11-102750 tF R
City of Federal Way • • Sign
Community Development ServicesFILE Permit #: 1 1 -1 02750-00-SG
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: RAPHA ACUPUNCTURE & CHINESE HERBS
Project Address: 32020 1ST AVE S Unit 106 Parcel Number: 172104 9058
Project Description: Installation of 30 square foot internally illuminated cabinet sign. Includes electrical
connection to existing J-box.
Owner Applicant Contractor
LIM BYUNG SU AD ONE CORP AD ONE CORP
910 SW 356TH PL 1626 S 341ST PL SUITE A24 ADONEOC931DR(3/19/13)
FEDERAL WAY WA 98023 FEDERAL WAY WA 98003 1626 S 341ST PL SUITE A24
FEDERAL WAY WA 98003
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Comprehensive Plan Designation Professional Office Zoning Designation PO
PERMIT EXPIRES Wednesday, January 11, 2012
Permit Issued on Friday, July 15, 2011
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 e City of Federal Way. J
Owner or agent: Date: —7( ( S/ (
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�____ wpm
• THIS CARD IS T MAIN ON-SITE
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 11-102750-00-SG Address: 32020 1ST AVE S Unit 106
Project: LIM BYUNG SU 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.
0 Footings/Setback(4110) 0 Final-Electrical(4055) 0 Final-Sign (4085)
Approved to place concrete Approved Approved
By Date .By L V Date , aI_ I \ By c r Date ri.,a)\ l 1
.
0 Attachment(4010)
Approved
By rDate R .,D.\•—t
❑ Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
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/4J V t 7 5Q-,00CITY OF - - L 11 N XERM IT TD
Federal Way
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�F �� � ATION g i i
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• PROPERTY INFORMATION
SITE ADDRESS Y"'�� S� 'yC• S SUITE/UNIT# Oa II
ASSESSOR'S TAX/PARCEL# 117 c 1 0 Li - TIPS O ZONING DESIGNATION i°0
\
• PROJECT INFORMATION
OF PROJECT(Check all that apply): X7NEW D ALTERATION ❑ REFACE ❑ EXEMPT
,\/ELECTRICAL(To attach to existing J-box-include on this permit)
,, ELECTRICAL (New/altered circuit&J-box added-separate permit is required) V
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted:
Freestanding:
TOTAL ESTIMATED PROJECT COST: $ t L en
DETAILED PROJECT DESCRIPTION: Rj$1%1—"at e_ 3 t /` 0 i V't e eA ,
cZTNA- C b7,ta,f--
BUSINESS NAME ON SIGN: FID014 45k. Ackp AV1 artiot Ire—.
• PEOPLE' INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
MAILING ADDRESS(STREEtC•i'"ADDRESS;CIT ,ZIP): ' 44 I O( �^ 61- FAX NUM)ER
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:S /'V,( E-MAIL ADDRESS
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE ^
rrp 1)NE CliP-r 6�� - � ) I if2- 3 e`B
MAILING ADDRESS(STREET ADDRESS;CITY,STACELL PHONE
' Is
CITY OF FEDERAL WAY BUSINESS LICENSE NUM ER:
EXPIRATION DATE: FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
AS c_A,,rf v tom-- ( )
MAILIN RESS CITY,STATE,ZIP FAX NUMBER
( )
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
0 Contractor 0 Tenant 0 Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT ( ) -
• 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 owner of t•e above premises to perform the work for which the permit application is made
/•
SIGNATURE 0 DATE: 71
/lI
/ 111 / '
COMMUNITY DEVELOPMENT SERVICES•33325 8T"AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
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• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNING V 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)
A
x x =
B -/-
x
x x =
C
x x —
STREET FRONTAGE(LINEAR FEET):
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.
ACnb7re-f- -77 x ` x _ 1P vfiV 3 `�
B
x x =
C
x x =
D
x x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): 3A q1
**FOR OFFICE USE ONLY**'!'
ZONING DESIGNATION: A PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑ FREEWAY
BUILDING MOUNT 0 SIGN(5) FREE STANDING SIGNS)
AREA PERMITTED:
AREA PER ,ITTED:
AREA PROPOSED: 30- AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRO - GE:
NUMBER OF SIGNS ALLOWED: 1 NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: ./(•-•. ;//( STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: (((777 REGISTRATION BER:
REGISTRATION NUMBE REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
Bulletin#102-January 1,2011 Page 2 of 4 k/Handouts/Sign Permit Application
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