08-103138 I • •• • •
City ofedy
Community Devvelopment pment Services Sign Permit.: 08-103138-00-SG
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CHIROPRACTIC HEALTH CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
Project Description: Installation of(2)non-illuminated building mounted signs,individual acrylic letters.
Owner Applicant Contractor
LORRI NICHOLS FEDERAL WAY SIGN LLC FEDERAL WAY SIGN LLC
33801 1ST WAYS#281 1908 S 341ST PL SUITE 5 FEDERWSI IOJL (3/22/09)
FEDERAL WAY WA FEDERAL WAY WA 98003 1908 S 341ST PL SUITE 5
98003-6224 FEDERAL WAY WA 98003
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A 08-0084 Other No 1 0.00 0.00 South
Sign B 08-0085 Other No 1 0.00 0.00 North
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Tuesday, January 13, 2009
Permit Issued on Thursday, July 17, 2008
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 i accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
1"{_ _ ' 'f cf'
Owner or agent: Date:
THIS CARD IS TWEMAIN ON-SITE
CITY OF •Community Developli'ent Inspection. Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103138-00-SG
Owner: LORRI NICHOLS
Address: 34730 PACIFIC HWY S
FEDERAL WAY, WA 98003-6821
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.
.❑ Footings/Setback(4110) ❑ Final-Electrical (4055) ❑ Final- Sign (4085)
Approved to place concrete Approved Approved
By Date By Date By . e,,j Date 7, !, .
- ❑ Attachment(4010)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL -Electrical
Approved Approved
By Date By Date
no , . 3 ■ 3 r _ o o•. . °TYOa EI PERMIT 79
Federal W�c�C ` 7 s ey
,I APPLICATION
• PROPERTY INFORMATION
SITE ADDRESS ` -'1 • - � SUITE/UNTr#
b_ , U t- CD?
TAX/PARCEL B 2- 0 2.. ( C) if - 4 ( 2 ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): PERMANENT ❑TEMPORARYIEW ❑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: Freestanding:
TOTAL ESTIMATED PROJECT COST:$ 2_ t(- 0 b .
DETAILED PROJECT DESCRPTION:@- +L--'g l.oczev:ectAok I^-4a p CthA
Q
(^� C ck 4w-e- 9,44et. f'� `�Aa -i w:eat t,'u-2.
BUSINESS NAME ON SIGN: e- r "- `v
• PEOPLE INFORMATION
SIGN OWNER NAME: PRIMARY PHONE
r b} . t.4 F i t L 'k 4-c G.0 e S (253)Q L - - O66 o
MAILING ADDRESS(STREETµADDRESS:COY.STATE.7111: FAX NUMBER
31f�3 FEDERAL WAY BUSINESS LIEERSENU� permit issuance) E-MAIL ADDRESS
1a196 - tb' 1e4--7- CO 2.00X
COT COMPANY NAME OFFICE PHONE
` -�-apy l £-; l.A. AMa4,I... ( u ) s2
9 - (
MAILING (STREET
RESS @TTY STATE.T1P): `ELL PHONE -
la o 8 ' . 3v-(* ft+ - vtat - ( )
CITY OP FEDERAL WAY BU ES4 ENSE NUMBER 1 ATION DATE: FAX NUMBER
_ v/6r7-o v 1 2�3� - 0� ( )COPY eve•p..T b CONTRACTORS REG TION NUMBER 1 A710N nA'� E-MAIL ADDRESS
?CD ERAU S t 1 4 L 3 -'2o - Zoog
APPLICANT COMPANY NAME
---c APPLICANT PRIMARY PHONE
,�t P�,�ti (Zr-4) s2-1 - zo u
MAILING ADDRESS COY.SAVE.ZIP FAX NUMBER
R- c.S CarTrOt- ( ) -
ONSHIPTO PROJECT E-MAILADDRESS
tractor ❑Tenant ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
/�
CONTACT w( (ZS3 ) -.2..4=f - Zp(t
1 certify under penalty of perjury that the lnformation furnished by me is true and correct to the best of my knowledge,and
further,that I am autho the owner of the above premises to perform the work for which the permit application is made
SIGNATURE '/ "Y/; DATE: �O Z'p0
COMMUNITY DEVELOPMENT SERVICES•33325 8n'AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-B35-2607•FAX:253-835-2609
' • **TEMPORARY SIGN APPLICATIONS ONLY
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS:
DESCRIPTION OF PROPOSED SIGNAGE:
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)i
PERMANENT BUILDING MOUNTED: _AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
Z- OTHER(Describe) t '441,14-4--,1044-01
• DETAILED SIGN INFORMATION
FREE STANDING SIGN S
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? ACE? TOTAL HEIGHT BASE HEIGHT(FT)
WIDTH x HEIGHT x#OF FACES NO/INT/E YES/NO (FT)
A
x x -
B -
x x
x x
STREET FRONTAGE(LINEAR FEET):
BUILDING MOUNTED SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE
WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.)
A (A CS, x x = )r6,3'1L4 rU.cf S g 3 S.
B te2ta x = ■ 5-1 mar-- IJ 6S
c -
x x
x x -
E - - _
x x
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): I(2"}C>
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑FREEWAY
BUILD BUILD7 MOUNTED S GN(S) FREE STANDING SIGN(S)
AREA PERMITTED: _ 5a.7 . 53.5c AREA PERMITTED:
AREA PROPOSED: .31e(4 4 GI AREA PROPOSED:
1
LARGEST BUILDING FACADE: 1 Z Le 431•41 STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: 3 NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: S45.-- DATE: 7- 1 o- 0 g STRUCTURAL APPROVAL BY: G j DATE:7-14-p g
REGISTRATION NUMBER: A - 00 g`fi REGISTRATION NUMBER:
REGISTRATION NUMBER: 8 n a - SS REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
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