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16-105085
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CO co — iv a) • • • NJ CD N) r co o CO • • CO 00 C rn — C) • • -A CD --.4 m C7 C) 4.4 C.) 0.) CO • • W . • • O • • • • C!l W . • s • Q, • •• • ,.. t i Sign City nityDe Federal Development Permit #.16-105085-OO-SG Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 • Project Name: FARMERS INSURANCE Project Address: 29100 PACIFIC HWY S Parcel Number: 042104 9073 . Project Description: Reface existing cabinet sign panel only. Includes attachment inspection of previously installed cabinet by others. Owner Applicant Contractor BEATRICE A RHODES CULBERTSON SIGN SERVICE CULBERTSON SIGN SERVICE PMB 16 (ELECTRICAL 04) (ELECTRICAL 04) TACOMA WA 98422-1194 5209 122ND ST E CULBESS984MU(8/30/18) TACOMA WA 98446 5209 122ND ST E TACOMA WA 98446 Free Standing Sign Information Reg.# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Landscape Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) Height(Ft.) Area(Sq Ft.) Sign A 0 na Wall Sign Information Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building Faces Width(Ft.) Height(Ft.) Elevation Sign A na Cabinet No 1 10.00 2.00 West Sign B West Additional Permit Information Comprehensive Plan Designation Community Business Zoning Designation BC PERMIT EXPIRES Sunday,23 April,2017 Permit Issued on Tuesday, October 25,2016 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: j% jt-glIA---%'/ Date: 10 :20146 I • .- . • ! " ' — _„.41. THIS CARD IS TO REMAIN ON-SITE CITY OF ` Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16 105085 00 Address: 29100 PACIFIC HWY S Unit 5 Project: BEATRICE A RHODES 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. - El Final-Electrical(4055) ® Final-Sign(4085) Approved Approved By Date By Date ' , �. r ; El Rough Electrical 0 Final Electrical fl Right of Way Approved Approved Approved By Date By Date By Date RECEIVED • 1100105 O 0 5" SG CITY OF �- SIGN PERMIT To Federal Wayci 1.9 2016 SIGN I /( �P ((p APPLICATION CITY OF FEDERAL WAY ■ PROPERTY INFORMATION SITE ADDRESS '61100 �i�C i /c /- L S(7LJTi� SUITE/UNIT # 5 ASSESSOR'S TAX/PARCEL# 0 9 2 / C) ( - q O 7 3 ZONING DESIGNATION BC, ■ PROJECT INFORMATION TYPE OF PROJECT(Check all that apply): 0 NEW ❑ALTERATION X REFACE ❑ EXEMPT o 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: / Freestanding: TOTAL ESTIMATED PROJECT COST: $ /000 DETAILED PROJECT DESCRIPTION: .EFACF. Fj(./ 1)A.) S LA./ALL S)6 A ) CS'/�.)G FACE Qiv/1 RF P LA cE r -' 4 T PANELS /N &-3 -+5-r . vi t.• Uwe✓= -r S _ (DocA3LE — RAc ) BUSINESS NAME ON SIGN: 17 I" Q.wtEx s )/V S v RAl)C,E • PEOPLE INFORMATION SIGN OWNER: NAME: PRIMARY PHONE R uoDCS) BEA-n2)c,E A ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER PvlBic:, srr !3 0 /000 -T NCEJVTER NE -7-Acosta ?Mt ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - E-MAIL ADDRESS CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE Culbertson Sign Service Hans Visser (253) 538-0752 MAILING ADDRESS(STREET ADDRESS:CITY,STATE,ZIP): CELL PHONE 5209 122nd St E Tacoma, WA 98446 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER 19-99-106867-00-BL 12/31/2016 ( 253) 538- 0778 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS CU LBESS842N6 08/26/2018 culbertsonsig nservice©comcast.net APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE Culbertson Sign Service _ Hans Visser ( 253 ) 538-0752 MAILING ADDRESS CITY,STATE,ZIP FAX NUMBER 5209 122nd St E Tacoma, WA 98446 ( 253 ) 538-0778 RELATIONSHIP TO PROJECT E-MAIL ADDRESS D4 Contractor ❑ Tenant 0 Other csspermits@gmail.com PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS: CONTACT Hans Visser ( 253 ) 538-0752 csspermits@gmail.com 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 ./- .44 jZ A4 J---, DATE: /0// /2O1 COMMUNITY DEVELOPMENT SERVICES•33325 8''T'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(FT) WIDTH x HEIGHT x#OF FACES NO/INT/ EXT YES/NO (FT) DAEC o&'/ x / ' x 2 = /G P "r YES B x x = C x x = STREET FRONTAGE(LINEAR FEET): -SOO 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 C4II1NET 10� x 2 x =A 5 1 -r x x = x x = E x x = LARGEST EXPOSED BUILDING FACE (SQUARE FEET): **FOR OFFICE USE ONLY** ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM LI 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 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application