13-102051 • Sign
Ciof&FederalWay Permit #: 13-102051 -00-SG
CommunityEcon.on.Dev.Services
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DAVITA
Project Address: 32275 32ND AVE S Parcel Number: 215465 0080
Project Description: Installation of internally illumintated channel letter wall sign. Includes electrical
connection to existing j-box.
Owner Applicant Contractor
DAVITA PLUMB SIGNS INC(GENERAL) PLUMB SIGNS INC(GENERAL)
1423 PACIFIC AVE 909 S 28TH ST PLUMBSI077QC (12/17/13)
TACOMA WA 98402 TACOMA WA 98409-2613 909 S 28TH ST
TACOMA WA 98409-2613
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A na Channel Letters Yes 1 11.25 4.38 East
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP-1
PERMIT EXPIRES Sunday, November 17, 2013
Permit Issued on Tuesday, May 21, 2013
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 Erin accordance with the laws, rules and regulations of the State of Washington
fid the City of Federal Way.
Owner or agent: Date: .14
FINALED
• THIS CARD IS TO ' MAIN ON-SITE
CITY OF . T ''
- '' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-102051-00-SG Address: 32275 32ND AVE S
Project: DAVITA 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.
❑ Footings/Setback(4110) ❑ Final-Electrical(4055) `El Final-Sign (4085)
Approved to place concrete Approved Approved
By Date ByDate 3 j, Bk-'S Date
El Attachment(4010) • /
Approved
B 5 Date 11,..V/)
El Rough Electrical111 Final Electrical Right of Way
Approved Approved0 Approved
By Date By Date By Date
JI . SL4
-
v• :144444 -
Q�CEj�IEGN PERMIT
13APPLICATION 3° /3
0
092
• PROPERTY INFORMATION
�-
SITE ADDRESS ca rJ�m" L9A "'`"'/9-VZ. Jr!)• SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# / .'� Y le ,S - (*) Q_ ZONING DESIGNATION e .�
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): yNEW ❑ALTERATION ❑ REFACE ❑ EXEMPT
ELECTRICAL(To attach to existing J-box-include on this permit)
❑ ELECTRICAL(New/altered circuit&J-box added -separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: / Freestanding:
TOTAL ESTIMATED PROJECT COST: $ OV
DETAILED PROJECT DESCRIPTION: >.t/S741-z-L .4 iti Ld l.LAG, ...1/6-.4-0
BUSINESS NAME ON SIGN: ,274 V/7,9
• PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
1�•9
V/ 7/4 (5 )•s'gs- 23 5e..4
MAILING ADDRESS(STREET ADDRESS;CITY.STATE,ZIP): FAX NUMBER
3a�7s 3a'"'"4 7 J' go b24--/-- w, ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
Ate..)-7/ L-,u,SGdvV,?/,1. ',' Y (. 53)1f'?3 33.3
MAILING ADDRESS(STREET ADDRESS:CITY.STATE,ZIP): CELL PHONE
9e,9 j• «2d''`' N=17- "7-,1-co,r",9 9e Y69 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NIJMBER
/9 . 9,e• /oss - 0 b't.S3)97 3/: 7
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
/3.4-u, '/ iD 7 7625 el•
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
�,�►rra P .-9s a 1r�-. ( )
MAILING ADDRESS CITY,STATE,ZIP FAX NUMBER
( )
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
❑ Contractor ❑ Tenant ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT &eii2//L//E (G233) Y�3 ,�. '<3 X/S- CdNR/li-QP err /b".cS•
0.444A-
•
'e.w■ 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 owner of the above premises to perform the work for which the permit application is made
SIGNATURE /-7-;;;;"-, DATE: '3 ' 7'.48
COMMUNITY DEVELOPMENT SERVICES•33325 8m AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
�d1r
�'' ■ TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe) X
PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER(Describe)
• 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 =
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 2-114-24- ms's' x//_'�"x i _ -Y 9 ,.v-7- .eP`Y
B
x x =
C
x x =
D
x x =
E
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): �py
L y
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM E LOW ❑ FREEWAY
BLILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: /A •`(Z AREA PERMITTED:
AREA PROPOSED: +.7, AREA PROPOSED:
LARGEST BUILDING FACADE: `' `t VI STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: �� NUMBER OF SIGNS ALLOWED:
---) VIM DATE: [_
dyes-,
LAND USE APPROVAL BY: r�(i'(3 STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: tt-(4 I REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
Bulletin#102—January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
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