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Home My WebLink About114 S WEST AVE_046223_2026 C I TY OF A RL I 1VG-jr ah! COtVST RUCT I OIV PE RM I T BERM I T P4C) _ 014-6223 OMner: MOERKE, RICHARD/DEBBIE 114 WEST AVE ARLINGTON 98223 Value of Work: $100. 00 Tax ID: 310511-002-020-00 Phone: 360. 4356286 Describe Work: INSTALL WALL SIGN Proposed Use: RETAIL BUSINESS Legal Description: Job Address: 114 S WEST AVE Contractor's Name Type Address License# OWN TOTALS Fee Permit Fee $36. 00 State fee $4. 50 SIGNATURE: TOTAL FEE. . . . . . . . . . . . . . . . . $40. 50 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND PAYMENTS. . . . . . . . . . . . . . . . . . $0. 00 KNOW THE SAME TO BE TRUE AND COR- RECT A L PROVISIONS OF LAWS AND TOTAL DUE. . . . . . . . . . . . . . . . . $40. 50 ORDIINA110ES GOVERNING THIS TYPE OF WO W LL CO PLI ED OR T'.WITH WHETHER DATE RECEIPT # S P IF BUILD :NG &FICIAL � 1 z f I-I ; I 1 ' 1 Vtt 1 t ! 11 ':•"1 ! : :Vtt a_ i; .4 LOW 1R i::,, •,rt1,) bbA l' .nitsy; ,u.1:IIi I Jilt:J r, Ns .CAP•: . . . . . . _'1: t .IATO-I• _IA :1)'I' Ot: .Ni`•, . . . _ . . . . . . . . . - _ ,�. ',tiA•"1�j1 1 1'�5.� '�lbi,l(t.l t liti • � I i T i is � 1 ■ l _ ■ 1 1 T • LON Z I 1 1 1 ' .ii ' r. •■ N i• ■; MEN • �7 •. :- 01 :. . . .. CD } CIO 1 r ' Aw . 4 I _ �, • City of Arlington Building Department REQUEST FOR REVIEW FORM NAME:_yylL� BP #: 0 4- bc)91 3 DATE: k L-5 -0_'- RETURN THIS FORM BY: PROJECT SUMMARY: liq RESPONDING DEPARTMENTS: c _ ❑ TOM C., FIRE ❑ KAREN L., UTILITIES ❑ BILL B., NATURAL RESOURCE 0�YYONNE P., PLANNING ❑ GREGG E., ENGINEERING ❑ JIM T., CONSULTANT ❑ CHUCK W., CONSULTANT 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. ❑ COMMENTS FOR THIS REVIEW ARE IN ATTACHED MEMO NO COMMENTS FOR THIS REVIEW, OKAY TO ISSUE PERMIT ❑ COMMENTS REVIEWED BY DATE t _ /� �-� WCX Cj__4__7/ v I Please submit: 2 copies of drawings &2 copies of Installation directions City of Arlington Sign Permit Application ,��3 6A4-I/K fo.'� 'f'b4:3 PERMIT NO. OWNER r MAIL ADDRESS CITY ZIP PHONE ARCHITLCT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE Ctz'"—ze!A GENERAL R R MAIL ADDRESS CITY ZIP PHONE LIC NSE I MLC14ANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE CLASS OF WORK &LW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK,(;, 1, I C() , , LLSLRI13E WORK f PROPOSE D USE OF III)LOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL UESCRIPI ION Of PROPLRTY SHOWN BELOW OR ATTACH 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 GRANTING OFA PERMIT DOES NOT PRESUMETO GIVEAUTHORITYTO (CI,rj I — �JlI D4C),-. VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE. 'Ir-MATI 12rof CONTRACTOR QRAUTHORIZEDAGENT DATE lOBAUURLSS , ��1'v •_` 1 Imo' —�L x Application is hereby made for permission to Erect [] Alter[] Repair[] Projecting Temporary [] Ground [] Roof[] Wall [] Other, described as follows: w LL 6 (&/J 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 a licatioAss)approved��e PPPP sign will City Ordinances and State Law. Sign will be: (Illuminated [] Non-illuminated X Plain wood [] Electric Size: Wgt. Ibs Length ! Width .` Face I sq. ft. 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 sig be constructed? Face: 3/1 Frame: I . v-t i L, ,LCL Wording of sign: S101.Y.%RV SE 1 BACK STRLLI SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. USE/ONE LOT ARLA VACANT SITE YES NO FEES VALUATION FEE TYPL OF CONS 1. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING NG SILL OI BLDG. NO.Or STORILS MAX.000.LOAD BU'LDING f PLUMBING F IRE SPRINKLERS REQUIRED C]YES 0 NO MECHANICAL COMMENTS STATE BLDG.CODE F.'' f' ENERGY CODE SURCHARGE ENALTY U.B.C.USEC.303(a) y� NOV 0 5 2004 WATER/SEWER FEES TOTAL / PERMIT VALIDATION v WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT a RECEIPT PAID CR(I BY cc:ASSESSOR.APPLICANT,TREASURER BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY Please submit: 2 cop' of drawings &2 copies of instal `ion directions City of Arlington Sign Permit Application ,��✓ MCJI JkV4_--7 Aah-b / I)i )u-�>)": A-e- 6a4-jAt-foil- �U' 3 PERMIT NO. OWNER -'MAIL ADDRESS CITY ZIP PHONE 43 ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE 0kA..,1�-A,�, GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ MLCIIANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Ir PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE/ CLASS OF WORK LW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑BUILDING RELOCATION VALUATION OF WORK 0 s l C>0 , DESCRIBE WORK PRUPUSt U USE OF BU LDING �1. ` I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA- TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI- LLGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK LUr BLOCK • Of WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE GRANTING OF PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR TAX ID NUMBER LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF CONSTRUCTION.PERMIT EXPIRES 1 YEAR FOM DATE OF ISSUANCE. SIGNATUREOF CONTRACTOR R AUTHORIZED AGE v ' DATE JOB AUURLSS X Application is hereby made for permission to ( Erect [] Alter [] Repair [] Projecting [] Temporary [] Ground [] Roof[] Wall [] Other, described as follows: Sign of a type similar to that checked and described below, fastene nd secured Vi QQQd �% �by approved supports, and it is hereby agreed that if this applicatios approved sign will City Ordinances and State Law. Sign will be: �1 Illuminated [] Non-illuminated [,<l Plain wood [] Electric Size: Wgt. Ibs Length Width Face sq. ft. Face area: sq. ft. Sign is 2-faced: Width r—) 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: al 14<:)(- Frame: Wording of sign: Se-fit, �R;E)I ` - P �� r► SIUL YtU SE 1 BACK STREET SL TBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE FEE RECEIPT NO. uSF/UNF LOT AREA VACANT SITE ❑YES ❑NO FEES VALUATION FEE TYPL OF CONSI. OCCUPANCY GROUP NO.OF DWELLING UNITS PLAN CHECKING VG SILL Of BOX,. NO.Of STORIL5 MAX.OCC.LOAD BU'LDING PLUMBING F IRE SPRINKLERS REQUIRED ❑YES ❑NO MECHANICAL COMMENTS STATE BLDG.CODE -� RECEIVED' ENERGY CODE SURCHARGE PENALTY U.B.C. � SEC.303(a) NOV G 5 2004 WATER/SEWERFEES JJ �� TOTAL )1 UILDING DEP �e PERMIT VALIDATION �� WHEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT d RECEIPT {��J�/ PAID CRI< BY Wo cc:ASSESSOR.APPLICANT.TREASURER.BLDG.DEPT. BUILDING OFFICIAL DATE RECORDS COPY