HomeMy WebLinkAboutPermit D97-0235 - GOLDEN NUGGET - AWNINGCity of Tukwila �
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • .Tukwila, Washington 98188
DEVELOPMENT PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
Parcel No: 336590 -0815
Address: 14025 INTERURBAN AV S
Suite No:
Location:
Category: ARST
Type: DEVPERM
Zoning: RCM
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: TUKWILA
Wetlands: N
.0 South: .0
Sewer :.TUKWILA
Slopes:
Contractor License No : :.. : :,IFIVESI15103:
Occupancy: RESTAURANT
UBC: 1994
Fire Protection:
East: .0 West: ..0.
GOLDEN'; NUGGET
14025,: INTERURBAN AV S, TUKWILA, WA 98168.
VORMSBERG COMPANY = Phone: '(206)246 -8545
GOLDEN`NUGGET, 14025 INTERURBAN AVE S, TUKWILA WA 98168
I'FIVE SIGNS INC Phone 360-459-3200
3005. "MARVIN.RD. NE, OLYMPIA WA 98516
MIKE KIER
3005 "'MARVIND RD NE, OLYMPIA, WA 98506 .
k * * * * * * * * *k ** **********.******************************** *k * ** * **..k * * * *. * *k *k * **** * * * **
Permit. Description:
MANUFACTURE AND INSTALL BACK -LIT AWNING.
k*************** k* k********************* k************** * * *k * * *k * * * * * * * * * * * * * * * * * *k **
Construction Valuation: $ 1
PUBLIC WORKS PERMITS *(Water Meter Permits Listed Separate) Eng. 'Appr:
Curb Cut/Access/Sidewalk/CSS:
Fire Loop Hydrant: No: Size(in) .00
Flood Control Zone:
Hauling:
Land Altering:
Landscape Irrigation:
Moving Oversized Load:
Sanitary Side Sewer:
Sewer Main Extension:.
Storm Drainage:
Street Use:
Water Main Extension: Private: Public:
k****************************** k********** k * **k* ** **k * * * * * * * * * * * * * *k * * * *k
TOTAL DEVELOPMENT PERMIT FEES: $ 313.46
k******* k**** k*************************************** k * * * * * *k * * * *k * * * *k * * * * * *k * * ****
OCCUPANT
OWNER
CONTRACTOR
CONTACT
Permit Center Authorized Signature:
Signature:
Print Name:
1v11LI Qiz.
Start Time:
Start Time:
No:
Private:
Permit No:
Status:
Issued:
Expires:
Streams:
'Phone:'360 459 -3200
Public:
(206) 431 -3670
D97 -0235
ISSUED
07/18/1997
01/14/1998
- - -- Date _ 1-_ 1 „E % j_
Cdi
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.
The granting of this permit does not presume to give authority to violate or
cancel the provision of any other state or local laws regulating construction
or the performance of work. I am authorized to sign for and obtain this
development permit.
6 214G k
Date: 7LISIg]
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.
Tenant Stat.is ISS
Type QEVPE M App lied 07/11/1997
'ar�cel :# 3365.9.0 41 15 Issued 0
* k** k•*: k*.' k kk** ktic plctick• k***'*' k* k* k** kfit ** *k**•k- fir***k ***k kk *.******t*.*_Ick•k**k'**
• 'ermi i`.`Condi t.i:ons
change will be made: to `the plans ; unless` ` approved
Architect; ar .Engine anti th.e Tukw.i l,a Bui;idirig Division
2 E 1.ectr-i ca l ;• per -mats sha 1.1 be obtei (1ed. through the,, lash i ngto •
Stater Div.ision of L;abar~. and. Industries an.4` 'a.11 e lectrical
work wi 11 :be in,�pe,c -ted bV Fth:at a gency ( 248 56303
3 A11 p ermits , ,. n s } iection re dst' end .appr.ov,ed' plans sha11 be
available a,t�. job. site prrior °rto the star ~t of acv con
strucb -ion � �;•!T tie se, �io�u are ta be m aintained anti a:va
r y
able unt ins' =l i` i on .'approval i s. gr.nted _
4 All construutiort to be done ',in\ conformance� a , ruvedy
plans 3 nt1' requirements of. th #e?;llrrifo,rm Building Cade (:1994
Editign) as amen tin 1forn1 Me.chan Code:, Edition);:
and Wa hi,ni`g�ton :'St ate Energy,CO (1994 E ditrion)
Va :1 ditv' 7, The issuan of a p mit or ';approval i
spe,cif and o,nipu'tat shall not be r.corr
s :GrYpcle,d Gad be :permit for o'.f' an approval of, 'any iri
of. ary, of �the,provis af. `the building =:code• or;.of` any
of er .ordinance of the ,1ur.isd Flo per :mi presunfing.:
gi ; v :to v,.lola cancel the vis • p� p ion s or this`.
^odes shall be v''a1 i;d.
Project Name/Tenant:
,- /..c414 /..c414 Avg 1
Existing use: ® Retail ❑ Restaurant ❑ Multi- family El Warehouse ❑Hospital
❑ Church El Manufacturing ❑ Motel /Hotel ❑ Office
El School /College /University ❑ Other
Value of Construction: =
,
Site Address:
l
/116 Wee
St,.
City State /Zip:
1 tJA
Tax Parcel Number:
336 316 — aFs,/_c --
Existing fire protection features: El sprinklers ❑ automatic fire alarm El none ❑ other (specify)
Property Owner:
j�
I 'I. U6rn;
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes in. no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
Phone: 26� - 2.-76— S.'
Street Address:
r -
)p, �.2..
C ity State /Zip:
Fax #:
Contractor:
r •
Phone: 5
Street Address:
3005 rar- ;N R-(
City State /Zip:
ac , t A `Xt�
Fax #:
ax
es - d lS
Architect:
Phone:
Street Address:
City State /Zip:
Fax #:
Engineer:
Phone:
Street Address:
City State /Zip:
Fax #:
Contact Person:
�.
Phone: -1z
Street Address:
City State /Zip:
Fax #:
Description of work to be done: .
Al-v;A,f t re, ..Q. ,4 /,‘ -R -t t Ak,,n;.,,� .
Existing use: ® Retail ❑ Restaurant ❑ Multi- family El Warehouse ❑Hospital
❑ Church El Manufacturing ❑ Motel /Hotel ❑ Office
El School /College /University ❑ Other
Proposed use: ® Retail ❑ Restaurant
El Church El Manufacturing
❑ School /College /University
❑ Multi- family ❑ Warehouse El Hospital
El Motel /Hotel El Office
❑ Other
Will there be a change of use? ❑ yes la no
If yes, extent of change: (Attach additional sheet if necessary)
Will there be rack storage? El yes ® no
Existing fire protection features: El sprinklers ❑ automatic fire alarm El none ❑ other (specify)
Building Square Feet: existing
Area of Construction: (sq. ft.) -F,gce, rcr 0(.41 .. .1 at`
Will there be storage of flammable /combustible hazardous material in the building? ❑ yes in. no
Attach list of materials and storage location on separate 8 1/2 X 11 paper indicating quantities & Material Safety Data Sheets
CITY OF TUK"ILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
OR STAFF USE ONLY
Project Numb nt
-. 0 Permit t Number: � � ,� )
Commercial / Multi - Family Tenant Improvement / Alteration Permit Application
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile. r l"T < < ,o /;
APPLICANT REQUEST FOR PUBLIC WORKS SITE/CIVIL PLAN REVIEW OF THE FOLLOWING:
(Additional reviews may be determined by the Public Works Department)
❑ Channelization /Striping ❑ Curb cut/Access /Sidewalk
❑ Fire Loop /Hydrant (main to vault) #: Size(s):
❑ Land Altering 0 Cut cubic yds. 0 Fill cubic yds.
❑ Sanitary Side Sewer #: ❑ Sewer Main Extension
El Storm Drainage ❑ Street Use ❑ Water Main Extension
El Water Meter /Exempt #: Size(s): 0 Deduct
❑ Water Meter /Permanent it Size(s):
❑ Water Meter Temp # Size(s): Est. quantity:
❑ Miscellaneous
El Flood Control Zone
El Hauling
❑ Landscape Irrigation
O Private 0 Public
O Private 0 Public
0 Water Only
gal Schedule:
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and
is subject to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by
limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by
the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall be extended more than once.
initials)
Dale application accepted:
—
Date application expires:
Application taken
PLEASE SIGN BACK OF APPLICATION FORM
Cr!Ll2M1T.DOC 1/29/97
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
, ,
Date: 7/(( `'
Print name:
/I^�
_1 } lt`r
Phone: _ c�,,ys j' J U
Fax It: •'/5
cy i �
Address
�l'c: 5
/ j 1l:rd� kit-(. ��
*.u._
City /State /Zip oil/71/4. (�(
%57)t
ALL COMMERCIAUMULTI-FAMY TENANT IMPROVEMENT /ALW ATION PERMIT APPLICATIONS
MU BE SUBMITTED WITH THE FOLIMIVING:
ALL DRAWINGS TO BE STAMPED BY WASHINGTON STATE LICENSED ARCHITECT,
STRUCTURAL ENGINEER OR CIVIL ENGINEER
➢ ALL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
)P BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Complete Legal Description
❑ ❑ Metro: Non - Residential Sewer Use Certification if there is a change in the amount of plumbing fixtures
(Form H -13). Business Declaration required (Form H -10).
Four (4) sets of working drawings (five(5) sets for structural work), which include :
❑ ❑ Site Plan (including existing fire hydrant location(s)
1. North arrow and scale
2. Property lines, dimensions, setbacks, names of adjacent roads, any proposed or existing easements
3. Parking Analysis of existing and proposed capacity; proposed stalls with dimensions
4. Location of driveways, parking, loading & service areas
5. Recycle collection location and area calculations (change of use only)
6. Location and screening of outdoor storage (change of use only)
7. Limits of clearing /grading with existing and proposed topography at 2' intervals extending 5' beyond property's
boundaries
8. Identify location of sensitive area slopes 20% or greater, wetlands, watercourses and their buffers (change of
use only)
9. Identify location and size of existing trees that are located in sensitive areas and buffer (TMC 18.45.040), of
those, identify by size and species which are to be removed and saved
10. Landscape plan with irrigation and existing trees to be saved by size and species (exterior changes or change
of use only)
11. Location and gross floor area of existing structure with dimensions and setback
12. Lowest finished floor elevation (if in flood control zone)
13. See Public Works Checklist for detailed civil /site plan information required for Public Works Review (Form H-
9).
❑ ❑ Floor plan: show location of tenant space with proposed use of each room labeled
❑ ❑ Overall building floor plan with adjacent tenant use; identify tenant space use and location of storage of
any hazardous materials; dimensions of proposed tenant space.
❑ ❑ Vicinity Map showing location of site
❑ ❑ Rack Storage: If adding new racks or altering existing rack storage, provide a floor plan identifying rack
layout and all exit doors. Show dimensions of aisles, include dimensions of height, length, and width of
rack. Structural calculations are required for rack storage eight feet and over.
❑ ❑ Indicate proposed construction of tenant space or addition and walls being demolished
❑ ❑ Construction details
❑ ❑ Sprinkler details - details of sprinkler hangers, specifically penetrations in structure, i.e., roof; size of
water supply to sprinkler vault with documentation from contractor stating supply line will meet or
exceed sprinkler system design criteria as identified by the Fire Department.
❑ ❑ Washington State Non - Residential Energy Code Data shall be noted on the construction drawings.
❑ ❑ SEPA Checklist - if intensification of use (check with Planning Department for thresholds).
El ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance or other
land use or SEPA decisions.
❑ ❑ Food service establishments require two (2) sets of stamped approved plans by the Seattle -King County
Department of Public Health prior to submitting for building permit application. The Department of
Public Health is located at 201 Smith Tower, Seattle, WA or call (206) 296 -4787. (Form H -5)
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If no
contractor has been selected at time of application a copy of this license will be required before the
permit is issued OR submit Form H -4, "Affidavit in Lieu of Contractor Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered architect /engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
CTPF■MIT.1)OC 1/29/97
* * *s4.* ** * * *44 ;0,.44 * * * ** �4 �''''�r �1,h �t * ** *4•k***•kA**4%** **
GI ry
OF TU.KW,CLA WA ''! TRANSMIT
4' *• +.at,l *• •k**•a *. *:n,k * ** * ** * ** *. * * * * * * ** * ,Aar * 4
TRAWSMI.T:Nuinber:.- R970061G Amount: 191,75,07/18/97 12 :22
PavmentM:ethoda. CHECK Notation: 1.-5 SIGNS Iriit :' K,IP.
Permit NO::.•D977 ' Type: DEVPERM DEVELOPMENT. PERMIT
Parcel No: 336"90 -0815
Site Address: 1..x{025 INTERURBAN AV 5
Total Fees: 313.4E
This Payme,rit 191.75 Total ALL Pmts: 313.46
Balance': .00
* *** * * *** * ***A * *i** * ** *kk. *** ** * ***A *•k * *k * * * * * * ** * * * *44, *ii*A* * *•
Account Code Description Amount
000/322.100 BUILDING - NONRES 187.25
000/386,904 STATE .BUILDING .SURCHARGE •x.50
7266 07/21 9705 TOTAL .191.75
1
***A******A***********A*Ailh**11*Ic****A*It Alk itillA**/,**i***A**0*****
CITY OF TUKWILA. WA 1;pri - TRANSMIT
*k***4,1%*A****** 1k ;***4 .***41t,1/47'1,7"1 ****A*i****************A**,t**
TRANSMIT Number : R9700613 Amnunt: 121.71 07/11/97 13:42
Payment Method : CHECK Notation : I-5 SIGNS, INC. ].nit : SLB
Permit No 1)97-0235 Type: DEVPERM DEVELOPMENT PERMIT
Parcel No: 336390-0813
Site te Address: 14025 1111 ERURB AN AV S
Total Fees:
This Payment 121.71 Total ALL Pmts:
B al ance:
Account Code Description Amount
000/345.830 PLAN CHECK - NONRES 121.71
313.46
121.71
191.75 .
200.1. 07114 717 TOTAL 221.71
Project:
Type of inspect'
Address:
/ 9 QZS ,2?L.
Date called:
Special instructions:
Date wanted:
/
�( 7q(S''
a.m ;t
p.m.
Requester:
Phone No.:
p Approved per applicable codes.
COMMENTS:
INSPECTION RECORD
Retain a copy with perk_
INSPECTION NO. •
CITY: OF TUKWILA BUILDING DIVISION
. '6300.Southcenter Blvd., #100,'Tukwila, WA 981
PERMIT NO.
(206). 431 -3670
Corrections required prior to approval.
Inspector:
Date;
—I $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must
be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Interurban Ave.
60'
By
Datii
t Perrault Mu.
line Golden Nugget'
14' Proposed Awning
SEPARATE PERMIT
REQUIRED FOR
o MECHA:141CAL
O LECTR1CAL
PLUMIING
O GAS PIPING
Cirt O TUIONIU\
BUILDING DIVISiON
FILE COPY
I understand that the Plan Check aporoval!-: are
I.Iblect to errors and omissions and app of
pinny does not authoriz€ . the ltolaiiort o any
odopted cods or ordinance. Receipt of con-
tractor's copy of approve i acknowledged.
\\11
6'
RECEIVED
CITY OF TUKWILA
JUL 1 1 1997
PERMIT CENTER
Den mas
er.ve.wee.w.,.....v.velAw •
• •
• TEK
screws into
frame
3/8" x 3" parabolt
into wood frame
members
8' to grade minimum
St
RECEIVED
CITY OF TUKWILA
JUL 1 1 1997
PERMIT CENTER
.....,.....,, ,.�,
'
•
1 8'
18'
4
19'
60'
WEST ELEV.
EAST ELEV.
•
19'
0'
EAST ELEV.
80'
WEST ELEV.
19'
18'
•
NORTH ELEV.
•
t 1 nt�1C� n ISt O
RECEIVED
CITY OF TUKWILA
JUL 1 1 1997
PERMIT CENTER
ACTIVITY NUMBER D97 -0235 DATE 7/11/97
PROJECT NAME GOLDEN NUGGET
DEPARTMENT:
BUHH ING DIVISION 0 FIRE PREVENTION P ANNNNG DIVISION 0
(-11JC r - 15 -q j 1\)()- 7 -i-q Ifi � - r -c1l
PUBLIC WORKS STRUCTURAL El PERMIT COORDINATOR
.Nn- 7- 5 -'
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE 5 NOT COMPLETE El
COMMENTS
TUES /THURS ROUTING: PLEASE ROUTE d NO FURTHER REVIEW REQUIRED El
ROUTED BY STAFF El (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
APPROVALS OR CORRECTIONS: (ten days)
APPROVED El APPROVED W/ CONDITIONS
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
P%n'k • CrAin.t� Copy
PLAN REVIEW / ROUTING SLIP
DATE
DATE
DATE
DUEDATE 7/15/97
NOT APPLICABLE 0
DUE DATE 7/29/97
NOT APPROVED (attach comments) 0
l
DUE DATE
APPROVED fl APPROVED W/ CONDITIONS I J NOT APPROVED (attach comments) Q
•
(Certification of occupancy required. �_ )
rtiia;SF4;�J�� =t,; .Y�' wi r�1; f « vY:' JkF�CsL:! iC�`fi?Flsy+?ly : ?'..a' .:!3 �R!' t�) i2< Y• v4�571�1N ,".hi3'kzSRZU'^Ieh
ACTIVITY NUMBER D97 -0235
PROJECT NAME GOLDEN NUGGET
COMMENTS
APPROVALS OR CORRECTIONS: (ten days)
APPROVED n APPROVED W/ CONDITIONS
APPROVED Fl APPROVED W/ CONDITIONS
C:ROUTE -F
NOT COMPLETE
'tIG*17t�t�;
DETERMINATION OF COMPLETENESS: (T,Th)
PLAN REVIEW / ROUTING SLIP
NOT APPLICABLE
perA. 1 4 '"� rMff .'>PY'K't
DATE 7/11/97
DEPARTMENT:
BUILDING DIVISION 111 FIRE PREVENTION ❑ PLANNING DIVISION ❑
PUBLIC WORKS ❑ STRUCTURAL ❑ PERMIT COORDINATOR ❑
1
DUEDATE 7/15/97
TUES /THURS ROUTING: PLEASE ROUTE ❑ NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF ❑ (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL �- DATE 7 is/ Cj7
REVIEWERS INITIAL _ DATE — t. r
CORRECTION DETERNIINATION: DUE DATE
REVIEWERS INITIAL DATE
DUEDATE 7/29/97
NOT APPROVED (attach comments) ❑
NOT APPROVED (attach comments) ❑
(Cettificadon of occupancy required. )
:iviatgUr:
Mw+ �3tYaxax4a�w�xwt ...ye
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER D97 -0235
PROJECT NAME GOLDEN NUGGET
DEPARTMENT:
BUILDING DIVISION L _._ 1 FIRE PREVENTION
PUBLIC WORKS STRUCTURAL
DETERMINATION OF COMPLETENESS: (T,Th)
DUE DATE
DATE 7/11/97
PLANNING DIVISION 0
PERMIT COORDINATOR 0
1
COMPLETE El NOT COMPLETE • NOT APPLICABLE
COMMENTS •
7/15/97
TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRED
ROUTED BY STAFF n (If routed by staff, make copy to master file & enter Sierra.)
REVIEWERS INITIAL
REVIEWERS INITIAL
CORRECTION DETERMINATION:
DATE 7 / /j /`f7
APPROVALS OR CORRECTIONS: (ten days)
DATE
DUE DATE 7/29/97
APPROVED El APPROVED W/ CONDITIONS . NOT APPROVED (attach comments) U
DUE DATE
APPROVED 1 1 APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) Q
REVIEWERS INITIAL
C:ROUTE -F
DATE
(Certification of occupancy required. )
`.vtii»;n.;G grw,'1
PLAN REVIEW / ROUTING SLIP
ACTIVITY NUMBER
PROJECT NAME GOLDEN NUGGET
DEPARTMENT:
BUILDING DIVISION El FIRE PREVENTION fl PLANNING DIVISION
PUBLIC WORKS
REVIEWERS INITIAL
D97 -0235
STRUCTURAL
DETERMINATION OF COMPLETENESS: (T,Th)
COMPLETE [ ] NOT COMPLETE I=1 • NOT APPLICABLE 0
COMMENTS A cl C( �'c. � 1., L`J ts-) i 1 re-e ne._
perrn
TUES /THURS ROUTING: PLEASE ROUTE n NO FURTHER REVIEW REQUIRED Lf
ROUTED BY STAFF [] (If routed by staff, make copy to master file & enter Sierra.)
APPROVALS OR CORRECTIONS: (ten days)
REVIEWERS INITIAL
CORRECTION DETERMINATION:
APPROVED El APPROVED WI CONDITIONS
REVIEWERS INITIAL
C:ROUTE -F
N
DATE
DATE
DATE
DUE DATE
tdd��NM�Mrna1
DATE 7/11/97
PERMIT COORDINATOR Q
7/15/97
DUE DATE 7/29/97
r
APPROVED APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) 11
DUE DATE
NOT APPROVED (attach comments) 0
(Cerdficatioa of occupancy required.
ACTIVITY NUMBER D97 -0235
PROJECT NAME GOLDEN NUGGET
COMPLETE lje
COMMENTS •
REVIEWERS INITIAL
APPROVALS OR C ' ' CTIONS: (ten days)
REVIEWERS INITIAL
CORRECTION DETERMINATION:
REVIEWERS INITIAL
C:ROUTE -F
NOT COMPLETE El
'R+M - tit II. fiY70140 nat Fllr?tci!lm4Eh'eWlrt+
DATE
DATE
DETERMINATION OF COMPLETENESS: (T,Th)
PLAN REVIEW / ROUTING SLIP
DEPARTMENT:
BUILDING DIVISION El FIRE PREVENTION El PLANNING DIVISION
PUBLIC WORKS , STRUCTURAL E PERMIT COORDINATOR Q
DATE 4 011 7
DATE 7/11/97
DUE DATE
NOT APPLICABLE ❑
TUES /THURS ROUTING: PLEASE ROUTE fl NO FURTHER REVIEW REQUIRE
ROUTED BY STAFF El (If r' . . tall, make copy to master file & enter Sierra.)
DUE DATE 7/29/97
APPROVED n APPROVED W/ CONDITIONS E NOT APPROVED (attach comments) E
DUE DATE
APPROVED f l APPROVED W/ CONDITIONS El NOT APPROVED (attach comments) 0
(Certification of occupancy required.
t!rnka.i ?nna.sL4"wcEtlYfe Rnntmtgumn4uv a ✓rr- e.MVO..
7/15/97
�r,..i4- i .� i..riiiiiis3ii7—•?-.4. 4 azt ; . i.+�i : o m` zt . T- . '•'•S'ii T r ."... �' wit ".,:� 'Yi::+i +r .;Ti..; i .
[Ft � u►��.\...�u.�� w \u'S'\:�'\:\. \ �\i��-
�� .�\\ ^iG \\isw�.�u�.u\C� �� \tu'��� \\il.w\� \w.��..u�u� \�aS�w�
I I '.
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
_;, ?'„ C:.::+.' �e: diii :5:�11.•r';'%�S•',•'jl)F ?:y�.i, i!
State of Washington
County of Thurston
I certify that this
copy of a document in
I Five Signs, In . as
Dated It
q
0 4 l ' N kie, 4 .
4.' 0 TA � /, �:
a PUBLIG
pi e -74,1.41 4,,.� 9 .,.. - .C �
et �, WAS \\�
STATE OF WASHINGTON
is a true and correct
the possession of
of this , date .
F625.052.00013.82)
RECEIVED
CITY OF TUKWILA
JUL 1 1 1997
PERMIT CENTER
Notary Public in and for the
State of Washington
My appointment expires / /i S ��'d