02-100393 •
0 •
41
rcity of Federal Way Sign Permit#:02 - 100393 - 00 - SG
i 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: DASH POINT FAMILY DENTAL
Project Address: 1646 SW DASH POINT RD Parcel Number: 122103 9074
Project Description: SGN-Install(1)internally illuminated cabinet/individual channel letter wall sign.
Owner Applicant Contractor
AUDREY/SYDNEY IRMAS CHARITABLE F( CONSTRUCTION ENTERPRISES,INC. NONE
20206 72ND AVE S 25835 116TH AVE SE
KENT WA 98032-2322 KENT WA 98031
Comprehensive Plan Designation Neighborhood Business Zoning Designation BN
Wall Signs
Registration# Sign Type Illuminated Sign Face Sign Face #of Sign Faces Building
Width(Ft.) Height(Ft.) Elevation
: I A 02-0015 Channel Letters Yes 9 4.66 1 North
CONDITIONS:
1)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 all liability for any relocation or any other
associated costs should the sign be located in • • is right-of-way or within the required yard setback.
2)Pursuant to FWCC,Sec.22-1602(f),no s' contain or utilize the following: (1)Any exposed incandescent lamp
with a wattage in excess of 2 ,t s.( A OP 'd incandescent p with an internal or external reflector.(3)
Internally lighted signs usip i I am' .rger ballasts if ps are spaced closer than 12" o.c.(7)Internally
lighted signs using 425-mi • , o ' • • lasts if the la s e s ced closer than 6" o.c.
3)Signs should be constr e : ins ' •• • hat angle it guywir s,bra other structural elements are not
visible.This does NOT a i II o str . ,ral e em, t• a n integra of the overall design.(FWCC,22-1602(A))
4)No sign shall project a• • • • s oflin of the x ii • b ding f hich it is attached.(FWCC,22-1601(B)(2))
5)A separate electrical perm is require or '' equ' ' el c work.Electrical work must be approved by
one of the City's electrical inspectors.
6)FINAL SIGN INSPECTION IS REQUI D in order ei e sign registration sticker.Please call 253-835-3050
to schedule the inspection.
PERMIT EXPIRES ugust 10,2002,IF NO WORK IS STARTED.
Permit issued on February 11,2002
I hereby certify that the above information is correct and that the construction on the above described propert
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingt,
the City of Federal Way.
Owner or agent: / . —�2Date: —O L_
• E 1 7 • •
•'Cir"' d PERMIT APPLICATION
APPLICATION NUMBER: 42-10O393-ev—,S
\>\> FEY
**The following is required information—Please print(in ink)or type**
• PROPERTY INFORMATION
SITE ADDRESS: 4 W Sli PO' I ad ' ASSESSOR'S TAX/PARCEL#: 1 72 '/ ° 3 ICI Li
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): LOf D J BLmcR Y•
PLa+ of -Th4Ric,e U1'ew Estofes S.E '/y 6.c "")1. E 'fti secNo..0 Ti14 R3&
• PROTECT INFORMATION •
TYPE OF PROJECT(Check all that apply): PERMANENT ❑ TEMPORARY #t NEW ykALTERATION ❑ REFACE ❑ EXEMPT
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: .) •eN
PROJECT DESCRIPTION (Provide detailed description): �O 1d tG h GhaidweL Lc 17 A/eo , OR) s"
RAceJ A
u � To RcAcf � ,A L Moc-e,v i-ed klf iCe,n r ofS.4-orz.94m vt-/ A)eat, p L ,i-e
BUSINESS/TENANT NAME: 4' . QQ• " dAS11 Pi bi- F:=444;Z 0.41,1;€4-L. 3iic 3/
■ PEOPLE INFORMATION •
SIGN OWNER: NAME: c DAYTIME PHONE:
P. 54eveti ()PQ-e € 53'468 - 1-g19 3 )4W3 -b7 Qs
MAILING ADDRESS(STREET ADDRESS,CITY,iT�ATE,ZIP). •
L-113o All a$ A d . �Aco,�p lr/A - gPi22-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:, i
02-10 Oc ..3"J- /)V II�IieII� - ...„ ATIO ._DA;
CONTRACTOR: NAME:`^" (sem / • �" D ME PHONE:
C . e ,- Z53/135-p In- )6” S2
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
2 - - - - -- ls; )63i. -2333
CONTRACTOR'S REGISTRATION NUMBER: • RA ON DATE:
(Copy required) " ee. " WW1 17,1
1) j
iitAPPLICANT: NAME:
DAYTIME aid "44(5
1-444 xi-d ,v- mJ 6eie S ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1F2 SS 5e tel.&i. act. 1 U14 . c7190({-2- (2 )63ct - 2
FAX NUMBER:
CONTACT FOR THIS PROJECT: DS 3 ) L3C7 -23 33
ElPROPERTY OWNER ❑ APPLICANT CONTRACTOR E-MAIL ADDRESS:
- • **TEMPORARY SIGN APPLICATIONS ONLY** -
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER ❑ INFLATABLE ❑ PORTABLE ❑ SEARCH LIGHTS/BEACON
1
NUMBER OF EACH TYPE:
_ • PROSECT DETAILS'
PROPOSED NUMBER OF WALL SIGNS: 2 4.0- PROPOSED NUMBER OF FREE STANDING SIGNS: 4
TOTAL ESTIMATED PROJECT COST: $ ""3e�®Ctl.,� m NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: .,,,....t.,:•
k.
• T p s
• ■ TYPE OF SIGN(S)(Check all that apply)
PERMANENT FREE STANDING: ❑ MONUMENT ❑ OTHER LI PEDESTAL ❑ POLE ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED:❑ AWNING'CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION (CID)ig
CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE ❑ OTHER ❑ PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
• ■ DETAILED SIGN INFORMATION
FREE STANDING SIGN SIGN AREA(SQ.FT.) ILLUMINATED?: REFACE? PART OF CID TOTAL SIGN BASE
TYPE WIDTH X HEIGHT X#OF FACES NO/INT/EXT YES/NO SIGN? HEIGHT(FT) HEIGHT(FT)
A
B
C
STREET FRONTAGE(Fr):
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 N Eo 1,,i. ,o4 L 3'�c3 I ;'-5`t 9 ' . 23.c ,,� SC��;, r
B c2 • ly
C
D
E
■ DISCLAIMER/SIGNATURE BLOCK
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
NAME/TITLE: hit
. „vs--
(. DATE: /^ ! Z
SIGNATURE -/
NAME(Print) jei�/.�a�-G* 4V, J des
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION : COMP PLAN DESIGNATION:
i4.. BUILDING MOUNTED SIGNFREE STANDING SIGN
AREA PERMITTED:
I 'i-1- AREA PERMITTED:
r
AREA PROPOSED: X11 yi AREA PROPOSED:
LARGEST BUILDING FACADE: ::Q 6 :757Z STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: De__, DATE: 2.-7-02
STRUCTURAL APPROVER INITIALS: GW DATE: Z— 7 'Oz
REGISTRATION NUMBER: 0 Z C►Q i 5- REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
1 COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98003-6221•(253)661-4000• FAX:(253)661-4129
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