15-103274 ., . 111. • • Sign
City ty&&Federal Way Permit #: 15-103274-00-SG
CommuniEcon.Dev.Services
33325 8th Ave S FIL
Ph:(253F)e8d3ea-2lWF,WaxA:(295830)735.2609 inspection Request Line: (253)835-3050
Project Name: PACIFIC MEDICAL CENTER
Project Address: 31833 GATEWAY CTR BLVD S Parcel Number: 092104 9137
Project Description: Remove existing wall sign and install(1)channel letter sign. Includes electrical connection
to existing J-Boxes.
•
Owner Applicant Contractor
ANS LLC TRACIE SKILES BERRY SIGN SYSTEMS (GENERAL)
PO BOX 1941 BERRY SIGN SYSTEMS BERRYSS857B7(1/27/17)
AUBURN WA 98071-1941 7400 N HARDESON RD 7400 HARDESON RD
EVERETT WA 98203 EVERETT WA 98046
Contractor
BERRY SIGN SYSTEMS (ELECTRICAL04)
BERRYSS853W7(1/27/17)
7400 HARDESON RD
EVERETT WA 98046
Additional Permit Information
Comprehensive Plan Designation. City Center Core Zoning Designation CC-C
PERMIT EXPIRES Sunday, January 17, 2016
Permit Issued on Tuesday, July 21, 2015
I hereby certify that the above informs- _ -._ -ct and that the construction on the above described property and
the occupancy and the u - •- r•ance!" e laws, rules and regulations of the State of Washington
and t•- • • Federal Way.
001
Owner or agent: /, __ Date:
IFIM ., .e
• THIS CARD IS TirMAIN ON-SITE - - -
CITY OF Construction Inspection Record ..
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103274-00-SG Address: 31833 GATEWAY CTR BLVD S
Project: ANS LLC FEDERAL WAY, WA 98003-5420
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 Approved
By Date By(/ Dat -'7�(/c .By,(1 DatQi—" /S
0 Attachment(4010)
Approved
By Date
0 Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED ( • 1 C? 5 (7
CITY OF '~'`-or SIGN PERMIT 07 2015 - ,�—
Federal Way APPLI CAQ
, �A�WAY FELE 1 S
I
• PROPERTY INFORMATION
SITE ADDRESS \ _ 0ft'T •W4/ l t -- . 3.--v gip) ?� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1) 1 0 L - l I J -7 ZONING DESIGNATION C'C- Cr
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply):KNEW ❑ALTERATION ❑REFACE ❑EXEMPT
ELECTRICAL(To attach to existing J-box-include on this permit)
0 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: $ !. /
DETAILED PROJECTDESCRIPTION:
M Stalll9 11+ (A)d-O ��JNJ
BUSINESS NAME ON SIGN:_pa .r l.� i G"t 7 S (��'l "'
• PEOPLE INFORMATION
SIGN OWNER: NAME: el-k_.4-e0_,_..., PRIMARY PHONE
lC( I*tT t(' l ( ) -
�LIN ADDRESS CITY,NATE,ZIP): 8 Ore/4_ft1 4 1� FAX NUMBER -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / ! E-MAIL ADDRESS
COO�NTRA/C oR' C1 'Y
NAME��J^/ r_ //S y�� ,f AAP LIIC/AN�TINAM/F, ,. lei
OFFICEG'/` PHONE -}cam
t'�'c E '• ) RF.SY(TRF ADDRESS; -1-1. -STATE,4 'ZJ ` f l.C/� --1. SFS lei ( /Z—)N�� 1x✓s
!!�` MAILING ADDCICELL
�Se53W .1141)0 e If c1�Z ( )
CITY OF FEDE WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
Went 7`-1 -(81
eqf CONTRACTOR'S REGISTRATION NUMBER: IRATION DATE: E-MAIL ADDRESS
7 1 7z-1/7 1'1- --cs eberi
APPLICANT COMPANY NAME APPLICANT NAME `J+'PRIMARHONE
1:2504/9 §) C•Yt ').-(G /12/i! _ ( ) -
MAILING ADDRESS �1 CITY,STATE,ZIP FAX NUMBER
�� G --C -Go N`(- ( ) -
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
Contractor 0 Tenant ❑ Other
PROJECT N '\ / PRIMARY PHONE om/ E-MAIL ADDRESS:
CONTACT t 4 S4I( f'4 L (-11—n771, -n�'S 3s'_.�
• SIGNATURE
I certify under pe,alty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further,that I , .• horized by the owner of the above premises to perform the work for which the permit application is made
SIGNATURE 7 DATE: —7/a/S --.....-
COMMUNITY
COMMUNITY DEVELOPMENT SERVICES•33325 8m AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
• •
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe) Pr\_CHANNEL
PERMANENT BUILDING MOUNTED: AWNING CABINET 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 (Fr)
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 HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.)
A � , �,
-�-rs'x 3 x s = �ra3s� � g.1''oO
X x =
X x =
x x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): 7i17f7D
**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:
Bulletin#102—January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
• i 0
TYPICAL CABINET
FLUSH WALL MOUNT
Construction Et Mounting Detail
is\/
ALUMINUM
RETURNS Et
CABINET
!I„,,,,,,,,, 4—
Minimum (2)®4' O.C.
ACRYLIC 3/8"all thread with 2"x 2"angle iron
PUSH THRU I for metal studs
or
3/8" rated expansion bolts into concrete
or
3/8" lag into wood structural member
or
3/8"x 6" toggle bolts
LED I
I
Fr''_;, • 4— CONDUIT TO PRIMARY
I
DISCONNECT I
SWITCH '
POWER MI
SUPPLY Rec@IVED
/ JUL 0 7 2015
WEEP HOLE
J CITY OF FEDERAL WAY
—I CDS
/\/ -„,
BERRY NEON
SIGNSYSTEMS
7400 Hardeson Rd
Everett, WA 98203
(425) 776.8835
Fax(425) 774.8221
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