16-103190 Sign
City of&Eco Way Permit #: 16-103190-00-SG
Community Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FIRST CHOICE CNA PROGRAM
Project Address: 28815 PACIFIC HWY S Unit 9 Parcel Number: 042104 9024
Project Description: Install(1)non-illuminated di-bond panel with vinyl copy wall mounted sign
Owner Applicant Contractor
S 288TH ST ASSOC FEDERAL WAY SIGN LLC(GENERAL) FEDERAL WAY SIGN LLC(GENERAL)
28815 PACIFIC HWY S UNIT 10 34205 18TH PL S FEDERWS894DS(3/20/17)
FEDERAL WAY WA 98003-3906 FEDERAL WAY WA 98003 34205 18TH PL S
FEDERAL WAY WA 98003
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A NA Other No 1 16.00 1.67 North
Additional Permit Information
Comprehensive Plan Designation Community Zoning Designation BC
Business
PERMIT EXPIRES Saturday, January 14, 2017
Permit Issued on Monday, July 18, 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 a cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
P//10/
$10
,,,,.„441%.,‘, THIS CARD IS TO REMAIN ON-SITE
CITY OF. Construction Inspection Record ,
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 16-103190-00-SG Address: 28815 PACIFIC HWY S Unit 9
Project: S 288TH ST ASSOC FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El Footings/Setback(4110) D Final-Electrical(4055) Final-Sign (4085)
Approved to place concrete Approved Approved
By Date By Date `l� —� �' Date v t/(�
�0 Attachment(4010) I
Approved
By Date
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. , • ‘ RECEIVED )(to I 0 31 9 0SG
WV OF �.� L 0 1 2016 SIGN PERMIT (,.
Federal Wad APPLICATION LI CATI O N �/� /
CITY OF FEDERAL WA
A ■ PROPERTYpINFORMATION p�
SITE ADDRESS tat(S o Q� G O- Lia ( 1.(5/ ( -o 0% SUITE/UNIT# l
ASSESSOR'S TAX/PARCEL# 0 4 2- 1 4 - qo . ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply); y l�EW 0 ALTERATION 0 REFACE 0 EXEMPT
❑ ELECTRICAL(To attach to existing J-box-"include on this permit)
o ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THISIAPPLICATION: Wall Mounted: t Freestanding:
TOTAL ESTIMATED PROJECT COST:$ 0(O
DETAILED PROJECT DESCRIPTION: `�t��_ � �/ �- �`-"i k �
BUSINESS NAME ON SIGN: "F(�� (O'C-t- CI A V'RoG.R �l
• PEOPLE INFORMATION
SIGN OWNER: NAME:/) n ,;,,p -PRIMARY PHONE
tp t '�_uu"�""_"_ �t1 ( 2-0G) ZvS3-2.So�.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
2%a(s e . b� S. 1 ' cR (A ( ) -
CITY OF FEDERAL WAY BUSIN LICENSE NUMBER: E-MAIL ADDRESS
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
alQ . ' S g-: �t,c-� e c (2 ) t 227(- ?-e.l
MAILING ADDRESS('tl• ET AD ;CITY,STATE,ZIP): CELL PHONE
-7341-0S. 1=*L .c ' cL.. Goan 7 W#- ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE ER: EXPIRATION DATE: FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
' ell,E ct W S @l it D S 3-2-c.--- '2-0 (1--
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
MAILING ADDRESS,ooU.7 n_ _,, CITY.STATE.ZIP FAX NUMBER
L
-1. CXA akt A ( )
RELATIONSHIP TO TO PROJECT E-MAIL ADDRESS
❑ Contractor 0 Tenant 0 Other
PROJECTNAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT (2- i) 521- 20 it
■ 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 wner of the above premises to perform the work for which the permit application is made
SIGNATURE DATE: T ` — `2--d i a
COMMUNITY DEVELOPMENT SERVICES•33325 gm AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
• TYPE OF SIGN(S) (Indicate number of each)
a4
PERMANENT FREE STANDING: MONUMENT PED POLE TENANT DIRECTORY OTHER
O escnbe)
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER(Describe) L'
• DETAILED SIGN INFORMATION
FREE STANDING SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? EFACE? TOTAL HEIGHT BASE HEIGHT(FT)
WIDTH x HEIGHT x#OF FACES NO/INT/ YES/NO (FT)
A
x x =
B
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.)
A -C_,Q I Q�r x Lo" x 1 =2 .� ,.t� .�.du 2- S v
x x =
x x =
x x
x x
LARGEST EXPOSED BUILDING FACE(SQUARE FEET):
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH 0 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:
LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
Bulletin#IO2—January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
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