HomeMy WebLinkAboutPermit 0487 - Doces - SignThis 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.
Doces
17798 Southcenter Parkway
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page Code Exemption = 8rlef E plainatoty Desclriptim Statuteftle
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
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 ADDRESS
17798 Southcenter Parkway
DATE
July 8,1974
LEGAL
1 DESCR.
LOT NO.
BLS
TRACT
( ❑SEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 G. John Doces 24111 Hwy 99 No. Edmonds, Wash. 98020 774 -2141
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
Epcon Co. 1275 Mercer Seattle, Wa. Ma.3 -3100
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 BM- 578- 086 -386 C-
LENDER MAIL ADDRLS3 BRANCH
6
USE OF BUILDING
Permanent Sign
8 Class of work: ❑ NEW ❑ ADDITION • ALTERATION ❑ REPAIR ❑ MOVE • REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ 5 D 000.00
PLAN CHECK FEE
PERMIT FEE 24.00
SPECIAL CONDITIONS:
Type of
Const.
Occupancy
Group
Division
Size of Bldg.
(Total) Sq. Ft. 160
No. of ,..,.._
Sf rres .
Max.
Occ. Load
i ----/
Fire
Zone
Use
Zone
Fire Sprinklers
Required •Yes • NO
APPLICATION ACCEPTED BY:
SEPARATE PERMITS
ING, HEATING, VENTILATING
THIS PERMIT BECOMES
TION AUTHORIZED IS
CONSTRUCTION OR
PERIOD OF 120 DAYS
MENCED.
I HEREBY CERTIFY
APPLICATION AND KNOW
ALL PROVISIONS OF
TYPE OF WORK WILL
HEREIN OR NOT, THE
PRESUME TO GIVE
PROVISIONS OF ANY
CONSTRUCTION OR
PLANS CHECKED BY
NOTICE
ARE REQUIRED FOR ELECTRICAL,
OR AIR CONDITIONING.
NULL AND VOID IF
NOT COMMENCED WITHIN
WORK IS SUSPENDED OR
AT ANY TIME AFTER
THAT I HAVE READ AND
THE SAME TO BE
LAWS AND ORDINANCES
BE COMPLIED WITH
GRANTING OF A
AUTHORITY TO VIOLATE
OTHER STATE OR LOCAL
THE PERFORMANCE
A" VED FO' J85GANCE BY
Vir
PLUMB-
WORK OR CONSTRUC-
60 DAYS, OR IF
ABANDONED FOR A
WORK IS COM
EXAMINED THIS
TRUE AND CORRECT.
GOVERNING THIS
WHETHER SPECIFIED
PERMIT DOES NOT
OR CANCEL THE
LAW REGULATING
OF CONSTRUCTION.
No. of
Dwelling Units
OFFSTREET PARKING
Covered
SPACES:
Uncovered
Special Approvals
Required
Not Required
Approved
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
FOUNDATION
FRAMING
FINAL
SIGNATURE Or OWNER (IF OWNER BUILDER)
SIGNATURE OR A ORIZE AGENT (DATE)
BUILDING PERMIT
Applicant to complete numbered spaces only.
CIT 3F TUKWILA BUILDING P..MIT
14475 - 59th Ave. So. / Tukwila, Washington 98067
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
OCCUPANCY PERMIT REQUIRED
M.O.
BUILDING
PERMIT NO.
N 487
CASH
approved
epcon
doces
site plan