HomeMy WebLinkAboutPermit 1607 - Pacific PinesBUILDING PERMIT
PERMIT
NUMBER I (0 O
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE 17 October 1978
6000 Southcenter Blvd.
EXPIRES
17 February 1979
JOB ADDRESS
6000$ Southcenter Blvd.
LEGAL
DESCR.
LOT NO.
BLOCK
TRACT SEE ATTACHED SHEET
OWNER
Pacific Pines, Inc.
PHONE
789 -1012
ADDRESS
4501 Shilshole N.W. Seattlw
ZIP
CONTRACTOR
MacPhersons Realtors
PHONE
364 -4020
ADDRESS
12733 Lake City Wy, N.E.
ZIP
LICENSE NO.
SST NO.
BUILDING USE
temporary sign /renewed after 90 day period pm h 410. . 00 10- n - -) y
CLASS OF WORK
❑ NEW ❑ ADDITION ❑ REMODEL ❑ REPAIR ❑ OTHER (Specify)
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT,
THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE
MET, AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT.
ID 4r-.74.0
OWNER /AGENT SIGNATURE
THESE INSPECTIONS ARE REQUIRED BY LAW
1. Driveway
2. OK to
3. Roof
4. OK to
S. Wail-
6. Structure
approach and
pour footing
sheathing
enclose
board nail-
complete and/
slope
and /or
foundation
and nailing
OK
framing
ing OK
or OK to
occupy
FOR INSPECTION CALL 433 -1849
BUILelikQF IC L, CITY OF TUKWILA
THIS PERMIT MUST BE POSTED CONSPICUOUSLY ON BUILDING
BUILDING PERMIT
CITY( F TUKWILA BUILDING PEA`~ '►IT
14475 • 59th Ave. So. / Tukwila, Washington 98067
Applicant to complete numbered spaces only.
!,° ':iii
BUILDING
PERMIT NO.
J•Oe ADDRESS
:,,:,,r cc:rru!r ;1:: i;v: :. S. .. :,U.,, ?r.L_:r .1 1c'.
BATE
July 19, 1.ri.:
1 DESCR.
LOT NO.
bLK
TRACT
(a5LIE ATTACHED „SHEET) .
1
OWNER. - MAIL ADDRESS ZIP f , PHONf Y
2 r?ar,ific I'll).., li1C. ,...,I .;grit. u1..:.,. :. S:�a':t :11.', l.1 7139= 1.!1..'
'`
CONTRACTOR ) MAIL ADDRESS PHONE r, LICENSE NO,
Iui4r'.).::1' ^l :. ..1 L'.lrs, I.. /.)..; 1...1'; Li v„ .l'(t/ .v.:.• J,,,, L(,I I'•I 3 _I .
.ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
`�
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
•
LENDER MA11. ADDRESS/ BRANCH
6
USE OF BUILDING
7
8 Class of w'orh:} .• • NEW . [I ADDITIONS • ALTERATION • REPAIR • MOVE • REMOVE
9.. 'Describe work: Temporary Sign - .P? (i;. S
10 • Change of use from .
• Change of use to ”
11 Valuation of work: $.. i:;,;ll.}•'.1b.;
• , • • '
PLAN CHECK FEE
L; •
n'
PERMIT FEE. • .71 ;,.J.'!'
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy. , '
Group . ,
Division
Size of Bldg. .
(Total) Sq. Ft.
No. of
Stories
Max.
Oce. Load
Fire
Zone
Use
Zone -
Fire Sprinklers
Required •Yes ❑No
APPLICATION ACCEPTED BY
PLANS CHECKEDBV:
APPROVED FOR ISSUANCE BY.
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
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 IS' 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.
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
SIGNATURE OF OWNER (IF OWNER GUILDER)
FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
HEN 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