HomeMy WebLinkAboutPermit 1538 - Pacific Pine - Temporary Sign9
BUILDING PERMIT
CITE. )F TUKWILA BUILDING P(, ,AIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete /numbered spaces only.
BOIL 1✓
PERMIT NO.
N2
JOB ADDR E55 / /t/1 ) �0 twicejLtJ6r /r/ F
Near corrJnJeJr(J62nd Ave. S. & So.Center Blvd.
DATE
July 19, 19/8
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT
( ❑SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Pacific Pine, Inc. 4501 Shitshole N.W. Seattle, Wa 789 -1012
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 (v1ACPherson Realtors, 12733 Lake City Way N.E. Seattle, Wa 364 -4020
ARCHITECT 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: Temporary Sign - 90 days
10 Change of use from ,j
Change of use to +!>ti ` �� ��
11 Valuation of work: $ 2,540.00
PLAN CHECK FEE
PERMIT FEE $25.00
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Flre Sprinklers
Required • Yes •No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY
/ J
C
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM-
MENCED.
1 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.
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER (IF OWNER BUILDER)
CZ) >r — 7- P9-78
SIGNATURE OR AUTHORIZED AGENT IDATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK.
OCCUPANCY PERMIT REQUIRED
M.O. CASH
( SIGN PERMIT APPLICATION
BUILDING DIVISION
CITY OF TUKWILA, WASHINGTON
TO BE FILLED OUT IN DETAIL BY APPLICANT OR PERMIT CANNOT BE ISSUED
re, To N6'42 ca ?NE2 Gp Q+T ivn.q bE $".
Property Owner AkciAc PINE eN c Job Address SOvrh reMre 43L"/ — qeu- so✓". tt.�.isst•
Address SN /I-S/laL ,r ,,) Business Name 4{� /1- 740 q tea.. /r,ACn4FRSa+ 4t." -2•624
Telephone 719 -/0/2 Telephone , gm rr?,pc.a+F'.to+ •ZZe- <n73e 04069 A A(
Estimated Value of Completed Work z,s vv, 600
Permanent Sign ,v O Temporary Sign ?O 4» •
Sq. Ft. of all
Faces of Sign 2 y Type of Sign
rva,o nap,
Single Face • yes
Double Face rp
Combustible boa
=Incombustible --
Electrical .va
Setbacks: Front
Side
Signs'on Property
Side
Rear
All on Private Property
Overhanging Public Property
Overhanging Setback Line
On Premise
Off Premise
y&s
NO
N O
NO
YCS
Contractor
Address
9Z.4c to& a sew k e 4.04 -ert s
/17 JJ L.4A'1-= C177 2 '• N.t
State License No.
Bus. Lic. No.
Sales Tax No.
Telephone .96 ,/, s/62 6
(1) This application does not constitute a permit to work. WORK IS NOT TO COMMENCE TJNTIL
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.
Signature of Applicant
7//g1/7
Dae
Application Not Approved
Application Approved, Permit Not Required
Application Approved, Permit Required / / 17 I �s
al
Permit # issued under the following conditions:
MINIMUM REQUIREMENTS FOR AI.
PPLICATION FOR SIGN PERMITS
Applicants for sign permits are required to file construction plans,
drawn:to scale, for any sign or alteration.
Minimum acceptable plans shall :consist of the following:
TWO COPIES — PLOT PLAN
A. Identify address, all property lines, streets.
Location and type of proposed new signs, including ,any
animation or use of flashing lights.
Location and type of existing signs.
TWO COPIES — CONSTRUCTION PLANS
.. Show footing, connections to building, size of supports .
and material used in supports and sign itself.
. Elevation showing copy V) be used on sign, size of sign;
sign's relationship to Property lines, easements, set
back:lines, structures, ground clearance, total height"
and clearance from overhead power lines.
The Building Official may require the filing of additional plans or .
other pertinent information when, in his. opinion, such information:
is necessary to insure compliance with this. Code.
The person signing the application (either the owner or the person
responsible for the, work) shall furnish the above information.,!
Return all copies with application to City of Tukwila.
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