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09-103323City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 to J� I 110� Project Name: HISTORICAL SOCIETY OF FEDERAL WAY Project Address: 31201 28TH AVE S 0 ' - Sign Permit #: 09- 103323 -00 -SG Inspection Request Line: (253) 835 -3050 Parcel Number: 092104 9026 Project Description: Installation of (1) single -sided free - standing non - illuminated monument sign Owner Applicant Contractor FEDERAL WAY CITY OF FEDERAL WAY SIGN LLC FEDERAL WAY SIGN LLC 33530 1ST WAY S 1908 S 341ST PL SUITE 5 FEDERWSIIOJL (3/22/11) FEDERAL WAY WA FEDERAL WAY WA 98003 1908 S 341ST PL SUITE 5 98003 -7332 1 FEDERAL WAY WA 98003 Sign A '10# s . Reg. # Sign Type Illuminated # Sign Faces Setback (Ft.) Sign Face Width (Ft.) Sign Face Height (Ft.) Sign Height (Ft.) Base Height (Ft.) Landscape Area (Sq Ft.) Q -0094 Monument 1 10.00 5.00 3.00 5.00 2.00 100.00 PERMIT EXPIRES Wednesday, March 17, 2010 Permit Issued on Friday, September 18, 2009 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us ill be in accord a with the laws, rules and regulations of the State of Washington t t the City of Federal Way. Owner or agent: ' Date: a AL CITY OF Federal Way PERMIT #: 09- 103323 -00 -SG THIS CARD IS T EMAIN ON -SITE Construction Ip ection Record INSPECTION REQUESTS: (253) 835 -3050 Address: 31201 28TH AVE S f Owner: FEDERAL WAY, WA 98003 -5007 Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card. Footings /Setback (4110) 0 Final - Electrical (4055) Final - Sign (4085) Approved to place concrete Approved Approved B Date _��a By Date By Date o Attachment (4010) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date PFQRIIW - f W cITY aF E V Federal Vua ION PERMIT uG 2 7 zo�g APPLICATION SITE ADDRESS -� v �, a t n.. /A V tN V�G S>irrE/vNrr • ASSESSOR'S TA8/PARCffi. • O 01 2 !� q' O 2 6 Z01MG DESIGNATION RS �. 7- PROJECT INFORMATION O ALTERATION o REFACE 0 EREIw P Freestanding: BUSINESS NAIIKE ON SIGN: SIGN[ OWNER NAnE (1_ T7• w �6 PRIMARY PHONE MAILING ADDRESS (STREET ADDRESS; _CITY, A 2IM: 26�rs Iw ov 0( io o 3 FAX NUMBER ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS CONTRACTOR: r AFpucANT NAM> . , n�J OFFICE F[toNE MAILING ADD RE33 (STREW ADD • CYIY, STATE, 2IM: CELL PHONE 3k-2 os (& P� . S • �c oC • W P, CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER CONTRACTORS REGISTRATION NUMBER EXPIRAT ION DATE: E-MAIL ADDRESS �DCR_W J I IC)J L -S Z tZO« PRAIARY `LGK.I� I ( 243) PHONE s2q - 20 ( ( I E MAIL ADDRESS I I certify under penalty of perjury that "the information famished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owa of the above premises to perform the work for which the permit application Is made SIGNATURE DATE: � — 7-4 COMMUNITY DEVELOPMENT SERVICES - 33325 8- AVENUE SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 •253- 835 -2607 • FAX 253 -835 -2609 ZONING DESIGNATION: I PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑ FREEWAY BUILDING MOUNTED SIGNS FREE STANDING SIGN (S) AREA PERMITTED: AREA PERMITTED: AREA PROPOSED: AREA PROPOSED: LARGEST BUILDING'FAC-.ADE: STREET FRONTAGE: l NUMBER OF SIGNS'ALLOWED: NUMBER OF.SIGNS ALLOWED: LAND USE APPROVAL BY: DATE: STkucruRAL APPROVAL BYs' TE: REGISTRATION NUMBER: REGISTRATION NUMBER: ©9 REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: -REGISTRATION NUMBER: I. 1 ml IL 0 I M 6 J L, Sf —Orr 121M z p ik L ~� Lqo l l pJltTE D CEaA R � S/toJDBr.AS�O gi��J 5 1 � a�•�.4j 3�g" �LTs M t S• 3�Z� SQ- • • 12SS� • • 16 N K4..5 /E,c -WS t bAiL'Tki Vi D 1 1J G -m c Vat a ui I _ r � COUGRE'rE TooTi►� 001-sc� l�Zr• -2j iry tU LA y c;,uT/ V-* C - S oGt ETY / 3" �i�Z,N hR-F—� P,. Is `3F Coc�dtS BR�k6R.0UND - BtJ{2C uNDY C-OPY - W bHM teiD6E $octDc.R - '1 hN L.oc/4T1 o N off' �ai'os�Tj �dl-0 *0usC> 3r6N t�h W (stpP-�CAt- rr 0 w . TSq tZN T 4ituAl. WAY DEPT. OF COMMUNITY DEVELOPMENT i PERMIT: # 09- 103323 -00 -SG ADDRESS: 31201 28TH AVENUE S PROJECT: MONUMENT SIGN OWNER: HISTORICAL SOCIETY OF FEDERAL WAY DATE: 8/27/09 9AT§@WMMD . APPROVEp BY DATE 116�: irE �t�,►� /f F i S��iCirc- Soc i ��f of w. SC . 1" = 200 . S . -611Z-44, 0--tr. to% �NDSCAP6D AaEA or, "SS) ld I ® I 100 S,r �g I N "A" J. N 12! S F -MAII.tC RECEIVED AUG 2 7 2009 , /— — . E CDS r m r