HomeMy WebLinkAboutPermit 4350 - XRCM of Seattle - Barnaby's - SignCITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845 BUILDING PERMIT
Work to be done
Site Address
Building Use
Property Owner
Address
Contractor
Address
Sign - Permanent
16401 W Valley Hy
Restaurant
XRCM of Seattle. Inc.
16401 W Valley Hy
Heath NW (HEATHN
11805 NW 116th St
FOR BUILDING PERMIT(ONL8Yan W. Hall 623_100)
%OL ppL
PERMIT # 4- 350-3
Control # 86 -136
Suite # Tenant Barnaby's
Assessors Account # n/a
Phone # 641 -9757
Zip 98188
# 623 -3100
Zip 98034
1.3. ORI) Segttle, WA
Kirkland, WA
Sq. Ft.
3st—FT.
Office
s4torage/ e
Warehouse
Retail
Other
Occ.
Load
2nd Fl.
Tit Fl.
—Total
Fire Protection: ❑ Sprinklers ❑ Detectors
Zoning Type of Construction
Special Conditions
Phone
*..1111=11•14.1
Fees
sq. ft. @ 1st F1.
sq. ft. @ 2nd Fl.
sq. ft. @ other
sq. ft. @ other
Total Valuation of Construction
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other Sign
Other
TOTAL
$ 500.00
Receipt # $
Receipt # $
Receipt # $
Receipt # $
Receipt # 1207 $ 25.00
Receipt # $
$ 25.00
FUR SIGN PERMIT ONLY
a•'rov -d
Permanent J Temporary
El Single Face [] Double Face m Wall Mounted [] Free Standing ❑ Other
Building face
Setbacks: Front 100 +' Side 100 +' Side 100 +' Rear
Square Footage of each sign face ?0
Special Conditions
Total square footage of sign
20
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.
1 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 CA EL THE PROVISIONS OF A OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed_ �_�� 1.?_�!� Date
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 am licensed under provisioonss ooff t',: Business and P ofessions Code, and my license is in full force and effect.
Contractor (s ignature),,7a , 3__ 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 ,
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
BUILDING PERMIT
Work to be done Sign - Permanent
Site Address 16401 W Valley Hy
Building Use Restaurant
Property Owner XRCM of Seattle. Inc.
Address 16401 W Valley FLY
Contractor Heath NW (HEATHN *330RI)
Address 11805 NW 116th St
(Morgan W. Hall 623 =3100)
FOR BUILDING PERMIT ONLY ‘,,,:,/-4,-1 ,,,i.'.j- ... - „e, 2
PERMIT # .3 '�
Control # 86 -136
Suite # Tenant
Assessors .account #
Phone
Seattle, WA
Kirkland, WA
Sq. Ft.
Tst —FT.
Office
Storage/ e
ware hous
Retail
Other
Occ.
Load
-
2nd Fl.
`3rd
Fl.
Total
r'
Fire Protection:[i Sprinklers [] Detectors
Zoning . _ Type of ..Construct-ion._._..- ...
Special Conditions
Barnaby's
n/a
# 641 -9757
Zip 941188
Phone # 623 -3100
Zip 98034
Fees
sq. ft. @ 1st F1. $
sq. ft. @ 2nd Fl. $
sq. ft. @ other $
sq. ft. @ other $
Total Valuation of Construction '$ 500.00
Bldg. Permit Fee
Plan Check Fee
Demolition
Surcharges
Other Sign
Other
TOTAL•
Receipt #_
Receipt #
Receipt #
Receipt #
Receipt # 1207
Receipt #
$ 25.00
$ .___25.00.._...
FOR SIGN PERMIT ONLY
roved for
_.a
Permanent E] Temporary
Single Face [] Double Face FA Wall Mounted Free Standing [] Other
Building face
Setbacks: Front 100 +' Side 100 +' Side
Square Footage of each sign face
Special Conditions
20
100+1 Rear
Total square footage of sign
20
THIS PERMIT BECOMES NULL ANU 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SANE 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 DUES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS, OF AIjYf OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Signed ,,,'`�, ...:0
r -
LICENSED CONTRACTORS DECLARATION
I hereby affirm that 1 am licensed under provision�s off t!' Business and Professions Code, and my license is in full force ,and effect.
Contractor (signature),,4Y? e_o, 4ry • �%r/��/' Date ' /,/ C
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
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
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By
Date
Permit No
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ALL MEASUREMENTS ARE APPROXIMATE AND MUST SE VERIFIED
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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.
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ALL MEASUREMENTS ARE APPROXIMATE AND MUST BE VERIFIED BEFORE PRODUCTION
LOCATION I/ADI7 u v L
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'` 3Ai.tS APPROVAL
` NU NTLEY
PROVAL '
PPROVAL
DATE
Permit No
DESCRIPTION
APROVAL