HomeMy WebLinkAboutPermit 0376 - Southcentert Mall - Pantry CafeteriaThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
Southcenter Mall — Pantry Cafeteria
1014 Southcenter Mall
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
2,3
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
JOB ADDR CGS / /7 /t`J
. � e f -- = -�r t l ��4,, � 77� /0
/ .
DATE
v , /d /9 7
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 C- 278 -48505
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7 Cafeteria
8 Class of work: • NEW • ADDITION gii ALTERATION ❑ REPAIR ■ MOVE • REMOVE
9 Describe work: 2'x 12' and 4'x 8' Cedar Paneling - Decoration Only
10 Change of use from
Change of use to
11 Valuation of work: $ 3 (j C p ,
PLAN CHECK FEE
3 �'
PERMIT FEE ,
SPECIAL CONDITIONS:
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Flre Sprinklers
Required • Ves • No
APPLICATION ACCEPTED BY
PLANS CHECKED BY
APPRO OR IS ANCE UV
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 tF
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
SIGNAT OF OWNER (IF OW BUILDER/
i a � > 4,4 /- - /O-'
--�—
.44,_
SIGNAT E OR AUTHORIZED AGENT (DATE)
r
BUILDING PERMIT
Applicant to complete numbered spaces only.
C11( OF TUKWILA BUILDING F :MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
V WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
1
BUILDING
PERMIT NO.
N° 376
CASH
h
::i11ILDINa 121.11;41
C
�r l I \I t.%1 1 V is V t l e.% 1 1J M./ 1 1�IJI I I v V (' C li/V‘i•li
14475 • 59th Ave. So. '1 Tukwila, Washington 98067
Applicant to complete numbered spaces only.
O ADDR
a lZ
Eee rr/
r L ' (_ c i - ".1`G 7� 7 p ' /�
OAT
74Lf 1/2 17
LEGAL
1 DEOCR.
1.9'T HO. /
•/
PLR i
TRACT //
(❑SEE ATTACHED SHEET)
OTTER
� ��lcr (...!,1.,, f 8(/ ry"u y r2 i 1)/2)1 /Vitl�a2) ., . lr A)%199 ✓e) • 4Z c-,..0 i
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ,✓
3 . /0 0 ,z y? �Ct i. i✓ /0/8 c5Y95 ? '
�h.f`�i - &L�r' �i. �?r -- _Gt.l- � -r�1�i 1 98,/98 • i
ARCHITECT OR DESIGNER MAIL ADDRLS8 PHONE LICEN•L NO.
4 . C_' - 2/S2 - /f . 5
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 •
LENDER MAIL ADDRESS BRANCH
6
VAC or 'WILDING
8 Class of work: • NEW ❑ ADDITION ' ErkLTERATION 0 REPAIR • MOVE 0 REMOVE
11 011s1 ribo work; o z _ _ "' /32
(
,
10 Clump of use from
Chimp al use to 1
6t0 PLAN CHECK FEE
11 Valuation of work: $ ? 6(20
•J
PERMIT FEE � •�
� •
II'I:ClAL CONDITIONS: 1
Typo of
Const,
Occupancy
Group
Division
Situ of lildg.
(Total) Sq. Ft.
No, of '
Stories
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required Oyes ■ No
AI.1'I 11'A I IIIN AC'I:I r1/ (I IlY
PLANS CHECKED IIY•
APPMQVEO FOP ISSUANCE BY
1111 ill
Dwelling Units
OFFSTREET PARKING
Covorod
SPACES'
Uncovered
NOTICE
:;I I'AIIAtr 1,1'11M1 1S AIIE 11E01.1111Et) FO11 ELECTRICAL, PLUMB.
IN( i, 111 A I IND, VLN I•II.ATING 011 A111 CONDITIONING,
Ilil'; I'1 IIMI 1 111 DOMI.1; NULL AND VOID IF WOI1K 0D CONSTIIUC•
111IN A11 111011i/1.1) u; NOS CUMMI:NCI:D WIIIIIN 13) DAYS, Oli IF
1'I IN I lit I1: DON ()II WOIIK IN SUSl'IiNIU t) 011 ABANDONED FO11 A
1'1111113) 01' 171) DAYS AT ANY TIME AI' 11:11 WOIIK I; CUM•
MI NCI II
1 111 111 IIV 1'1 11111 Y I IIA1" 1 IIAVI' 111 AI) AND I'XAMINI 1) 11115
,I'I'I 11 /lI11IN ANII KNI1W 'I11I '.AMI 1(1111 1 Ill/I AND (:(IIINPCI•.
1U ■ l'ns)VI'.111N'. III 1 AW'. AND (1I11)INANCI'i flC)VI.IININCl 11115
I', 19 111 WIIIIII WI1. 1. 111. C1)MI'1. 11•1) WITI.1 W11(.I111..11 !.1'I.C1FIEl)
111 113 1(1 1111 P11114 1111 (WAN 11NO UP A PeliMIT DOr5 NOT
)'111'.IIM) 111 11IVI /1111.11C)N1'IV TO VIOLATE Olt CANCEL THE
Vol IVI'.111N', 111 ANY 03 11E !l•1ATE Olt LOCAL LAW REGULATING
I3)N'.3Illll:IION 1111 WE l'I:lir'UNMANCI OF CONSTRUCTION.
..
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
----
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
--•
FOUNDATION
FRAMING
11RNA 11116 Ili owei'ii (iiuwMir iuTuaN1 FINAL
., 69,11 ...N Ail 111 sit It I, ANINI •., .. .. *~'' —iii 1r1. .. ... ...... y. ....�....•
•
Wi.niN rmipinpLY VALIUATI:O_IINTHIS SPACE) THIS IS YOUR PERMIT
tall.la% VALII)AIIUN
OK.
MAO,
CASH
PERMIT VALIDATION , CR.
OCCUPANCY 111,1IYIY
M.O.
CASH
!i•