08-100265 III
City of Federal Way S1 n Perm #: 08-100265-00-SG
Community Development Services g
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 BRIAN FILBERT DDS CAMPUS POINT DENTAL CARE
Project Address: 33507 9TH AVE S Bldg B Parcel Number: 926500 0020
Project Description: Installation of(2) sets of non-illuminated plastic letter wall mounted signs installed on the
north and south elevations.
Owner Applicant Contractor
DR BRIAN FILBERT FAMILY DENTISTRY MILAN MICHALEK FEDERAL WAY SIGN LLC
33507 9TH AVE S BLDG B 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 08-0009 Other No 1 9.00 1.30 North
Sign B 08-0010 Other No 1 9.00 1.30 South
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Wednesday, February 3, 2010
Permit Issued on Monday, February 4, 2008
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 acC.
rdance with the laws, rules and regulations of the State of Washington
illt-AA
e and the City of Federal Way.
Owner or agent: ` Date: t. - 1+— 'WO t.
r
r
•
THIS CARD IS TO *AIN ON-SITE
411111\11......
CITY OF Pommuni y Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100265-00-SG
Owner: DR BRIAN FILBERT FAMILY DENTISTRY
Address: 33507 9TH AVE S Bldg B.
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.
❑ Footings/Setback(4110) ❑ Final -Electrical (4055) ❑ Final- Sign (4085)
Approved to place concrete Approved Approved
By Date By Date By C Dat •-(3-(
- ❑ Attachment(4010)
Approved
By Date
•
For inspector reference only _.
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
'' RECE . ED
0 _ ( Q62C -0C-)YOF
FY JAN 17 2s."-'N PERMIT _ 1
Federal Way PWCATI ON a 41 Illi 0a
CITY OF FEDEw L SVR `" _
■ PROPERTY INFORMATION� ��
SITE ADDRESS 3 350 S •• , D Co•B 1'�or• WC SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2- 6 5 0 0 - 0 0 Z 0 ZONING DESIGNATION C 1 a
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply):,ERMANENT o TEMPORARY ❑NEW ❑ALTERATION o REFACE ❑EXEMPT
o 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 THIS APPLICATION: Wall Mounted: . Freestanding:G
TOTAL ESTIMATED PROJECT COST:$ 5Q '— o,, p�,
DETAILED PROJECT DESCRIPTION: (Z\ `) '''e--4- c 3 ` `e'
hoc --s e- -eru vrc Q( cam
(� U
BUSINESS NAME ON SIGN: K---' '',e4-e.A. ' (DDZ `_OLA'"`` V"""'T `✓€ - C ._
• PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
V?". . R � ( ) 22& - Sit-9-y-
MAILING ADDRESS(STREET ADDRESS:CITY.STATE.ZIP): FAX NUMBER
33S0-- atm - • S • Vocal $ ` scat• ())e ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: (Required prior it permit iseiiance) U E-MAIL ADDRESS
g0k — (o t VS-
-CONTRACTOR: C�OM`(P}ANY NAME Q�1` APPLIC NT NAME OFFICE PHONE p
MAILING ADDRESS , IAEA Z., CITY,STATE.ZIP): µ� CELLPHONE 29 - 2p l(
19 01 S • 34.1 ' P __ it 5 poet•LOX%AA)ifk °(9‘003 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
( )
COPT of card requited ,—/, CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE: E-MAIL ADDRESS
with each application
Tel- ce-wS 1iO4L 03/722709
APPLICANT COMPANY NAME APPLICANT NAME. PRIMARY PHONE
'c• i-U l (W2 ) S2� - ?-o t I
MAILING ADDRESS r CITY,STATE.ZIP FAX NUMBER
&ae,A-02.Ock 0,-V•d ( ) -
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
1Contractor ❑ Tenant ❑ Other
PROJECT NAMEO - PRIMARY PHONE E-MAIL ADDRESS:
CONTACT l ( Z-S-6) 52�j - 2,.0 (k
• 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 . , of the above premises to perform the work for which the permit application is made
SIGNATURE DATE: I '4 `"'o 4
COMMUNITY DEVELOPMENT SERVICES•33325 871h AVENUE SOUTH•PO BOX 9718•FEDERAL WAY.WA 98063-9718•253-835-2607•FAX 253-835-2609
• '"TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOV : TOTAL CALENDAR DAYS:
DESCRIPTION OF PROPOSED SIGNAGE:
■ TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT • % AL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS �(�tTENANT, pDIRECTORY
OTHER(Describe)(�� & 005L-4 'C"`'a
• 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/EXT YES/NO (FT)
A
x x =
B
x x -
C
x x f
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 L 9 x i3 x 1 = 12 c 7%0
B
(411406 LOC
-g exg j x (.3 x 1 _ I -xs
c
x x =
D
x x =
E
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): `kat> �}
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM 0 LOW 0 FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED`: #q3:vi � AREA PERMITTED:
AREA PROPOSED: 'it 14j' AREA PROPOSED:
LARGEST BUILDING FACADE: `t-%O STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: A NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: /Z3/06 STRUCTURAL APPROVAL BY: G cJ DATE:Z
REGISTRATION NUMBER: ' Q i . REGISTRATION NUMBER:
REGISTRATION NUMBER: Ok - 0 REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
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