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HomeMy WebLinkAboutPermit 4349 - XRCM of Seattle - Barnaby's - Sign PERMIT # Control # 86 -136 Suite # Tenant Barnaby's Assessors .Account # N/A Phone # 641 -9757 Zip 98188 Phone # 623 -3100 Zip 98034 (Mor an W. Hall 623.3100) ONLY FOR BUILDING PERMIT w aonrnvc�d fnr �cclianrr� hv. „L')r G.. � � Sq. Ft. Tit -FT. Office Storage/ e dare hous Retail Other Occ. Load 2nd F. 3rd F-. oo tai Fire Protection: ❑ Sprinklers ❑ Detectors Zoning --- ..•• Type of Construct•iori Special Conditions Fees sq. ft. @ sq. ft. @ sq. ft. @ sq. ft. @ 1st F1. 2nd F1. other other Total Valuation of Construction $ $ 500.00 Bldg. Permit Fee Receipt #__ $ Plan Check Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ Other Sign Receipt # 1.107 $ 35.00 Other Receipt # $ TOTAL 35.00 FUR SIGN PERMIT ONLY X[7 Permanent ❑ Temporary ❑ Single Face © Double Face [] Wall Mounted EE Free Standing ❑ Other Building face Setbacks: Front 40 +' Side 40 +' Side 40 +' Rear Square Footage of each sign face Special Conditions 70 Total square footage of sign 140 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 l5 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 or A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR C NCCEL THE PROVISIONS OFF 4 ANY OT�(ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF ..CONSTRUCTION. S lgned -r�� � � /'ter'..._ _ - A- /- - ,- Date / / � of LICENSED CONTRACTORS DECLARATION I hereby affirm that t am licensed under provisions of t!+c Busi ess and Professions Code, and my license is in full force and effect. Contractor (signature) �.%,2s?? � +, l af�, /2 7 Date OWNER- BUILDER DECLARATION ( ) 1, 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. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date CITY Of TUKWILA Building Division Southenter (206) 433 -1849 Type of Inspection Site Address /t v2/ !!J Requestor ' -,p, Special Instr ctions INSPE ';ON RECORD PERMIT # g399--C Date 3 /r% Date Wanted //3 Project Phone # Inspection Results //nComment -: 0/J12/1¢41.2e,e- p , - = Inspector g7i»2 2/46Q Date ///3',/47 ii .� --►..c _� Cs) 1 ^� N etru "SEONVIa %tom oNIrruno 9861. 1TkVM YlIMNfli fit) Mil Cl2AT333ti a J W 0 O M O 4- sire Protection:(] Sprinklers ['Detectors Type of Construction Yt �� r 3 vs .4. 14 al Required number of parking stalls h e M e EleiQ. N a1 e i+ e «i c Wma N W • -- `° XI X O 31 o m W 4. 2 6\ a ce W O CC54 W 0.44. CV` Z• 0 J .. m m ,,7* (98 -/- :e ;ep 1O1:11NOO CITY OF TUKWILA C Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 SIGN PERMIT APPLICATION (please print) Control # U I ()(10 • Plan Check Fee Receipt # 1:21 Permanent Temporary J Single Face [] Double Face El Wall Mounted Q Free Standing [] Other Site address 16, l W VkL-LEY R TZJ(L,c1(LJ Tenant iik2AL 3Ys Property Owner )(RCM OF ll�- Phone # (L ,) - (-( -ct 157 Address 8' A7( iI U•; P .SitaktcaSel MY. Contractor-{ M .(,(1. 1 i 1G. License # Phone #L2-626, 7-3 3fOd Address l (KO--- Mia ( /i0 ( r u2- L to (AA Building face Setbacks: Front %OO-r 1 Side lift+ / Side f 9c5f ' Rear t` Square Footage of each sign face 20 54 Total square footage of sign 20 Zip la, Zip ceb3(4- Please check the applicable boxes: [I Combustible Noncombustible► Lr� "''` 1 Electrical MA '` a A11 on private property. [[ Overhanging setback line prOn premise I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Applicant/Authorized Agent (si nature )/C• Date • (print name) Lapp (J�i'( -L- ( ✓ Contact Person (please Print) M,OP'GA L_t irAr2 Phone # b7...3-3100 (] Application not approved E Application approved under the following conditions Signature of Planning Director /Building f icial (8/85) Date MINIMUM REQUIREMENTS FOR APPLICATION FOR SIGN PERMITS Applicants for sign permits are required to file construction plans, drawn to scale, for any sign or alteration of a sign. Separate applications are required for each sign. Minimum acceptable plans shall consist of the following: Two Copies - Site Plan (Scale of one inch equals twenty feet or less) 1. Identify address, all property lines streets, driveways, sidewalks, and easements. 2. Show location of existing structures; specify setbacks. 3. Show location, type, and size of proposed new sign, including set - backs to property lines, right-of-ways, driveways, etc. 4. Show location, type, and size of existing signs. Two Copies - Construction Plans 1. Show footing, connections to building, size of supports and material used in supports and sign itself. 2. Provide elevation showing copy to be used on sign, size of sign, size of building face, ground clearance and grade(s), total height, clearance from overhead power lines, colors and materials to be used, and method of illumination. The Building Official may require the filing of additional plans or other pertinent information when such information is necessary to insure compliance with this code. The person signing the application (either the owner or the person respon- sible for the work) shall furnish all of the above information. Return all copies with application to the City of Tukwila Building Division. CITY OF TUKWILA Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 Permanent [] Temporary -t4/C5 GtC % SIGN PERMIT APPLICATION (please print) Control # VD"i 30) Plan Check Fee 35, LTV Receipt # //0 Esksisw (] Single Face ouble Face [] Wall Mounted A Free Standing [I Other /-d `C Site address /4%; YO/ G(/• A izfp �t,t.iQ Tenant jGtde-wah, S' Property Owner YRC Le? hr Phone # W—,--2,r7 Address as v yP Zip Contractor 1 /72.6 4 4/L( /_2n License # ec,74,,Uttz ?Jc' epone # X23 -- ? /Co Address / /5--G.r'/1/� //� .') , ,t i ,./(- 42.lid/ Zip 3 5' Building face Setbacks: Front tv-r ' Side Lto +t Side Yo-f- Rear Square Footage of each sign face -20 Total square footage of sign / 4C7 Please check the applicable boxes: [l Combustible 'oncombustible Electrical 11 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. 7‘72)00t,av � �� /r /� Applicant /Authorized Agent (signature) i�,4 /1G�f/ Date r/i14( (print name) "ea/`dcc��l.. 1 £4 ,a// ,a// Contact Person (please Print) i��'/ 4 �/yct-, /4C,7./1/ Phone # 623-3/00 Application not approved © Application approved under the following conditions Vert -64-. COQ 12e* ov ,,5 Signature of Planning Director/Buildifng Official (8/85) cU i Date' CUILDlitle CITY OF TUKWILA t Building Division 6200 Southcenter Boulevard Tukwila, Washington 98188 (206) 433 -1845 .Work to be done Site Address ;building Use :Property Owner Address Contractor Address BUILDING PERMIT Sign - Permanent 16401 W Valley HY Restaurant XRCM of Seattle, Inc. PERMIT # 4'341-6 Control # 86 -136 SuitE # Tenant Barnaby's Assessors :'Account #_ N/A 16401 W Valley Hy Seattle, WA Heath NW ( #HEATHN *330RI) 11805 NW 116th St Kirkland, WA (Morgan W. Hall 623 -3100) 'FOR BUILDING PERM NLY aorovd for iSSu nP by 7i '✓ Sq. Ft. lit —FT. Office Storage/ e Warehou s Retail Other Occ. Load 2nd F1. a -FTC' —Total Fire Protection: [] Sprinklers [J Detectors Zoning Type of Construction Special Conditions Phone # 641 -9757 Zip 98188 Phone # 623 -3100 Zip 98034 Fees sq. ft. @ 1st F1. $ sq. ft. @ 2nd F1. $ sq. ft. @ other $ sq. ft. @ other $ Total Valuation of Construction $ 500.00 Bldg. Permit Fee Receipt # $ Plan Chuck Fee Receipt # $ Demolition Receipt # $ Surcharges Receipt # $ Other Sign Receipt # 1107 $ 35.00 Other Receipt # $ TOTAL FOR SIGN PERMIT ONLY Permanent Temporary Ei Single Face Double Face [] Wall Mounted (A Free Standing EJ Other Building face Setbacks: Front 40 +' Side 40 +' Side 40 +' Square Footage of each sign face Special Conditions 70 Rear Total square footage of sign 140 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 15 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 t 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 C N EL THE PROVISIONS OF ANY OTTER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. )Signed— - /� J / l� Date 1___72_i? / C—S LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of tN: 8usiiess and Professions Code, and my license is in full force and effect. Contractor (signature) s? ? � /1 Date �j ," , e• OWNER- BUILDER DECLARATION ( ) 1, as owner of the prcperty, or my employees, with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ( ) 1, as owner of the property, am exclusively contracting with licensed contractor's to construct the project. Owner (signature) Date FILEC I understand that the Plan sub;ect to errors aid omissi pl:.ns deo: n:,t 5uthc ize' tbo zdoptcd coca or nr,? ... copy of apprcved ply ; •: heck ns a approvals are d approval of of any SHEET I.ITAI CAF'INE -f PAINT OWN 4,4-0451 WITH e0 E'OI2t:?t:,Z PpJNT WARM Ize0- 12UNA tNG1.E Op M.A. R V NEON AI,ON& THE OR.Q i II0042-NA13 ' IN PAN GNANN1....ETTF�RS PAtNi 7 INcAOE AND OUT WITH GOtilail. 1LAV,E 00 M -A• RED NON "tF�44 -ANC At,E" IN OVAL. G- IANNI%i.Uma Pox wi TH e1 /4" TOWN 44-1.61 12.0TUt2N9 -COPY PAlNTVD WI-111 ON A WA ZM IZED Ii0.G14G'201.4 N REMOvE ANC JUNK E) c,TI NG 17■2PLA`(, OUT USE THE 1. f1'NCf Po i yuPPOtZf By Date Permit No 10401 w6c,T VAt,1,Es( tzpap ORWN yr vorwtA 13I.e- DATE 1q) I_ W t;ARNA1 "( 9-ER14 APi 0 ALE f KW' • WA «G ROVAL. `DATE IaAPIZelr PNj9at (1 O4fC,R/scewAYONc4 g%.w4 •HOviF#IIO 11i OvAI. ON pO* St GN 040.14 0.0 N 6� o wi -ltre NOON CHC�O 7034-CH N Ur • WItW W1iIT . tItON rO rep WNr4 C4419' '&; rt: .. b. ._mow • • _ .V ALL MEASUREMENTS ARE APPROXIMATE AND MUST SE VERIFIED 1 I I(111p 1111111'1II I .. 6 17" T4 24'" CGNANNe.WME I.4TTEFzS WITH REo 426(02 Pt)c PAC' AND r7' /A" GROWN 0011/61 L4- UMINA1 WITH NEON A ReQI 2 • MOUNT t O OPEN 'eVLM WORK A6 Q'1 pOORWA•f • ExPoS n RACEWAY 1:3 HlNI2 t. T1 Z9 PAINT' OPOWN #if6q 0/0" *GAI..li Wttif x *7` :A7- PL,•'t0 AA. 61g EW$ • ti3a0,e 2-4 • Mlc7 -k - rz,A b17.M erg . y f nr 3 A(& W i iz E fit j C{ZO X01 5( a 8" x ea..?PeAlf2vE 'Fi M Aka+ OF 1- -rtrRlP!6• -• ce r c . 5 1 5T'rE 5rx to Witzrew ,-to wc=:, x 4" CCA1.v. � :'.1 -is mix), 3 %a� EM M r I' Fr`F!1 it clly OF fur, Ath MAY 2 0 1986 BUILDINC1 DEPT. FILE COPY 1 understand that the P:an Check approvals are subject to errors and omissions and approval of plans does notl autho. ize the viola-n:3 of any adapted code or ordinance. Receipt of contrecier's c..py of approved plans acknov !eas-ed. o ff_ z r 6 ♦ r u r t Io2b�2 '' 215 • e'` M ' m NO SCALE 3/�! 1� -o d! E �✓ c �ARNA�Y7 iE ORANWM D SY A/W64 .7U1 ILWIl.A• WDAA TE 7 "AY 04' p i `;) U � a� d f/!�i %. • d Z • «� N Ti C •' O d En c o�2ec : ` 'd.nc �E..•o -- N rt��E' ALL MEASUREMENTS ARE APPROXIMATE AND MUST BE VERIFIED BEFORE PRODUCTION LOCATION I/ADI7 u v L & . �w ° o a '` 3Ai.tS APPROVAL ` NU NTLEY PROVAL ' PPROVAL DATE Permit No DESCRIPTION APROVAL