12-101401 • • Sign
City of FeWay Permit #: 12-101401 -00-SG
Community&Econ.on.D ev.Services ,y '1
33325 8th Ave S
Federal Way,WA 98003
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LIGHTHOUSE KOREAN REFORMED CHURCH
Project Address: 30333 PACIFIC HWY S Parcel Number: 042104 9040
Project Description: Installing a new non-illuminated,channel letter and cabinet sign.
Owner Applicant Contractor
UCHIDA MINORU PREMIUM SIGN INC PREMIUM SIGN INC
UCHIDA 8203 S TACOMA WAY PREMISI895DT(3/30/13)
8819 VALLEY AVE E LAKEWOOD WA 98499 8203 S TACOMA WAY
PUYALLUP,WA 98371 LAKEWOOD WA 98499
•
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft) Height(FL) Elevation
Sign A n/a Cabinet No 1 17.00 5.00 East
Additional Permit Information
Comprehensive Plan Designation Community Zoning Designation BC
Business
PERMIT EXPIRES Monday, October 22, 2012
Permit Issued on Wednesday, April 25, 2012
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
and the City of Federal Way.
Owner or agent: ` Date: /2t`/
5114 IZ
4 441.., THIS CARD IS TO MAIN ON-SITE
CITY OF Federal ,, • Construction I ection Record
Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101401-00-SG Address: 30333 PACIFIC HWY S
Project: UCHIDA MINORU FEDERAL WAY, WA 98003-4235
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.
o Footings/Setback(4110) El Final-Electrical(4055) ❑ Final-Sign (4085)
Approved to place concrete Approved Approved
By Date By Date By Date
o Attachment(4010)
Approved
By (.��(.4 Date S .11,-1- 12
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECE� III
CiTYaF `. °"" '" 9 4 SIGN PERMIT
Federal Way MAR 2
CITY OF FEnEA
PPLI,/CATION � ' • I 2.
? �` j�
• PROPERRTY' INFOR
MATION
�/gyp
SITE ADDRESS 3b 3 3.J I�.((4I C ]I toy , krt! 1/ 2a / 10/4 Q 0v- SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# - ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): &NEW 0 ALTERATION ❑ REFACE ❑ EXEMPT
❑ ELECTRICAL(To attach to existing J-box-include on this permit)
o ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: X Freestanding:
TOTAL ESTIMATED PROJECT COST: $ 0 7t,-----
DETAILED PROJECT DESCRIPTION: ht-P ►^(11a[lI Jig Ali'Y►y+e -'- ;Cj el
BUSINESS NAME ON SIGN: /JGj h0NSe' K-01-fax, Pe.. ),--ineG-/ CGtLti'-c.i"L
�`//
• PEOPLE INFORMATION
SIGN OWNER: NAME: • PRIMARY PHONE
v;?ht awi,-, Cj, d,t P-S3) -3 1 f -q/1/
MAILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): FAX NUMBER
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
CONTRACTOR: COMPANY NAME N APPLICANT NAME OFFICE PHONE_
t)kent:uwt Sip, 6:n /< ( )) 7 -0§4-7
MAILING ADDRESS(STREET ADDRESS:CITY.STATE,ZIP): CELL PHONE
2'1123 ,S' "lC/ce'#144 Wty 4ravd,OA 9,.E4-n (. ''3) )3 0 -.)-79t
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATIONS NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
pR&&U/ " E & 931T Peew,0-<;C�/JH .;ee,(04-
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
PiGe#44 Divi. S.�c•1 s> ✓i. Ketot,i (a43):43.a -:r99/
MAILING ADDRESS CITY,STATE,`�� ZIP FAX NUMBER
RE ONST TO PROJECT�—cv--Lq way L-Rfe.i�LL7cli OH cYP 4'f7 (E-MAIL ADDRESS
is /
Contractor 0 Tenant 0 Other f/-eit4,( I(.s�n 6L L:Ves[G
PROJECT NAMEvvPRIMARY PHONE E-MAIL ADDRESS:
CONTACT .�q V- I<;fr bj ) Asa -.. ._-.71( /l-G.i.iirj,.S, .t41 L.fie,t-
■ 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: 3 / a-cj/,__.
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 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(Fr)
WIDTH x HEIGHT x#OF FACES NO/INT/EXT YES/NO (FT) •
A / `i
x _ x =�_i
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 x 'x = 711 UNN 177
x x =
x x =
x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): 1 Z
**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#IO2—January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
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