07-104762 City of Federal Way a i Sign Per
Community 07-104762-00-SG
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DR DUANE JONES
Project Address: 33507 9TH AVE S Bldg E Parcel Number: 926500 0020
Project Description: Installation of(1) new 8.Ssq/ft wall sign.Non-illuminated.
\
Owner Applicant Contractor
DR.DUANE L.JONES,DDS MILAN MICHALEK FEDERAL WAY SIGN CO
33507 9TH AVE S BLDG E FEDERAL WAY SIGN CO FEDERWS 110JL 3/22/09
FEDERAL WAY WA 98003 1908 S 341ST PL SUITE 5 1908 S 341ST PL SUITE 5
FEDERAL WAY WA 98003 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 07-0173 Other No 1 17.00 0.50 West
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Saturday, October 3, 2009
Permit Issued on Thursday, October 4, 2007
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 ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: (0—`�— k
arr-eRS V% —1 4—Q.'N. — c vs....,
THIS CARD IS TO MAIN ON-SITE
CITY OFY p p tommunit Develo m nt Inspection Record
_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-104762-00-SG
Owner: DR. DUANE L. JONES, DDS
Address: 33507 9TH AVE S Bldg E
FEDERAL WAY, WA 98003
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.
❑ Final- Sign (4085) ❑ Attachment(4010)
Approved Approved
By Date 1, t & t BO 14. — Date `�.,1`+► 1
For inspector reference only _ I
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
,RECEIVED C( ... IA . 0
N PERMIT APPLICATION
AUG 2 9 207 _
CITY OF APPLICATION NUMBER: (��- I U���� _ou
Federal WayITY OF FEDERAL
. _ *The followin• is re•uired information-Please •rint in ink or pe**
■ PROPERTY INFORMATION
SITE ADDRESS: ' 5-ftp-4- 61•444-61•444- itkl't- S- '%131) , K b1 ASSESSOR'S TAX/PARCEL#: T1 JC
O O - 0020
-
• ■ PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): PERMANENT ❑TEMPORARY c NEW ❑ALTERATION ❑REFACE ❑EXEMPT
o ELECTRICAL(To attach to existinng`J'-box) ❑ ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
PROJECT DESCRIPTION(Provide detailed description): cle_4-- J4- z- 6 e-e- -L l
cam_ ,15i1,eu-i-- OA wiz- \-Z 0 . (A)n„,1 ( L[U1.01.x.iel ) ,, ,+�
BUSINESS/TENANT NAME: ' . --- t. 'G i e-e_ / -- 0 ' s_'L L 1�v• t , by^"-, 17.---t
I
■ PEOPLE INFORMATION
SIGN OWNER: NAME: �y�,� DAYTIME PHONE:
`�X- D. L. de - " (2-53) 94-t - R-Occ
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
--WO QI4 - AbLe . S. ' taQ E 1 T , L064- c)( C 40.-
CITY
3CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
(Required) e/..?. - /D'z g'5(1-0CC>-- ( 2---1) / —0-7 / /
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;ClliQ STATE,ZIP): EVENING PHONE:
r(08 Q - 3`F( £A" PiZ 4rS t rug.- WoLK�(:U 64 Gt$Do ( ) 52_9 - 2-c)u
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ` l9 p O �(`O t g 8 - 00 F FAX NUMBER: -
CONTRACTOR'S REGISTRATION NUMBER: 1 EXPIRATIO`JN DATE:
(Copy required) E& *JS klo .1 L 03 / 2z / 2oc9
APPLICANT: NAME: DAYTIME PHONE:
t}'( ( L-A (zr ) X2-9 - 7--4)i 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ` EVENING PHONE:
tQO B S- 14(et PC --e �edL.Waw/ X64 at Y-oo3 ..,e
( ) ux.,. .
( FAX NUMBER:
CONTACT FOR THIS PROJECT: ( ) -
❑ PROPERTY OWNER \ PPLICANT 71-.1 CONTRACTOR E-MAIL ADDRESS:
. • **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
/
TEMPORARY SIGN TYPE: ❑BA R ❑INFLATABLE 0 PORTABLE 0 SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
• PROTECT DETAILS . . .
PROPOSED NUMBER OF WALL SIGNS: k PROPOSED NUMBER OF FREE STANDING SIGNS:
TOTAL ESTIMATED PROJECT COST:$ 14-St) NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:
• TYPE OF SIGN(S) (Check all tha' 'ply) °
PERMANENT FREE STANDING: ❑ MONUMENT • OTHER ❑ PEDESTAL ❑ POLE ❑TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED: ❑AWNING ❑CABINET ❑CANOPY ❑CENTER IDENTIFICATION(CID) ta CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE ❑OTHER o PROJECTING ❑TENANT DIRECTORY
NUMBER OF EACH TYPE:
• DETAILED SIGN INFORMATION
FREE STANDING SIGN SIGN AREA(SQ.FL) ILLUMINATED?: R ACE? PART OF CID TOTAL SIGN BASE
TYPE WIDTH X HEIGHT X#OF FACES NO/INT/EXT ES/NO SIGN? HEIGHT(FT) HEIGHT(FT)
A
c I
STREET FRONTAGE(FT):
BUILDING 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 kuoc.� -:
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: �/""""'"C - $^ Z9
DATE:
SIGNATTURE
NAME(Print) lid`(
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION: COMP PLAN DESIGNATION:
BUILDING MOUNTED SIG FREE STANDING SIGN
AREA PERMITTED: 3' AREA PERMITTED:
ttc
AREA PROPOSED: g's AREA PROPOSED:
LARGEST BUILDING FACADE: '- STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: DATE: (("o
= STRUCTURAL APPROVER INITIALS: ^_ DATE: ' 7—O 7
REGISTRATION NUMBER: REGISTRATION NUMBER: o•--7- 1 `3
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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