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Permit B95-0374 - CITY OF TUKWILA - DEMOLITION (BUILDINGS 1, 2)
City of Tukwila (206) 431-3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 •DEMOLITION PERMIT. Permit. No: B95-0374 Status: ISSUED Type: B-DEMOLI Issued: 12/06/1995 Category: RES Expires: 06/03/1996 Address: 11508 42 AV S Location: BUILDINGS #1 AND #2 Parcel #: 335140-0835 Wetlands: Water Dist: TUKWILA Units: 002 Contractor License No:FTENTI*055MC Slopes: N Sewer Dist: SEATTLE Buildings: 002 TENANT CITY OF TUKWILA 11508 42 AV 'S , TUKWILA, WA 98168 <' OWNER CITY OF TUKWILA; 6200 SOUTHCENTER BLVD, ;':TUKWILA WA 98188 CONTACT RANDY BERG Phone: 206 433-0179 6300 SOUTHCENTER BLVD #100, TUKWILA, WA 98188:. CONTRACTOR F T ENTERPRISES INC. :: Phone: 206 874-2525 34820 13TH CT SW, FEDERAL WAY, W 98023 *********k•k•k***k***************************k**•***k*k*******•k'**•k****•kilt***** Permit Description: Valuation': 9,000.00 DEMOLITION"OF BUILDING #1 AND, BUILDING #2. Demolition Fee:42.00;;', Investigation Fee: Cash Bond": .00 Total Permit Fee: Bond ,Number: GE 5713373 .00 42.00 **•************'k***********'tk******,*fir**.*****.k•k•kk**•k•k***k*tlr*-:**•**•k**** v� _ -0.i41G�.' P1-CX �JC. ermit Center Authorized Sjgna"ture Date. • I hereby'cert.ify that I have read and examined this permit: and know the same tobe true and correct. All provisions of law and ordinances governing .'thi's;.work` will be complied with, :whether specified herein or not. The granting of this permit does not presume to give authority;rto violate or cancel the provj,sion"s.of any other state or local laws regulating construction: or the; performance of work. I am authorized tosign for an obtain this building permit. Signature:G, Print Name:_ Date: Title; 65t r Jr� 1yzt This permit shall become null and V.61 A'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. ALL PERMITS FOR DEMOLITION PROJECTS REQUIRE CONSTRUCTION, DEMOLITION AND LANDCLEARING WASTE MATERIAL FROM THESE PROJECTS TO BE RECYCLED AT A KING COUNTY LICENSED OR APPROVED FACILITY, OR TAKEN TO REGIONAL DISPOSAL FACILITIES. + Lu CITY OF TUKWIL!' -` �� o Department of Community Development — Permit Center � � ` ; :y f � 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 r o (206) 431 -3670 Building Permit Application Tracking PLAN CHECK PROJECT NAME �, NUMBER SITE ADDRESS - UKUs��o�- ( NO es 0 3 1 q 1IsO PN INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. DEPARTMENT DATE IN REQUIREMENTS J COMMENTS BUILDING - I I "'� "qh 17, CONSULTANT: Date Sent - Date Approved - initial review � - ROUTED '►∎ IRE .44 FIRE PROTECTION: IS S•rinklers • Detectors • N/A (( & p,� — FIRE DEPT. LETTER DATED: INSPECTOR: INIT :' 1. O PLANNING ZONING: BAR/LAND USE CONDITIONS? Yes • No ,�._ REFERENCE FILE NOS.: INIT: MINIMUM SETBACKS: N- S- E- W- ' -�- UTILITY PERMITS REQUIRED? P " Yes L Na P PUBLIC It�a u PUBLIC WORKS LETTER DATED: WORKS INIT: ! ' ; mil b 'II 3 •5 - P 0 OTHER INIT: 1 BUILDING - 12... 6 TYPE OF CONSTRUCTION: CERT. OF OCCUPANCY? UBC EDITION (year): final review Oyes Ldo INIT: ;� � 6Z BUILDING OFFICIAL INIT: ,- REVIEW COMPLETED AMOUNT CONTACTED n OWING: \ �1� � DATE NOTIFIED BY: ‘,..2; (init.) 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: 44Q . �d (init.) 01108199 {, BUILDIN BUILDINLI PERMIT APPLICATION CITY OF TUKWILA Department of Community Development - Building Division 6300 Southcenter Boulevard, Tukwila WA 98188 :; DESCRIP.TION ::::: >;:.;:.,', AMOUNT RCP.T:: :;:i; : :i :DATE:;':: »> (206) 431 -3670 BUILDING PERMITFEE .:.: =. .F+ `:' .. .: .....::... : PLAN NUMBER CHECK , • L 7 J - PLAN CHECK FEE BUILDING SURCHARGE APPLICATION MUST BE OTHER. , . FILLED OUT" CDMPLE.TEL :; :TOTAL ;: ,;•,{ 4loi SITE r 5 ' d2 N 0 n SUITE # VALUE C UCSIQN - $ PROJECT NAME/TENANT / ASSESSOR ACCOUNT # Ci •� . U i 9. 3 35 v1.0.003 5 - e'2... TYPE OF ' New Building • Addition 0 Tenant Improvement (commercial) LTDemolition (building) WORK: O Rack Storage 0 Reroof 0 Remodel (residential) 0 Other: DESCRIBE WORK TO BE DONE: Pert( 0L(T 04 &F f3 Lit 6.01146 * / /pi.LD $Utt -Pr,I4 #Z BUILDING USE (office, warehouse, etc.) NATURE OF BUSINESS: WILL THERE BE A CHANGE IN USE? O No C) Yes If Yes, new building requirements may need to be met. Please explain: SQUARE FOOTAGE - Building: Tenant Space: Area of Construction: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? O No 0 Yes IF YES, EXPLAIN: FIRE PROTECTION FEATURES: O S•rinklers ❑ Automatic Fire Alarm S stem PROPERTY OWNER c I -r� of - T 'KGr/ ff.-A--S PHONE , 1 g s-7 ADDRESS 6 2-00 �oUrNC�, F.'' 3 I', ' _, 1 A kVA. Z IPaI`r51 e CONTRACTOR PHONE ADDRESS ZIP WA, ST. CONTRACTOR'S LICENSE # EXP. DATE ARCHITECT PHONE ADDRESS ZIP :HEREBY CERTIFY THAT 1.. HAVE:READ,AND EXAMINED THIS APPLICATION :AND KNOW:THE SAME TO; : :. • BE TRUE AND CORRECT,'AND IAM: AUTHORIZ EDTO :APPLY:FOR:THIS ;; > BUILDING OWNER SIG :.-- / DATE PRINT NAP -- P AUTHORIZED .. r L r . E,. . AGENT ADDRESS 63po 9O i /evimz i , ,� T /00 CITY2Ik i t. � ��1 5i5 CONTACT PERSON � PHONE APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. Handouts are available at the Building counter which provide more detailed information on application and plan submittal requirements. Application and plans must be complete in order to be accepted for plan review. VALUATION OF CONSTRUCTION Valuation for new construction and additions are calculated by the Department of Community Development prior to application submittal. Contact the Permit Coordinator at 431 -3670 prior to submitting application. In all cases, a valuation amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Building Division to comply with current fee schedules. BUILDING OWNER / AUTHORIZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitations. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Building Code (current edition). No application shall be extended more than once. 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I,' ••(height,•:T.„.: .•:.:.::::'-'.::•"'• ••••.::::.:.• .•,•:. . •:::.:::•:.:i:•••••••.: .t-1 .•dituCtural co. iiijuired RESID ::: . - • -777 •;.9 ) `• . : . . . : . :•.:•::, '•:'•.•••• :, ," •• • dimensions f racks . : •.•. :::.:.:•:::•••:: ••':•• ......':•;.....::.;::::::•.:-•:.:•:::::::::::::,.::::: :::::: : .;.A I •• - • • [neer. rriey b .,:...:...., : :: ,. ..,::•:..: 1- •::::-:„•::•:::,....:. ••••• , . .. ......:: . ...,::::::,..::::::;:.:::.•:. de amens • ..... • liounsed.„...:• ........... eng ineer NOTE:' Include • plan; :•..... '::: • .,: : ... • . . W as hington State „..:..:.:...-:•-•• :...• • '...::,:..: • '•':',"..•••••••-•••• ' •-• -:::::":„••••:::::::••:•:••."."..:::•"..„„...... s by .a .Was . and exit ways on tarr9 . ,..:. . •...•..• •...•.-.. ....••......•.......... •....... .... ........... .. . .. ..................... ',s ., d ove!).•.:• •.: :-.:::::::::: . .....::•:::.• .„... ... Structural calculations . ,..0 8:an .,.. ..•. ....... .,.. r (rack storage .":. .. . .. .,• ... . .. .. , . . ••••• • (:IDEL„:::••":"..,::::::::::.:::::::.::::............::•.::i:••••••:''' .. •-•h:structur(!)::::::":::::•::::•:•: RESIDENTIAL ...• „ . .:. ... I I Completed building iiiii:E(960:1r:.:.!?9?:::::,:::::::::•::::::;g.c.,::.1...:...:0:•:::::;:::; engineer .. - •• ... • .••••••-• ..... .,.:.:•:.i,..,•1 :, RESI , ,......,.....::::•,:::::::::::::::::::::: . , . :::.".......::.: eiiiiit.opplIca ,. ,,....:,....• ;,:::::.• - ... •,••::::„.":•.:.,..........:•::::::::::::::::,t;:;:,,,•:,:i.:::::•::: Comp leted building P., • , • ,, ...,„:.•.•,:,.:,,,:".::::::•.:.:'::::.:::::::,..::::::•.......:"•••'.::::::.:...:,.....„,:•:.:.• . • . - . . • •• .:..-.•,....-... ..... ..-. , . ,.. . , , ...!..,:i....i:„.............,.. . ...,.:...,....... • DWELLINGS/ADDITIONS .., ' . MILT . • „ ' ''' . • . • : cl•I•struqtY...„:: :••:•::••••••••••••• :" Asse .. . .. . . i.••.". ':••• -: :,.•••••• •••••:....:- - 16;•s•,..:whi „.. •, i: ,.;.:,;:,..„;,:.„...„.i...,.:::::...:.:.:;. :„...........„,„%:•::::..::::,........,. SINGLE-FA . . NEW . . : at n (one for .e .... ......; Legal descnption Fl• ••:::••'„•;•::•••••'•':„'••••:•••••"-••:.•••f o king .F.I.Fal....11....,....E.:::.i:'".:-'...::•:'-'::','.......g::::'.:.::>'',:5.?;:::::::k:;:::::::::::f.::::i:4; It apPlic-P., , . i.,'•:„::''...:.."..: ''''''.., • . • .;: ...'..- . --.' • .(2) teIs.P .."/..„: :::::.:.::•::::•:'::;::::•:„::•••:•::::"..::•.H."":::..:::::::::::::!:::::::::i•••::::....":•.:::::.•.:::•:.,::::::•::::::::::::::::::::::•,::::••:.: Account Num. - • .” • ...." de...::::.....".•::.•••• .• •• ::. ...,:.:::••:::,::::::::.,...,6o platl..... :•tions,.0,11;yiew;:•:.........-,• • .,...„::::::::,,...:::.•,:,i„,::::•,......„:...:;,.:•:::„.....%.,:•.. „......,...:, .. Assessor Acc which include „,,,,,••••• ... , ' • • working drawing :•••••:. ••• .•:''':' '" •••''''''' ••diiirir. i iocadorL:,.:::•:. •:• • •:.:•:;,..,::::..Bui ..... • id a cross;!se.Oh9 : ••••:••:-:.::.:::::-.J:";•:::::::•••:•:',":::::::::::::::':',::::::: app li ca tion , (2) of wo- .. . . : • :. •:: • • • ,.• 4; ejosissroY. .-howing....•..:::.: i:::::•:-. .• ::':..:..•:....Bu1...it.),.,. - .. irio .plans,,,,,.........;;;.:;::;...:.:•:::::,.., ::::•::...........::,. • rinif:f,....;..;::•.:;.... Site plan Two se•-......-.:. .ionplan,;floa: •• to building ..... ...... •. . • • .......... u : • • • . , : • Ilding, s. . • ' ' • ' ' ''''' . ra l f ram . .•••• .• .. ...,:..........." . . . • N...• p ... • ,....:„...„...„,:.........,:•,,,:„.ii,:;•,.: • . ... . d a ccess to : of accessl:.:......•:.:.•: • ..:....:.:....::::::• . ;. .....struct • • :.• • ,...:. :.:, .. -•,...• • ne . provide y „..:!7:•;....:,.........,•.:;.......::::........:.:::::::....,:::;:i...:;,:::::::•:•.,:i.;:.,::: • • . Site plan :"----4" "!1`:':•-f•it'vfdth ahgfPri.g•••••:„.•:::::::::::•::::::::::::•••:.•:::•':•:•:::: .:.::::1•:::::.:•::!::...„..;'':1'.:•:‘.•:,.:,.:"."''...'•:'-':...t;Yoik .islt°•.P.,...F1,...:ii...:::::1:::::'...:::::.,::::."::'•;:.:1:.::::':::i...::::::::::::.::::, . :i ....-. ..... . 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''''.:••••• '" 1 atiOnlonf•I';; ..,,,...:•:,:":.:,::.:•.•:.;:::::.:::.,,:.••••:::::•;,::.„„::••:..:„.,..".. " . . • Struc Building - • ..p plans . . • ' . . ,' .1 .•••:', • :•.RER . .....,.:.•-• ...:• ,.: • • ,•• • p ermit application ... .., ,.. ,. , • . • ..... ... .... ...... Structural framing ' • '''• :, ' ••• ' - • - .. ' . • . ' • • &betiding p.,...... . •, . , ...._:::.....„.....,....:,.,.....::•::::,,,:::;•.::,::::,:;:::::::::::•:.-.....xi::.,.:,:::.::::., -.. -...:. : .,.: . • . .• ••••• ''. Code data daIkI....:•;•••:::...:••: •,.••• •-• :. , .,,,,•,, ...:..........:,:•::.„ .• c .p . o , • omplete- ...--H ?''''''''''.:':::'::::.:.::':...::::':':':•J'''''::::::'''• ••••••: •:•••• d •ind. n State Energy ..., ......,, .. ‘.,... . . i'Numhei',..:::.:.. -- ..... • be ing iiroove„ •... ,........ Fl Washin . :.Assei:kri'A ........... , I roof,'; material ! :......1 :. 9 .. ,., :.....:. mit.application... :...... . , F .-- , ••• , describIng•e9t!99,. : ,.........,.... :•••,......... , '.. and s ign sign:7: ' Completed utility per .:. •••• :: •,-. ••• • 4';'. ..:. ..: '• . . , ...:..... ; 1 Narrative . Comp . . .. . Installed,:.:::..„:•::',':„••••• ..""•:,:•••...:" • •....•••:1•Ineped4on ...„...... • : • showing .utwtit,s.,.',,:::•.::.-;•'::',. com bined s d ,••• see .,:.::•......•:: 1 ' matertFt... .... . . • . . lbeing ....: .---•:••••• • : • • - - • i r to f.zinO........:.: ...,............. ...:.::.:.-...,.....:-....::: . ... req ui r ed pro •••••.•; .• .., (6) sets of site plunss. • , ,., b oom---- - - • 1: • •—••••• • •••" •••• letter is rf!(? .;.. ......., ....,'.. ,......,,...,,,,....... ,... . .,. ........... . "e plan may • . s ub m ittal requirements . . :.:. . ::•::••ceititioation,.. : . • , • .,.... .,...; ••••••• • _ ..... N OTE A . .......'''' ' ' ' . ' . .. ..... .... .. . . . .. ' - *--i Six • • •• ' ..-• .../tePlati and util fcir.Oeclfic,.subm,...... :::...,...,.••.....:.•;;.i.,•4_:: ..:N 6 _ • .. emit „ r,:•......,- ;. . Buil site and checklist NOTE: I s bd. required,! •......:. ! u P .. , :.: : o o f tf :. may utility permi „.. • I land so ils i nformatio n •• . . . .‘. graph co ; topo . .. . . . Additional ilo conditions n ditions. •:.:. . - - • • .. .. t , t. .. sL ti' a,, ' Ls ...;1.. 4 ' 4 ' ' "/TA c" .c vax -eel aw," :s71it- /40..'°,4 /: titat`L "Ji7i3 ?F V,Z*;.ys:as)r .... .4..- .,� <..1...., I. 1. 0 WI S -on1L1 o; .�tlt le: ' City of Tukwila John W. Rants, Mayor yt ) r' � fo ,, 4 ft . f = Department of Public Works Ross A. Earnst, P. E. Director 1908 = NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING o f DATE: November 20, 1995 SUBJECT: Fire Station 53 11508 42nd Ave. S. (Building #2) Project No.: PRE94 -026 Activity Nos. PW95 -0344 Contact Person: Mr. Randy L. Berg Phone No.: (206) 433 -0179 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON November 20, 1995: PERMIT FEE PW95 -0344 Sanitary Side Sewer (Septic Tank Removal) $0.00 TOTAL: $NO FEE Two copies of the confirmed Utility Permit Application Form with a set of plans are attached for inclusion in the permit file. If there are any questions that may arise, please advise me at the number below. JJS /mv Attachments a/s cf: PW Utilities Inspector (w /copy of application/plans) Development File(w /copy of application/plans) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 9 Phone: (206) 433.0179 • Fax (206) 431 City of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 SANITARY SIDE SEWER Permit No: PW95 -0344 Issued: 12/06/1995 Status: ISSUED Approval Letter: 11/20/1995 Project: CITY OF TUKWILA Expires: 06/03/1996 Site Address: 11508 42 AV S Parcel No: 335140 -0835 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: SEATTLE Type of Install: TSFR Number of Units: 000 Exist SQ FT: Add SQ FT: New SQ FT: Contractor License No: TENANT CITY OF TUKWILA 6200 SOUTHCENTER BLVD, TUKWILA WA 98188 OWNER CITY OF. TUKWILA 6200 SOUTHCENTER BLVD, TUKWILA WA 98188.'.;': ENGINEER MERRITT + PARDINI Phone: (206)383 -8700 1701 COMMERCE, . TACOMA WA CONTACT RANDY BERG Phone: (206)433 -0179 CITY OF TUKWILA, 6300 SOUTHCENT, TUKWILA 98,188 Description: SEPTIC TANK REMOVAL DUE TO HOUSE DEMOLITION BLDG #2, TO MAKE ROOM FOR FUTURE FIRE STATION 53. THE SEPTIC TANK SHALL BE PUMPED EMPTY AND REMOVED OR FILLED WITH SAND. A COPY OF DOCUMENTATION FROM THE BUSINESS THAT PERFORMS THE PUMPING SHALL BE PROVIDED TO THE CITY UTILITY 'INSPEC'TOR, MR GREG VILLANUEVA @ (206)433- 0179: IT APPEARS THAT BUILDING #2 DOES NOT HAVE A SEPTIC TANK. * * * * * ** * * * * * * * * * * * * * * * * * * * * ** tilt******************** * * * * * ** **'k * * * * * * * * * * * * * * ** ** Inspection Fee: .00 Acct No 402 /342.400 Hook UP Fee: .00 . Acct No: 402/388.102 Special Assessment:: .00 Acct No 402/388.101 TOTAL FEE: .00 ** kk******************** k************************* ** ** ** *** ** * ** ** ** ** * * * **** ** THE APPLICANT HEREBY. ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL APPLICABLE SECTIONS OF THE CITY OF TUKWILA MUNICIPAL CODE AND APPROVED PLANS. WE ALSO AGREE THAT THE CITY OF TUKWILA SHALL BE HELD HARMLESS FROM ALL OR ANY CLAIMS ARISING AS A RESULT OF THIS PROJECT.PERMITS WHICH HAVE LAPSED BEYOND THE PERMIT EXPIRATION DATE SHALL REQUIRE REAPPLICATION AND RE-ISSUANCE OF THE PERMIT THROUGH THE CITY OF TUKWILA AT AN ADDITIONAL FEE. APPLICANT MUST NOTIFY THE CITY INSPECTOR OF COMMENCEMENT & COMPLETION OF WORK AT LEAST 24. HOURS IN' ADVANCE...: FOR AN, INSPECTION CALL 433 -0179. Signature: �.�_' �.: Date: „c% ?. Company: GJ 7 ~ °r Qj _ Tf Sc C.- 71 Title: ,t` -1 /:�-/ ft C1( ** kk*** k** k********** k******** k**************** * * ** * * * * * * * * * * * *kk * * * * * * * * * * ** APPROVED FOR I S AN E B : J /1 Issued By: ��” I% -95 Au horized Permit Center Signature Date ** k**************** k************ k************** * * ** * * * * * * * * * * * * * *** * * * * * **** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for side sewer construction. Final Inspection Approved: Inspector Signature Date . „ . . . . . . . , . . . . . . . , . . . . . . . . . . , • . . . . . . , . : . , • . „ ' .. . • . , . , , . . . . . . . . ' • . . . • . , . . „ . . . . • . , . ., . • . . . . . . . . . . , • . . . . . . . . . . . „ • „ . - . . „ .. , . . .. ., , . . . , . . . . . . , . . . . . . . . . . . . „ . ... . . . „ . • • . . • . ' . . . . . . . „ , . . . . • . . .. . , • . . . „ . , . . , . . . , „ . . • . . . . . . . . . „ . • . , . . . . . . , . . . • . • , . . . . . . . . .. " . . . . . . . . . . . . • , , . . . . . • . • . . , ... , ...1 4 , 0 • • ( I . (,) . cln OF TUKWILA Address: 11508 42 AV S Permit No: PW95 -0344 Suite: Tenant: CITY OF TUKWILA Status: ISSUED Type: PW-SSS Applied: 11/07/1995 Parcel #: 335140-0835 Issued: 12/06/1995 ****************44-0144**4***4A4*4. 4*44, 4*k*4. 4. *.4 4. *A4**N****4-4. **********k****** Permit Conditions;" ,..,....L.--,.,-,:---,_,, ,••••,44,. EACH SEPTIC TANK SHALL BERUM14 OR FILLED WITH SAND. A COPY 9,F4.1 LL ,BE DV 19C.UMENT FROMHE -4.*LtS.I.NESS THAT PERFORMS THE PUMP P Ilift.....-S5FIA R• DED TO T 14 HL-4,0 UTILITY I 1 'Vtit.N I NS P E C TOR , • MR GR L LA ifil EV/4, $ ( 2 013) 4 3 3 - 01 71? . -. ''''.....;., il...,, • 1 1/1 ie •••.,A 5„r•• , 11 14 <44 .:1 . •00 " . 4'; 84. 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I lb oo 0 , ., '. • 6,1 0 A (47 1 0 4"? 1 .rttlit* 4vA4 , ,,,,: ••.1 * , 1 , 1 1 q 1 : / 9 °:.. 'I • . ' 1 , L <4 A ''' s • A ' "- kV: • '''' 4,7r/ • ......,,,,,,„, • •••,,,,,,„ k „ ,, ,•:5 I '',;"‘••, "11 e '. 1. ,P'':. '''''■! , '',;-, ,;,•`,-,:..-, ;..' !J1 •i• ',S '. iCt, y ,,,,,,t,......6,,P„../ • 1 : . • , I . . „ , . i • . . . • . . . . . . . 1 „ • , „ . . ' „ . . . . . . • I . . . . .. . , .. I . . . .. . . , • , . . . . • . . . . „ . . . . , . . . . . . . . , „ . . . . .. . . _ City o f' ` APW Icatl( -0 ;��.. •.wqs� Tulrct � PK;�94• 2�, . ` `•y Central Permit System - Engineering ivision • a i o ; 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Phone: (206) 433 0179 ;79o _ - UTILITY PERMIT APPLICATI S_D Li PROJECT: :' ;;> : Site Address: l J 5 j 1z rip Ave . ., "61019 ` V- 9 INFORMATION: Name of Project: �- /7 e/-' p R 77) rv0Z t - C'6 97A-7-7 cV / 53 Pro ert Owner: C a , et:7F '_ W - Phone No.: - ! S S Z Street Address: j pv /G� A ' .. VP. Cit /State/ZI•: vK4J /CA- c! 15. Engineer: merglz i - 1-- PA g2/.4 i Maki iT6 Phone No.: r3 7 —S3es Street Address: l7© l COP4 oyl 65I2 — City /State/Zip: 7" Contractor: Phone No.: Street Address: City /State/Zip: King Cty Assessor Acct #: 3 /4o -e' 3$"Contractor's License #: Exp. Date: PERMITS:..,::::'.::::.: ❑ Channelization/Striping/Signing ❑ Sewer Main Extension El Private El Public REQUESTED :: ❑ Curb Cut/Access/Sidewalk 0 Storm Drainage ❑ Fire Loop /Hydr. (main to vault) - No.: _ _ Sizes: ❑ Street Use ❑ Flood Zone Control ❑ Water Main Extension ❑Private ❑ Public et,,3 `lS_ p 3EiLi ❑ Hauling 0 Water Meter/ Exempt:- No.: — Sizes: ❑ Land Altering cubic yards Deduct ❑ Water Only ❑ D Landscape Irrigation ❑ Water Meter / Permanent - No.:. -- Sizes lif/gf ' ❑ Moving an Oversized Load ❑ Water Meter/ Temporary:- No.: ___ Sizes: Est. start/end times: Estimated quantity: Date: OJT} . hedule: ____ 1 i Sanitary Side Sewer -.No1 }•jc. rEcm .0ag, l Other: / !7 s./ WATER :METER;;:;??: Name: Phone No.: DEPOSIT/ ..::..«:.: REFUND/BILLING:::::.: Street Address: City /State/Zip: MONTH N ame: Phone No.: SERVICE a:;;; BILLINGS TO:.. :L.'...: Street Address: City /State /Zip: El Water ❑ Sewer ❑ Metro ❑ Standby DESCRIPTION;;OF::PROJECT: ❑ Single - Family Residential ❑ Multi•le -Famil Dwellin• ❑ Hotel ❑ Du•lex ❑ A•artments ❑ Other: No. of Units: El Motel ❑ Triplex ❑ Condominiums ❑ CommerciaVlndustrial El Office ❑ Warehouse ❑ Church ❑ School /College /University ❑ Retail ❑ Manufacturing ❑ Hospital ❑ Other: ":::; .;..: , :... ...:.:<.: New Building MISCEILANEOUS: ❑ g ❑ Remodel/ Square footage of original building space: • INF.ORMATION;s` .: Square Addition .. Footage: Square footage of additional building space: King County Assessor's valuation of existing structures: $ Valuation of work to be done: $ I HEREBY•CERTIFY.TH ;,I HAVE.. READ.; THI APPLI CATION AND KNOW THE: SAME T.O BE. TRUE AND`'CORRECT.' Applicant /Authoriz / Contact Person A. -n i n, r-• s i. : ,,.._ oil .m-_): m• P_ Print Name: i?� L - 1 j-� Address: Date: // q Phone: IC 44 cITY o � 4 J WILA Phone: Date Application Accepted: 11-3 - c c NOV 0 13)499Spplication Expires: J _ Q / PERMIT CENTER 04/22/92 ,.... .,.. +,. :..:;.: •� n'.�'.. .c;a sr: icr +s!tt•i,a':Ry� .; �:r.:i ..�.,u :t€.;'G3:Ya ,a,.,.1 %. 1.,:. i, . `:rW:.•..: r. ,n,r., .., n,..........,.on .,.. a....>.. a,.....,..- m..a..�+..a- ,n�..c,.- s.a.v. ✓oo .,.mwx.w°rm k e. ILA, L' 4 ; \ City Of L ukivi`a John W. Rants Ma or 1•y / o �' . o;���/ Department of Public Works Ross A. Earnst, P. E., Director NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DATE: November 20, 1995 SUBJECT: City of Tukwila Site Demolition for Future Fire Station 53 4210 S. 115th Street. (Building #4) Project No.: PRE94 -026 Plan Check No.: B95 -0371 Activity No. PW95 -0345 Contact Person: Mr. Randy Berg Phone No.: (206) 433 -0179 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON November 20, 1995: PERMIT FEE PW95 -0345 Sanitary Side Sewer (Septic Tank Removal) $0.00 Total NO FEE Two copies of the confirmed Utility Permit Application Form with a set of plans are attached for inclusion in the permit file. If there are any questions that may arise, please advise me at 433 -0179. JJS /mv Attachments a/s cf: PW Utilities Inspector (w /copy of application/plans) Development File(w /copy of application/plans) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 433.0179 • Fax (206) 4313665 • City of Tukwila ( .. .. (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 SANITARY SIDE SEWER Permit No: PW95 -0345 Issued: 12/06/1995. Status: ISSUED Approval Letter: 11/20/1995 Project: CITY OF TUKWILA Expires: 06/03/1996 Site Address: 4210 S 115 ST St: 01 Parcel No: 335140 -0920 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: SEATTLE Type of Install: TSFR Number of Units: 000 Exist SQ FT: Add SQ FT: New SQ FT: Contractor License No: OWNER CITY OF TUKWILA 6200 SOUTHCENTER BLVD, TUKWILA WA 98188 OCCUPANT CITY OF TUKWILA Phone: (206)433 -0179 6200 SOUTHCENTER BLVD, TUKWILA WA 98188 ENGINEER MERRITT + PARDINI Phone: 206.383.8700 1701 COMMERCE, TACOMA WA CONTACT RANDY BERG •% CITY• OF TUKWILA Phone (206)433 -0179 6300 SOUTHCENTER BLVD, TUKWILA WA 98188 Description: SEPTIC TANK REMOVAL DUE TO DEMOLITION OF SINGLE FAMILY HOME (BUILDING #4) TO MAKE ROOM FOR FUTURE FIRE STATION 53. THE. SEPTIC TANK SHALL BE PUMPED EMPTY AND REMOVED OR FILLED' WITH SAND. A COPY OF DOCUMENTATION FROM THE BUSUNESS THAT PERFORMS THE PUMPING SHALL BE PROVIDED TO THE CITY UTILITY INSPECTOR, MR GREG VILLANUEVA @ (206)433 -0179. k*• k• k******** * *•k ** * * * *•k * * * ** * * *k * *•k* * *• kit******** k**** ** ***•k* *** * * * * * * * * * Inspection Fee: .00 Acct No 402/342.400 Hook UP Fee: .00 Acct No: 402/388.102 Special Assessment: .00 Acct No 402/388.101 TOTAL FEE: .00 . ** k * * * * * * * * ** * ** *** * * * * * * * * * * ** ************** * **** * * ** *** * ** * ** * * * * ** *•k •k* THE APPLICANT HEREBY ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL APPLICABLE SECTIONS OF THE CITY OF TUKWILA MUNICIPAL CODE AND APPROVED PLANS. WE ALSO AGREE THAT THE CITY OF TUKWILA SHALL BE HELD HARMLESS FROM ALL OR ANY CLAIMS ARISING AS A RESULT OF THIS PROJECT.PERMITS WHICH HAVE LAPSED BEYOND THE PERMIT EXPIRATION DATE SHALL REQUIRE REAPPLICATION AND RE- ISSUANCE OF THE PERMIT THROUGH THE CITY OF TUKWILA AT AN ADDITIONAL FEE. APPLICANT MUST NOTIFY: THE CITY INSPECTOR OF COMMENCEMENT & COMPLETION OF WORK AT LEAST /' 24JOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. Signature: __- - �( - f _ Date: - � - 7 .. 5— v Company: Od2 _02E --7 .� Title: t . © GL_..x�� 1�'L ********************************** k****** k******* * * * * * * * * * * * * * * * *•k * * * *•k * * *•k ** APPROVED FOR I•SUA CE :Y: S Issued By: )/_ I __ 1 ". - 05 - Au'horized Permit Center Signature Date ** k* k** k***** k******************** k************ * * * * * * ** * * * * * * * * * * * * * * * * * * * * I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions, for side sewer construction. Final Inspection Approved: Inspector Signature Date H (... . . C I T Y OF TU K W I L A Address: 4210 5 115 ST St: 01 Permit No: PW95 -0:345 Suite: Tenant: ':status: ISSUED Type: PW-SSS A p p l i e d : 11/07/1995 Parcel #: 335140 -0920 Issued: 12/06/1995. fr •k •k •k •k •k •k •k * •k 'k •k •k •k •k •k •k 'k •k •k •k k 'k •k k 'k •k k •k •k •k :4 •k 'k •k k k k k •k k •k •k k k •k •k 'k 'k •k •k •k •k 'k •k •4 4' '4 'k • $ tk k •k 'k k k •k •k •k •k 'k •k * •k •A Permit C o n d i t i o n s : ,.,., .� „ 1. SEPTIC TANK SHALL BE PL VE:ff t1Fs.-t AID:gt14t OR FILLED WITH SAND. A COPY OF THE PUMF GOCU . IVr , r'I'+:1N"'"E�F r:►M +�"RE""E ! '• i,�t = 6. 'THAT PPERFORMS i � AITA L B IIII.PAVA E�i !''ROVIG TO T f1- i4�!`. �Y ? . UTILITY INSPECT.U'�f� °AMR r .Ei3 NUE @ (206.)43:' 1 '�. • ) /' '''e*/ 0 o I A, . ' o tp* ...„,..SNA ..., o p \ i\l, Q' 0 , ,x +D 40- ,,,, A 0 000 M•y 4 jiK.'• I h t ,fr •, up ",,„ 'v� ` i 4 , .:, x , `•f•,.... • ) ' 1.'; ( r.t. g ) .Yj ( t:' L1x'••1\ rsV : "1; j. ..._:r,.,.. "\ 1 • A \ • 't A ( ./ V'i' i,,y� "a 41 ti 1/44 €(( { i:ri�ni: •.4 '7''� � �` }} 1'' � • ", 1F, ...• w• � 1 j, A +,'y,"Li+'if:'p + •ii t q � '• ' ,!1 t 1r ,'..,� / � i ti ' N "`, / '' 4•• 4s v yaw r ; ✓;,. J ! ,r.r'. --M iii k sl r y + .r` • }` + ? pJ I i': i b i yo .. Y'':i 2Y I t i r ....{ i, 1 1 , a' 4 N ,, , 'FRY i WO, y' + � �i � �'�P +! ' ryLi1 1 . :;„ R ti ,, , r , r> d;: <a. y 1' Sri ' v ' r ,c✓,/ • • 1 ".i4 ',,,!,,.`....„. • ,, y r ` q 'r: t - r .� 4 ; ; .. + , �. arPr; 41, 4 �'n: w . y 1 �s 1 45,, 1 ; ( � 1 + , H 'N• y ,..+ �'" , •• 1 • • ,. r) (.4 ')— L; .:.:,) i City of Tukwila Apoci -...\?..-- ......, 0, ., . ... ,... Central Permit System - Engineering Division 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Phone: (206) 433-0179 ION UTILITY PERMIT APPLICA ,•..... owqr-034‘ PROJECT . . .. Site Address: 421 0 , I 1 57 13 03 tr-- LI v- --'':.. :- INFORMATION Name of Project: '5/ re r 0 -.. c kg- Fi .0)-4 • S '3 Property Owner: C/ Phone No.: 4.33 -14r,,CP• Street Address: 10e sey,./.-Ne., ge..‘Jr> cityistaterzip: 1% I SI Engineer: ,Oelggi7--4 //2., Phone No.: 5/:3, -8 ?be) • Street Address: r2e,( ( City/State/Zip:4-- Contractor: Phone No.: Street Address: City/State/Zip: King Cty AssmorLAELL5151-qo - Contractors License #: Exp. Date: PERMITS ::. ...;.. 0 Channelization/Striping/Signing 0 Sewer Main Extension ID Private O Public REQUESTED :.: 0 Curb Cut/Access/Sidewalk 0 Storm Drainage 0 Fire Loop/Hydr. (main to vault) - No,: Sizes: 0 Street Use i _. 0 Flood Zone Control 0 Water Main Extension OPrivate 0 Public P 0 3 1 •40 0 Hauling 0 Water Meter / Exempt: - No.: — Sizes: itr1421% 6 q , ) 0 Land Altering cubic yards Deduct 1:j Water Only 1:;) 0 Landscape Irrigation 0 Water Meter / Permanent - No.: ___ Sizes____ 0 Moving an Oversized Load 0 Water Meter/ Temporary:- No.: ____ Sizes:_____ Est. start/end times: Estimated quantity: Date: Oft Schedule: jg1 Sanitary Side Sewer - No.:507e - Mfg witiov4i, lil--6her: psy74 z>6. / 0;4 WATER.: METER ,. .:•1: Name: Phone No.: DEPOSIT/ ''•• . : ' :REFUND/BILLING: Street Address: City/State/Zip: MONTHLr:,.. .....;.: Name: ' Phone No.: SERVICE. . • .• ...: BILLINGS TO: . .. • Street Address: City/State/Zip: 0 Water 0 Sewer 0 Metro CI Standby DESCRIPTION .OF 'PROJECT •.:*:•: ED Single-Family Residential El Multiple-Family Dwelling CI Hotel 0 Duplex 1:1 Apartments 0 Other: No. of Units: CI Motel 0 Triplex 0 Condominiums 0 Commercial/Industrial 0 Office 0 Warehouse CI Church 0 School/College/University Cl Retail 0 Manufacturing CI Hospital 0 Other: 0 New Building MISCELLANEOUS ' CI Remodel/ Square footage of original building space: , INFORMATION .:: i Square Addition Footage: Square footage of additional building space: King County Assessors valuation of existing structures: $ Valuation of work to be done: $ I HEREBY CERTIFY THAT 1.'HAVE'READ'THiS APPLICATION AND.kNO14 Applicant/Authoriz-e r .- /' Contact Person Agent Sign r. I' ' 4 ...... 411105116•111 _(print name): , ---- ) c--- - ' rr) Print Name: gro-to 63eFe-G5 1 tdcl WAS: CITY 7:If- TUKWILA Date: / , Phone: 6 • • Phone: II .4 i • . Date Application Accepted: ) I .- c - rr * MO' • .. ation Expires: - 3- Cf ( ..j . _ - 04/22/92 .... r.... ... ..... .. 7..c.. .. .,..,. a.?'}<y .sr - a..4 ar.,(CC:• ":cA::;c ,. ..,.fr.r:>.,,s.. ...}..:q.:r.:. .. ..,. r..•t.((...—,+.. v, r r+ a. aua....,. ,�s...%fl rexrrvm:..tC;rrw•... ( . .(4 ' �s City of Tukwila John W Rants, Mayor +�`�►i��/ _ = Department of Public Works Ross A. Eamst, P. E., Director 1908 NOTIFICATION OF UTILITY PERMIT ACTION TO: PERMIT CENTER FROM: PUBLIC WORKS ENGINEERING DATE: November 20, 1995 SUBJECT: City of Tukwila Site Demolition for Future Fire Station 53 4208 S. 115th Street, Building #5 Project No.: PRE94 -026 Plan Check No.: B95 -0373 Activity No. PW95 -0346 Contact Person: Mr. Randy Berg Phone No.: (206) 433 -0179 THE FOLLOWING PUBLIC WORKS PERMITS HAVE BEEN APPROVED FOR ISSUANCE IN ACCORDANCE WITH THE PLANS APPROVED ON November 20, 1995: PERMIT FEE PW95 -046 Sanitary Side Sewer (Septic Tank Removal) $0.00 Total NO FEE Two copies of the confirmed Utility Permit Application Form with a set of plans are attached for inclusion in the permit file. If there are any questions that may arise, please advise me at 433 -0179. JJS /mv Attachments a/s cf: PW Utilities Inspector (w /copy of application/plans) Development File(w /copy of application/plans) 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: (206) 4310179 • Fax (206) 431-3665 o f J. • City of Tukwila . (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 SANITARY SIDE SEWER Permit No: PW95 -0346 Issued: 12/06/1995 Status: ISSUED Approval Letter: 11/09/1995 Project: CITY OF TUKWILA Expires: 06/03/1996 Site Address: 4208 S 115 ST Parcel No: 335140 -0900 Wetlands: Watercourse: Slopes: N Water: TUKWILA Sewer: SEATTLE Type of Install: TSFR Number of Units: 000 Exist SO FT: Add SQ FT: New SO FT: Contractor License No: OWNER CITY OF TUKWILA Phone: (206)433 -0179 6200 SOUTHCENTER BLVD, TUKWILA WA 98188 TENANT CITY OF TUKWILA 6200 SOUTHCENTER BV, TUKWILA, WA 98188 ENGINEER MERRITT + PARDINI Phone: (206)383 -8700 1701 COMMERCE, TACOMA, WA CONTRACTOR TO BE SELECTED CONTACT RANDY BERG / CITY OF .TUKWILA Phone: (206)433 -0179 6300 SOUTHCENTER BV, TUKWILA, WA 98188 Description: SEPTIC TANK REMOVAL DUE TO DEMOLITION OF SINGLE FAMILY HOME (BUILDING #7), TO MAKE ROOM FOR FUTURE FIRE STATION 53. SEPTIC TANK SHALL BE PUM- PED EMPTY AND REMOVED OR FILLED WITH SAND. A COPY OF DOCUMENTATION FROM THE BUSINESS THAT PERFORMS THE PUMPING SHALL BE PROVIDED TO THE CITY UTILITY UTILITY INSPECTOR, MR GREG VILLANUEVA @ (206)433-0179. ******************************************• k******** * * *•kk ** * * * *•k * *** * * * *•k * * * * ** Inspect ion Fee: .00 Acct No: 402/342.400 Hook UP Fee: .00 Acct No: 402 /388.102 Special Assessment: .00 Acct No 402/388.101 TOTAL FEE: .00 **• k****' k************************** k**********• k***** ***k * * * * * * * * * * * * * * * *•k * * * *•k ** THE APPLICANT HEREBY ACCEPTS THIS PERMIT AND AGREES TO ABIDE BY ALL APPLICABLE SECTIONS OF THE CITY OF "TUKWILA MUNICIPAL CODE AND APPROVED PLANS. WE ALSO AGREE THAT THE CITY OF TUKWILA SHALL BE HELD HARMLESS FROM ALL OR ANY CLAIMS ARISING AS A RESULT OF THIS PROJECT.PERMITS WHICH HAVE LAPSED BEYOND THE PERMIT EXPIRATION DATE SHALL REQUIRE REAPPLICATION AND,RE- ISSUANCE OF THE PERMIT THROUGH THE CITY OF TUKWILA AT AN ADDITIONAL FEE APPLICANT MUST NOTIFY THE. CITY INSPECTOR OF COMMENCEMENT & COMPLETION OF WORK AT LEAST 24 HOURS IN ADVANCE. FOR AN INSPECTION CALL 433 -0179. S �`���.- ��...` Date: L2 , _ ..7j? Com an t C Title: G k• k k************************************** * * * * * * * * ** ** * *•k **•k * * * * * ** * * k * * **** APPROVED FOR SCUP CE :Y: Issued By: 1 ' 4 .4i 12'06 °9S� A 'thorized Perm Center Signature Date **** k*******• k********* k********************• k***** * * *•k * ** * * * * * * * * * * * *•k * * * * * ** I hereby certify that the permit holder whose name and address appears on this record has satisfactorily met the standards and conditions for side sewer construction. Final Inspection Approved: Inspector Signature Date • w (i • y:IT`r OF TUli,wILA Address: 4203 S 115 ST Permit No: PW95 -034 € Suite: Tenant: CITY OF TUI:.WILA '::Status: ISSUED Type: FW- 5S',t Applied: 11/07/3995 Parcel #: 335140 -0900 Issued: 12/06/1995 •M •h •k , M •k 'M * •M •k •k M •A• * •k •k M •M •A •k •A• •k 4 •k k •k 4 M k 'M M M •4 •4 'A .4 •k •4 4 4 4 k ,A k 4 M k •M •M •k '4 :4 •M •k ,4 4 M •M •M . p •k •k A •M •M •M 'M k •M •k k •M •M O •A •4 Permit Conditions: ",....... ■ 1 EPTIC TANk., 'SHALL BE P!lMpECi'E 4r:`rY ;4N' 'FEMOVEt OR FILLED WITH SAND. A COPY OF DOCUME 'T'•ION " "FRr il`1 f HE 'BOS,I:NE^r�'s., THAT PER - 'FORM'S 4 THE F'UMPINC : ; g ' L L " BE , PF OV, IDED TO THE 1..ITtiY t, �OT�,,ILITY INSPECTOR.. MR .3RE U"�ILLAN�UE,�P'� @ (20 4_?'3 -Ol'79 '..ZNI "` k x :..'1 ' t \'' . 1'7 ti4 M. �::,.' ." �•``• r"''� • , , �yc � y .;' u .r , , +l � P: ' `,.• , er *.tip tir 'p,X 4s *':, '' !� ,t1 0 qtr, .n, '=") 0 , t , .�' ,: ( � ` . 4i . . 1 i' 4� k-, � �` i(9 fj � V C, 'to- 1, �y'. A "AINX , 1, / 114 4" 0 "b4: Ni\ o 6 V: fj ) b r,� "�� 4 ., ° 0 c ' e'4000 .4(!. p ' r '' ,c 1 7 ‘ , A'':ie ) ) j 4.4 evut) . , r y 4!) �l ¢ I f ,. `„ x , + 1� 5 ... +•Y t/ k 1 y " / 4,` \ \ , l � V A--- . ✓ ' tfWCSS R � IA j i l ' t Si Y" f`) \JJJhhh1111 q u r 1 • t %r 6 '�lY + ' t 0 si ' �> . \ \,: k .,,,ii.% . ''''ti.i\I , PA li l r ,,,. • A '•,.,•,.' 7.7w, .11 t' ,, ? y it . , � q s,'�l I ~ °ti. �J A �� 'u ` T !il 4 T ' wt1+ W , , !1/� ..a;1, r -" .te r . - f; • • J ys 5 City of Tukwila Application ti m p, _ Central Permit System - Engineering Division 4 t 0 1 . i . 6300 Southcenter Blvd., Suite #100, Tukwila, WA 98188 Phone: (206) 433 -0179 `t � x I6 o 8 '. .= UTILITY PERMIT APPLICATION / J5 c - 1i PROJECT:: .; :; Site Address: Fj �Z r1D /4-�lC , "��0�� ( C9 INFORMATION; Name of Project: /777?/U7 R 77) 7`uR.e 'ee 9771T / ar/ 53 Property Owner: Gin -- er - K[.v1 L. Phone No.:433 - l8 5 Z' Street Address: (o z. 5 'OV J'l`r c— %p '� _ _J /)• City /State t C.A- I Engineer: /Y) &R.Q 1 7"1" ..y_. PA /,f/ I A,6.,-4 Imsz7 - 5 Phone No.: 5e 7 -• 8.3cs Street Address: /7c9 l _COT"'1 a-4 5'l2 --&-.. City /State/Zip: �Fi no/z?- - Contractor: Phone No.: Street Address: City /State/Zip: King Cty Assessor Acct #: / -cB 5 Contractor's License #: Exp. Date: PERMITS` : < `; < ❑ Channelization /Striping /Signing ❑ Sewer Main Extension ❑Private ❑ Public REQUESTED !; ❑ Curb Cut/Access /Sidewalk ❑ Storm Drainage p Y vault) ❑Fire Loo /H dr. (main to vault - No.: Sizes: 0 Street Use ❑ Flood Zone Control ❑ Water Main Extension ❑Private ❑ Public ❑ Hauling ❑ Water Meter / Exempt: - No.: — Sizes: ❑ Land Altering cubic yards Deduct ❑ Water Only (D ❑ Landscape Irrigation ❑ Water Meter / Permanent - No.: , Sizes ❑ Moving an Oversized Load ❑ Water Meter / Temporary: - No.: _ Sizes: Est. start/end times: Estimated quantity: Date: Schedule: ❑ Sanitary Side Sewer - No.: Other: 17gJ 17`7 or/ WATER :METER ; •• Name: Phone No.: DEPOSIT/ : <!:;;. :.. :?' ` REFUND /BILLING`::`; Street Address: City /State /Zip: MONTHLY:::... :,,, : Name: Phone No.: SERVICE :`'! BILLINGS TO:' :' Street Address: City/State/Zip: Cl Water ❑ Sewer ❑ Metro ❑ Standby DESCRIPTION OF. ::PROJECT ❑ Single- Family Residential ❑ Multiple - Family Dwelling ❑ Hotel ❑ Duplex ❑ Apartments ❑ Other: No. of Units: ❑ Motel ❑ Triplex ❑ Condominiums ❑ Commercial/Industrial ❑ Office ❑ Warehouse ❑ Church ❑ School /College /University ❑ Retail ❑ Manufacturing ❑ Hospital ❑ Other: sc ..: b : M15CEl:l:ANEOUS ❑ New Building ❑Remodel/ Square footage of original building space: Square Addition INFORMATION ' Footage: Square footage of additional building space: King County Assessor's valuation of existing structures: $ Valuation of work to be done: $ I HEREB CERTIFY:TH I.` HAVE READ :THIS APPLICATION; KNOW :THE : SAME . :.T,O BE :TRUE: > CORRECT Applicant /Authoriz - / Contact Person A.- Ian. r-. 4. ,�,,� .print name): c 7 c' ? Y71- Print Name: - 1 >y' L . 1 �`j2.� Address: h t,1V Date: // °j' Phone: (16 4 4) CITY H OF TUK WILA Phone: Date Application Accepted: I I - - s NOV A 34�pplication Expires: J- 3 .- 9 ' PERMIT CENTER 04/22/92 • F F 11 ir I ` ' rYF 1 ) ' - o -t �; � ,�' i x • , r ; Kti ,^i, t : ; {,i.,. y�'tay,:'.n �,�A „��ti ,.1 �^w' � °t i,. • �:f , x,r,:t+; • , •Y � ,•,. , ;•1,-„ , � � 1t 1 s • • •+w t: s: � i, v 4. • : t , '.1-;..f. I'. 4 i C. _. , i. GENERA 42.00 *•A * *kA—A * et**k *4A *; *•d*h *hh *A *A**M***k•4**k* k•A,Ak•k * *** ****A VOID • CITY OF TUKCWIL.A. WA t RtthtaMI GENERA A _4 0.00 *• • * k•A * *•..A *•4 *•k•k*:l *A *kk 9 A *k *•lkA*•A**4h+lk;1**A10,*ky'* il•d * ^ 16.134• TRANSMIT. Number: 94003317 .Amountz 42.00 1.. /06 /.9Ff / X,; ' 00 �3 bQ4A0O0 Payment Method: TRANS Notation. CITY OF TUKWILA ' In1tz• SLt1 Permit No: 895.- 0;314 TVpez B••IE•:MOLI rEMULZTlOW PERMIT ' Parcel No 33.0140- •0835 • . Site 'Address; 1150E3 42 AU ;3.' Loc:aticanz. BUII.0IN S #1 AND #2 'total . Fees: 44; 00 . This Payment 42.00 Total ALL Pmts a : 42.00 . . .• Balance: ;40: A.** 4* A"A****** A**** A@ *•4•*Il *A* *AA• * * * *A•A+► *A *k * *it 11. •d4kd *1l ***Ak•ktl * * *d *. r' ' . Account Code Description Amount '. 000/322.1,00 , 0UIL01 Nt3 -- RES. 421.0 ' re. 6 t1on 453 3o0.o0• sau :"7 : 0 . Cal . 4ua.067. � a � , i + i. t { ,7 7 1 k 4 ae4 :t', •t/ t (,• t: y , } s.x w . t e.� +� .l ,, .+...C,...' .i..;.•...ui�.. xe.s;_r.. ..'. aa,Slsi: ,,i, ,!ge. ,•taiY:.ici• :. .v+i ..t. .}S: ,'1",_a�4 1. tt. /.._I . d,.aS,:k;,i ,l i.rk" iIi.,it . :+r. :i..i0•-+ 31}i!�n 4i :LVitliiif;iieasI.6:'i J� '�. INSPECTION R ! h, ! t [ ------ 7 1.- l Retain a copy wi S INSPECTION NO. PERMIT NO. +' CITY OF TUKWILA BUILDING DIVISION 3 , 6300 Southcenter Blvd., #100, Tukwila, WA 981:: ,)f 206) -431 -3670 TYpe i U KW � /cc. F.S. * 53 ' / XJ r l /7G1 Add sjo 5 115 Si' I7ate-catle -d 96 Special instructions: Date wanted: /– 3 - 5 ? , a.m. Requester: Phone No.: t>/J Approved per applicable codes. LI Corrections required prior to approval. COMMENTS: .. CC (• .46 _ , . .- , ,t + ' y: { . , .., , „ ,., , }J .! f Inspector: Date: 6 .... , , I I $42.00 - EINSPECTIO .F EE REQUIRED. Prior to inspection, fee must , be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No,: Date: ; , st q 8 ,14. ua k?> Fd� �'; �� '. �' M1.? �r4' E. aN1.1' > aieNriAMeY(` a. �` c3r_,.. 1. ..)Yf 4..'' 94F`. h. c.; t_.k ..A _,...•L–. _r ,.. _.i....t.E•,...... -‘,„ ( ..., . . CITY OF TUKWILA • • • . . Address: 11508 42 AV S. - . • . Permit No: 895-0374 Suite: . . Tenant: CITY. OF TUKWILA "' . : : : . ', Status: ISSUED Type: 8-DEMOLI, 1 , • . • . Applied: 11/01/1995 .. Parcel #: 3:35140=0835 . ., . - ' " Issued: 12/06/1995 4 Permit , Cot-d10 OnS: . 1 . Tempora "...eros i Oh, epnerj1: implemented as ' . • the first , or der of . 1$i,sairtfsL : ta" 7 .•'FiVarit•-4 . 644 - iiijnIte t i oh of f - ... . ' ' ' , , -, , • . . , 1... ,St -g,..„....,,,...- site o r , . into • • ex i Stglorm, Ore i n a g •., f a e i fref-473), . .. _,..,. . 2. APPLICANT- SNALW 'srq 1 sEWERi PEROI .., . ':., • . , .. :'' - 'AJOLIC..WORk/ S '0#: gliQuAt El ..,,FpR ;vo;NG41,k1: 3. ALL CONSTRU 7 , o'N ,L4Clct,ITV ASSOCIATED. VI TH i , 6,1.3.V0 . . SHALL ' BEI 1. TED *61, tItt tHIN t pi"l'HEI'113U;LD . V .. „ ERIOEW:: .' ,'. •, ,: " , cv 4, , Haul ing yei'• SO,'''ay 0,belyof&.equim apO 11 cat fort far, Permit ' , " O r , e t k e Y l - asSaa i a rale( W4fy i ty S. Na the i s .01 1The made . toft scopre0 of .'' work tire §t ' , • '" . by TO .fi 1 ailku i 1 di ii6 01v . , );'" • • • .• • ' . : j • :,' # 6. Al 1 ‘'r )1 t'..*r insp'ectioyli:Iseoot k approved p:.lail .s, an b 4,, a vai47;11 e„,..ar..YA.t he'' • fob , is,,,f,,,.e pr l; -t start of a n A, Od' =- , : "c' strq,o loft,' These ;docurrients /7e to be r Ma inte 1 ned and ket1 - ' i‘ c:f a b 1 4 ` , V u n t11.,;„fi ne 1 i n s p e c t i o n . tro Val* 1 t ed 7. Ren0Vt6 all weed., concrete, p tap oi dun da t toris , flat con -:prtAl c r ate!, . ' concrete ....p.ai'las.,f , ma Wan ryll'w eis i ,,,garage - • .,, f. 1 pars ,c 'd it lye/ waNkSe tar' sei''.qicttn ',..'ir7f d a 11 -.16ase-misce 1106003s ma ttiki ii 1 .,:,,,Pr opii!') g ce0..san lry , s'eway' , , , an d wa ter conn..0 V t I OnS',,, ! properly till or ,at se , protect all 1 basemen:t's ,•• c e 1 a t • s , , i al? t 1,c t a ii it,s;, :via) .. S a)14'.o .. ekp; a va i ohs p . Va114), ty Of Pei i t . The i ssuanetr,,ip I. :,.a' pe:r.m.f.f.:Y,,,r a 0 pr. oval . ; , Of ii,o,.t I / plans, :Vsiaticif i cat ions, and , computations k.,`;sia 11 np.t , be • con. S ti- tine,isty t o b,a•'' , permit f or. , or an iliSPJ0 v.1 alt / .TOn o any '',',of f ;.t1,0' , ', pr o'v i s i onS of the building '1 Ode \ 4r- of - ahoi ,, ,,,, -,- ,:: o ordinance of the Jur i sd i otqm .` , No pO'nilt. .j.fresim.fni 0W give a4 ,tharity, to violate ar, catice1 ' eh'e. ostivislons of. 'thtsfAv t code .:hal \ be valid . ' '',';' • ' : ' . . • ' ' , , 1 ,, . - v .. 4 4 • 4" " • t' „ 11 "` • i',..'.1.tt. , /,(94,1 , ';f. ' ' .',- , f• 4. ; ■4/' ‘" ' H `.. , ' , 1 N.,! • ' ' '!,) 0 C': :-;,' ‘.s , ."t, '. I:* . 1 , ; , ,A 'iit '6 1 ' '''':, • . n;;,:, .c... • a ; 0 1:' 1 "" ,, ''' . • , - ' : ''':',.''!,..,. ., :•• • f .0- 1 t., .4 : : ;f . ,, .,..:;;.14 ., , , . • ' '''l 'I •• ' V ','''''! ' ' ' ' ' ' ,.. :;•' , a „1„:. ..',..".;••••' • . . , . '''''''' .i.; . . 4....„ "'.f.a•., ',' 4A„.. AO - ••••,,, ''' . . . . , • , , , . ' • ( • • . . . , . . . . .. . . . : . . , . . . , • . . . . . . . . .., ' , .: ,. . , ' , • • . . . , . • ' • . , , . . . • , . . , . . . . , . • , . , „ . . . „ , . . . . , • Deu .meat of Labor and Industries i '„ - , ( C - ' 300 W. Harrison St:.-_t ��'liS rtOx Searle. We 98119 t ?hone: (206) 2S1-5473 FAX To Re Offices t _cHS NOTICE MUST BE RECEIVED NO LATER THAN 10 DAYS PRIOR TO THE START DATE COMPLETE ALL APPLICABLE BO7 S- LNCOMPLETE NOTICES WILL NOT BE ACCEPTED ASBESTOS ABATEMENT PROJECT . Start Date: 9/25/95 Completion: 10/0 a /gam Work Shift: M T W. Th F Sa Su 7am 1pcx3.30X X X X Z_ _ r Amended? Yes 3pm- lnarrF XxNo l 1pm -8am Emergency? _ Yes (other) X) 'Io WORK SHIFT AND PROJECT DATES MIIST BE EXACT On Hold? Yes CONTRACTOR INFORMATION . PROPERTY OWNER INFORMATION COMPANYNAME Walker Specialty Const NAME City of Tukwila • CONTRACTORCERT.n 01 198 ADDRESS 6300 S. Ctr. Blvd. #100 ,Tuk la SIGNITURE 'icy dit,G( ///(PIA) PHONE # 433 (PRINT NA v ) Linda Walker OWNER'S REP. Randy Berg 73HOiNi (706) 1 61 —8913 'ADDRESS See ahovA ,bB S11r C.A.S. Joe Baker PHONE #, • PROJECT INFORMATION JOB Sn. • • . FACILITY ADDRESS South 115th St & 42nd Ave S TYPE HotiGA 1.. (ltithr i 1 di ngq -4aa p'I a n CITY Tukwila ,WA AGE 504- „ Pa , - G ZIP CODE 90 U A ST7F. COUNTY K im • . YY BsIDOO ? Y OvrD° CEI 4 ' D. xx QUANTITY OF ASBESTOS NOV 2.2 1, 95 TO REMOVED, OR ENCAPSULATED CONTROL MEASURES AND PK,,IKWIL • 4 7 3 0 sq•ft. # 1 5 0 ' • ln.ft. PUBLIC WO " KS El each box below Q each bal below II each box below if each box below fireproofing ❑ mug. pipe insulation ® neg. p. enclosure ❑ 1/2 m APR ❑ popcorn ceiling IN air cell pipe insulation • ® glove bag ❑ full fact APR ❑ CAB ❑ cement asbestos pipe ❑ mini enclosure ::1 PAPR tE sheet vinyl ris w indow u t 1 y ® wrap & cut ❑ Type C continuous flow ❑ boiler insulation ❑ ® wet methods Type C presswt demand duct paper ❑ ® I- MP A va cuum ❑ . ❑ ill duct tape ❑ M barrier tape ❑ 4 1 ____ ❑ ❑ ❑ 2 P1 at over ❑ ❑ • ❑ drywall . , ... ... ..... . ... ' ! - Dien Case No. PUGE7 SOUND AIR POLLUTION CONTROL AGE Y Date Received 1 , Union Street, Suurc 500, Seattle, r {:A 98101 -2038. � 950203 ,1 SAPCA SEP 11 1995 t NOTIFICATION Agessey Use On1j. U Asbestos Removal Only ■ Asbestos Removal & Demolition O Demolition, No Asbestos Removal . Property Owner: City of Tukwila , Phone: 433 -0179 Mailing Address: 6300 South Center Blve Suite 100 City: Tukwila State: • WA . Zip: 98188 Asbestos PLEASE h7C , !: IS H HE YOUR RAT RNALU NG ., Contractor: Walker Specialty Construction Inc. Owner /CEO: Bill Walker • Mailing Address: P. O. Box 469 • Phone: (360) 805 -0354 Contractor's Sob: et City: Snohomish I State: Wa , Zip: 98291 Fax: (360) 805 -0422 A -008 Demolition PRINT NAME NW, b•NYSR MAILING ADDRESS IN BOX IONMU- Contractor: '/ ;/". 2 647. it)A; P I . Site Address: South 115th Street & 42nd Avenue South SEE ATTACHED SITE PLAN l City: Tukwil Zip: 98188 . Asbestos Survey Date Conducted: 7 -10 -95 Number of Structures Surveyed: 9 Asbestos Found ■ Yes AHERA Building Inspector. Robin Burnham ❑ No Certification No.: "NJ 950530 -01 Expiration Date: 5 -30 -96 State: WA 1. ❑ Demolition by Fire (attach training fire permit) Demolition Start Date: Unknown No. of Structures: 9 2. ❑ Ordered Demolition (attach copy of Order) Work Days: M T W Th F Sa Su Asbestos Project Start Date: 9 -25 -95 Completion Date: 10 -4-95 • Hours: 7 :00 -3:30 ❑ Fireproofing IN Vinyl Papa Back ❑ CAB ❑ P.C. Ceiling ❑ Boiler Insulation • Vinyl Asbestos Tile Type of Material: ❑ Duct Papers ❑ Mag. Pipe Insulaticn • Air Cell ❑ CA Pipe • Other. Drywall , Plaster Wall Texture. Window Puny Will all asbestos from the structure(s) be removed at Total Qty, to be Removed: 4730 Square Ft. 150 Linear Ft. coin sletion of this •roject? ■ Yes ❑ No . Asbestos/Demolition Project Categories: Notification Project Fee Requirements (Non - Refundable) 1. ❑ Owner- Occupied Residential Asbestos Removal Project ❑ Owner- Occupied Residential Asbestos Removal & Demolition Project ❑ Owner- Occu•ied Residential Demolition Project, No Asbestos Removal Prior once • $25 2. ❑ All Other Demolitions With No Asbestos Removal Pro'ect 10; � i I $125 3. ❑ z 10 - 259 linear feet or z 48 - 159 s•uare feet (see back) 3 Days ] $125 4. • 260 - 999 linear feet or 160 - 4,999 s•uare feet $250 5. ❑ 1,000 - 9,999 linear feet or 5,000 - 49,999 s•uare feet (MMkenljL $500 6. ❑ 10,000+ linear feet or 50,000+ s•uare feet 10 Days $1,000 7. ❑ Emereency Asbestos Project or ❑ Emerstency Demolition Project Prior Notice Equal to Twice Project Fee 8. ❑ Alterlate Means of Com•liance (friable materials) or ❑ Demolitions 10 -Day Review Period Equal to Twice Project Fee 9. ❑ Alternate Means of Com•liance (nonfriable materials) Concurrent ♦t'ith Pro Equal to Twice Project Fee 1 I do hereby certify that the information contained in this notification & supplemental data described herein is, to the PSAPCA best of my }c. owledge. accurate 8: complete. (, Li4 ' /' 1 Signature Representing Dale Reviewed Br!/ ,1 .PCA For No.: 66-160 (Revised 7/95) TJH Revised 9/11/95 Bond No. GE 5713373 • Performance ar d •P mdsiit Bond d KNOW ALL MEN BY THESE PRESENTS: that more insert full name and address or legal title of Contractor) F.T. Enterprises, Inc. P.O. Box w23460 • WA as Fr r callNa trac and, GULF INSURANCE COMPANY (Here Insert full name and address or legal Idle of Surely) 155 N.E. 100TH STE. 303 SEATTLE, WA. 98125 • as Surety, hereinafter called Surety, are held and firmly bdlia "u`ntb - •:City o f Tukwila • Here insert lull name and address or legal Idle of Owner) 6300 Southcenter Blvd. Tukwila WA 9818 as Obligee, h called Owner, in the amount of Twenty one thousand four hundred and six dollars and 29/100 * * * * * * * * * * * * * * * * * * * * Dollars ($ 21,406.29 ), for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, Contractor has by written agreement dated 11-22 19 9 entered into a contract with Owner for Demolition of Structures at the Beaver Bend Property in accordance with Drawings and Specifications prepared by • (Here Insert lull name and address or legal Idle of Architect) which contract is by reference made a part hereof, and is hereinafter referred to as the Contract. NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION are such that, if the Principal shall promptly and faithfully perform said Contract and make payment to all claimants, as hereinafter defined, for all labor and material used in the performance of the Contract, then this obligation shall be null and void; otherwise it shall remain in full force and effect, subject, however, to the following conditions: A) Whenever Contractor shall be, and declared contract price; but not exceeding, including by owner to be in default under the Contract, other costs and damages for which the the Owner having performed Owner's cbli Surety maybe liable hereunder, the amount gations thereunder, the Surety may promptly set forth in the first paragraph hereof, remedy the default, or shall either subject to the limitations in Paragraph D. 1) Complete the Contract in accordance with 3) The term "balance of the contract price," its terms and conditions; or as used in this paragraph, shall mean the 2) Obtain a bid or bids for completing the total amount payable by Owner to Con - Contract in accordance with its terms and tractor under the Contract and any amend - conditions, and upon determination by ments thereto, less the amount properly Surety of the lowest responsible bidder, • paid by Owner to Contractor. or, if the Owner elects, upon determination 6) 1) A claimant is defined as one having a by the Owner and the Surety jointly of the direct contract with the Principal or with a lowest responsible bidder, arrange for a Subcontractor of the Principal for labor, contractbetween such bidder and Owner, material, or both, used or reasonably and make available as Work progresses required for use in the performance of the (even though there should be a default or Contract, labor and material being con - asuccession of defaults under the contract strued to include that part of water, gas, or contracts of completion arranged under power, light, heat, oil, gasoline, telephone this paragraph) sufficient funds to pay the • service or rental of equipment directly cost of completion less the balance of the applicable to the Contract. • 2) The above named Principal and Surety ope addressed to the Principal, Owner or hereby jointly and severally agree with Surety, at any place where an office is the Owner that every claimant as herein regularly maintained for the transaction defined, who has not been paid in full of business, or served in any manner in before the expiration of a period of ninety which legal process may be served in the (90) days after the date on which the last state in which the aforesaid project is of such claimant's work or labor was done located, save that such service need not or performed, or materials were furnished be made by a public officer. bysuch claimant, may sue on this bond for 2) After the expiration of one (1) year fol- the use of such claimant, prosecute the _lowing_.the_ date on which the Principal suit to final judgment for such sum or - ceased Work on said Contract, it being sums as may be justly due claimant, and understood, however, that if any limitation have execution thereon. The Owner shall embodied in this bond is prohibited by not be liable for the payment of any costs any law controlling the construction here - or expenses of any such suit, of such limitation shall be deemed to be C) No suit or action shall be commenced here- amended so as to be equal to the minimum under by any claimant, period of limitation permitted by such law. 1) Unless claimant, other than one having a 3) Other than In a state court of competent direct contract with the Principal, shall jurisdiction in and for the county or other have given written notice to the following: political subdivision of the state in which the Principal, the Owner, and the Surety the Project, or any part thereof, is situated, above named, within ninety (90) days after or in the United States District Court for such claimant did or performed the last of the district In which the Project, or any the work or labor, or furnished the last of part thereof, is situated, and not elsewhere. the materials for which said claim is made, D) The amount of this bond shall be reduced by stating with substantial accuracy the and to the extent of any payment or payments amount claimed and the name of the party made in good faith hereunder, inclusive of the to whom the materials were furnished, or payment by Surety of mechanics' liens which for whom the work or labor was done or may be filed of record against said impro' performed. Such notice shall be served by' ment, whether or not claim for the amount of mailing the same by registered mail or such lien be presented under and against this certified mail, postage prepaid, in an envel• bond. • Signed and sealed this 28th day of November 19 95 • F.T. Enterprises, Inc. /• .�Q ��° —ipal) (Seal) i . 44/ • ( Title) (Ta/( GULF INSURANCE COMPANY C/b ( iSurety) (Seal) ` (Witness) ATTORNEY IN PACT MARY L. FAUP.E OR (flue) ELLIOTT / . BRINK wm 2G4 t IO • • s .:� _ ( 5 � 3373 • ru i;,`\'5A,E C:_ "`'. .; ¶.. , 1 i,. - - - - -- �'. __ _._� :: I }fi " _ . ORIGINALS OF Tit' ' :• I '1? '+ r 'i :ifs: .. .. SAFI ;)'1' I'AI'1:I- \ \t t •1 i, 1 1' ls''?' .i• +. _.... . - _......___ .-- •- -�_.__ SAME FORCE AND IiFFF,C1 ` AN • O'?:1 : ;?` !;; , CONJUNCTION Willi THE O)ai ;lN'.i., KNOWN ALI ! I %Y'Fifl• +4. 1'f::.' .. „ F.T. Enterprises, Inc. pally, a corps, „ti,n, -itsi, ot)taafn•.: L L':; ilk ti..,, ..i I.,- : •.,,. is • P.O. BOX 23460 its principal offft :c in thi city of hull :. 1 eve , put u.;t,: , .,.. . , . ..,f: 1-. adopted b) the Ft :,:,n • t•, C *r:titte :•'a r: r. „ •, , •, • Federal Way, WA 98093 Company on the loth day of August. 19 to wit• 'RESC)I-Vlsi), that the President. Executive Vic: 1 . or .. , , au i ,'resident of the C'ampans shall have authority to max. c+,r ;utc r„1 . „ ; .•t.it 1 of Attorney constituting ■,. Atturney•in - Fart, such pea snm• , fit rte..... , , ,../..q, , a now be selected from time u+ time: and air inch Atmrnev.m -t:,.: m::' • -. • •• • -- --•- .----- ---_— •_ . f:Frr�• -IVE (ATE and the authority granted hit: rccol:ed by the Picsi,fe: :i, t all: • 1.:■., , �_...__._.r..__ -- _._._�_ President, or any Senior Vtie President, or b•. tke ii : ut I)rt. :o:: I.t •'pt 1 11-28-95 Finance and Executive Committee of the Guerre of i)tre:t,+t... RESOLVED, that notlnn> tit this Power in Anon ncs : h Mist} „t d : • r,' ,i • _ _ �_—__ _ _ _ / of authority to the atturneyist•iu•fact to sign, execute, acl:noo,i :Igc, metre c: r om.: CONT A:7,T AMOUNT s ss tee issue a policy or 1 . of insuraa.c on hrltut,. of Gulf I;, :,ur, :r,.., t. of .• , — - -- .—' —._ __._..._�___..._._..__ RESOLVED, that the signature of the i'tesfa]cni, I? +,e ;umrc Viet. r'rer. i..r ,', S 21 , 406.29 any Senior Vice President. and the Seal of the C,, :rlph:ss• rner tm ; t( :• t ,' -, ••eer < Power of Attorney or any certilie relax n . the ter. i•, t, :.enifr r ., . ;in .. — powers so exec an iertifted by facsimile ..Togret art aau fie : > „.,ar .. 'a.:, , . -- — 3ciI'�D �.MOLI T valid and binding upon the Company in the tome rt. tesh: c, i„ ;',11\ ` ht:n. :.n„ i r 21 406.29 Per f . / $ 21 4 0 6 . 2 9 Pay. ,• documents relating to such bonds to .hick they ale auuctad.” r Gulf Insurance Company does hereby make, constitute and appoint \ i • Mary L. Faure' Attorney in fact its true and lawful uttorney(s)•in•fact, w ith full power and authority hereby e. in its name, place and stead, to sign, execute, acknowledge and deliver in its behalf, as surety, any and all bonds and undertakings of suretyship, and to baud Gulf Insurance Company thereby as fully and to the same extent as if any bonds. undertakings and documents relating to such bonds and/or undertakings vv..: ,:,, by the duly” authorize:i officer of the Gulf Insurance Company and all the acts of said attorney(s)-in-fact, pursuant to the authority herein given, are hereby ratified and confirmed, The obligation of the Company shall not exceed one million 61,0').1,1 t• t. dollars. IN WITNESS WHEREOF, the Gulf Insurance Company has caused these presents to he signed by any officer of t he Company and its Corporate Seal to he hereto affixed, �..,.,.oa c`�•. 4'Y,^�o ^� L 0, y \ GULF INSt,'RANCE CU\1I'ANV ,�, (/ : STATE OF NEW TURK ) / 'Christopher E. Watson SS President COUNTY OF NEW' YORK ) On this 1st day of February, 1994 A.D., before me came Christopher E. Watson, known to me personally who being by me duly sworn, did depose and say; that he resides in the County of Westchester, Str,Ie of New `:irk: that he is the President of the Cull' insurance Company, the corporation described in and which executed the above instrument: that he knows the seal of said corporation; that the soul affixed to the said instruments is such corporate seal; that it was so affixed by order of' the Board of Directors 01 said corporation aid that lie signed his name, thereto by like order. • / Tho' -,.∎ \ •0T AR u: pUG • A 'u/,r David Jaffa S'1 ATE OF NEW YORK ) ]� tit.' , / Qualified in Kings County SS Comm. Expires Nos ember 13, 1995 COUNTY OF NEW' \'ORE: ) I, the undersigned, Senior Vice President of the Gulf lnsurnnce Come:my. u: Missouri Corporation. 1)O HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force. • / ,N ` : S and Sealed at the City of New York, / c- . ; r :i� : f \ '%, ` ' • (SFA 1 ` " ; Dined OW 28th 8th ds of November 19 9 5 . .,.. e Lawrence P. Miniter . • . Senior Vice President ' ( •.,. ? , r ' . j • ! I ' I DETACH TO uist'LAY CERTIFICATE" i N/ NVI/% / % //I /J /%I k DEPARTMENT OF LABOR AND INDUSTRIES T HIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A III i. CON:R - �+' O N T . !GEN ' ,�' •• ... ` ' � t'T:ii:t;' % °'• ifiE01STRA[ION ; EXPIAAj1 NDATE: ': o: y ' , ' li Zt tii y < ;' , 'S„u i°:,1r: • FFpe. i :l .y��, , , ,,,, ,... , z . . ,i:i, .1=':G STATE OF WASHINGTON N ,:::::: } ` .. ...) - :. ' , ... . 'J%.. ' 4 : Z - 4 4 .; o.: • U • It.. t,.j.,..,1 ",' i4 ' ,.1 .. i .. ,,. t r •. '� • J' $1 • / 3 4$ • k C T • S ::::::::: ' �. ; t �'a.,t.;... t 1 _ v ; 1? L ( F6 (3.92) � a5 ./% % ....w /• : % / / /I /.........../4% /y / /.f✓ _ % iY %N / / % /N %JW,ry( / %N%VN / /NIN ; /NN � •! /%K / / /N; % % / % / / / / / /N //yWI L hETACH T^ r9S0/ " CERTIFICATE • ,,, ;, .. i if I RECEIVED CITY OF TUKWILA DEC 0 6 1995 PERMIT CENTER _ i II i I 1 , I ', I l i II li •M•L. H- 1C -1 f- IC'TC�.: ¢ I - I I I,GON wic fZ 2 4�LL 17L�1' °iFl tc� s -I - �{u G. Re�`' A++2 DISP�ar I Dt='F SI TE r\ � 'M aLI'I nI I tie BRIS ..AE 1 17 M y 2.�H 44A I_L Lan rL 3 SePTIG s�5"f"�F t .S -RE MovE v�µK Ups f fi c I I _ :4Hp FILL- Tf4NK , I I - I C-Leh F{ G RA VCTL Yid R20kJ all - 1V GtTY ILL A ` IN 1 sE G S Y5 - reE -1 Lx/LTII -! t I I 4 —i r CON -rvA, - I - GR 1 LL_ �T-GI k -1 st:nrr`r LE- Gr I -r 1_14,4-1-, J L,14,1-1 I14e4s-I • t. :'1 K I - F9'1'rJFAL •+/ TO COF;11'I� ; U1iLITI C`jF1A' �C I:,I 6 u ''I Cnf'f'I::.r� £ SN ii `r- -I-'r --ALL . CoII-I/'c TIC - rciF-3 II L /' HA pi%I ' COIJi - 1 j nr f�V."l E E ' � ,- rU -t & J . II to I 5.11:1 E Goµ'rf E �-IA Fd 1/2" R & G LSi 19622 T 1 E. �j l'''.-- IA L ChR� Td �FZ�'1rL-C -T 0.05 S and 0.04 E of Cor. Fd 1/2 R & C THE LA-R4L- %i 'iml r\ TRLL APJ f-1 I �1: 6L11 L_ V 11 -1':, rJ' ` Co. ,, I 12/28/94 NE Cor. Lot 21, Blk. 25 �. T E CCI- - T R/1C"(:`JK ��l L . L C,1-.-Pc''' C,1-.-Pc''' O� �I t. AL.L.. 1 -1A - 11_,K 14( , i ro ° - cJG, LS# 19622 kl I 4 4 1 F-I E 6 L Lrll 44 -r,- p rj f�1<^L I x{11. G I .. _ + 0.44 W of Line Fd J /4' IP z Tl G^ GON"rR/lG'rG,c F{-f\ =awl L- \/i'IGt L R f G7 f- ( H TO fl LL.. N- IA. - rL.. • /i L % �, • ' 22 ?y I NE Con Lot 25, Blk. 25 - eA-11 Lpl -IG, L tmL—N-t.7. r.pe-ruRS EI 1,',-"LYI-I RL•171F1 11 11-- r HL I" IIC'N t , e4 1.11 S and 0.30 E of Cor - OP��ATIZ -I, A N 7512'25 r w �� . +� - 2 26 30 8 27 - _ =�� . � T I II " - - -------- 24 24 ___ rata R '�\ ` GAS 3 • L__. 20 ..• 24 — p 20 tit 12' ne 118 4 PI \ l r ; � _ - - -� cn s— X063 � " � , t8 16 V , / -a of 530 .44�i .._ e � .. 7 0 . a0.00 / /// a:\ ttaweed t1 1 � N I 9 `a \ \ S; -f \" \\ , 6 \ `Y\\' ; nd A ve i y 10 ' \ \ \ \+ • \ �\ f, 1 5' O r . way \\ 18 Sequ \ \` 6 1 y ll p \ Pipe, Elev. 11.43' p r I I { - \ ottanwod _ / \ f0 Wt� {1'l!,. \pIS 6 Holl �H \ \ \ \� \ \ U I . . �� I ... 8'Alder l.J �6 Cottony A � d �(r�f'l r .. r / f\ ry UMN�`" � .H f \ O lam/ ry ...1,1 Ho ,il 6-Cotton J'`� jL_`,1� s ' / ," 8 tl 1 . It .a 8Mo11 w l 8•TreeFyl', ton \ 'I 24 "Cottonwood L .l 8 AIAer 1 ° 'Aid r 10 Alder O / w dg 19• A ~ 6 1 1.1 ys 1M11 6tHelll• , \ � 8 24 -o . --. ILP 4 If 36 .., 24 n 14 f `> . C}/Clone Fence y j/ „f � . _\ CC 10 Hol � \ \ \�; \ \ \ \ �. ' 6Alder e as r \ \ \ 26 roe f'' ' \\ \ 15 24'Cottonwoad l6•Cottonwood N a /s>a` •O ` i \ \ 7M ly \ !\ Le �\\�1\��\ A ' 1 � , . i O•Alder •A ve. __ > i. m �_ - 015 \ 28 ' Cedar \ \ \ f illi, W I� \ \ OW \ \ \ \ \\ \\ ^ � , r� d t \ :-- 1 _ \\ `f \ � 1 , \ .UI . sY ottonwaod `/ ` Fbvk 42�_�Q< \ \ \ �\�\�� \\\\ \p\� /G PI L c \ \ \ - - \ \ I , \\ \ \\ \ \� I 7 ,_1 I % lam' I �L— I I�I� I M� I 19`Lg 10 free \ JJ`�� 1\ \ \\ \\Y\ \� \\ \ 1 \c \ \ \ \\ I D" 5 1� V \��Aa ♦'l •ironwood\ 5 _ SCALE: 1 " =30" OFH \ \ - \' � \ \ \\ \ 115 ` 18'Tres - \ _ I 24'Cottonwao• ♦ \ _ _ 0 15 30 60 U 9 \ \ \ \ 1I € 20' Gravel Road anwood PrI I LP' L w�e/ / • Concrete Parkin Lot \ \ 2 Cherry 1 \� • 00 ___,......1 \ . 9 \ ! \ ` \ : \ _ . - 1 m o) 'D J` � \ / / ,... : \ > N 1 \ _ ' C� 2'00'12• I \ \ \ \ \ \ \ !' sE' # 33 Hj`F G - e8�_c Z 'l, co, 0 2r \\ + u \ \ R= 17188.74 P Mailbox �[ L= 601.04 C 15 ' Gravel Road \ \ _Y,20' ee LJt . ± \ \4 r O 0 Found Iron Pipe or Ro: 0 Cop, as noted f , \ . \ \ S 3 , "Tree • _ \ ✓\ �. \ �' - - \ L \ • . .Set Rod & Cap L. \ \ \\ Wile;m.eees . • D �Qi\ \ \ . \\ : / PW Watermeter ' �'. t D '�R PL I . 1, ...� \ �� � � ` 3 Cottonwood • \ -- ` \ \ \ / T:YFH Fire Hydrant _:; U 2oIgSdS Ear 18 J Q \\ / 270' Encroachment Y J -0 ,Power Pole r,r,or 0 344 (Bldptt,Zl - 2 6 TOGO ,.1., - f f 2 20 ood - \ U J - 9 1- ' - - - - Power Pole with Transformer CI OF T \p. eI 1.- _ 4p p0 \ . '� I A PPRO :' ED f \ II 11'141011. A .. _. \ / 1,67' Encroachment • • y Anchor \ II 16" \ ,,, Cost End of 18" pa DEC 0 is9 Q \ \ I Concrete Pipe Fin f W Water Meter A5 tiUi \ 3 leMagnolla Treee \ Cou N Fin Outfal� •:� BUIL:h1G DITnSION \ \ WL 0 O'• - legal Oo ecriotion B Wetlands Flag \ TV; MAP DOES NOT REPRESENT \ A f1ECORDED BOUNP�iRY SURVEY 4 6 "Ma gnat lo rem \ \ \ Lora 1 l0 15, Inclusive,. Blo�k a � C atch: Bos 7. - \ \ /� \ \ > - Lots 1 to 12, Inclusive,_ Block 27,• MAP. Lots 1 to 15, inclusive, Block 28, All In C.D. Hillman's Meadow 9 O c \ WL if _ 3.11' Encroach . , , King tythereofgtRecorded In Volume 12 of Plot., Page 66, In gu' ( 1 Trees ; ..., * , - \ / ./ . 4th ..'.. _. _. TOGETHER /y ��// ,. \ with 5 uth 114th Street; Also TOGETHER with South 115th 15th S;reeq '/ ' 3.65' encroachm LNn9 within sold Plat. `RECEIVED \ C once CITY OFETUKWILA 4 , NOV099995 LLAA \ � . PERMIT CENTER PUBL CC WORKS it Bcf 5 ® \ - DESIGNED SCALE 10193 JOB NUMBER IRAN ENGINEERING Bound &Tpaphic DRAWING NUMBER 3.85' Encroach en L G ENINE Surrey of ary C.D. Hil From Fence to >/ DRAWN VERT A Plat Llne 1 30 AND CIVI LAND SURVEY I NG M eadow Ga Additio 3 DI0193TP , CHECKED FIELD DATE B2 3 007N Path 9 TR66T ' APPROVED 19 For City of Tukwila SHEET PC. 1 2 - -95 TACO)L0 1TA a84ad Fo T 1 OF 1 /1 - BOOK Phone tad 272 7891 '3q 5-0314