09-104213 City of Federal Way • Sign Q
Community Development Services Permit #: 09-104213-00-SG
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: NORTHWEST CHIROPRACTIC CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
Project Description: Installation of(2) temporary banners for a food and clothing drive.Installed October 29
and removed November 17.
Owner Applicant Contractor
LORRI NICHOLS LORRI NICHOLS LORRI NICHOLS
33801 1ST WAY S#281 34730 PACIFIC HWY S 34730 PACIFIC HWY S
FEDERAL WAY WA FEDERAL WAY WA 98003-6224 FEDERAL WAY WA 98003-6224
98003-6224
Additional Permit Information
• vpe of Temporary Sign Banner Comprehensive Plan Designation Community
Business
Zoning Designation CE
CONDITIONS:
Banners must be attached to an exposed building face per FWCC, Sec. 22-1599,Table 1, "Special
Sale/Promotional Event." NOTE: Special or promotional event temporary sign permits are allowed 90 days
per calendar year, no more than 4 events per year. If applicant has used the current year's 90 days,this
permit is void and sign will be subject to immediate removal.
All temporary approved signs under this permit must be removed immediately by 11/18/09
. PERMIT EXPIRES
Permit Issued on Wednesday, October 28, 2009
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 b- In - cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ��i" Date: J o
i,
00 70 4-2/
CITY
çETVIGN PERMIT ID --
Feder APPLICATION Rio,/
yr■� (PROPE`RTY INFORMATION
�(_ �����c1
SITE ADD' DC fl J �/'`aQ- \ ��i+,,W/, .S PW —1?SW SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# -- 0 2. ) v 9- - 4 f 5 ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ❑PERMANENT ❑TEMPORARY ❑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 CATION: Wall Mounted: Freestanding:
TOTAL ESTIMATED PROJECT COST: $
DETAILED PROJECT DESCRIPTION: 707P14-5/7- '^'7/0":' ' C-
BUSINESS NAME ON SIGN:
�• PEOPLE INFORMATION 2,
SIGN OWNER: NAME LG �-- (/
I \ \ ( C A 0(S (v.Jl 7 -( Q.0
MAILING ADDRESS(STREET ADD Cr1Y. +7E,ZIP): FAX
Cr7 � Pa QA-\--LC \ --w S (� (-t -O-tO ss
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS(SIRE ADDRESS;CITY.STATE.ZIPS CELL PHONE
( )
CRY OF FEDERAL Y BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX
CONTRA REGISTRATION NUMBER EXPIRATION DATE: E-MAIL ADDRESS
APPLICANT Co APPLICANT NAME PRIMARY PHONE
IN Or AA -eS}—btvro p t ( ) -
MAR.WG ADDRESS CITY.STATE.ZIP FAX NUMBER
,�Q (u.k- co CL1n::u & ( ) -
RELATIONSHP IO PROJECT E-MAIL ADDRESS
0 Contractor ❑Tenant ❑ Other
PROJECT NAME ' PPRIMARY PHONE E-MAIL ADDRESS:
CONTACT L/11 Vitt /:I Q-ha p
w`=-_ )
I certify under penalty of t the information furnished by me is true and correct to the best of my knowledge,and
further,that I am autho a owner of the above premises to perform the work for which the permit 24-it application is made
SIGNATURE DATE: /0 � -o
COMMUNITY DEVELOPMENT SERVICES•33325 8T"AVENUE SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9719•253-835-2607•FAX 253-835-2609
TEMPORARY SIGN APPLICATIONS ONLY
• TYPE/PURPOSE OF EVENT: FOCr�`-1 -I0+41UA 1) Y'( V`'L-,
DATE OF INSTALLATION: ) 0 2 I -C91 DATE OF REMOVAL: 1 '" �7 "..C2—I TOTAL CALENDAR DAYS: ,, p /1
DESCRIPTION OF PROPOSED SIGNAGE: �a u. I1 P A Yl +( CC90Cl C_A(n ""_""' 1 'c V`�'
• TYPE OF SIGN(S) (Indicate number of each) NO
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.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE
WIDTH x HEIGHTx#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.)
A
x x =
x x =
C
x x —
D
x x =
E —
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET):
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: 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: