HomeMy WebLinkAboutPermit 4167 - Southcentert Mall - Associated GrocersSq.
Warehouse
Retail
Other
Occ.
Load
1st Fl.
2nd Fl.
3rd Fl.
Total
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
CITY OF TUKWILA
Building Division r.
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
FOR BUILDING PERMIT ONLY
BUILDING PERMIT
PERMIT # 1 --//6 7 -6
Control # 85 -374
Sign -perm
845 Southcenter Mall Suite # Tenant Associated Grocers
Grocery Assessors Account # N/A
Thriftway Phone #
845 Southcenter Mall, Tukwila, WA
Heath N.W., Inc. #HEATHN *330 -RJ
11805 N.E. 116th, Kirkland, WA
Fire Protection: J Sprinklers [] Detectors
Zoning Type of Construction
Special Conditions
FOR SIGN PERMIT ONLY Approved for issuance b
0 Permanent [l Temporary #1992 $25.00
Building face 3168 Setbacks: Front
OWNER - BUILDER DECLARATION
or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
Fees
sq. ft. @ 1st Fl. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Side
Zip 98188
Phone # 623 -3100
Zip 98034
Single Face El Double Face El Wall Mounted [( Free Standing [] Other
( ) I, as owner of the property,
offered for sale.
( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Owner (signature) Date
Side Rear
Square Footage of each sign face 16 Total square footage of sign 16
Special Conditions
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR NCEL THE PROV IONS 0 AN`( OTHER TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
)�(� Signed ,� _ _ ` Date l.� — / 6 --6
PS---
'` LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am li sed under pr y,isions f the Business and Professions Code, and my license is in full force and effect.
)4:Contractor (signature)
Date �a--/ "t
S p'
Warehouse e
Retail
Other
Doc.
Load
1st Fl.
2nd Fl.
3rd Fl.
Total
Work to be done
Site Address
Building Use
Property Owner,
Address
Contractor
Address
CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
FOR BUILDING PERMIT ONLY
Sign -perm
845 Southcenter Mall Suite # Tenant Associated Grocers
Grocery Assessors Account # N/A
Thrift'ia.y Phone #
845 Southcenter Mall, Tukwila, WA
Heath N.W., Inc. #HEATHN *330 -RJ
11805 N.E. 116th, Kirkland, WA
Fire Protection: 0 Sprinklers [[ Detectors
Zoning Type of Construction
Special Conditions
FOR SIGN PERMIT ONLY Approved for issuance b
Permanent J Temporary #1992 $25.00
0 Single Face J Double Face p Wall Mounted 0 Free Standing [[ Other
Building face 3168 Setbacks: Front Side Side Rear
Square Footage of each sign face 1G Total square footage of sign 16
Special Conditions
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT l HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR ,w 5ANCEL THE PROV IONS 0 ANY, OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
( Signed , , Y � / Date /. / 6 " ' 414' "
BUILDING PERMIT
PERMIT # L // ( 7_.
Control # 65 -374
Zip 98188
Phone # 623 -3100
Zip 98034
Fees
sq. ft. @ 1st Fl. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction $
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other
Other
TOTAL
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # $
l LICENSED CONTRACTORS DECLARATION
I hereby affirm that I am lj,e sed under pr isions f the Business and Professions Code, and my license is in full force and effect.
Contractor (signature) „ � . ! , . / ? e __ _ . ( Date /� — /rn --
��TT OWNER- BUILDER DECLARATION
( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or
offered for sale.
( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project.
Date
Owner (signature)
DEPARTMENT
- -
-,DATE ' -
DMZ
COMMENTS
BUILDING
wpm
w'
-
Int:
StrecteraF In: - . Out:
,
FIRE
•
Int:
Per letter dated:
PLAMIN6
Int:
Zoning: Setbacks: N
S
E
M
n ter parking stalls
Required number of parking stalls
PUBLIC
WORKS
Int:
Per letter dated
Approved plan dated
OTHER
Int:
BUILDING PRMI1 lift alit try
date: 1042.15
Mork to be done MIX
Site Address fitAi.reheini. irk . Suite ILO_ Tenant
Building Use AMAJW/Ally
Assessors Account 0
Property Owner jiradir
Address 60/.6/72bilW F. li&t (Mitt
Contractor
Address
(8/85)
• I tti t 01J' 0
• Walt/ " 1 11;11.11ty •
FOR BUILDING PERMIT ONLY
Sq. Ft.
1st Fl.
2nd F1:
3rd Fl.
Offi
s `Wareassie
Retail
Other
Occ:
Load'
Fir* Protection: Sprinklers J Detectors
Type of Construction
. • ‘.
;TRACKING
IP 4
1gou bccernaoh Z?r algcli 7 / 5 "
Fees
sq. ft. • 1st Fl. S
sq. ft. 0 2nd Fl. $
sq. ft. O other S
sq. ft. B other S
Total Valuation of Construction $ 9111)
Bldg. Permit Fee Receipt :r S
Plan Check Fee Receipt I $
Demolition r:'.. - ' Receipt S
Surchargesj"-- • Receipt it $ - 7.NEV
Other • • Receipt f ----- $
Other Receipt 0 --- S
s/9550
TOTAL-
Describe work
Site Address BqU- 7 -1-�J'DU`;
Assessors Account # Valuation of Construction 4 1 t g00.01)
Building Use Type of Construction o op Occ. Group
Grading: Fill cubic yards Cut cubic yards
Address
Architect /Engineer
Address
Contractor
Address
Contact Person (please Print)
(8/85)
CITY OF TUKWILA M1
Building Divisio
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
to be done AD -s-rot.) rot.) °� 1 - a- ��2't0 ��
t�� Pca,�vt. AuG W
t° 5-4.0e
0-Five
BUILDING PERMIT APPLICATION War)
(Please Print) .OD 0
Suite #
Tenant R-k ,k p
Control # 115-37.2
Valuation 9840
Plan Check Fee
Receipt #
Property Owner 4M.1, Phone # 57S'
Zip
Applicant C .E '4 S ,tnot_
Address \ to, Lo.1Nvato t wo
Phone #'7 -440
Zip 9E
•��: 1. COST 't . 14.1t-. Phone # 105 -rr33- 1 .t6
QO `>tSNG ck ' Ret tRAywkaitaim Zip 3s
License # -2.:3- 1Np -.f4r1.? 1IAPhone # ILO
t `Z, - wAp..t._ f4A1, Zip C V S
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT.
Applicant /Authorized Agent (signature) Date 12-'
(print name) iaUt1
Crem6 C, WOrrail
1nt 1p t V
MCEIVED
o"f`I
o 19
eV ;No DEM.'
Phone # 7Ler—tttO
r
CITY Of TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila. Washington 98188
(206) 433-1849
Type of Inspection
Site Address
Requestor
Special Instructions
i
4 ,
ogee
...,tem.w.y.K',.'M4!C.h�"+?:2A
INSPECTfN RECORD
PERMIT # 9/6“- //o7-5-
Date
/o75Date 03/e?
Date Wanted ///07
Project
Phone #
/.
Inspectio Results/Comments: mel"... % Ll '' !/1
ice..
. --M_AlffaralfW.4-iA— f-diftrA-,.•
Inspector %-
Date //r3 J37
:::_x to ya, = gar. Sa
Building Use frwrivi.
Property Owner Phone 1
Nittalfzip firm
Phone 1&a5-„SACO
minks ' //MS 1h //b0- -ze.A4 Zip
4:Verrladtge: 40R3 -
sq. ft. • 1st Fl.
sq. ft. • 2nd Fl.
sq. ft. e other $
sq. ft. it other $
Total Valuation of Construction $
Bldg. Permit Fee Receipt
Plan Check Fee Receipt i -----
Demolition Receipt
Surcharges Receipt
Other Receipt
Other Receipt
DEFMTIVIT
DATE -1-
ORM
• COMMENTS
BUILDING
/041,07
Structural In: Out:
i
-
FINE
/
Int:
er letter dated:
PLANNING
Int:
Zoning: Setbacks: N
S
E
M
Existingtof parking stilli---
Required number of parking stalls
PUBLIC
WORKS
Int:
Per letter dated
Approved plan dated
OTHER
CITY OF TUKWILA
Building Divisio‘
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433-1845
SIGN PERMIT APPLICATION
(please print)
Control #
Plan Check Fee 5:
Receipt # /
® Permanent ❑ Temporary
21 Single Face ❑ Double Face 21 Wall Mounted ❑ Free Standing ❑ Other
Site address siv ar eca,4iir_r2 syr, wen. awns, Tenant 72,2.,�rw.W S7 -0.41,.s3
Property Owner hrc,,cvr2m..vya e4,,, ax"rmr,
Address fr, _13 Seve."4r-Etsemeo
Contractory6 1,v44 7Ad
Phone #AN4,2;- 7ye4m14,
4=444erirt Z i p
License #actor 414 3Sp .,' ALA hone # G23 -33o -o
A d dr e s s f7ioA6r, i/#40goe _tQ_._,,,,f4/0 Z i p 9 39
Building face Setbacks: Front Side Side Rear
Square Footage of each sign face
z‘ -
Total square footage of sign /4*
Please check the applicable boxes: ❑ Combustible
til Noncombustible
g Electrical
Cil A11 on private property
❑ Overhanging setback line
On premise
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
AND CORRECT.
Applicant/Authorized Agent (signature)
Date
(print name),, ,e. ,$,/O e-/<Lze..N1
Contact Person (please Print),4450 evp,pdeLet,vp Phone # 6p�3-3r 9-a
❑ Application not approved
(] Application approved under the following conditions
Signature of Planning Director/Building Official
(8/85)
• Date
•
4 -
0
••••••••••
c7.15-4rvris/4"
e< e‘• cs ..T..s/A5145$
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41,•••••1111,
Ole
FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
Mart does not authorize the violation of any
adepted code or ordinance. Receipt of contractor's
copy of approved plans acknowledged.
Date
Permit .......... 75 •
•
ar.
CM Of TUKWILA
APPROVED
DEC 11
AS
retocu__
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LOCATION
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SALES APPROVAL
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„LIMOUSIN"
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DESCRIPTION
APROVAL
ALL MEASUREMENTS ARE APPROXIMATE AND MUST BE VERIFIED BEFORE
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