HomeMy WebLinkAboutPermit 653 - State Farm Insurance - 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.
653
State Farm Insurance
415 Baker Boulevard
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.
3
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.
state farm insurance company sign
freestanding sign
415 baker boulevard
aw hill
CITY OF TUKWILA BUILDING PERMIT PZRMIT N D.
BOMBING PERMIT Tvli WU A, WASHNGTON 653
OWNER
(ADDRESS PH N,A
I DATE
OUILDE J ADDREBS
1 I I �IFR: /7..��
ARCH( ECT 1
I
I
JOB STREET J� J NUMBER
ADDRESS(
USE ZONE LEGAL �-q� E.tI
I /iILC:
LOT SIZE LOT ARIA
11/�Lc+%IJCLQ�
LOT BLOCK
t
YARDS MAIN BET BACK
SID! YARD REAR YARD NEAREST ACCESSORY SETBACK SIDE YARD REAR YARD NEAREST
DISTANCETO BUILDING
BUILDING BUILDING BUILDING I
PROPERTY LINES
S
CLASS OF WORK J �lk j_
WIDTH
.til,llL@tNG
PTH AREA TYPE OF CONSTRUCTION
i
FT. PT. 44 Bq. FT,
SIZE _`5 1�•�
OF
is
ACCESSORY WIDTH
BUILDING BUILDING
DEPTH AREA
x
FT. FT. Go. FT. 7
/J
dq. FT. Z
EXISTING BUILDING AREA-----------
Sq. FT.
TOTAL AREA OCCUPIED
LOT COVERAGE
LOT AREA LOT AREA OCCUPIED
SQ. FT. SQ. Fr.
I
EXTERIOR
FINISH
OCCUPANCY
ROOMS I TOTAL
VALUATION OF
ALL IMPROVEMENTS
FOUNDATION OK
I
TO BE USED HOW BASEMENT
AS c ;p 1 /V, HEATED SIZE so, FT,
ROOMS II BATHS I LIVING I COMBO I DEN I KITCHEN (NOOK I NOOK I GARAGE -+1
OCT. 0
HOUSES GARAGE S HOUSE ATT. GARAGE III OTHER p
FRAMING OK I FINAL INSPECTION
REMARKS DESCRIPTION OF ANY WORK NOT COVERED ABOVE
WARNING Notify Building Department by Street Address and Permit Number when ready for inspection. Work must not be
covered before inspection and OK for covering has been given by Inspector in writing on Permit, Placard.
I hereby acknowledge that I have read this application and state that the above is correct and I further agree
to comply with all City Ordinances, State Laws, and lawful orders of the Building Inspector go ning buil (C on-
struction.
I further grant to the building official or his authorized rep-
resontative permission to enter upon said building, structure or
promises to perform any duty imposed upon him by the Buildin OWNE J DT X
Code. v
PERMIT FEES: (THIS SPACE FOR BUILDING DEPARTMENT USE ONLY)
HOUSE& OTHER �L� SC.
HOUSES gARAGE S 3ARAGE S BUILDING FEES i
BOND Nr TOTAL FEES >r RMIT
qE E y� P �J
NOTICE: THIS PERMIT DOES NOT COVER PLUMBING, SEWER, OR WIRING INSTALLATION.
PERMIT PLACARD MUST BE POSTED ON THE WORK
of
APPLICATION FOR BUILDING PERMIT 2
CITY OF TUDaIA
144 59th Ave. South
Tukwila, Washington 98067
erect sign
BUSI?= LICENSE N0, FIRE' ZONE
PLAN: Sketch lot plan with property line dimensions and property area.,
include existing structures and /or additions, and measurements for right sie
yard, left side yard, front y'aro, rear yard height of structure building size,,
8
distance from accessory b
rY ui]�dings to main building and their location.
The above is a, correct statement, and`I a to with all applicable codes'
and,ordinances as well as seeing the ub-co o are licensed by the City.:
DATE /,�!C-/� V J TS L coo
SIGNATURE Q+' GMML CONTRACTOR OR
OFFICIAL USE ONLT:
roam NO. BUILDING PERMIT FEE
FW CHECK FEZ: (deposit),$ TOTAL FEE
1�1 ��NC ►�t'tl�n�t'1,'il tip, V40JA'VIoN tV VIONt,TRUCTION =;G
RECIEV BY: