04-102499 •
I City of'Federal Way Sign Permi -#:04 - 102499 - 00 - SG
Community Developmen,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: EVERGREEN BANK
Project Address: 1300 S 320TH ST Parcel Number: 082104 9241
Project Description: Monument sign reface to add electronic message board; to be connected to existing j-box
Owner Applicant Contractor
EVERGREEN BANK SHORELINE SIGN AND AWNING SHORELINE SIGN AND AWNING
EVERGREEN BANK SHORELINE SIGN AND AWNING SHORELINE SIGN AND AWNING
1300 SW 320TH ST 17034 AURORA AVE N 17034 AURORA AVE N
FEDERAL WAY WA 98063 SHORELINE WA 98133 (206)542-3577
Comprehensive Plan Designation Community Business a ing be • BC
Fr•• Stan,i igns
Registration# Sign Type Illuminated #Sig . etback F Sign Face Sign Face Sign Height Base Height I andscape Are
F es (Ft.) I. Width(Ft.) Height(Ft.) (Ft.) (Ft.) (Sq.Ft.)
A iI 04-0082 Monument . r
PERMIT EXPIRES December 20,2004.
Permit issued on June 23,2004
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 accordai with •- laws,rules and regulations of the State of Washingt,
the City of Federal Way.
Owner or agent: Date:fa 1 / �I
(i ?Vail ((/1\) Pr+ TH- t•11>( 7-712
71-441--, ,�}ry M kT cel F frt1 1c 5 P/SP )
THIS CARD IS TO MAIN ON-SITE
CITY OF ommunity Developm nt Inspection Record
Federal WayIVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT #: 04-102499-00-SG
Owner: SHORELINE SIGN AND AWNING
Address: 1300 S 320TH ST
FEDERAL WAY, WA 98003-5340
This card is part of your required inspection documents. 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.
1/ Final-Electrical (4055) VA Final- Sign(4085)
Approved Approved
By��;g1/ Date 10 0 0 By' „IR Date \c •
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•
41/ (----
RECEIVED
c
p„� G JUN 2 3 2004 SIGN PERMIT APPLICATION
REFI CITY OF FEDERAL WAYAPPLICATION NUMBER: - -
BUILDING DEPT
**The following is required information—Please print(in ink)or type**
• PROPERTY INFORMATION
SITE ADDRESS: I .J()D S ,. 3a Oth `*ASSESSOR'S TAX/PARCEL#: 0ZZ i CI i j_ __
- LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 417Kti
• PROJECT INFORMATION XREFACE
TYPE OF PROJECT(Check all that apply): •c PERMANENT ❑TEMPORARY L�/NEW ``r, `- ••'• , ❑ EXEMPT
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: /
/
PROJECT DESCRIPTION(Provide detailed description): a X a5 t .► I kPli nal-e d k Y k' T m ( euS)tic f . � Li (0` e\
(- a0Q ) u) th 9)eoiron lei s t ci- acs w
BUSINESS TENANT NAME: Velr 0 �IQ -t h r I,
8I U �J
• PEOPLE INFORMATION
SIGN OWNER: NAME: DAYTIME PHONE:
E-VMAILING cr Ef ADDRESS;CITY,STATE,ZIP):
Q06). �8 -790�6
13 a� 5t Ft peri �)Q l,OJ�yy► . (18 U6 3-
CITY OF FEDDL WAY SINESS LI ENSE NUMBER: J EXPIRATION DATE: 4
CONTRACTOR: N E: DAYTIME PHO IE•
5h6i6t h 5•
n q F n(n a(1-54a-�737 (:.i• �,'5r=, -$(0,
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M�I�G�ADDR (STREET DDj�R�JESS;CITY, ATVE,ZIP):e I\) Ord me WA q TEG PHO -
Cm'OF FEDERAL WAY rS5 iI SE NUMBER: / FAX N�PB)l�ER.
- GO�P511a-3 77
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy required) CC jL(s,^£ C P / /
APPLICANT: NAME: DAYTIME PHONE:
S ;., nGct 0U ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
FAX NUMBER:
CONTACT FOR THIS PROJECT: ( ) -
❑ PROPERTY OWNER APPLICANT 4CONTRACTOR E-MAIL ADDRESS: -
• **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT: 1 41
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑BANNER ❑INFLATABLE ❑ PORTABLE ❑ SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
•
•
• PROJECT DETAILS
PROPOSED NUMBER OF WALL SIGNS: I PROPOSED NUMBER OF FREE STANDING SIGNS: Cl/100.9 eiu j(,nq l
TOTAL ESTIMATED PROJECT COST: NUMBER OF TENANTS BUSINESS SPACES ON PROPERTY: (//1
• TYPE OF SIGN(S) (Check all that apply)
PERMANENT FREE STANDING: 1 MONUMENT ❑ OTHER ❑ PEDESTAL ❑ POLE ❑TENANT DIRECTORY
NUMBER OF EACH TYPE: I
PERMANENT BUILDING MOUNTED:❑AWNING A CABINET ❑CANOPY o CENTER IDENTIFICATION(CID) 0 CHANNEL LETTERS
NUMBER OF EACH TYPE: —
❑ MARQUEE ❑OTHER o PROJECTING o 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(Fr) HEIGHT(FIT)
A on✓r✓�cn�r �es 1,0- res f C ' "-1,
B
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STREET FRONTAGE(Fr):
BUILDING MOUNTED ILLUMINATED? SIGN AREA(SQ.FT.) BUILDING EXPOSED BUILDING
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHTX#OF FACES ELEVATION(N,S,E,W) FACE(SQ.FT.)
A Aia I ver l 4/i-L2N'AL Ft uv RDJIc,,i1 . i ( j 7
B
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D
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• 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 theowner of the above premises to perform the work for which the permit application is made
oz.,
1
NAME/TITLE: C C C % — DATE: df
SIGNATURE
NAME(Print) /�"1 t CHtY ii, Lt, , (Z iG t7i v
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Address: 1300 S. 320TH 03 oX (a' z? w ' a• rn Q
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a�H :. r Project: MONUMENT REFACE m m�0 °; °f N
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