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Permit S04-095 - GLASS DOCTOR
GLASS DOCTOR 402 BAKER BLVD 504-095 City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431-3670 Parcel No.: 0223100031 Address: 402 BAKER BL TUKW Suite No: PERMANENT SIGN PERMIT Permit Number: SO4-095 Issue Date: 12/17/2004 Permit Expires On: 06/15/2005 Business Name: GLASS DOCTOR Phone: Address: 402 BAKER BLVD, TUKWILA, WA Property Owner: Name: CED INC Address: 3651 BUSINESS DR #100 Contact Person: Name: MICHAEL PAULEY Address: COASTLINE SIGNS Contractor: Name: COASTLINE SIGNS Address: 306 W. HERON Phone: Phone: 360-532-8888 Phone: 360-532-8888 DESCRIPTION OF WORK: One wall sign, 60 square feet "Glass Doctor". Fees Collected: $100.00 Zoning: TUC Sign Type: PERMANENT SIGN: Wall Sign #1 Wall Sign #2 Wall Sign #3 Wall Sign #4 Wall Area (sq. feet): 3023.5 0 0 0 Wall Sign Size (sq. feet): 60 0 0 0 Sign Lighting: Face Residential Land: N N N N Freestanding Sign #1 Freestanding Sign #2 Street Frontage for Entire Lot: 0 0 Building Height (feet): 0 0 Sign Size (sq. feet): 0 0 Sign Height (feet and inches): 0' 0" 0' 0" Setback (feet): 0 0 Number of Sign Faces: 0 / 0 Planning Division Authorized Signature: Date: III 1 1, J I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. THIS PERMIT SHALL BECOME NULL AND VOID IF THE WORK IS NOT COMMENCED WITHIN 180 DAYS FROM THE DATE OF ISSUANCE, OR IF THE WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS FROM THE LAST INSPECTION. doc: Permsign SO4-095 Printed: 12-17-2004 SITE INSPECTION (PLANNING) File No. SO4-095 Name of Tenant: Glass Doctor Sign Address: 402 Baker Blvd., Tukwila Date Photo Taken: 02-07-05 x Sign appears to conform to permit application Sign appears different from permit application Sign not installed as of Comments: Make new site visit and take photo by (date) Cit �y o uikwila Department of Community Development •PERMITNO.• SOq•- 495 6300 Southcenter Boulevard; Suite 100 DATE: IL-8 -OSI Tukwila, Washington 98188 206 431-3670 PERMANENT SIGN PEi?:riiT APPLICATION Please print \ 402 BI%)V" �Nagt Address of Sign GOM c ?R"" 41iie'b Oo ckr Business Name CiSicatAkeiN a_ 5 t. 3cxo w ` Applicant/Contact f1 Address, City, Sta e, ip Sec* ra gtartiv Aov4s ✓i laf1 Address„ City,:State, Zip • 1 e,fhv' & S Contractor . • • Phone Phone Novv -S3L-$5508 Phone a (aiO -532- elaS5 CHECKLIST Er 3 sets of plans (dimensioned and scaled), including site plan showing: ' • • • • • • Property lines • Streets • Buildings _,/ • Locations of all existing and proposed signs El Sign elevations with area calculations and dimensions Building elevations (for wall signs) 2/..- Supporting structure and method of illumination Lam' One copy of valid Washington State contractor's license 0 $100 application fee per sign See back of form for examples Is your sign a:, ., ❑ Freestanding sign 15 or more feet in height ❑ Pole sign with face 30 square feet or•more in area ❑ Wall sign weighing 400 pounds or more If any of the above are true, the appllcatlon must go through structural review. STRUCTURAL REVIEW CHECKLIST: ❑ $84 for structural review (if actual cost to the City is greater, you will be billed when you pick up your permit). ❑ Construction details to describe the proposed foundation or wall attachments (see back of form for examples) ❑ Structural calculations for the sign shall be prepared by a Washington State structural engineer SIGN DESCRIPTION How many signs will list this business? Freestanding Did building go through design review? 0 Yes 0 No Wall 1 WALL SIGNS: #1 #2 #3 #4 Wall area (length x height) where the sign will be mounted? (square feet) 4050 Sign slze(square feet) Co O Does sign face residential zones or public facilities? (Y/N) Exposed neon tubing is not allowed within 200 feet of LDR, MDR or HDR zones. p O Does wall sign weigh more than 400 pounds?(Y/N) N 0 Sign illumination (internal/external/none) Litticeset FREESTANDING SIGNS: #1 #2 Street frontage of the entire premises where the sign will be located (feet). Generally, only one freestanding sign is allowed per premises. Height of building (feet). Generally, signs may not be higher than the building with which they are associated Size of sign face (square feet). Structural review is required for pole signs with faces 30 square feet or more in area Sign height (feet -inches). Structural review is required for signs 15 feet or more in height. Distance from closest edge of sign to property lines (feet). Generally, signs must be set back from all property lines a distance equal to their height. Number of sign faces If the sign needs structural review, the applicant or installer is required to call the Building Division at 431-3670 for footing or bracket inspections. Footing inspections must take place before concrete is poured. Bracket inspections must take place before sign is installed. A structu'i inspection is required for all signs wliec' installation is complete. The applicant or installer is required to call the Planning Division at 431-3670 for a final inspection. z •. • • If the responsibility of the installer to'obtain the electrical.permit'and.inspections from the.Washington State Department.of Labor and Industries at (206) 248-6630. • SIGN PERMIT APPLICATION IS VALID FOR 180DAYS AFTER ISSUANCE. I HEREBY CERTIFY that the above information fumished by me is true and correct under penalty of perjury by law in the State of Washington, and that the applicable requirements of the City of Tukwila will be met. ..�.e , —53 Z. -843.8A —8 —04 Date ' (Sgnature of owner or authon agent) Phone FOR OFFICE USE ONLY Zoning'. Planning review by: 0 Denied 0 Issued 0 Issued with conditions Structural review required? 0 Yes 0 No Structural review by: 0 Denied 0 Approved 0 Approved with conditions Look Up a Contractor, Electric' n or Plumber License Detail Washington Stare a� D. nnuc.nt or Labor and Industries Search Topic Index I Contact Info Page 1 of 2 Home Safety Workplace Rights Find a Law or Rule I I Get a Form or Publication Look Up a Contractor, Electrician or Plumber Trades 8 Licensing General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License COASTS*994LD Licensee Name COASTLINE SIGNS Licensee Type CONSTRUCTION CONTRACTOR UBI 602075173 Verify Contractor Premium Status Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 112 SOUTH H STREET Address 2 City ABERDEEN County GRAYS HARBOR State WA Zip 98520 Phone 3605328888 Status ACTIVE Specialty 1 SIGNS NON ELECTRICAL Specialty 2 UNUSED Effective Date 6/4/2001 Expiration Date 8/17/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License Business Owner Information Name Role Effective Date https://fortress.wa.gov/lni/bbip/detail.aspx?License=COASTS*994LD 12/8/2004 Look Up a Contractor, Electric or Plumber License Detail EDWARDS, JEFF C 1 OWNER 106/04/2001 11 • Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #2 GULF INS CO B34225080 06/11/2002 07/02/2005 $6,000.00 07/19/2002 #1 GRANITE STATE INS CO 265258 05/09/2001 07/02/2004 05/25/2002 $6,000.00 06/04/2001 [savings Information No Matching Information Page 2 of 2 Insurance Information Insurance Company Name Policy Number Effective . Date Expiration Date Cancel Date Impaired Date Amount Received Date #4 ALLSTATE INS CO 000035419093370 07/02/2004 07/02/2005 $1,000,000.00 07/15/2004 #3 PENN STAR INSURANCE COMPANY PAC6305762 07/02/2003 07/02/2004 $250,000.00 07/24/2003 #2 PENN -STAR INS CO CPL45569382 06/12/2002 06/12/2003 $300,000.00 07/19/2002 #1 INDIAN HARBOR INS CO AlL065000167 05/09/2001 05/09/2002 06/04/2001 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version MO AMD tNOUSTR{ES About LEt11 Find a job at L£tI ( Informacion en espanol 1 Site Feedback 1 1-800-547-8367 © Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement 1 Privacy and security statement 1 Intended use/external content policy 1 Staff only link Visit access.wa.gov https://fortress.wa.gov/lni/bbip/detail.aspx?License=COASTS*994LD 12/8/2004 Look Up a Contractor, Electric or Plumber License Detail Washington State Dcpirtmcnt of Labor and Industries Search Home h Safety Claims & Insurance Workplace Rights 10 Page 1 of 2 Topic Index 1 Contact Info 1 Find a Law or Rule! I Get a Form or Publication Look Up a Contractor, Electrician or Plumber Trades & Licensing Electrical Contractor A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. License Information License COASTS*961 B9 Licensee Name COASTLINE SIGNS Licensee Type ELECTRICAL CONTRACTOR UBI 602352386 Verify Contractor Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 306 W HERON Address 2 City ABERDEEN County GRAYS HARBOR State WA Zip 98520 Phone 3605328888 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 1/29/2004 Expiration Date 1/29/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License PAULEML978MC Master Electrician Information LicenselPAULEML978MC j https://fortress.wa. gov/lni/bbip/detail.aspx?License=COASTS * 961 B9 12/8/2004 Look Up a Contractor, Electric or Plumber License Detail Name Status PAULEY, MICHAEL LEE ACTIVE Business Owner Information Name Role Effective Date EDWARDS, JEFF PRESIDENT 01/29/2004 DAVIS, STEVEN VICE PRESIDENT 01/29/2004 BURGESS, RICK SECRETARY 01/29/2004 BURGESS, RICK TREASURER 01/29/2004 BURGESS, RICK AGENT 01/29/2004 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date #1 ACCREDITE D SURETY Et CAS CO 10012272 01/28/2004 $4,000.00 01/29/2004 Savings Information No Matching Information lInsurance Information No Matching Information Start a New Search Printer Friendly Version 6De➢erlmeal of L*OOA AND About L&I I Find a job at MI 1 Informacibn en espanol I Site Feedback 1-800-547-8367 m Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy 1 Staff only link Page 2 of 2 Visit access.wa.gov https://fortress.wa.gov/lni/bbip/detail.aspx?License=COASTS*961B9 12/8/2004 i INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 INSPECTION RECORD Retain a copy with permit Pr'ojjectt: Type of Inspe n: fri na, Address: 'a��� Acl,PAAPel ate Called: IIS 7/60- Special Instructions: Date Wanted: ) 2C /0-5-- . Requester: �(�� I n b) 53.2-st2D ❑ Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: Date: El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: GLASSDOCTOR. 1,4 Note: This is a revision from our original sign permit submittal. The building size was stated incorrectly on the previous drawing. The Corrected building size is ref'lecte'd in the drawing to the left. Sign/30ilcling Elevation 1ECEIVED DEC 17 2OO/+' osv L (A Division of Creative Solutions NV, Inc) BONDED 306 W Heron Aberdeen, WA 98520 (360) 532-8888 Fox (360) 532-8898 CONT. # COASTSx994LD ELECT. a COASTSr961B9 The Glass Doctor 402 Baker Blvd. Tukwila, WA 98188 SIZE FSCM NO. DWG NO 04-1123GD SCALE 3/16":3' +/-3' REV 2 SHEET 1 o 1 2 COMMUNITY DEVELOPMENT 20' REVISIONS ZONE REV DESCRIPTION DATE APPROVED Q040 o QOCZJ© o OCDOEIIIIDOO Builoling Sq Ft 050 Sign/3uilding Elevation (Rev 1 for SO4 095) 104C0.9s7IFZi (R Division of Creative Solutions NV, nc) IIDGMED Q BONDED QMIMED Concrete Wall Flourecent Tubes Lean Face Alum. Sign Cab. 3/8" Lag w/ Sheild (6 Loc.) Support Structure Detail Note: This is a revision from our original sign permit submittal. The building size was stated incorrectly on the previous drawing. The Corrected building size is reflected in the drawing to the left. The Glass Doctor 402 Baker Blvd. Tukwila, WA 98188 306 W Heron Aberdeen, WA 98520 (360) 532-8888 Fax (360) 532-8898 CONT. 84 COASTS*994LD ELECT. # COASTS'961139 SIZE FSCM NO. DWG NO 04-1123GD REV 1 SCALE 1";1 1 4 SHEET 1 of' 2 REVISIONS ZONE REV DESCRIPTION DATE APPROVED (CO_s- L //jf (R Division of Creative Solutions NV, Inc) Nes- EINEGOOD 0 BONDED 0 UZMICED 306 W Heron Aberdeen, VA 98520 (360) 532-8888 FOX (360) 532-8898 The Glass Doctor- 402 octor CONT. 11 COASTSN994LD ELECT. $$ CDASTS11961B9 402 Baker Blvd. Tukwila, WA 98188 SIZE FSCM NO. DWG NO. 04-1123GD-2 REV SCALE 3-3-211:5, 11 ; 5 , Tot. +/— 3' SHEET 2 of 2