07-106732 •City of Federal Way
DevelopmentServices Sign Perm#: 07-106732-00-SG
Community
P.O Box 9718
Federal Way,WA 98063-9718
1 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CAMILLE VANDEVANTER DENTAL OFFICE
Project Address: 33507 9TH AVE S Bldg G Parcel Number: 926500 0020
Project Description: Installation of(1)wall mounted, non-illuminated,individual plastic letter sign.
Owner Applicant Contractor
VANDEVANTER DDS MSD,PS,CAMILLE MILAN MICHALEK FEDERAL WAY SIGN LLC
33507 9TH AVE S BLDG G FEDERAL WAY SIGN LLC FEDERWS110JL 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 07-0236 Other No 1 0.00 0.00 East
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Sunday, December 27, 2009
Permit Issued on Friday, December 28, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th use will be in cordance with the laws, rules and regulations of the State of Washington
f and the City of Federal Way.
Owner or agent: (../ Date: I
- THIS CARD IS TOMAIN ON-SITE -
• .
•
CITY OF �� '� Community Developm nt Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106732-00-SG
Owner: VANDEVANTER DDS MSD, PS, CAMILLE
Address: 33507 9TH AVE S Bldg G
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.
0 Footings/Setback(4110) ❑ Final-Electrical (4055) ❑ Final-Sign(4085)
Approved to place concrete Approved Approved
By Date By Date By G Date /— Cl —ci
❑ Attachment(4010)
Approved
By ... LA...) Date / - i_ C7paz
i
1
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
` f
RECEISD lip sm. II) 4,6111 ' -
CITY OF `
Application Number
Federal Way DEC 1 3 SIGN PERMIT
P. _1�� _0
t CITY OF FEDER�AVPLI CATION — —
: ILDING DEPT.
• PROPERTY INFORMATION
SITE ADDRESS )3 co-- C 'ilk &VA... .. V.g G V atrat Q U31- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Ct. 2 b ® ° - 1 1 So. 2 0 ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): i PERMANENT 0 TEMPORARY i)CNEW 0 ALTERATION ❑REFACE 0 EXEMPT
❑ ELECTRICAL(To attach to existing J-box-include on this permit)
0 ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: Freestanding:
Q
TOTAL ESTIMATED PROJECT COST: $ et Fro
n
DETAILED PROJECT DESCRIPTION: e X 1 t-a't' `� .2_. "
a.-4-4-0,e1- eU at. *a- &Q urtzkk
BUSINESS NAME ON SIGN: C /Le- votAA-CeDDS 1 N SID 1i:, 2 b2' 4 t'i't 0
• PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
eix.44.4jRPo Uc ,,., ZeAra. --cn (2..s1) Go ( -�Z?$
MAILING ADDRESS(STREET A�D`pDRESS:CITY,STpppATE.ZIF: p FAX NUMBER
thOr
CITY
o OF- (3(w BUSINESS LICENSE• NU (Requt Prior W L/ gOOl E-MAIL ADDRESS
'- / osZ ' — k2 -3l o
CONTRACTOR: COMPANY NAME APPIIICANT NAME OFFICE PHONE
• Qt.01P,k �v 1.-Lt IcA.A.eg (2s-s)52ct -So h
MAILING ( ADDRt crk
STATE.ZIP): CELL PHONE
11 og S . 31t( P.2 *5 c9,(2eh (Wu} q$003 ( ) -
iiiCTIY OF FEDERAL—AS(B6 ' rR i3EXPIRATION( DATE: FAX NUMBER -
COPY of c.rd r.q. - CONTRACTORS REGISTRATION NUMBER V'O EXPIRATION DATE: E-MAIL ADDRESS
with each application..._i'r FCbff S 110,1L_ /22fzoo9
APPLICANT COMPANY�. n APPIICANTNAME^ PRIMARY( .Z, )PHONEq- S t(
MAILING ADDRESS 1�_y- CITY.STATE.ZIP I"t�•-1,, FAX NUMBER
RELATIONSHIP 70 PROJECT E-MAIL ADDRESS
Contractor 0 Tenant ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT (2S) S 79( - 20((
• SIGNATURE
I certify under penalty of perjury that thOnformation furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owners of the above premises to perform the work for which the permit application is made
c
SIGNATURE / \-AAAlV DATE:
1.1
COMMUNITY DEVELOPMENT SERVICES•33325 gm AVENUE SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9718•253-835-2607•FAX 253-835-2609
• . \• 4 a
■ TEMPORARY SIGN APPLICATIONS ONL.•'
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS:
DESCRIPTION OF PROPOSED SIGNAGE:
r'
■ TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNING CABINET LETTERS �{ �,pTENANT DIRECTORY
OTHER(Describe) iiL.LD(..iJ��Q �'''"T'''` ,
• 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/INT/EXY YES/NO (Fr)
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 (,e -ensv on(" x 13.s.4 _ ( - F_ 13 4-a
B
x x =
C
x x =
D
x x =
E
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): ) �`4
. '�
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM 0 LOW 0 FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED:
,-2
w 44-, AREA PERMITTED:
AREA PROPOSED: ' 3( AREA PROPOSED:
LARGEST BUILDING FACADE: `(-C‘64 STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: a NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: — DATE:DATE: (9 a.--)-15'7 STRUCTURAL APPROVAL BY: G_w.) DATE: i,_...z,,„/...7
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: $"l ()a.-3(p REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
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o i ' ; ', 11:1 PERMIT: 07-106732-00 SC )4,
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� ,' , 1ADDRESS:33507 9TH :AVE S BLDG C
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PROJECT:��all mounted sign "
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�� OWNER:C.'amille VanDevanter
g� , `, DATE: 12/13/07 �'