HomeMy WebLinkAbout17316 SMOKEY POINT BLVD_035447_2026 C I TY OF ARL— I h4GTQ1V
CQNST RUCT I Oh! PE RM I T
PERM I T h!O_ (a3-544?
Orner: KANWT2, TIN 17316 SMKY PT BLVD ARL.INGTON 98223
Value of Work: Tax ID: 31052000431400 Phone: 360.
Describe Work: INSTALL 3 POLE SIGNS
Proposed Use: ESPRESSO DRIVE THRU
Legal Description:
Job Address: 17316 SMOKEY POINT DRIVE
Contractor's Name Type Address License#
GEM
TOTALS Fee
Permit Fee $42. 50
State fee $4. 50
S1 ' TURE:
TOTAL FEE. . . . . . . . . . . . . . . . . $47. 00 I E EBY CER IFY THAT I A E READ
AN > E CAMINED THIS APPLIC TION AND
PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KN W 'HE SAME TO BE TR E AND COR-
R= 'T LL P OVISI S OF LAWS AND
TOTAL DUE. . . . . . . . . . . . . . . . . $47. 00 O IN NOES VER NG TFIS TYPE OF
W K IL� IED ITH WHETHER
DATE RECEIPT #
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City of Arlington
Building Department
REQUEST FOR REVIEW FORM
PROJECT NAME: �i, //• Z- Z ' ,So
PROJECT ADDRESS: ! 7 3/lo a1�tUlC� 6J/ t5/y��
BP #: ., _A
PROJECT MANAGER: David Anderson, Building Official
DATE OF CIRCULATION:
RETURN THIS FORM BY:
TYPE OF PROPOSAL:
PROJECT SUMMARY:
RESPONDING DEPARTMENTS:
❑ TOM C., FIRE
❑ JIM T., GALE & GALE
❑,/ TERRY C., KAREN L., UTILITIES
I� YVONNE P., PLANNING
❑ SHARREE L., GENERAL SERVICES
❑ GREGG E., ENGINEERING
SUBMITTAL INFORMATION IS ATTACHED. Please review the information and return this form and your
comments, either on the drawings or in memo form, to the Building Department. *If you have no comments,
please return the form with the"No Comments"box checked.
PLEASE MARK ONE BOX, SIGN, DATE,AND RETURN THIS FORM TO LINDA.
❑ MORE TIME REQUESTED, WILL SUBMIT ON
❑ COMMENTS FOR THIS REVIEW ARE ON ATTACHED DRAWING+
❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO
❑ NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT
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REVIEWED BY DATE S L o 3
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Please submit: 2 cor' s of drawings & 2 copies of instr"•-ifiGi, di "ecLionsRECEIVED
City of Arlington APR 3 0 2003
Sign Permit Application CITY OF ARLINGTON
PERMIT NO. 0; 5 yLt7
OWNLR MAIL ADDRESS CITY ZIP PHONE
ARCM f ECT OR DESIGNER MAIL AUURESS CITY ZIP '
ONL
ZIP IIONE LIC NSC M
GENERAL CON TRAC OR AIL ADDRESS CI Y
LICENSE 0
MECHANICAL CON TRACTORI MAIL ADDRESS CITY ZIP PRUNE
_ r LICENSE/
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP "" "
CLASS OF WORK
❑NLW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUAT ION OF WORK '
ULSCRIBE ORK
PROPOSE D USL Of BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLc,AL DLS(Rlf'IIUN OI PROPERTY SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LDI BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
CZSi 9/ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER �j LSIRNATUR
fL ?RDE CONSTRUCTION OFTHE PERFORMANCE OF
1 YEAR FROM DATE OF ISSUANCE.GENT DATE
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Please submit: 2 copies of drawings & 2 copies of installatau i directions
RECEIVED
City of Arlington APR 3 p 2003
Sign Permit Application
_ n/ CITY OF ARLINGTON
PERMIT NO. -93 51/Ll-7
OWNER MAIL ADDRESS CITY ZIP PHONE
ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE
GENERAL CONTRACTOR TAAIL ADDRESS CITY I ZIP PHONE LICENSE 1
MECHANICAL CONTRACTORI MAIL ADDRESS CITY ZIP PHONE LICENSE Il
PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/
CLASS OF WORK
❑NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION
VALUAT ION OF WORK
UESCRIBE WORK -
PRUPOSF U USE OF BUILDING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
LLGAL UESCRIPTION OF PROPERTY SHOWN BELOW OR ATTALH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
LOr BLOCK OF WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
GZs/9/ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
/0 -SZ�- VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
TAX ID NUMBER LOCAL RE ULATING CONSTRUCTION OFTHE PERFORMANCE OF
�/ L� f/ ��' CONST CTI N.P MI EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
v SIGNATU OF CO O HORIZEDAGENT DATE
)OB AUU LSS
G?J, x
Application is hereby made for permission to [] Er t [] Iter [] Repair [] Projecting []
Temporary [] Ground [] Roof[] Wall [] Other, described as follows:
Sign of a type similar to that checked and described below, fastened and secured
by approved supports, and it is hereby agreed that if this application is approved the sign
will City Ordinances and State Law.
Sign will be: Illuminated [] Non-illuminated [] Plain wood [] Electric 3�Jo�oG
Size: Wgt. _Ibs Length Width Face Z _sq. ft.1k�ilLJ
Face area: sq. ft. Sign is 2-faced: Width Face sq. ft.
Distant from property line: North South
Lower edge will be feet inches above grade. Inner edge will be inches from the
building. Outer edge will be inches from the building. Lower edge will be feet
inches above the building.
Of what material will the sign be constructed? Face:
Frame: Wording of sign:
SIUL YARU SL I BALK STRLEI SL I BACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
FEE RECEIPT NO.
USE/ONE LOT AREA VACANT SITE
FEES VALUATION FEE
❑YES ❑NO
TYPE OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG
BU'LDING $
SIZE Of BLDG. NO.OF STORILS MAX.OCC.LOAD
PLUMBING
FIRE SPRINKLERS REQUIRED
❑YES ❑NO MECHANICAL
STATE BLDG.CODE
COMMENTS ENERGY CODE SURCHARGE
U.B.C.
PENALTY
SEC.303(a)
MUM
WATER/SEWER FEES
TOTAL
PERMIT VALIDATION
WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT&RECEIPT
PAID CRIt BY
cc:ASSESSOR,APPLICANT,TREASURER,BLDG.DEPT BUILDING OFFICIAL DATE
RECORDS COPY