HomeMy WebLinkAboutPermit 1514 - Malacca Rattan - SignBUILDING PERMIT
r f
OF TUKWILA BUILDING F'ct2MIT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
N
PERMIT O.
AGa�-
N° .11•
4
JOB ADDR E55
17340 Southcenter Parkway
DATE
June 16, 1978
1 LEGAL
DESCR.
LOT 110.
BLit
TRACT
(QSCE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Malacca Rattan 242 -9215
CONTRACTOR MAIL ADDRESS PHONE LICENSE N0.
Lumin -Art Sign Co. 1118 "A" Street S.E, Auburn WA 98002 UL2 -7800
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 LIC No. LUMINA 5279 MI Sales Tax No. C 171 5237
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW O ADDITION O ALTERATION • REPAIR • MOVE • REMOVE
9 Describe work:
aig )
10 Change of use from
ed (° - 0,- - 7
Change of use to
11 Valuation of work: $ 750.00 1
PLAN CHECK FEE - - --
PERMIT FEE $ 10.00
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Oyes • No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY.
APPROVED FOR ISSUANCE BY
Gam' 93-Y111)
i . - s -
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE Building Official
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS' COM-
MENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOVV 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 CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONS TION ORRM/�NCE OF CONSTRUCTION.
i
�, ( u.r•lx,� -
Special Approvals
Required
Not Required
•
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATUR4 OF OWNER (IF OWNER BUILDER)
SIGNATURE OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
OCCUPANCY PERMIT REQUIRED
• .•1
SIGN PERMIT APPLICATION
BUILDING DIVISION
CITY OF TUKWILA, WASHINGTON
TO BE FILLED OUT IN DETAIL BY APPLICANT OR PERMIT CANNOT BE ISSUED
Property Owner T ,v.o i Job Address // 3 4/ G .._ a ctf
Address S-47 S'� -Hi, s- Business Name /1/l ask -a.4.- -ct , `-I e�."4.,
Telephone •7 6, Z 7 S-0 Telephone _2_4./2 .._ ` 2./.5--
4
Estimated Value of Completed Work - 7572-2L
Permanent Sign IKe-a
Sq. Ft. of all
Faces of Sign .3/
Single Fac e
Double Face
Combustible
- Incombustible
Electrical
Y
Temporary Sign
Type of Sig 61/ Signs on Property P�
Setbacks: Front
Side
Side
Rear
All on Private Property
Overhanging Public Property
Overhanging Setback Line
On Premise
Off Premise
Contractor o�ur•wv Q ,-� '
State License No. 2Z'3'-62 W-4/ 414.S 279 MQ
Address /1/ P S, Bus. Lic. No. :3 Glv "9S-
62-u- 40-1.x/ kzr) • 7 yo 0
Sales Tax No. C -/ 7/ - S''2. 3 7
Telephone u z 776e.)
(1) This application does not constitute a permit to work. WORK IS NOT TO COMMENCE UNTIL
SIGN PERMIT IS POSTED ON PREMISES WHERE WORK IS TO BE PERFORMED.
(2) Certification is hereby rendered that no work is to be done except as described and
that all work shall conform to the applicable codes.
(3) All signs containing electric wiring must bear the label of an approved testing agency.
Si nature of Applicant
6- -16--7F
Dat e
Application Not Approved
Application Approved, Permit Not Required
Application Approved, Permit Required
Permit # issued under the following conditions:
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