15-100566 •
• •
ign
CitCommunity
o&EFcon.alD Way Permit #: 15-100566-00-SG
&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: AWASH DOLLAR PLU
Project Address: 29019 MILITARY RD S Parcel Number: 042104 9037
Project Description: Install wall mounted non-illuminated individual letters and sign panels.
Owner Applicant Contractor
EXECUTIVE HOUSE INC FEDERAL WAY SIGN LLC FEDERAL WAY SIGN LLC
7517 GREENWOOD AVE N 34205 18TH PL S FEDERWS894DS(3/10/15)
SEATTLE WA 98103 FEDERAL WAY WA 98003 34205 18TH PL S
FEDERAL WAY WA 98003
Additional Permit Information
Comprehensive Plan Designation Neighborhood Zoning Designation BN
Business
PERMIT EXPIRES Monday, August 10, 2015
Permit Issued on Wednesday, February 11, 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 a ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �`'`� Date: ( 1--E%(c---
• THIS CARD IS TO•MAIN ON-SITE ,
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-100566-00-SG Address: 29019 MILITARY RD S
Project: EXECUTIVE HOUSE INC FEDERAL WAY, WA 98003
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.
0 Footings/Setback(4110) ❑ Final-Electrical(4055) ❑ Final-Sign(4085)
Approved to place concrete Approved Approved
By Date By Date By � Date t.\--0.1-1S-
'0 Attachment(4010)
Approved
By _� Date l _ ,)-1 -t +
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,
•
CITY OF SIGN PERMIT
Federal Way 2 /ZCoAS-
•
APPLICATION�.e PROPERTY INFORMATION�f
SITE ADDRESS 2a n )I 1 `t L\TA�,•? � ) S S . r G�• W 1 /1 J�N(ct 8 Ob*3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 - .2 3 !7 ZONING DESIGNATION 6 f
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): )CHEW 0 ALTERATION ❑REFACE 0 EXEMPT RECEIVED
o ELECTRICAL(To attach to existing J-box-include on this permit) FEB 0 5 2015
o ELECTRICAL(New/altered circuit&J-box added-separate permit is required) r�r�s-r� �1�/J�
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: 1 Freestanding4 1 1 ) ' ERAL WAY
TOTAL ESTIMATED PROJECT COST: $ t i 11-4.--,t1 =, ._,,(� C�5f
DETAILED PROJECT DESCRIPTION: ��1 VAR__ tt...0,,...k-i' `'�^�-tp`� Ver.- a"` '-ett aL
BUSINESS NAME ON SIGN: AV(A Stt po LL!A R YL-0'$
■ PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
l'cV AS4t Doi-i-hR V.w s (Zsg) 508 - 6�.9 6
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
2cto Al l441• ..kA S • Vc
• o( . c 0 `l k03 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENS ER: E-MAIL ADDRESS
CONTRACTOR: ! COMPANY APPLICANT NAME OFFICE PHONE
`T�`{,/sk ` � lt,C`Q (25'3)5Z6( - .).0(1
MAILING ADDRESS(STREET RESS; ,STATE,ZIP): CELL PHONE
./1-2-05 (e - w.• s. Tom, • °( Zoo 3 ( ) 4..
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER
I ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
s 0 l.tt.00
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
'Few b;a l `ems (2 ) 929 - ')k
MAILING ADDRESS CITY.STATE,ZIP FAX NUMBER
-tee - ( )
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
❑ Contractor ❑Tenant 0 Other
PROJECTNAME "� /� PRIMARY PHONE E-MAIL ADDRESS:
CONTACT """;Lf2.44C,
r2-5.b) 2-9
- 'Lp(k
■ 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 by the owner of the above premises to perform the work for which the permit application is made
SIGNATURE DATE:
2- - '2,01
COMMUNITY DEVELOPMENT SERVICES•33325 8Th 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 '•LE TENANT DIRECTORY OTHER
OTHER(Describ
PERMANENT BUILDING MOUNTED: AWNING CABINET ,CAH,ANNEAL LETTERS TENANT DIRECTORY
) OTHER(Describe) 1� r4LU tt L-01.-400N
• DETAILED SIGN INFORMATION
FREE STANDING SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? EFACE? TOTAL HEIGHT BASE HEIGHT(Fr)
WIDTH x HEIGHT x#OF FACES NO/INT/E YES/NO (Fr)
A �,,,_.fi�Qn
'�D� 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 LL kms_ 3 x ?- x ', = 7i-�; �� {_ 1 t A 2p
B
x x =
C
x x =
D
x x =
E
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): 1 t 1 2-b
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW LI 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
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