16-104693. *v i
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax (253) 835.2609
Project Name: CHA & LEE CHIROPRACTIC CLINIC
Project Address: 1700 S 305TH PL
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Sign
Permit #:16- 104693 -00 -SG
Inspection Request Line: (253) 835 -3050
Parcel Number: 255817 0130
Project Description: Install (1) non - illuminated 1" thickness cut out letter wall mounted sign
Owner
Applicant
Contractor
JASON CHA
AD ONE CORP (ELECTRICAL 04)
AD ONE CORP (ELECTRICAL 04)
1700 S 305TH PL
30833 PACIFIC HWY S
ADONEOC931DR (3/19/17)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
30833 PACIFIC HWY S
FEDERAL WAY WA 98003
Sign A
Free Standing Sign Information
Reg. #
Sign Type
Illuminated
# Sign
Faces
Setback
(Ft)
I Sign Face
1WIdth (Ft)
Sign Face
Height (Ft)
Sign Height
(Ft)
Base I Landscape
Height (Ft) I Area (Sq Ft)
na
na
Reg. #
Sign A na
Sign B West
Wall Sign information
Sign Type Illuminated # Sign Sign Face Sign Face Building
Faces Width (Ft.) Height (Ft) Elevation
Other No 1 23.00 1.00 West
Additional Permit Information
Comprehensive Plan Designation ........................... City Center Frame Zoning Designation................................................. CC -F
..
PERMIT EXPIRES Wednesday, 19 April, 2017
Permit Issued on Friday, October 21, 2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. / 6
Owner or agent: Date: [ �' `
#'1A
F
D
CRT Cw M
Federal Way
PERMIT #: 16104693 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
Address: 1700 S 305TH PL Unit A
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Project: JASON CHA FEDERAL WAY WA 98003 -4814
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.
El Footings/Setback (4110)
Final - Electrical (4055)
Final - Sign (4085)
Approved to place concrete
Approved
rBy
Approved
By Date
Date
/
By Date
Attachment (4010)
Approved
By Date
l�
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECRIM
CITY OF SEP 2 0 2016
Tederal Way CM OF FEDERAL WAY
CDS
PERMIT NUMBER SGI
SIGN PERMIT
APPLICATION
TARGET DATE io i�I('
SITE ADDRESS ( -7 clo i _ D L 2 !�1
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BUSINESS NAME ON SIGN 7 V-r^C47� ` +-L1 C"--�q�
ASSESSOR'S TAX PARCEL # `' v 1 - ZONING DESIGNATION
ELECTRICAL INCLUDED (Attaching to existing J -box) Yes PROJECT VALUE $ t V5n �
DETAILED PROJECT DESCRIPTION I"
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MAILING ADDRESS
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SIGN OWNER:
CONTRACTOR:
APPLICANT
PROJECT
CONTACT
NAME �n ii
PRIMARY PHONE
-
OFFICE PHONE -
PRIMARY PHONE
CLAD'.
C[' C"
. Z
( -
MAILING ADDRESS
v
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/`�
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PL
FAX NUMBER
1 ) —
. CITY
STATE
ZIP CODE
E -MAIL ADDRESS
EXPIRA ION DATE:
FEDERAL WAY BUSINESS ZICENSE.
bN C— a C -� I OR-
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NAME P0 Cc>
PRIMARY PHONE
-
OFFICE PHONE -
MAILING ADDRESS
CITY
CELL PHONE
ZIP CODE
E -MAIL ADDRESS
CITY
TATE
ZIP CODE
cla
E- AIL ADDRESS
0
yt
one co as .
WA STATE CONTRACTOR'S LICENSE:
EXPIRA ION DATE:
FEDERAL WAY BUSINESS ZICENSE.
bN C— a C -� I OR-
NAME 9
PRIMARY PHONE
-
MAILING ADDRESS
FAX NUMBER
CITY
STATE
ZIP CODE
E -MAIL ADDRESS
NAME � ` L'� PRIMARY �PHONE MAIL ADDRES
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I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made
SIGNATURE (� DATE:
l
PRINT NAME 1' 7 t C-14(4
PERMIT CENTER • 33325 8TM AVENUE SOUTH • FEDERAL WAY, WA 98003 -6325 • 253- 835 -2607 • FAX: 253- 835 -2609
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PROVIDE THE FOLLOWING INFORMATION FOR EACH PROPOSED SIGN:
FREE STANDING SIGNS
SIGNS
SIGN TYPE
Monument, Pedestal Pole
SIGN AREA
# of faces x 2
ILLUMINATED?
LANDSCAPING
(square feet
TOTAL
HEIGHT
BASE
HEIGHT
A
n
B
B
E -3
C
E -4
C
D
SUBJECT PROPERTY'S FRONTAGE ON PUBLIC RIGHT OF WAY (LINEAR FEET):
BUILDING MOUNTED
SIGNS
SIGN TYPE
Directional Instructionair tenant panel, etc.
SIGN TYPE
Cabinet Channel Letter, Awning, etc.
SIGN AREA
ILLUMINATED?
BUILDING ELEVATION
N,S E W)
EXPOSED
BUILDING FACE
n
B
E -3
C
E -4
D
E
LARGEST EXPOSED BUILDING FACE (SQUARE FEET):
EXEMPT SIGNS
SIGN TYPE
Directional Instructionair tenant panel, etc.
SIGN AREA
SIGN HEIGHT
NUMBER OF
SIGNS
E -1
E -2
E -3
E -4
E -5
Bulletin #102 — May 3, 2016 Page 2 of 3 k: /Handouts/Sign Permit Application
PROPOSED SIGN
1
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A•,irt•ai HoticPt.i
1
WI Los Bigotes De Villa
CHA CHIROPRACTIC MEDICAL CENTER
1 700 SOUTH 305TH PL,
FEDERAL WAY, WA. 98003
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2
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Tortas ( ocee
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PROPOSED SIGN
1
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A•,irt•ai HoticPt.i
1
WI Los Bigotes De Villa
CHA CHIROPRACTIC MEDICAL CENTER
1 700 SOUTH 305TH PL,
FEDERAL WAY, WA. 98003
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SEP 2 0 2016
CITY OF FEDERAL WAY
CDS
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SEP 2 0 2016
CITY OF FEDERAL WAY
CDS
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DIE 5195N-GUYIS
SIGN a DFS.GNI
''CHIROPRACTIC HEALTH CENTER
V SINTRA BOARD CUTOUT LETTERS
WALL
23'
1" THICKNESS SINTRA CUTOUT LETTERS
"CHIROPRACTIC MEDICAL CENTER"
USE LIQUID NAIL SILICON TO ATTACH THE LETTERS ON THE WALL
SIGN AREA: 23 SQ FT
SIGN WEIGHT: 30 POUND
SCALE: 1/2" =1'
SEP 2 0 2016
CITY OF FEDERAL WAY
CDS
r
351
STORE FRONT
WEST SIDE
SCALE ; 1/8"= 1'
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0
Eb F =- (
030
R@CEIVED
SEP 2 0 2016
CITY OF FEDERAL WAY
CDS