03-104093 •
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City of Federal Way Sign Permit#:03 - 104093 - 00 - SG
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: ALL STAFF
Project Address: 29500 PACIFIC HWY S Parcel Number: 304020 0093
Project Description: Reface of existing monument sign
Owner Applicant Contractor
David J Rhodes LUMIN ART SIGNS INC LUMIN ART SIGNS INC
29500 PAC HWY S#0 3931 B ST NW 3931 B ST NW
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98003 (253)833-2800
Comprehensive Plan Designation Community Business Zoning Designation BC
Free Standing Signs
Registration# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Height Landscape Area
Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) (Ft.) (Sq.Ft.)
A 03-0129 Monument 2 10 2
CONDITIONS:
This permit is issued based on the information provided by the appiicant.Since property lines cannot be verified
without a survey,the property owner,his/her heirs or assigns shall assume all liability for any relocation or any other
associated costs should the sign be located in public right-of-way or within the required yard setback.
FINAL SIGN INSPECTION IS REQUIRED in order to receive the sign registration sticker.Please call 253-835-3050 to
schedule the inspection.
PERMIT EXPIRES March 1,2004.
Permit issued on September 3,2003
I hereby certify that the above information is correct and that the construction on the above described property
the occupancy and the use wil,Ybe in accor ce with the laws,rules and regulations of the State of Washingto
the City of Federal Way-
Owner or agent: r - Date:
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SIGN PERMIT A'PLICATION
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PPLICATION NUMBER: 0 - . 1 ° , / _ - 01) 1
**The following is required information-Please print(in ink)or type**
• PROPERTY INFORMATION
SITE ADDRESS: 26,riz fit
° 04/ 4' ASSESSOR'S TAX/PARCEL#: =-j0`-/�„` '�—�-y, -CP-C2
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LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): "
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): o PERMANENT o TEMPORARY 0 NEW 0 ALTERATIONirFACE 0 EXEMPT kE
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: r
PROJECT D RIPTION (Pr vide detailed description): `1*, d 06/ . 12 ' -'' U: ral ' ,-
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wr. ,-(. .7 4 ,`� . , , dam.
BUSINESS/TENANT NAME:
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PEOPLE INFORMATION
SIGN OWNER: NAMEAQ I R J ( DAYTIME PHONE:
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MAID G A KESS(STREET ADDRE ;CITY, ATE,ZIP):
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CITY OF FEDE WAY BUSINESS LICENSE NUMBER: `- - -- J EXPIRATION DATE:
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CONTRACTOR: NAME: DAYTIME PHONE:
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MAI NOA kDESS(S ET ADD rC TY,STATE,ZIPFt
"44". /�S/fr{./ (EVENING PHONE: -
/- [ / )
CITY OF y�DE W{� B CENSEwa.% - - -f a 1u��O3( (AX NUMBER: -
CONTI/RA`CTTOR'S REGISTRATION NUMBER: �' EXPIRATION DATE:
(Copy required) / /
APPLICANT: NAM TDAYTIME PHONE:
;etc
MAILING-ZDRESS(STREET AD 35;CITY,STATE,ZIP): EVENING PHONE:
( )
FAX NUMBER:
CONTACT FOR THIS PROJECT: ( )
El PROPERTY OWNER (APPLICANT 76ONTRACTOR E-MAIL ADDRESS:
• * *TEMPORARY SIGN APPLICATIONS ONLY* *
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: o BANNER o INFLATABLE o PORTABLE o SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
• 4 . r
■ PROJECT DETAILS '' `
PROPOSED NUMBER OF WALL SIGNS: 0 A� PROPOSED NUMBER OF FREE STANDING SIGNS: „�-/l- r'cf J " .`
TOTAL ESTIMATED PROJECT COST: • / NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: __ —
■ TYPE OF SIGN(S) (Check all that apply)
PERMANENT FREE STANDING: MONUMENT l OTHER ❑PEDESTAL [3 POLE : TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED:_,AWNING [:CABINET H CANOPY a CENTER IDENTIFICATION (CID) [7 CHANNEL LETTERS
NUMBER OF EACH TYPE:
MARQUEE 7 OTHER _;PROJECTING []TENANT DIRECTORY
NUMBER OF EACH TYPE:
■ DETAILED SIGN INFORMATION
FREE STANDING SIGN SIGN AREA(SQ.FT.) ILLUMINATED?: CE? PART OF CID TOTAL SIGN BASE
TYPE WIDTH X HEIGHT X#OF FACES NO/INT/EXT O' 0 SIGN? HEIGHT(FT) HEIGHT(FT)
a.' 0,0 ,
STREET FRONTAGE (FT):
P BUILDING MOUNTED ILLUMINATED? SIGN AREA(SQ.,FL' .}-- BUILDING EXPOSED BUILDING-
SIGN TYPE NO/INTERNAL/EXTERNAL_, WIDTH X HE itfi"X#OF FACES ELEVATION(N,S,E,W) FACE(SQ. FT.) —
A
B
I DISCLAIMER/SIGNATURE BLOCK
I certify der pe .Ity of perjury tha a inf mation furnished by me is true and correct to the best of my knowledge, and
further,that I am uthorize. by the owner of e ab e premises to perform the work for which the permit ppl' tion is made
NAME/TT(LE: IP
1�._ .I — -- DATE: e)
Si ' ATURL --"
NAME (Print) -
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