09-100159 I '+
0 0 Sign
City of Federal Way yy
CommunityP.O.DevelopmBox9718 ent Services ,. °1 Permit #: 09-100159-00-SG
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EVERGREEN EYE CENTER
Project Address: 34719 6TH AVE S ; 6.1.1," ` Parcel Number: 202104 9178
Project Description: Replace(1)internally illuminated monument sign.Attaching to existing J-box.
Replacing sign cabinet which was damaged by a car. The base has no change.
Owner Applicant Contractor
EVERGREEN EYE CENTER CULBERTSON SIGN SERVICE CULBERTSON SIGN SERVICE
34719 6TH AVE S 5209 122ND ST E CULBESS984MU(8/30/10)
FEDERAL WAY WA 98003 TACOMA WA 98446 5209 122ND ST E
TACOMA WA 98446
:, 5 , ;A g Sign Information to
�ii.�,u.,Wy�i Lfy: .4$ �� W,-,--,4' ;4A.1.�r� i/ia ,..�. ,� 14,.;, ,. . r.e .. .. e.
Reg.# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Landscape
Faces (Ft.) Width(Ft.) Height(Ft) (Ft.) Height(Ft) Area(Sq Ft)
Sign A 09-0009 Monument Yes 2 3.00 10.12 3.66 5.00 1.40 80.00
4'�4�'44 r 4 JO,/
.. # .l� tt y ` �� ,9 r�Y-
., -4, ".„ a.,. •'PA k.',..4'"... . «,` . ski ,,A . '�''.** 4
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Saturday, August 1, 2009
Permit Issued on Monday, February 2, 2009
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 accordance with the laws, rules and regulations of the State of Washington
and the C 'of Federal Way.
Owner or agent:
....__________;,e___
� `'__�'
g �e�- l` Date: ?rf�cr
r ,
CITY OF
THIS CARD IS TO "'MAIN ON-SITE ''
'`- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100159-00-SG
Owner: EVERGREEN EYE CENTER
Address: 34719 6TH AVE S
FEDERAL WAY, WA 98003-8714
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) f❑ Final-Electrical(4055) ❑ Final-Sign (4085)
Approved to place concrete Approved Approved
By Date By LADate.3 • --21 By�s4,V Dates- 3 -13 c
❑ Attachment(4010)
Approved
By Date
•
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
' 40
., , , , R ECEI
,. VI!D 0?- / CC 159'.. .
CITY OF ''.: ,�,�N 1 ¢ 20(§IGN PERMIT TD
Federal Wav
Cliy APPLICATION 0V1-7/0
OF FEDERAL WAY
'
• PROPERTY INFORMATION
SITE ADDRESS -371/7/q ` e-it /Z'+ ,i e ke4 14.174 t 3 SUITE/UNIT# O P
ASSESSOR'S TAX/PARCEL# .2 69 2 / 0 1/ - 7 / 7 Cf®/I ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ❑PERMANENT ❑TEMPORARY ❑NEW ❑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: / Z- e-c—
TOTAL ESTIMATED PROJECT COST:$ `7 ,-YJ C
DETAILED PROJECT DESCRIPTION: ieiesop re- ,- r 5;:jrl t ;dJ 1,7 J k-% Cl/ W
/3i • l.�'0-" ,r/I 7=c- 1-f2 ki 4,,,L 5'7 ,-1�/Z, 71*,.,_ c'''<-_, ',4C-
�E!
•
■ **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS:
DESCRIPTION OF PROPOSED SIGNAGE:
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: / MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
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(Fr)
WIDTH x HEIGHT x#OF FACES NO/INT/EXT YES/NO (Fr)
A
Agt(Piel icd X 1 x 2 = 00-4, 9 '
B 37-°1-( i Y"' pc. 11,
x x =
C
x x =
STREET FRONTAGE(LINEAR FEET): 2 ``t
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
x x =
B
x x =
C
x x =
D
x x =
E
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET):
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑ FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: AREA PERMITTED: �v
AREA PROPOSED: AREA PROPOSED: - ` tO y
LARGEST BUILDING FACADE: STREET FRONTAGE: "�/ CC)
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: a
LAND USE APPROVAL BY: l DATE: ( -; 1-01 STRUCTURAL APPROVAL BY: .W DATE: t- S C�-
REGISTRATION NUMBER: REGISTRATION NUMBER: - Oq. OoOe{
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
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