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City of Federal Way Sign Permit#:02 - 105397 - 00 - SG
Community Development Services
' 33530 1st Way S
Federal Way,WA 98003-6210
r Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LUPITA'S
Project Address: 34233 PACIFIC HWY S Parcel Number: 202104 9068
Project Description: SGN-Installing new 5' free-standing monument sign,internally-illuminated
Owner Applicant Contractor
H L Frease ARTHUR RODRIGUEZ ARTHUR RODRIGUEZ
27217 PACIFIC HWY S 27217 PACIFIC HWY S
KENT WA 98032 KENT WA 98032
(253)261-1861
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 02-0224 Monument Yes 2 6 8 r 4 5 1 135
N
CONDITIONS:
This permit is issued based on the information provided by the applicant.Since property lines cannot be verified
without a survey,the property owner,his/her heirs or assigns shall assume iability for any relocation or any other
associated costs should t _ s cated in public right-of-way or with' h required yard setback.
The required s ck fr: s ro• lines for all signs shall be not less n 5 n residential zones and not less than 3'in
all other zone
Sign base sh e mad: "' u • materials harmonio ith t cter of e primary structures on the subject
property.T shall . 1no • gap betwee he i hed gra e for onument&pedestal signs,per
FWCC,Sec. 1602(3 ' ).
A separate el ' I permit is required any gn uiring ele trica o
FINAL SIGN I PECTIO S REQ Din der to recei sig reps tion sticker.Please call 253-835-3050 to
schedule the inspection.
PERMIT EXPIRES July 16, 03, F NO WORK IS STARTED.
Permit issued on January 17,2003
I hereby certify that the above information is con- t and that the construction on the above described propert3
the occupancy and the use will be ' paccordan,- i1 the laws,rules and regulations of the State of Washingt,
the City of Federal Way. '
Owner or agent: .���G/%r//ll/rIt limb Date: 17 0 3
/ .......-
141�41j"1 34 /' / /
Cfrf°F �+ 4IVN PERMIT APPLICATION3'13-
n
• F = CEIV`'II APPLICATION NUMBER: OR- /053 1 -a..7
uV F3Y nn���� --
DEtT*&ii2Q.c g is required information-Please print(in ink)or type**
' -"PROPERTY INFORMATION=
BUIL• 1 .. E
SITE ADDRESS: Z33 �j C/ ,/ 9;'LS (i(,/(/ASSESSOR'S TAX/PARCEL#: L QI - 1' 3
/
_•_ .'-'':::::::': 11:;._':,1:_:-."::f:-;- > z v •.:PRO3ECTTINFORMATION. - . .. -'. _ ::
TYPE OFyLECTRICAL PROJECT
(Check all that apply): atERMANENT ❑TEMPORARY ❑NEW °ALTERATION ❑REFACE ❑EXEMPT
(To attach to existing J-box) o ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: /
PROJECT DESCRIPTION (Provide detailed description): Nkd N • Si 6- = y // /)/6/‘,/4'TE
BUSINESS/TENANT NAME: 4//0Y-2
4VtS :m� Y ■ :'PEOPLE INFORMATION : _ .. ;.
SIGN OWNER: NAME: ) U(_/ ( ) z�� G /
DAYTIME PHONE:
4i
MAILING ADDRESS(STREET ADDRES TTY,STATE,ZIP): �
(;1,a.l 3I-C- £) c ( - 11N� �3-Z_CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / EXPIRATION DAT :
(Required) -- -- / /
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;cITY,STATE,ZIP): EVENIN PHONE:
L33 Z2/ 137 � ve ,/,) (2-53) g 4- 323
CITY OF FEDERAL ESS LICENSE
`NUMBER: -- -- F!6(NUMBER
( : -
CONTRA OR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy required) / /
I
APPLICANT: NAME4fif DAYTIME PHONE:
ACP/t; ve.-z_ ( )Z6/ -
/g6(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
z2ZI//, � c /AIXs`' tri I Lel �dc--)3z 3 )6'74 - 537.3
FAX NUMBER:
CONTACT FOR THIS PROJECT: j3 ) 04- -
53c
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR E-MAIL ADDRESS:
A 1l
x'- % 'e ...' :Y; . `•`{;::: ,:;.A■_f*plc >r • s • 'PP AT •N •N y ry
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: )0 DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER ❑ INFLAT B ❑ PORTABLE ❑ SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
K O i*` � ' " ! PROaECT'DETAIt
PROPOSED NUMBER OF WALL SIGNS: "4:2-'' PROPOSED NUMBER OF FREE STANDING SIGNS:
TOTAL ESTIMATED PROJECT COST: $ Stook...) QS-N.
NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:MaikrnPL.t',
TYPE OF SIGN(S)(Check all that apply)
PERMANENT FREE STANDING: gn\MO MENT 0 OTHER ❑ PEDESTAL *LE ❑TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED: ❑AWNING ❑CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION(CID) o CHANNEL LETTERS
NUMBER OF EACH TYPE:
o MARQUEE ❑OTHER ❑ PROJECTING ❑TENANT DIRECTORY
NUMBER OF EACH TYPE:
DETAILED:SIGN INFORMATION
FREE STANDING SIGN SIGN AREA(SQ.FT.) IMINATED?: REFACE? PART OF CID TOTAL SIGN BASE
TYPE WIDTH X HEIGHT X#OF FACES N INT/EXT YES/NO SIGN? HEIGHT(FT) HEIGHT(FT)
A 41004)LMS i X 4 X _ 614 -7 3
C /_
STREET FRONTAGE(Fr): f(o 0 I
BUILDING MOUNTED ILLUMINATED? SIGN AREA(SQ.FT.) BUILDING EXPOSED BUILDING
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHT X#OF FACES ELEVATION(N,S,E,W) FACE(SQ.FT.)
A
B
•
C
D
E
,'DISCLAIMER/SIGNATUREBLOCK
I certify under penalty of perju thiat the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized • the o e A"the above premises to perform the work for which the permit application is made
NAME/TITLE: 44, IIaAk /f DATE: /2-
SIG�•TU E r
NAME(Print) ti'— 4/71--//se/7 0 uhtQAr
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION: br, COMP PLAN DESIGNATION: G
BUILDING MOUNTED SIGN FREE STANDING SIGN /46
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED: 5D',
Q
LARGEST BUILDING FACADE: STREET FRONTAGE: / s J
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: :
LAND USE APPROVER INITIALS: . 4 DATE: /0..+rAy, .-Q
STRUCTURAL APPROVER INITIALS: DATE: / ., Z ,. 0
REGISTRATION NUMBER: 6 Z - zziol REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4115• FAX 253-661-4129