05-100565 - ' •. •
City of Federal Way •
Community Development Services Sign Permit#: 05 - 100565 - 00 - SG
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: New freestanding "Emergency"sign; to be connected to existing j-box
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM PLUMB SIGNS INC*CONNIE GUFFEY* PLUMB SIGNS INC*CONNIE GUFFEY*
1717 S J ST 909 S 28TH ST 909 S 28TH ST
TACOMA WA 98405-4933 TACOMA WA 98409 TACOMA WA 98409
(253)473-3323
Comprehensive Plan Designation Office Park Zoning Designation OP
Free Standing Signs
7PRegistration# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Height Landscape Area
Faces 1 (Ft.) Width(Ft.) Height(Ft.) (Ft.) (Ft.) (Sq.Ft.)
I-A 7 05-0035 Monument Yes ( 1 3 5 I 4 I 4 i 1 I 41
PERMIT EXPIRES March 15,2007.
Permit issued on March 15,2005
I hereby certify that the above information is correct and that the construction on the above described properti
the occupancy and the use will •- ' a ordance with the laws,rules and regulations of the State of Washingt.
the City of Federal Way.
Owner or agent: Date: ;// /.Sf--
` y • THIS CARD IS TO RAIN ON-SITE
CITY OF ,. ' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-100565-00-SG
Owner:
Address: 34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
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.
Ar Footings/Setback(4110) Final-Electrical(4055) Final- Sign(4085)
Approved to place concrete � r • pproved Approved
�I��
By "1" Date+4,7/40 By Date 3By tiaDate 4---3—(2 ------
.
0 Attachment (4010)
Approved
By Date
r •
: 3 i0Cs
I
. SIGN PERMIT APPLICATION
;;,,-�,Y,r .., APPLICATION NUMBER: p5- J1 O5-1p,-- OD
Federal Wav
**The followin• is re•uired information-Please ,rint in ink or •e**
• PROPERTY INFORMATION
SITE ADDRESS: 34515 - 9th Ave . S • ASSESSOR'S TAX/PARCEL#: 750451002 0
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): PERMANENT oTEMPORARY ❑NEW ❑ALTERATION DREFACE ❑EXEMPT
XOOELECTRICAL(To attach to existing J-box) o ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: 1
PROJECT DESCRIPTION(Provide detailed description): Install monument sign reading "Emergency"
BUSINESS/TENANT NAME: St . Francis Hospital
ika .. • PEOPLE INFORMATION
SIGN OWNER: NAME: DAYTIME PHONE:
St . Francis Medical ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1717 South "Jr' Street , Tacoma , 98405
CITY OF FEDERAL WAY BUSIN SS LICENSE NUMBER: EXPIRATION DATE:
(Required) f l • ccoS -- -- la i 5\ is
CONTRACTOR: NAME: DAYTIME PHONE:
Plumb Signs Inc . ( 25 473-3323
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
909 S . 28th St . , Tacoma , 98409 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
19 98 105516-00 BL __ __ (253 ) 4727_3107
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy required) i / /
APPLICANT: NAME: DAYTIME PHONE:
Connie Guffey (253 )473 3-323 x10
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
909 S . 28th St . , Tacoma , 98409 ( ) -
FAX NUMBER:
CONTACT FOR THIS PROJECT: (253 )472-3107
o PROPERTI OWNER XOCAPPLICANT o CONTRACTOR E-MAIL ADDRESS:
connie@plumbsigns . com
• **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER c INFLATABLE ❑ PORTABLE o SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
• PROJECT DETAILS
PROPOSED NUMBER OF WALL SIGNS: PROPOSED NUMBER OF FREE STANDING SIGNS: 1
TOTAL ESTIMATED PROJECT COST: $ 3 , 0 0 0 NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: 1
1110 •
■ TYPE OF SIGN(S) (Check all that apply)
PERMANENT FREE STANDING: XMONUMENT ❑OTHER ❑ PEDESTAL ❑ POLE 0 TENANT DIRECTORY
NUMBER OF EACH TYPE: 1
PERMANENT BUILDING MOUNTED: 0 AWNING ❑CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION(CID) ❑CHANNEL LETTERS
NUMBER OF EACH TYPE:
0 MARQUEE 0 OTHER ❑ PROJECTING ❑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(Fr)
A Monument 5 ' x 4 ' x 1 = 20 Int No No 5 ' 1 '
B
C
STREET FRONTAGE(FT): 500 ' +
BUIkDING MOUNTED ILLUMINATED? SIGN AREA(SQ.FT.) BUILDING EXPOSED BUILDING
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHT X#OF FACES ELEVATION(N,S,E,W) FACE(SQ.FT.)
A
B
C
D
E
• 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 the owner of the above premises to perform the work for which the permit application is made
NAME/TITLE: L - , DATE: 1/27/05
SIGNATURE
NAME(Print) Connie Guffey
PRINT
FOR OFFICE USE ONLY: h
ZONING DESIGNATION: V I COMP PLAN DESIGNATION: , P
BUILDING MOUNTED SIGN FREE STANDING SIGN
AREA PERMITTED AREA PERMITTED: 0'o
AREA PROPOSE' ../l AREA PROPOSED: _ • 11
LARGEST BUIL' NG•cA' : I� STREET FRONTAGE:
NUMBER OF SIGNS ALLOW-1: NUMBER OF SIGNS ALLOWED: (
LAND USE APPROVER INITIALS: pi/ DATE: 3 (fl Dom` (ff
STRUCTURAL APPROVER INITIALS: DATE: Z •� 2 �j'�✓✓O
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES•33325 8TH AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-835-2607•FAX:253-835-2609
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