13-101684 Sign
City of&Fco Way Permit #: 13-101684-00-SG
CommunityEcon.Dev.Services
, 33325 8th Ave S
Federal Way, 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FEDERAL CERTIFIED HEARING CENTER
Project Address: 30620 PACIFIC HWY S Unit 101 Parcel Number: 092104 9149
Project Description: Install internally illuminated LED wall mounted cabinet sign.Attach to existing J-box.
Owner Applicant Contractor
MORRISON FAMILY LLC JAMES FEDERAL WAY SIGN LLC FEDERAL WAY SIGN LLC
30504 PACIFIC HWY S 1908 S 341ST PL SUITE 5 FEDERWS894DS(3/10/13)
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 1908 S 341ST PL SUITE 5
FEDERAL WAY WA 98003
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A na Cabinet Yes 1 9.92 2.75 North
Additional Permit Information
Comprehensive Plan Designation Community Zoning Designation BC
Business
PERMIT EXPIRES Monday, October 28, 2013
Permit Issued on Wednesday, May 1, 2013
I hereby certify that the above informati n is correct and that the construction on the above described property and
the occupancy and the use will be in cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: , , Date:
(0
% t,,, .
*.\ 5/7 /13
4144...., • THIS CARD IS TO 'MAIN ON-SITE
c,n°FConstruction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-101684-00-SG Address: 30620 PACIFIC HWY S Unit 101
Project: MORRISON FAMILY LLC JAMES 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.
Footings/Setback(4110) 0 Final-Electrical(4055) ❑ Final- Sign (4085)
Approved to place concrete Approved Approved
By Date By Date "—_ 7---,7-:3DDated_ >-
❑ Attachment(4010)
Approved
By Date " � 7 - ,:::,
.
CI Rough ElectricalCI Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
1
` RECEIVES ilk- l D f
40/1114
CITY OF 17
"`2013 SIGN PERMIT To 5
Federal Waa .PPLICATION i ( 3
ITY OF FEDERAL W
■ PROPERTY7INFORMATION
SITE ADDRESS 3C' 2-P Pa-c-• l • # t o► t 1'tGt-. 1°c40 ctgoco SUITE/UNIT# 0I
ASSESSOR'S TAX/PARCEL# - ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): �1 EW 0 ALTERATION ❑REFACE ❑EXEMPT
ELECTRICAL(To attach to existing Jbox/-include on this permit)
❑ ELECTRICAL(New/altered circuit&J box added separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: ' Freestanding:
TOTAL ESTIMATED PROJECT COST:$ pC00 7 ,� v �-�/�,
DETAILED PROJECT DESCRIPTION: �^-e �^"'�` ".\ R $ a
�1
BUSINESS NAME ON SIGN: LES) 44 c-€ / 'c ?J'a ( L_k.i' '17 6,1tik10 c ur
• PEOPLEVINFORMATION
SIGN OWNER: NAME: vcaraxi& GLALL.J ,,` r PRIMARY PHOONEp
coc
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
-50(010-50(010 TOI-C.. kms{ S • � C.e.4 eAtatk. �lUAc e( es-0 p\ 3 ( )
CCR OF FEDERAL WAY BUSIN LICE SE NUMBER E-MAIL ADDRESS
CONTRACTOR: CO! NAME� " APPLt�AN'r NAM (�tOFFICE PHONE
Tert Zq- 2-0 t t
MAILINGG ADDRESS( ETdADD :COY,STATE,ZIP): �~ CELL PHONE
it2os- IFltc Pe., s `Rat . "- - 0 /Luck `�(�0 3 ( ) —.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE: FAX NUMBER
VI--ad --101 U -O0—VL ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
c2to S • 4- b S -7.1,..,- t p- .2.<715-- '-vt,-a. kto4 1j2Lo'6 .
.N.A.
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE i
Text .
MAILING ADDRESS CITY,STATE,ZIP FAX NUMBER
( ) -
REIATIONSHIP TO PROJECT — E-MAIL ADDRESS
_, L4(.� C eDIT&_
0 Contractor 0 Tenant 0 Other
PROJECT NAME oi^ , 6 o n, , PRIMARY PHONE E-MAIL ADDRESS:
CONTACT "`"-'��"�'� (1 J) SI-0k- "2.0(,
■ 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 er of the above premises to perform the work for which the permit application is made
r\AAA'''
SIGNATURE DATE: I ��
COMMUNTIY DEVELOPMENT SERVICES•33325 8Th AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
4.
'` • •
• ■ TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT • • % o•-TAL POLE TENANT DIRECTORY _OTHER
QT (Describe)
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER(Describe) 1-• P �,i Va-ef—x "
• DETAILED SIGN INFORMATION
FREE STANDING SIG
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT(FT)
WIDTH x HEIGHT x#OF FACES NO/INT/EXT YES/NO (Fr)
A ,
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
- ���_nrr WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.)
A UT _
It 11" x 2`-11�x " I =2} S`F (A 4-A2
B
x x =
C
x x —
D
x x =
E
x x —
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): clot,
**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#102—January 1,201 1 Page 2 of 4 k:/Handouts/Sign Permit Application
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