05-101703•
City of Federal Way Sign Permit #: 05 - 101703 - 00 - SG
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718 request line: /253 835 -3050
Ins ection
Ph: (253) 835-7000 Fax: (253) 835-2609 P �I
Project Name: I SWIM USA
Project Address: 1105 S 348TH ST SuiteB -106 Parcel Number: 202104 9140
Project Description: Reface of existing cabinet sign. No electrical.
Owner
Applicant
Contractor
PATTISOUTHERLAND
PATTISOUTHERLAND
PATTISOUTHERLAND
19227 218TH AVE SE
19227 218TH AVE SE
19227 218TH AVE SE
MAPLE VALLEY WA 98
MAPLE VALLEY WA 98
MAPLE VALLEY WA 98
(253) 838 -6421
Comprehensive Plan Designation............ Community Business Zoning Designation ..... .............................BC
Wall Signs
Registration # Sign Type Illuminated Sign Face Sign Face # of Sign Faces Building
Width (Ft.) Height (Ft.) Elevation
A X15 00152 1 Cabinet I No 1 12 1 2.5 1 North
PETt1VIrr EXPIRES April 13, 2007.
THIS CARD IS TO *MAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 101703 -00 -SG
Owner: PATTI SOUTHERLAND
Address: 1105 S 348TH ST Suite B -106
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Final - Electrical (4055) Final - Sign (4085)
r Approved Approved
By Date By Date
CITY OF
Federal Way
* *The
is
SITE ADDRESS:
*SIGN PERMIT APPLICATION
PPLICATION NUMBER: -
ASSESSOR'S TAX /PARCEL #:
or
PROJECT ♦ A • XREFACE TYPE OF PROJECT (Check all that apply): ❑PERMANENT ❑TEMPORARY ❑NEW ❑ALTERATION ❑EXEMPT
❑ ELECTRICAL (To attach to existing J -box) ❑ ELECTRICAL (New /altered circuit & j -box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
PROJECT DESCRIPTION (Provide detailed description): 2p co Ln , PAe-- f
BUSINESS /TENANT NAME:
PEOPLE • •
SIGN OWNER:
CONTRACTOR:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 49 EXPIRATION DATE: _
(Required) 1.771 - U 41 -- / 34/'A -- O $L '1A / 3 / / OS
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(Copy required)
APPLICANT: NAME:, DAYTIME PHONE:
oLc>'her la 701 Q953 ) 3 - &Vz
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
®
FAX NUMBER:
CONTACT FOR THIS PROJECT: (,;Z
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR E -MAIL ADDRESS:
.Of#7*e'� %Slv/Yr7 14S 19
TYPE /PURPOSE OF EVENT:
DATE OF INSTALLATION:
■ "TEMPORARY SIGN APPLICATIONS ONLY* 7
DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER ❑ INFLATABLE ❑ PORTABLE ❑ SEARCH LIGHTS /BEACON
NUMBER OF EACH TYPE:
PROJECT
PROPOSED NUMBER OF WALL SIGNS: PROPOSED NUMBER OF FREE STANDING SIGNS: $_
TOTAL ESTIMATED PROJECT COST: $ 3o(-) ero NUMBER OF TENANTS /BUSINESS SPACES ON PROPERTY: _
PERMANENT FREE STANDING: o MONUMENT ❑ OTHER ❑ PEDESTAL ❑ POLE ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED: n AWNING eTCABINET ❑ CANOPY o CENTER IDENTIFICATION (CID) ❑ CHANNEL LETTERS
NUMBER OF EACH TYPE:
o MARQUEE ❑ OTHER ❑ PROJECTING o TENANT DIRECTORY
NUMBER OF EACH TYPE:
FREE STANDING SIGN
TYPE
SIGN AREA (SQ. FT.)
WIDTH X HEIGHT X # OF FACES
ILLUMINATED ?:
NO INT EXT
REFACE?
YES NO
PART OF CID
SIGN?
TOTAL SIGN
HEIGHT FT
BASE
HEIGHT FT
A
ice" x 3o" I
t C
LARGEST BUILDING FACADE: `l -
B
NUMBER OF SIGNS ALLOWED:
U R OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS:
B
STRUCTURAL APPROVER INITIALS:
C
REGISTRATION NUMBER: - — Z
REGISTRATION N MBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
C
E
STREET FRONTAGE (FT):
BUILDING MOUNTED
SIGN TYPE
ILLUMINATED?
NO/INTERNAL/EXTERNAL
SIGN AREA (SQ. FT.)
WIDTH X HEIGHT X # OF FACES
BUILDING
ELEVATION N S E W
EXPOSED BUILDING
FACES . FT.
A
110
ice" x 3o" I
t C
LARGEST BUILDING FACADE: `l -
B
NUMBER OF SIGNS ALLOWED:
U R OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS:
ATE:
STRUCTURAL APPROVER INITIALS:
C
REGISTRATION NUMBER: - — Z
REGISTRATION N MBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
D
E
BLOCK DISCLAIM ER/SIG NATURE
I certify under nalty of rjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am au !riedby a wner of the above - /premises to perform the work for which the permit application is made
NAME /TITLE: v — C/ �/" n DATE: 2-40
NAME (Print) 1 Ilrrj-? 5do
PRINT
ZONING DESIGNATION:
COW PLAN DESIGNATION:.
BUILDING MOUNTED SI
FRE ANDING SIGN
AREA PERMITTED:
A ERMITTED:
AREA PROPOSED:
AR, A PR SED:
t C
LARGEST BUILDING FACADE: `l -
S'�I/REET FR A
NUMBER OF SIGNS ALLOWED:
U R OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS:
ATE:
STRUCTURAL APPROVER INITIALS:
DATE:
REGISTRATION NUMBER: - — Z
REGISTRATION N MBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES • 33325 a AVENUE SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253 -835 -2607 • FAX: 253 - 835-2609
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CITY OF FEDERAL WAY _
DEPT. OF COMMUNITY DEVELOPMENT
F PERMIT: 05- 101703 -00 -SG
ADDRESS. 1105 S. 348TH ST B -106
A PROJECT: CABINET SIGN REFACE
p NAME: I SWIM USA
C DATE: 04 /13/05
DATE SUBMITTE6- OVED_ A
APPROVED BY�-
RECEIVED
AHR Y 3 2005
CITY OF FEDERAL WAY
BUILDING DEPT.
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BUILDING DEPT.