15-104194 Sign
City of Federal ay Permit #: 15-104194-00-SG
Community&Econ.on.D ev.Services ,
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: TEMPLE FITNESS
Project Address: 1600 SW DASH POINT RD SUITE A Parcel Number: 189880 0010
Project Description: Install(1)internally illuminated channel letter on a raceway wall mounted sign.To attach
to existing J-box
Owner Applicant Contractor
DANIEL&BRYNN ESBENSHADE TOTAL SIGN SERVICE(ELECTRICAL 04) TOTAL SIGN SERVICE(ELECTRICAL 04)
TEMPLE FITNESS 1035 S MACARTHUR ST TOTALSS875RT(12/30/15)
33020 10TH AVE SW APT#:A-302 TACOMA WA 98465 1035 S MACARTHUR ST
FEDERAL WAY WA 98023 TACOMA WA 98465
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A NA Channel Letters Yes 1 10.00 3.00 South
• Additional Permit Information
Comprehensive Plan Designation. Neighborhood Zoning Designation. BN
Business
PERMIT EXPIRES Monday, February 15, 2016
Permit Issued on Wednesday, August 19, 2015
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
(27 ,
-nd • ity of Federal Way.
Owner or agent: Date: ?7/c"
•
• THIS CARD IS TO•MAIN ON-SITE ,
C,n°F Construction Inspection Record .._
,
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104194-00-SG Address: 1600 SW DASH POINT RD SUITE A
Project: DANIEL & BRYNN ESBENSHADE FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. p0 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) CI Final-Sign(4085) -
Approved to place concrete Approved Approved
By Date By 0 Igiv, Date pl _v. .,,.‘s By e voi, Date q_3 tt-1 s
ID Attachment(4010)
Approved
By Date q -3t,._,s
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
A RECEIV#6 _/ 0 V L S4
CITY OF �-00' UG 19 2o15SIGN PERMIT
Federal WayP '�
/APPLICATION 4 CITY OF FEDERAL WAY
�1 n
• PROPERTY INFORMATION per,
SITE ADDRESS 1'640 0 Past 420141.4- S J cd 64)4 (AA "NUITE/UNIT#
ASSESSOR'S TAX/PARCEL# i l g E`,.0 - 0 0 ( 6 ((
F ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): td NEW ❑ALTERATION ❑REFACE ❑EXEMPT
❑ ELECTRICAL(To attach to existing J-box-include on this permit)
❑ ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: I Freestanding:
TOTAL ESTIMATED PROJECT COST:$ JSOo '00
DETAILED PROJECT DESCRIPTION: 1 ri` NI-4v L I GV 1.d r-r&I, l."-'WO?" S L5v■ CNA wall
BUSINESS NAME ON SIGN: '-e-inN 1 Le-- t�l `�s S
C
• PEOPLE INFORMATION
SIGN OWNER: NAME: � �L PRIMARY PHONE
f ST ➢!n/V.- (2-S 3) T3$ -O72
MAILING ADD ( ET ADDR DS-S;COY,STATE,ZIP: _ e _ A ;, nA FAX NUMBER
4.c [,.� SW C�I��'l ( )
� 4�
�/7�/�. 1
"✓ CITY OF P!✓�ERAL WAY BUSINESS LICENSE NUMBER E-MAIL ADDRESS
2o—(q- to '1512- 60 '" aL
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
-tz 4-0-1 5/yn St-rvi cv C,1' d v Ltivl (4 - ) 7c -SZ3 6
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CELL PHONE
(d S S 5. N 1.c r k r 4 i/o,t r .91-•`f 0-c A w mm a. w A 9 8'( 5 7 7 7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE: E-MAIL ADD
10 L .6-7s 12-T 2 l(� t 0 Wit,
1
A P P L I C A N T COMPANY N A M E j y T� u ( 1 ) 7 PHONE S - rim,
MAILING AD DRESS ��• CITY,STATE,ZIP FAX NUMBER
`t N 6 U?e v rAn UJA- /80 S9 ( �—�
RELATIONSHIP'TO PROJECT q� I E-MAIL20,14 (i,,,,��,
❑ Contractor ❑Tenant [Other D-041110( P►a'�c t r1'yt.J (L "w� 'CCM
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
C O N T A C T c kl�C.� b q (' 2S)1C $ S s3 G c I A A A-c i a ti L a 'ur
'•
• SIGNATURE
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 b: ■e owner of�above ., - •- to •^ •rm the work for which the permit application is made
SIGNATU DATE:
#? /S
rCOMMUNITY DEVELOPMENT SERVICES•33325 8°'AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX 253-835-2609
■
1
• •
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER(Describe)
• DETAILED SIGN INFORMATION
FREE STANDING SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT(FT)
WIDTH x HEIGHT x#OF FACES NO/INT/EXT YES/NO (FT)
A
x x =
B
x x
C
x x =
STREET FRONTAGE(LINEAR FEET):
BUILDING MOUNTED SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMI TED? BUILDING ELEVATION EXPOSED BUILDING FACE
M WIDTH x HEIGHT x#OF FACES NO EXT (N,S,E,W) (SQ.FT.)
A j►�)�o`-r/ . x_.0._ x = SOT/I. (MT S
x x =
x x
x x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): S 6 l
**FOR OFFICE USE ONLY** /J
ZONING DESIGNATION: � PROFILE: ❑ HIGH /" MEDIUM ❑ LOW ❑FREEWAY
BUILDING MOUN SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: 30 AREA PERMITTED:
AREA PROPOSED: U AREA PROPOSED:
LARGEST BUILDING FACADE: 3E I STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: c NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
Bulletin#102-January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
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PERMIT #: 15-104194-00-SG
ADDRESS: 1600 SW Dashpoint Rd #A
I LE -- r
PROJECT: Channel Letter Sign
TEMPLE FITNESS
' 4 ..1 ir i ° rA SATE: 8/19/15
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