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Permit 4166 - Southcentert Mall - Associated Grocers
S q ' Ware e o u s Retail Other Occ. Load 1st \l. 2nd Fl. 3rd Fl. Total dork to be done Site Address Building Use Property Owner Address Contractor Address CITY OF TUKWILA ( Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 FOR BUILDING PERMIT ONLY Sign -perm 845 Southcenter Mall Grocery Thri ftwa 845 Southcenter Mall, Tukwila, WA Heath N.W., Inc. #HEATHN *330 -RJ 11805 N.E. 116th, Kirkland, WA BUILDING PERMIT PERMIT # 1 1/&" - 6 Control # 85 -374 Suite # Tenant Associated Grocers Assessors Account # N/A Phone # Zip 98188 Phone # 623 -3100 Zip 98034 Fire Protection: [] Sprinklers J Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ $ FOR SIGN PERMIT ONLY Approved for issuance by A a Permanent [J Temporary #1992 $25.00 ® Single Face [J Double Face X(j Wall Mounted Q Free Standing 0 Other Building face 3480 Setbacks: Front Side Side Rear Square Footage of each sign face 16 Total square footage of sign 16 Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 TU GIVE AUTHORITY TO VIOLATE OR CANCEL THE PfVISIONS F. ANY OT R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Signed L _l_Se_^�� a Date /...1 LICENSED CONTRACTORS DECLARATION hereby affirm that I am licen d under prov ions of ,Business nd Professions Code, and my license is in full force and effect. Contractor (signature) Date --L4: 6 �` OWNER- BUILDER DECLARATION ( ) i, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Date Ownar (sianature) Sq. Ft. 1TETT. Office Stor Ware e ho us Retail Other Occ. Load 2nd Fl. 3rd Fl. Total r Work to be done Site Address Building Use Property Owner Address Contractor Address CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 FOR BUILDING PERMIT ONLY Owner lsionature) Sign -perm 845 Southcenter Mall Suite # Tenant Associated Growers Grocery Assessors Account # N/A Thrlftway Phone # 845 Southcenter Mall, Tukwila, WA Heath N.W., Inc. #HEATHN *330 -RJ 11805 N.E. 116th, Kirkland, WA BUILDING PERMIT FUR SIGN PERMIT ONLY Approved for issuance v _---- Date 114 l e Ns E] Free Standing PERMIT # ' /, / ;6, ,.S Control # 85 - 374 Zip 98188 Phone # 623 -3100 Zip 98034 Fire Protection: Ei Sprinklers E] Detectors Zoning Type of Construction Special Conditions Fees sq. ft. @ 1st Fl. $ sq. ft. @ 2nd Fl. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ Bldg. Permit Fee Plan Check Fee Demolition Surcharges Other Other TOTAL Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ Receipt # $ El Permanent E] Temporary #1992 $25.00 Single Face E] Double Face © Wall Mounted Building face 3480 Setbacks: Front Side E] Other Side Rear Square Footage of each sign face 16 Total square footage of sign 16 Special Conditions THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT l 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 P QION VISS fF. ANY OT R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION. Signed ;/ <:l ° Date /„„) _ / - — LICENSED CONTRACTORS DECLARATION I l hereby affirm that I am licen d under prov ions of ,Business and Professions Code, and my license is in full force and effect. Contractor (signature) Date /_7 — OWNER- BUILDER DECLARATION ( ) I, as owner of the property, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) I, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. DEPARTMENT - - -,DATE ' - DMZ COMMENTS BUILDING wpm w' - Int: StrecteraF In: - . Out: , FIRE • Int: Per letter dated: PLAMIN6 Int: Zoning: Setbacks: N S E M n ter parking stalls Required number of parking stalls PUBLIC WORKS Int: Per letter dated Approved plan dated OTHER Int: BUILDING PRMI1 lift alit try date: 1042.15 Mork to be done MIX Site Address fitAi.reheini. irk . Suite ILO_ Tenant Building Use AMAJW/Ally Assessors Account 0 Property Owner jiradir Address 60/.6/72bilW F. li&t (Mitt Contractor Address (8/85) • I tti t 01J' 0 • Walt/ " 1 11;11.11ty • FOR BUILDING PERMIT ONLY Sq. Ft. 1st Fl. 2nd F1: 3rd Fl. Offi s `Wareassie Retail Other Occ: Load' Fir* Protection: Sprinklers J Detectors Type of Construction . • ‘. ;TRACKING IP 4 1gou bccernaoh Z?r algcli 7 / 5 " Fees sq. ft. • 1st Fl. S sq. ft. 0 2nd Fl. $ sq. ft. O other S sq. ft. B other S Total Valuation of Construction $ 9111) Bldg. Permit Fee Receipt :r S Plan Check Fee Receipt I $ Demolition r:'.. - ' Receipt S Surchargesj"-- • Receipt it $ - 7.NEV Other • • Receipt f ----- $ Other Receipt 0 --- S s/9550 TOTAL- Describe work Site Address BqU- 7 -1-�J'DU`; Assessors Account # Valuation of Construction 4 1 t g00.01) Building Use Type of Construction o op Occ. Group Grading: Fill cubic yards Cut cubic yards Address Architect /Engineer Address Contractor Address Contact Person (please Print) (8/85) CITY OF TUKWILA M1 Building Divisio 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 to be done AD -s-rot.) rot.) °� 1 - a- ��2't0 �� t�� Pca,�vt. AuG W t° 5-4.0e 0-Five BUILDING PERMIT APPLICATION War) (Please Print) .OD 0 Suite # Tenant R-k ,k p Control # 115-37.2 Valuation 9840 Plan Check Fee Receipt # Property Owner 4M.1, Phone # 57S' Zip Applicant C .E '4 S ,tnot_ Address \ to, Lo.1Nvato t wo Phone #'7 -440 Zip 9E •��: 1. COST 't . 14.1t-. Phone # 105 -rr33- 1 .t6 QO `>tSNG ck ' Ret tRAywkaitaim Zip 3s License # -2.:3- 1Np -.f4r1.? 1IAPhone # ILO t `Z, - wAp..t._ f4A1, Zip C V S I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant /Authorized Agent (signature) Date 12-' (print name) iaUt1 Crem6 C, WOrrail 1nt 1p t V MCEIVED o"f`I o 19 eV ;No DEM.' Phone # 7Ler—tttO r CITY Of TUKWILA Building Division 6200 Southcenter Boulevard Tukwila. Washington 98188 (206) 433-1849 Type of Inspection Site Address Requestor Special Instructions i 4 , ogee ...,tem.w.y.K',.'M4!C.h�"+?:2A INSPECTfN RECORD PERMIT # 9/6“- //o7-5- Date /o75Date 03/e? Date Wanted ///07 Project Phone # /. Inspectio Results/Comments: mel"... % Ll '' !/1 ice.. . --M_AlffaralfW.4-iA— f-diftrA-,.• Inspector %- Date //r3 J37 :::_x to ya, = gar. Sa Building Use frwrivi. Property Owner Phone 1 Nittalfzip firm Phone 1&a5-„SACO minks ' //MS 1h //b0- -ze.A4 Zip 4:Verrladtge: 40R3 - sq. ft. • 1st Fl. sq. ft. • 2nd Fl. sq. ft. e other $ sq. ft. it other $ Total Valuation of Construction $ Bldg. Permit Fee Receipt Plan Check Fee Receipt i ----- Demolition Receipt Surcharges Receipt Other Receipt Other Receipt DEFMTIVIT DATE -1- ORM • COMMENTS BUILDING /041,07 Structural In: Out: i - FINE / Int: er letter dated: PLANNING Int: Zoning: Setbacks: N S E M Existingtof parking stilli--- Required number of parking stalls PUBLIC WORKS Int: Per letter dated Approved plan dated OTHER CITY OF TUKWILA Building Divisio‘ 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433-1845 SIGN PERMIT APPLICATION (please print) Control # Plan Check Fee 5: Receipt # / ® Permanent ❑ Temporary 21 Single Face ❑ Double Face 21 Wall Mounted ❑ Free Standing ❑ Other Site address siv ar eca,4iir_r2 syr, wen. awns, Tenant 72,2.,�rw.W S7 -0.41,.s3 Property Owner hrc,,cvr2m..vya e4,,, ax"rmr, Address fr, _13 Seve."4r-Etsemeo Contractory6 1,v44 7Ad Phone #AN4,2;- 7ye4m14, 4=444erirt Z i p License #actor 414 3Sp .,' ALA hone # G23 -33o -o A d dr e s s f7ioA6r, i/#40goe _tQ_._,,,,f4/0 Z i p 9 39 Building face Setbacks: Front Side Side Rear Square Footage of each sign face z‘ - Total square footage of sign /4* Please check the applicable boxes: ❑ Combustible til Noncombustible g Electrical Cil A11 on private property ❑ Overhanging setback line On premise I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant/Authorized Agent (signature) Date (print name),, ,e. ,$,/O e-/<Lze..N1 Contact Person (please Print),4450 evp,pdeLet,vp Phone # 6p�3-3r 9-a ❑ Application not approved (] Application approved under the following conditions Signature of Planning Director/Building Official (8/85) • Date • 4 - 0 •••••••••• c7.15-4rvris/4" e< e‘• cs ..T..s/A5145$ 1 • 1 N-rr • ir—Lo 2-E1=)ID 31;aoN42..G7 N-irNL—(J'--) -3 • corApz FR -"1"-F1 VA -t rr 11A ‚4 L_^ -r WET.."1.._EV 'CLfl-t LV Ne:51-7Z, 8'4 41,•••••1111, Ole FILE COPY I understand that the Plan Check approvals are subject to errors and omissions and approval of Mart does not authorize the violation of any adepted code or ordinance. Receipt of contractor's copy of approved plans acknowledged. Date Permit .......... 75 • • ar. CM Of TUKWILA APPROVED DEC 11 AS retocu__ -41((gt? )J- • :FE jED adk. 11111 MK 11.1 ... 2 I • = C TO 0111 MI AnzaLl261.__11„sile_isksnb LOCATION OV AL SALES APPROVAL 11L1217,11. I t.41.-.-1.1r5illiii off.‘,Itz7.-1.1:A.r.Orialr--11-1---iitc- 31: "7 i n fr ':;.,;•• ...7A-3 v :. IP, ..::::14::.•_ter:,..:-.ft; .0.: ;4.. - i'll--..o. 1 „LIMOUSIN" IOW RV DESCRIPTION APROVAL ALL MEASUREMENTS ARE APPROXIMATE AND MUST BE VERIFIED BEFORE '111111 111 81 II 111 III III8 If II III 8 tl 8111 '1' IIIIIII IIIIIII WIT I - • • • , _ --• PRODUCTION