)}4v.t.6CA., • saw e-,4 2*1- 1.4 p),;;T/6.-rfe; GT20.6 tAFA-egft /CA'. 14G41 612.(042,46,4e.‘ TeGrtlisi CoMPAPY gerka . rt.m.v.ilL,A., WA_ �V t �o!�E hME D Gxlciti� te",4,t2.rIa. t"-2o1 W tt3 F 10N1 = . A ell- eig.,c I�lo" hip,A4e- off �f7. rOjz A Jt7 01e11 0'r V, . f-' -' 153UI Lr c - 4! iP(iH e.NG up-E. FI N i�H AIJ o pet,piri61 MAcre.42-1 t -Aa �ILpll�ili,�: !t�E:: i CITY OF TUHIPLA Central Permit System MASTER LAND DEVELOPMENT APPLICATION FORM PLEASE WRITE LEGIBLY OR TYPE ALL ACCEPTED FOR PROCESSING. REQUESTED INFORMATION -'- INCOMPLETE APPLICATIONS WILL NOT BE 0-074, U-74( SECTION is GENERAL DATA TYPE OF APPLICATION: D 651P ) APPLICANT: 3) OSHORT a SUBDIVISION PLAT 0 CONDITIONAL USE DUNCLASS. USE NAME AI/J%ELA ./4)6/1 ADDRESS Id (.3./s L217% iSTEn)%5Wit) /f0-'1F//z/ TL/kW /Ld 4, /9. ZIP 981f38 PROP. OWNER: NAME j Ayjgyn[� F /C'HT/lg6/R TELEPHONE (�6 ),Z4// -Q/ I� ADDRESS ILD/Y7 (:HR!`�,'T�/LiS�/I� /1,1, ' /iJ - TZ1/CLIJ /L �} z -'4, ZIP GIR / PROJECT LOCAT 1 ON : (STREET ADDRESS, GEOGRAPHIC, LOT/ BLOCK) /at;; [/ff jf /,S7E/.)„.5- )) SHORELINE PERMIT PRD oPMUD INTERURBAN 0 VARIANCE 1 CHG. OF ZONING COMP. PLAN AMENDMENT TELEPHONE (.Z 76) z4' / -578q Rl), r�.�r�o' /L� hJ,42, 98/88 SECTION II: PROJECT INFORMATION Q) DESCR I BE BR I EFLY THE PROJECT YQU. PROPOSE. e:7',6 % A, /$. I_/ :. / / . • • • 5) ANTICIPATED PERIOD OF CONSTRUCTION: FROM 0c7.;/ /eq TO r, q �r !''T 6) WILL PROJECT BE DEVELOPED..IN PHASES? OYES R NO IF YES, DESCRIBE: ,7), .PROJECT STATISTICS.:.. A) B),. IS ACREAGE OF. PROJECT SITE: FLOORS OF CONSTRUCTION: SITE UTILIZATION: NET j� Sy TOTAL Ji FLOORS TOTAL GROSS FLOOR AREA ZONING DESIGNATION COMP. PLAN DESIGNATION BUILDING FOOTPRINT AREA LANDSCAPE AREA PAVING AREA TOTAL PARKING STALLS: - STANDARD SIZE. - COMPACT SIZE - HANDICAPPED SIZE TOTAL LOADING SPACES AVER. SLOPE OF PARKING AREA AVER. SLOPE OF SITE THIS SITE DESIGNATED FOR SPECIAL MAP? D YES ❑ NO GROSS' EASEMENTS INCLUDES - D BASEMENT D MEZZANINE' INCLUDES: a BASEMEN- ASEMENT D MEZZANINE EXISTING PROPOSED 0 0 ❑ O 0 0 NOTES CONSIDERATION ON THE CITY'S ENVIRONMENTAL BASE SECTION III: APPLICANT'S AFFIDAVIT CONTRACT PURC , BEING DULY SWORN, DECLARE THAT 1 AM THE ER OR OWNER OF THE PROPERTY INVOLVED 161 THIS APPLICATION AND THAT THE FORE- GOING STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. DATE SUBSCRIBED AND SWORN BEFORE ME TH15 G DAY OF Rv S T , 1 9 cy -ex4.'441- � NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON RESIDING AT S6-4 TTI.F X - _ (S 1 GNATURE OF /rONTRk!.C,T PURCHASER OR OWNER) ti CITY OF TUKWILA CENTRAL PERMIT SYSTEM ENVIRONMENTAL REVIEW ROUTING F0RM F;TiLDG 1-711PLNG P.W \[ FIRE POLICE (/rP & R l\l,e2\ct TO; PROJECT •CN 84" 29'o EPIC 7-44 -84 FILE 64 - ?- j--SM,r° LOCATION (67,■()C, Ckk-tZ.15TS 0 FILE N0. DATE TRANSMITTED (4 , Z ?((qc 4 RESPONSE REQUESTED BY (4. •3 ( 1 1c1 4 STAFF COORDINATOR �.(,C �. ^W_ RESPONSE RECEIVED THE ATTACHED ENVIRONMENTAL CHECKLIST WAS RECEIVED REGARDING THIS PROJECT. PLEASE REVIEW AND COMMENT BELOW' TO ADVISE THE RESPONSIBLE OFFICIAL REGARDING THE THRESHOLD DETERMINATION. THE ENVIRONMENTAL REVIEW FILE IS AVAILABLE IN THE PLANNING DEPART- MENT THROUGH THE ABOVE STAFF COORDINATOR. COMMENTS REGARDING THE PROJECT YOU WISH CARRIED TO THE PLANNING COMMISSION, BOARD OF ADJUSTMENT, AND CITY COUNCIL SHOULD BE MADE ON THE ATTACHED CENTRAL PERMIT SYSTEM ROUTING FORM. ITEM COMMENT DATE COMMENTS PREPARED BY C.P.S. Form 11 CITY OF TUKWILA PERMIT NUMBER Z�-� CONTROL NUMBER �� -2qo CENTRAL PERMIT SYSTEM - ROUTING FORM TO: [[ BLDG. C1 PLNG. Q► P.W. Q FIRE Q POLICE EI P. & R. PROJECT ?1\1 1)NI6 P(.Pr2A ADDRESS 16000. c. LIST DATE TRANSMITTED TiV (t, Z%/ [9,C34 RESPONSE REQUESTED BY C.P.S. •STAFF COORDINATOR4C .b_Z.' . RESPONSE RECEIVED i5(t., ?,l , tdi 4 PLEASE REVIEW THE ATTACHED PROJECT PLANS AND RESPOND WITH APPROPRIATE COMMENTS IN THE SPACE BELOW. INDICATE CRUCIAL CONCERNS BY CHECKING THE BOX NEXT TO THE LINE(S) ON WHICH THAT CONCERN IS NOTED: D.R.C. REVIEW REQUESTED [] PLAN SUBMITTAL REQUESTED [[ PLAN APPROVED [� PLAN CHECK DATE COMMENTS PREPARED BY C.P.S. FORM 2 Cam - f�f ��10 • c- L-0 CITY OF TUKWILA ENVIRONMENTAL CHECKLIST FORM 1.1/61M8 AUG 21 1984 _�1l�ANIV 1i��r1�PLA P This questionnaire must be completed and submitted with the a°ppl-•rca.ora,_ for permit. This questionnaire must be completed by all persons applying for a permit from the City of Tukwila, unless it is determined by the Responsible Official that the permit is exempt or unless the applicant and Responsible Official previously agree an Environmental Impact Statement needs to be completed. A fee of $60.00'must accompany the filling of the Environmental Questionnaire to cover costs of. the threshold determination. I. BACKGROUND 1. Name of Proponent: / / /e72//)O �` • �E w0,4.T/ -A4fwe 2. Address and Phone Number' of Proponent: /l/.!K9 �///pj��EysE,U Ro, jpS 7- -amzU // A� h).9. QX/ f'7 — 2///) 3. Date Checklist Submitted: .� 4. Agency Requiring Checklist: L? /77 D/ TL//2L 4 • 5.. Name of-Proposal, if applicable: .6. 'Nature and,Brief Description of the Proposal (including but not limited to its size; general design elements, and -other factors that will give an accurate understanding of its scope and nature): AP 9 /S cSTD/PAGE BHED FOR GARDE.c/ /NG TDD4S RND A9A /A/ThiVAit/C - EQU�P/l9Eti T 70 BR- SUzGT • AGO c 4.9T/NG- 7h4C.5,w E/I/CLDSL/RF, .421,04Z R//1/ /dy/ ,161/2) AQDF/A/G- 49ATET?/ALS c9HA/1 /M T W L;7.44)47-. EF . oNE L/) z,/c rr p�LE u) /LL dE R&7, ii47 /D AND -J ,G- LANDSOHP /A!G 2S Tn Be DIST4 AS L/7"7464.5 POSE / 8' -E'.. 7. Location of Proposal (describe-the physical setting of the-proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other. information needed to give an accurate under- standing of the environmental setting of the proposal): /D ' /eg A Lr /G /9 //!) -s D 7. E/UT 7D G/P��:A) R /U,e 8. Estimated Date for Completion of the Proposal: 9. List of all. Permits, Licenses or Government Approvals Required for the Proposal (federal, state and local): (a) Rezone, conditional use, shoreline permit, etc. .YES ✓ NO_ (b). King County Hydraulics Permit YES NO (c) Building permit YESI/ NO (d) Puget Sound Air Pollution Control Permit YES NO .- (e) Sewer hook up permit YES NO t/ (f) Sign permit YES NO y� (g) Water hook up permit YES NO (h) Storm water system permit YES NOt.---- (i) Curb cut permit YES NO —` (j) Electrical permit (State of Washington) YES ✓NO (k) Plumbing permit (King County) YES NO 4,--- (1) Other: 10. Do you have any plans for future additions, expansion, or futher activity related to or connected with this proposal? If yes, explain: 11. Do you. know of any plans by others which may affect the property covered by • your proposal? If yes, explain: 4,D 12. Attach any other application form that has been completed regarding the pro- posal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: II. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) YES MAYBE NO 1. Earth. Will the proposal result in.: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, compaction or overcover- i n g of the soil? C e`An- fLawz iNG FOle 67/41) (c) Change in topography or ground surface relief fea- tures? (d) The destruction, covering or modification of any unique geologic or physical features? -2 X • • (e) Any increase in wind or water erosion of soils, either on or off the site? (f) Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel of a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 2. Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? (b) The creation of objectionable odors? (c) Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? Explanation: 3. Water. Will the proposal result in: (a) Changes in currents, or the course or direction of water movements, in either marine or fresh waters ?. (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of surface water in any water body? (e) Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f) Alteration of the direction or rate of flow of ground waters? (g) Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? -3- YES MAYBE NO X_ X_ x_ • • (h) Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise avail- able for public water supplies? Explanation: 4. Flora. Will the proposal result in: (a) Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, microflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? (c) Introduction of new species of flora into an area, or in a barrier to the normal replenishment of existing species? (d) Reduction in acreage of any agricultural crop? Explanation: 5. Fauna. Will the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or microfauna)? (b) Reduction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species of fauna into an area, or result in a barrier to the migration or movement of fauna? (d) Deterioration to existing fish or wildlife habitat? Explanation: YES MAYBE NO x 6. Noise. Will the proposal increase existing noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use, Will the proposal result in the altera- tion of the present or planned land use of an area? Explanation: 9. Natural Resources. Will the proposal result in: (a) Increase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? Explanation: 10. Risk of Upset. Does the proposal involve a risk of an explosion or the release of hazardous substances (including, but not limited to, oil, pesticides, chemicals or radi- ation) in the event of an accident or upset conditions? Explanation: YES MAYBE NO 11. Population. Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? Explanation: 12. Housing. Will the proposal affect existing housing, or create a demand for additional housing? Explanation: 13. Transportation /Circulation. Will the proposal result in: (a) Generation of additional vehicular movement? (b) Effects on existing parking facilities, or demand for new parking? (c) Impact upon existing transportation systems? (d) Alterations to present patterns of circulation or movement of people and /or goods? (e) Alterations to waterborne, rail or air traffic? (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: (a) Fire protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) Maintenance of public facilities, including roads? YES MAYBE NO (f) Other governmental services? Explanation: 15. Energy. Will the proposal result in: (a) Use of substantial amounts of fuel or energy? (b) Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: 16. Utilities. Will the proposal result in a need for new systems, or alterations to the following utilities: (a) Power or natural gas? (b) Communications systems? (c) Water? (d) Sewer or septic tanks? (e) Storm water drainage? (f) Solid waste and disposal? Explanation:V(AI) MauE 1 I iagr 104246 17. Human Health. Will the proposal result in the crea- tion of any health hazard or potential health hazard (excluding mental health)? Explanation: YES MAYBE NO • • 18. Aesthetics. Will the proposal result in the obstruc- tion of any scenic vista or view open to the public, or will the proposal result in the creation of an aesthetically of- fensive site open to public view? Explanation: 19. Recreation. Will the proposal result in an impact upon the quality or quantity of exist- ing recreational opportunities? Explanation: 20. Archeological /Histroical. Will the proposal result in an alteration of a signifi- cant archeological or his- torical site, structure, object or building? Explanation: CERTIFICATION BY APPLICANT: YES MAYBE NO I, the undersigned, state that to the best of my knowledge the above information is true and complete. It is understood that the lead agency may withdraw any declaration of non - significance that it might issue in reliance upon this checklist should there be any willful misrepresentation or willful lack of full disclosure on my part. 0„,„g Signature and Title Date • . • eso 71.1114) jil G 2 1 1q8/1 CITY OF It..kik.y,,LA • PLANNING DEPT. HE fffv r r • oioo' 1.4 ....071.441;5 HarleyEJe/ nsen Architect A.1. Al 251,1alvette Circle L4tfoi•ette;CA 94540 (4i5)844398 ' . • r'r. • • ..„.. tN) frIT 12,42r- HATO r4. New rixt..0 Orly* .ro. G9tofi -(E:ictl)rze ofs Pg I rat Or: C 4130 1■14212-r H 11-9---1----If t., i; ,1 I, 11 ,'4 I; J. , I: 1 , 4 ,i !, , , ,, • " 1.ar.„ATW 4HT rvd,f-tt 411- . 3r6.- likrA4 '60714 - t-,tkrciA & .w0.14 EL6V. 1 11 G 2, 1 1984 ." PLANNHNGDEPTJ . Xte-/r4. \fi2oke-41 t.e1.40e-dt.* e 8-14N/P N eg4 Le,51.-/P-6 • ---- Astocoo cdog- 1,14.-:croce- ep eg*ritut ,• y41.10 tio, . 'Co MAT- H (E) get. Fe) \Vi (J 7 Gtoovp..f MP .. /\1I fl 2 1 1984 PLANNING DEF G I.oyV psi e:' MFR• i2tMrnl () 24•4 P212-I614 .cod..r hrvvh wk�. (N) X40"0-0. W�ui Yt tp 10,4`t, 41=0 "D,G %4 " /fr Io, I'-o LAroyeff Itvepvl.: vJ ..PL„A2444.: Tl t 1t%re• cats eXtJY liii12.I45fe1,15n rlKvIt L,o., WA_ •p=ea- 7 -ia -84 J LC In ��'. !� AUG 9' 1: I C� °� Y F i PLAN,' • F++<Ih1 fN /� -.. PN1f -2o • 1 [10 G 2 1 1984 i" 1 • i c.,P1 OF TWorA PLANNING DFPT. a-- nsen 12-1\/.6-42--• Vt\/\/ e-t■' .• ' L a) co 1°F.E21cJr F2.11?.(1,01 : A ,1-e, 1214.61- -61-f E-0 f=ofz. 1.1.rtt.lAtk,e, pH 1412t:7 ft9-* t=3 • t.h1Gt.cvoup-E . 1-1- • 0 M-1- .0.44 pelopf • $*461L-L■ td141: a-,44,-E2y PicA;r F3011.-r)11.141•., I ti6v. . e t-JA ley :ee. 11L /40‘ a._ Oats Scale rarin Job Sheet • . ' • • ■