HomeMy WebLinkAboutPermit 0404 - Shortacres TavernJOE ADDR E5S
17774 Southcentter Parkway Shortacres Tavern
DATE
2/25/74
LEGAL
1 DESCR.
LOT N
' OLK
I
T RACT
( SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Jack A. Benaroya Co. 5950 - 6th So. Seattle, Wa. 762 -4750
CONTRACTOR MAIL ADDRESS PHONE LICENCE NO.
(Tenant)
ARCH X.RXXXXXXXXX 'Tenant: MAIL ADDRESS PHONE 243_6646 LICENSE NO.
Lewis W. Hendrickson 3019 — 61st S. E. Mercer Island, Wa. 98040
ENGINEF.R MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING
TEMPORARY SIGN
8 Class of work: ❑ NEW ❑ ADDITION ■ ALTERATION • REPAIR ■ MOVE ❑ REMOVE
9 Describe work: Cloth Banner on face of building.
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE
PERMIT FEE 25,00
SPECIAL CONDITIONS;
Typo of
Const.
Occupancy
Group
Division
Size of Bldg.
J .o tal) Sq. Ft.
No. of
Stories
Max.
Occ. Load
J Fire
Use
Zone
Flre Sprinklers
Required • Yes • No
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
AP' • • VED F. 151 BY ZOne
r
/ , �f No. of
/ • h Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
NOTICE Special Approvals
Required
Not Required
Approved
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK I COM-
MENCED. OTHER (Specify)
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.
L FOUNDATION
FRAMING
SIGNATURE OF OWNER (IF OWNER CUI).DER) r J FINAL
SIGNATURE OR AUTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CI( OF TUKWILA BUILDING &..,zMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
BUILDING
PERMIT NO.
N° 409
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION tr.o. CASH
OCCUPANCY PERMIT REQUIRED
Job Address
Name of Business
TO BE FILLED OUT IN DETAIL BY APPLICANT OR PERMIT CANNOT BE ISSUED
LEGAL DESCRIPTION: Lot No.
Property Owner
Address
Sign Owner
Address 30/
Estimated value of :cork
l eti/zet
Signature of applican
or Q see
/49,
Single Face ✓�
Double Face
Combustible
Incombustible
Electrical
Block No.
attached legal description
�Pslcr /tioY Gr
go, Telephone No.
Zip Code ,,
17 ) ���icAea s/
Contractor 44 ,-04444 ( 4 4i ueJ-
Address
State Lic. No.
State Tax No. C–
TEMPORARY SIGN
Total sq. ft. of all sign faces
No. of existing Signs on Property
SETBACKS: Front Side
0
DN
14. �l
Okt
Side Rear
. This application does not constitute a permit to work. WORK IS NOT TO
COMMENCE UNTIL SIGN PERMIT IS POSTED ON PREMISES WHERE WORK IS TO BE
PERFORMED.
. Certification is hereby rendered that no work is to be done except as
described and that all work shall conform to the applicable codes.
All signs containing electric wiring must bear the label of an approved
testing agency.
Separate Electrical Permit must be obtained for installations requiring
electrical power.
Date
Permit Fec Approved
*U B4R
PUC WDAK,B Di8177 PT
8030 Seuthri RIo ntvd
THIS PERMIT IS ISSUED UNDER THE FOLLOWING CONDITIONS:.
Traci,
Date
Telephone No. 6
Zip Code , gee0 L/O
Telephone No.
Zip Code
Bus. Lic. No.
PERMANr NT SIGN e /S4 31
�
�r Type of Sign h 1. iw o-
All on Private Property
Overhanging Public Property
Overhanging Setback Line
On Premise
Off Premise
;• sign permit:'.appiioat
Ili by
Aid
D