HomeMy WebLinkAboutPermit 0430 - Scherer MedicalJOB ADDR E55
1191 Andover Park West Scherer Medical
DATE
4/18/74
LEGAL
1 DESCR.
LOT NO.
BLK
TRACT
( ❑SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 Tri —Land Corp. 1411 — 4th Ave. Seattle, Wash. 98101 Mu. 2 -7760
CONTRACTOR MAIL ADDRESS PHONE Ma. I -4525 LICENSE NO.
3 Mess;rnger Sign 1167 Mercer Seattle, Wash. 98109 D 131923 -
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENOINEF.R MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6 0 — ;57 8 - 0237
USC OF BUILDING
7
8 Class of work: • NEW • ADDITION 0 ALTERATION • REPAIR • MOVE • REMOVE
9 Describe work: Permanent Sign, Wall Sign
10 Change of use from
Change of use to
11 Valuation of work: $ 300.00
PLAN CHECK FEE
PERMIT FEE 10.00
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
) Sq. Ft. 27
No. of
Stories
Max.
Occ. Load
Fire
Fire
Zone
Use
Zone
Fire Sprinklers
Required • Yes • No
-� -��
APPLICATION ACCEPTED BY:
PLANS CHECKED BY:
' .VED F R SUANCE BY
/ t
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACESI
Uncovered
NOTICE f�F
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.
S pecial Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE OF OWNER (IF NER BUILDER)
SIGNATURE OR UTHORIZED AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
C(.' OF TUKWILA BUILDING(, ;RMIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERM N
CK.
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION M.O.
OCCUPANCY PERMIT REQUIRED 44
r
BUILDING'"'
PERMIT NO.
N° 430
CASH
' .
.szsilmassionswassesteet
Br FILLED OUT IN DETAIL . BY APPLICANT OR PERMIT CANNOT BE ISSUED
Job Address pc VOW'S/5' 6P/;" La. ' Date 3/4
N ame o f Busiriess( '(14Pfle..0.4— '4
LEGAL DESCRIPTION: Lot No. Block No. ,Tract '
see attached legal description
• ,
Property Owner TR. LA• P,/ c6/4“) , Telephone No. OW — 17o
,, •
AddrJss Zip Code IT 10 I
Sign Owner • Telephone No. 2.'1'L — 4 7' t
. •- Zip .Code'. r 1,4 a
Address It
. ,
Contractor fry)EISS 6 02.... / Telephone No. met 7
Zip Code , t
.Addrass !IL
State Lic. No. D 13 I 113 — "f State Tax No. C-515'01.31 (3 Bus Lie.' No.
Esbimated valu e of work
TEMPORARY SIGN • iji PERMANENT SIGN
Total sq. ft. of all sign faces gi 0 Type of SignIAS-21.4_,Ltr'Firp.rfa
No. of existing Signs on Property
Side Rear
• •
SET3ACKS: Front Side
Single Face . • X All on-Private Property X
Double Face. 'Overhanging Public Property
Combustible X Overhanging Setback Line
Incombustible On Premise A
Electrical Off Premise
G .
This application does not constitute a parmit 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
tasting agency.
Sep;rate Electrical Permit must be obtained for installations requiring
electrical power.
Da
THIS PERMIT IS ISSUED UNDER THE FOLLOWING CONDITIONS::
Sae&
• Approved:
PUE3LAC WORKS DEPT
242-2177
tzi=lottri wo 4 .1.ft 722 1. • res by
sign ernnit applicati
.. •