HomeMy WebLinkAboutPermit 1535 - Pacific Pines - SignBUILDING PERMIT
CIT( )F TUKWILA BUILDING P[ AIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
BUILDING
PERMIT NO.
N°
JOB ADOR E55
6000 Southcenter Blvd.
DATE
July 10, 1978
LEGAL
1 DESCR.
LOT NO.
BO(
TRACT
(aSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Bruce Morgan, Gary Scott 8732 138th Ave. S.E., Renton 226 - 5493/248 -0800
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 Pacific Pines
ARCNI TECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: • NEW ❑ ADDITION • ALTERATION ❑ REPAIR • MOVE • REMOVE
9 Describe work: Sign - "Office Space for LeaseII (7-4- .-, r ,r ..-7
10 Change of use from Jed _ 7 + �)-S='
Q� Ir ¢ 9s" 9'F 1.. 1. L. 1.s, r
Change of use to
11 Valuation of work: $ 100.00
PLAN CHECK FEE
PERMIT FEE ~;10.00
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required •Yes • NO
APPLICATION ACCEPTED BY
PLANS CHECKED BY
APPROVED F .ISSUANCE BY
C ,x-e
Al Piep r
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered 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 I COM-
MENCED.
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 CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
,, (a.7- I'Glw
rs✓ `1, • / �
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OP OWNER III/OWNER BUILD EA
SIGNATURE ON AUTHORIZED AGENT (GATE)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
OCCUPANCY PERMIT REQUIRED
M.O. CASH
,t
( SIGN PERMIT APPLICATION
BUILDING DIVISION
CITY OF TUKWILA, WASHINGTON
TO BE FILLED OUT IN DETAIL BY APPLICANT OR PERMIT CANNOT BE ISSUED
• rl
Property Owner a0ZUc;: /?i1C •rr4 -$ 6aa¢v seo'/t Job Address 6, o 0 o Sc.0 ce,.
Address 87 3 2-- L& � A44- F- , _ Business Name
Telephone a a 6 - S'-t e "3 Telephone a ` 4 P - 0 14o
Estimated Value of Completed Work -/ 0 0/ OD
Permanent Sign Temporary Sign
Sq. Ft. of all •
Faces of Sign 3 a 5•G Type of Sign .%tg sJ Signs on Property !
A/ow L.eas!K
0,p-P.,,« Syace Setbacks: Front w Side
9 — SFSS
O we WO
Single Face A All on Private Property
Double Face Overhanging Public Property
Combustible Overhanging Setback Line
- Incombustible On Premise
Electrical Off Premise
Side Rear
Contractor T4c.'C ;'c d,(kle.J State License No.
Address
(,GDo • Son► -i ce,1Z 43/4-4 Bus. Lic. No.
Sales Tax No.
. Telephone
(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.
/0- -LL-(- - _ .4 /0) / 9?d -
Signature o Applicant Date
Application Not Approved
Application Approved, Permit Not Required
Application Approved, Permit Required
Permit # issued under the following conditions: