11-102682 • •
Sign
City of Federal Way
Community Development Services Permit #: 11-102682-00-SG
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line:
Ph.(253)835-2607 Fax.(253)835-2609 p Q (253)835-3050
Project Name: HALLMARK MANOR
Project Address: 32300 1ST AVE S Parcel Number: 172104 9073
Project Description: Relocation of externally-illuminated monument sign. Separate electrical required for
installation of lighting.
Owner Applicant Contractor
HALLMARK CARE CENTER JENSEN DEVELOPMENT INC JENSEN DEVELOPMENT INC
PO BOX 723548 3522 ACADEMY DR SE JENSEDI953D2(3/17/13)
ATLANTA GA 31139-0548 AUBURN WA 98092 3522 ACADEMY DR SE
AUBURN WA 98092
Additional P rmrcar abon •
Comprehensive Plan Designation Office Park Zoning Designation OP
CONDITIONS:
Planter box at base of sign must be planted prior to final inspection and approval
PERMIT EXPIRES Wednesday, February 1, 2012
Permit Issued on Friday, August 5, 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
• ,4 and the City of Federal Way.
Owner or agent: Date:
Fitt'lLET)
THIS CARD IS T MAIN ON-SI• TE
CITY OF Construction Ipection Record `
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-102682-00-SG Address: 32300 1ST AVE S
Project: HALLMARK CARE CENTER FEDERAL WAY, WA 98003-5762
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 Footings/Setback(4110) 0 Final-Electrical(4055) 0 Final -Sign (4085)
Approved to place concrete Approved \pproved
By / Date 8?--13-1/ By Date p_ . .b_// By Date// ,�'
0 Attachment(4010) lvJ
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
14 -L;_#(,06. 2J--- 00
I r��.,r �. • N PERMIT Federal ayTD
ui 07 APPLICATION - L74r
a PROPERTY INFORMATION
SITE ADDRESS 3.2 r '% ikAe_ S,. -•Q c1( .Id q 9 gO63-SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 a\ / 0 c(- _
ZONING DESIGNATION
■ ' PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ®NEW 0 ALTERATION 0 REFACE ❑EXEMPT
0 ELECTRICAL(To attach to existing J-box-include on this permit)
fa ELECTRICAL (New/altered circuit$>:J-box added -separate permit is required) rt
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLI iTION: Wall Mounted: Freestanding: t
TOTAL ESTIMATED PROJECT COST: $ 9'76,9—
,
'7(t'7 g
DETAILED PROJECT DESCRIPTION: ' !Q t el e. �x 44..E Si IN .0 I-0er iO ft
0 h, p r _ era
BUSINESS NAME ON SIGN: �Q I j fry '-KK indi`„Q r
• PEOPLE INFORMATION
SIGN OWNER: NAM PRIMARY PHONE
r'l; 4t I+mprk_ M leo( (a5'5)x'14 -35 iso
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
3a3oo c rte-- Aver . Ceacrui Wax(„Wa_cA0b, (d53) '1 -4o
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
a o-- DO - L O4 I O9 -OO et- eni CO-Tapia c1.ce.a taw
CONTRACTOR: c:q,1PANY NAME (L APPLICANT Ne fit{ OFFICE PHON•
J-42,-Mew te opmerk4 & li; " err -/81�
4
isl16 ADDRE (STREET ADDREfS.fU CITY TATE,ZIP): CEPHONEL U! j7[/60
CITY OP FF W.RAI.WAY BUSINEESSSSSLICENrrS``SE NUMBER: !
EXPIRATION DATE: FAX NUMBER •
g0'"" -- 1og1(01-oo-(1L fa 31-doit 3 opq 64t)
CONTRACTOR'S REGISTRATION NUMBER: • XPIRATION DATE: E-MAIL ADDRESS
APPLICANT COMPANY NAME APPAICA T ME f(..`, PRIMARY PHONE
Al
AILING ADDRESS TY,STATE,ZIP • FAX NUMBER
i. t 'x .�2 y ? ubckrn (i (X3 ) em - .6-64
RELATIONSHIP TO PROJECT CCl®rr)_ap2Q E-MAIL ADDRESS �I�
• Contractor 0 Tenant ❑ Other (O� ` { / ��� 1 1 a ,4L.Ct ')
PROJECT NAME „( - - ) PRIMARY PHONE E-MAIL ADDRESS:
CONTACT lF4J x.�A/]��2. JQ, RSS 133N - 348 litikkietsfeafiiaLeen
■ 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 the above premises to perform the work for which the permit application is made
SIGNATURE ' /2--
' ` y x'`"'_-. DATE: r�� " -,,,X1/1
o.
it
COMMUNITY DEVELOPMENT SERVICES•33325 8"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: 1 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.) ILLUMINAT ? REFACE? TOTAL HEIGHT BASE HEIGHT(Fr)
WIDTH x HEIGHT x#OF FACES NO/INT , EXT _ YES/NO (Fr)
A
. .Sctri
x x =
(4 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 S.
A
x x
C
x x =
x —
E
x x =
LARGEST EXPOSED =• DING FACE(SQUARE FEET):
**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:
_AND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
2EGISTRATION NUMBER: REGISTRATION NUMBER: -
tEGISTRATION NUMBER: REGISTRATION NUMBER:
tEGISTRATION NUMBER: • REGISTRATION NUMBER:
•
ullctin 4102—January 1,201 1 Page 2 of 4 k_/I landouts/Sign Pemnii Application
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