HomeMy WebLinkAboutPermit 0157 - VIP's Restaurant - SignJOB ADDRESS
5700 Southcenter Blvd.
DATE
November 1, 1972
LEGAL
1 DESCH.
LOT NO,
BLII
TRACT
(SCE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 VIPS Restaurant Inc. 250 Liberty S. E. Salem, Oregon 97301
PHONE LICENSE NO.
CONTRACTOR MAIL ADDRESS ! e G .. 3
3 S & S Sign Co. 14045 Midevale No. ' 41 3 Em. 5-0242 A -1019
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
Bollar Boughan Salem, Oregon
LENDER MAIL ADDRESS BRANCH
s C 600 - 026 -364
USE OF BUILDING
7
8 Class of work: *7 NEW • ADDITION • ALTERATION • REPAIR ❑ MOVE • REMOVE
9 Describe work: Install one sin:le — face •ole si:n
10 Change of use from
Change of use to
11 Valuation of work: $ 3 , 000.00
PLAN CHECK FEE 11.50
PERMIT FEE 23.00
SPECIAL CONDITIONS:
Type of
const. V —N
Occupancy
Group ti
Division 2
Must nave minimum setback 355
Size of Bldg. 2$9 sq' No.
(Total) Sq. Ft. sign
of
Stories 35
Max.
Occ. Load 0
Fire
Zone II
Use
Zone C -2
Fire Sprinklers
Required ■ Yes 1No
APPLICATION ACCEPTED BY:
*
PLANS CHECKED BY.
APPR VED FOR ISSU /NC : BY
J 1
Dw of
Dwelling Units
OFFSTREET PARKING SPACES1
Covered Uncovered
_.
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I$ COM
MENCED.
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 Require
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE 7 � OW III NER I •ER)
j )v � c r !( — �3 2
S IGNATURE OR AUTHORIZED AGENTN (DATE)
11 A
c o
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT. OF TUKWILA BUILDING PL, ,MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N 1.57
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cr< M.O. CASH PERMIT VALIDATION
Wo° ,.
1
OCCUPANCY PERMIT REQUIRED
CK:� M.O. CASH
tPlio
6� .•t'S. 12— 113/ ~�•�-
I,.14.c.
JOS ADDR [53
ligo r1
c ,
DATE
LEGA. .
1 OESCR
T HA �
( J GEC ATTACHED SHEET)
MAI DDR ES' ZIP PHONE
OWN ER " �N+� v sue. yAtnen *Ott) N i t1301
2 v/ j " ��`
CONTRACTOR MAIL ADDRESS PHONECENSE HO.
•
4 -.f .S CZ 0 , s' id / Is A; "'Xs o;? ;z : .A)/
ARCHITECT OR DESIGNER • MAIL ADDRESS PHONE LICENSE NO.
1 •
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 00 /ef o a f; A 4. A .cS 4 I ... 0 �� 6
LENDER MAIL ADDRESS BRANCH
C i on o, -3e
USE OF BUILDING
7
Class of work: NEW ❑ ADDITION • ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work: / S 7,tst et -4 /,•• ar/,. / '/
10 Change of use from
Change of use to ,
11 Valuation' of work: $ `� _
3 o a a
PLAN CHECK FEE \, ... -9...'
PERMIT FEE 2 � ---
. ...........
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
�1
ritz y I �i� N •- 11 _ t
Size of Bldg.
(T otal) Sq. Ft.$$
No. of
Stories ;W'
Max.
Occ. Load
Fire
Zone ,
Use /�
Zone C -�
Fire Sprinklers
Required N YOS O
APPLICATION ACCEPTED BY.
��
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY
—_
No. Of
Dwelling Units
OFFSTREET PARKING ,PACES:
Covered { I 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.
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
FINAL
SI SNATURE OF OWNER ■F OWNER !WILDER)
/ (3 - /,.7 -7 1--
51 , i JH ON AU rpo.IzEo AGENT (DATE)
BUILDVAG PERMIT
Applicant to complete numbered spaces only.
PLAN CHECK VALIDATION
CIT< )F TUKWILA BUILDING P( MIT
14475 • 50th Ave. So, / Tukwila, Washington 08067.
ROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
M.O. CASH PERMIT VALIDATION , c•k. M.O. CASH
OCCUPANCY PERMIT REQUIRED
s-o
vip's restaurant sign