16-102137 Sign
Eity of Federal Way Permit #:16-102137-00-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: CVS PHARMACY
Project Address: 33520 21ST AVE SW Parcel Number: 132103 9098
Project Description: Install(4)internally illuminated channel letter wall mounted signs. Electrical connections
included.
Owner Applicant Contractor
REGULATORY AFFAIRS KEVIN BOBOADVANCED SIGNS LLC PLUMB SIGNS INC (ELECTRICAL 04)
DEPARTMENTAPRO,LLC DBA UNITED 1 37TH ST NW SUITE C PLUMBSI077QS(11/10/17)
PACIFIC AUBURN WA 98001
17311 S MAIN ST 909 S 28TH ST
GARDENA CA 90248 TACOMA WA 98409
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A N/A Channel Letters Yes 1 18.00 2.00 West
Sign B West Channel Letters Yes 1 33.00 4.00 West
Sign C N/A Channel Letters Yes 1 33.00 4.00 South
Sign D N/A Channel Letters Yes 1 18.00 2.00 South
Additional Permit Information
Comprehensive Plan Designation Neighborhood Business Zoning Designation BN
CONDITIONS:
Freestanding Signs on Separate Permit
PERMIT EXPIRES Saturday, 6 May,2017
Permit Issued on Monday,November 7,2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of
shingtorj and the City of Federal Way.
Owner or agent: rDate: 1 1 11 Lc
4—H r
,,,,ip,A, THIS CARD IS TO REMAIN ON-SITE
Federa Wa Construction Inspection Record ,
y INSPECTION REQUESTS: (253)835-3050 .
PERMIT #: 16 102137 00 Address: 33520 21ST AVE SW
Project: REGULATORY AFFAIRS DEPART11 FEDERAL WAY WA 98023-2874
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) ® Final-Electrical(4055) ® Final-Sign(4085)
Approved to place concrete Approved Approved
By Date By C..., A,j,_ Date 1 t 1'7 Bye }.1,v.. Date k_- -t,,_.14,1
® Attachment(4010)
Approved
By Q__137,., Date \ ,31—xi
E] Rough Electrical El Final Electrical C3 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
it ,,,, ‘c.T -'' SIGN PERMIT I
_._s
11-#/'
l Federal WAY o5 2016 APPLICATION 7077�
�� ■ PROPERTY INFORMATION
" SITE ADDRESS 53 5-2'0 21 J-- 4--ve - - W SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1 3 Z 1 v 3 - 9 0 T U ZONING DESIGNATION l 1/ V
■ PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): X NEW 0 ALTERATION 0 REFACE ❑EXEMPT
VLELECTRICAL(To attach to existing J-boxY-�include on this permit) A.,,,,
❑ ELECTRICAL(New/altered circuit&J-box added-separate permit is required) 2—NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mo :/1 Freestanding:TOTAL ESTIMATED PROJECT COST: $ 33,G cC' 1`''J 01/ I�""`�>� -DETAILED PROJECT DESCRIPTION: 2T - / (2A o+ mo k "" I(( >,/ ' rCp
r
All PV �N Si X ON Sn PCI 11' 01
BUSINESS NAME ON SIGN: U5 Y V1 C!ir `.`y C" I," $i. -
■ PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
CVS P 4rnifCy (501 )cry 2 -57 /
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP: �� I / ` �Q2 FAX NUMBER / -”70�� O
33 S2-O L ,4 v2 5,(4/, r t 7, WA ($$$' )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
/.& /0 2/ 37
�� COMPANY y cel (�SS�iEy� RE$LS,yG, i'�f A (25"3 ) 96r� -5-50,
G�� II (MAILING3„ �"�R v / V W CITY,{J/�'(i IP): , J� ( �V CELL PHONE -
( )
l Ol $ zY0 O^F1F2ED– A6W3A2BUSINESS
�L[CE—NS LER: EXPIRATION DA� FAX NUMBER
)B
ER
2_9 - 0 ii/31/ 6
"S9 (614
Z3DER: DATE: E-MAIL ADDRESSXDVAA' jp EXPIRATION/ -3/
7
APPLICANT COMPANY NAME PRIMARY PHONEgPLIn /37716
(2g3) 9S-7 - 5-9o?
MAILING DDRESS i 5-t ti A v/,/1 ,ZIPW A- Q 8V V 1 (FNUMBER -
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
contractor ❑ Tenant ❑ Other
PROJECTN PRIMARY PHONE E-MAIL
ADDRESS: )
CONTACT 2u1'4 0 ) (`2-S3) c/r7 - 5-90/ 55/"iC 2u,'I�0® l
71-74;
• 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
SIGNATURE4frte;„.""
DATE:
Y/Z9/i6
COMMUNITY DEVELOPMENT SERVICES•33325 8Th AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
1
ki ' ,
■ TYPE OF SIGNS (Indicate number of each)
` PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: '13--AWNING CABINET q 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/I YES/ NO ) /
A
/11041(444,14# R= 1'' x _°?►it a-ti± (J' ( -Z / I r---
B MuinU�zhi x j7; x - . -h'r' J 17/ /— '0 ��
C
x 2=
STREET FRONTAGE(LINEAR FEET): 3?-2- -3 l) -* ` crA7 ' , S'6 Li " f al 11
I
----A U911....N__ _______,---\\___________,--
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 �
JII c-)_'-»yx 1 x I = Z`, t4(fi � 2� ") 7-'2 `t
B (Are ct 11 3SA y xLr x 1 = 139;1; T f W- -Zg ' 77 / 12 g
c 'dl I ( 33
,5 x 4g° x I = I3:3,-6 147 5 - 2 / 27 93
D W'a [ ( '?-i x 1S' x 1 ._ �e% _ $ v f S- 2 i ' 2,7 `3
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): -5 ply AWNIOAzM Vy'4
**FOR OFFICE USE ONLY** ALL01,0e0r O
ZONING DESIGNATION: PROFILE: 0 HIGH 0 MEDIUM 0 L' ■ 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
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