15-104984 • •
Sign
City of Federal Way Permit #: 1 55-104984-00-SG
Community Econ.& Dev.Services �
33325 8th Ave S -�_
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CHI FRANCISCAN HEALTH
Project Address: 34616 11TH PL S Parcel Number: 215470 0070
Project Description: Installation of a non-illuminated tenant directory sign.
Owner Applicant Contractor
JOLUSO COMMERCIAL LLC VON CHANG OWNER IS CONTRACTOR
PO BOX 58881 JOLUSO COMMERCIAL LLC
RENTON WA 98058 PO BOX 58881
RENTON WA 98058
Free Standing Sign Information
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 na Tenant No 1 3.00 5.00 4.80 6.00 1.16 30.00
Directory
Additional Permit Information
Comprehensive Plan Designation Office Park Zoning Designation OP
PERMIT EXPIRES Wednesday, May 4, 2016
Permit Issued on Friday, November 6, 2015
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 in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: rei--6— Date: f fe:/ /S
c 444%., THIS CARD IS IOZEMAIN ON-SITE
Construction Ins ection Record
Federal Way p
INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-104984-00-SG Address: 34616 11TH PL S
Project: JOLUSO COMMERCIAL LLC FEDERAL WAY, WA 98003-8705
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 becovered 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) El
Approved to place concrete Approved Approved
Final- ign (4085)
. 5 Date , — " S_ S------BY Date y j Date
El Attachment(4010) +
Approved
By P4 Date IX/`Y 1(5" ,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved El
Approved
By Date
By Date I By Date
RECEIV• •
SEP 302015 1 .5 _ I 0 q 1 Cq sc
CITY OF .:...,..,,„,w� -
rr OF FEDERS
IGN PERMIT m
Federal WO
CDS APPLICATION l017% l 15---
• PROPERTY INFORMATION
' r�
SITE ADDRESS 3 46 I 6 11'" P L Si FEL1 G ticL Lviv D�f 8413 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 ` c 14 4 0 — 0 0 0 ZONING DESIGNATION
�
//
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): .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:
/�� C c:%
TOTAL ESTIMATED PROJECT COST: $ (?S V r it'+`
DETAILED PROJECT DESCRIPTION: /c----Au 4/('/l/ Le C TR i C.4 ( /. t,),4-i2 /,
�/&/1/ COr/ Cie. C7 £ Cr'ic--''vr 1-oe,,v-raJai- 7 e ?/V
�
BUSINESS NAME ON SIGN: �`34 6 i 6 r J e-k-ii-FRANC-&CaV PIVIC-( ) ceryl SL&?,A4 i I'M IS , C c .
.. I ' t P , , 0 i P` E R I4.. • $ I, C-L-laZ
• PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
Jo t-11S.' Co,v,44 U:,„i'q L L-L-C- • ( if -c) Cell -c £1/
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER
Pd, 'ox gc / ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS
/G S Lf g S 9 6 5- WA a irc(jc ,a,4z:er Cv 0
CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE
S•097/1 F` 14s d 4J4-L-�2. n CH.•-n/Cr- (4241 c9/ -S`!1 L/
` MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CELL PHONE
r \1�1 ( )
+T ` CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER
( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
'c- I( Oa4/e ✓ew el-74-4_4,4- (y f so / - rite `'
MAILING ADDRESS CITY,STATE,ZIPFAX NUMBER
C/ ,` ( )
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
❑ Contractor 0 Tenant XOther C i:"."1.4:::,/./...
PROJECT NAME/ _ / / PRIMARY PHONE E-MAIL ADDRESS: J
CONTACT VO Ni C fr IPV4- (jZc i- s-/- (4 Vol oI @' Lja`+-Jo, eevil
■ SIGNATURE
'4'v under penalty pfperjury that the information furnished by me is true and correct to the best of my knowledge, and
hat I am aut}fo ed by the owner of the above premises to perform the work for which the permit application is made
7
1
-/-4! eiZ /, DATE: 7/Cidl).•-, / r
C
JOMMUNITY DEVELOPMENT SERVICES•33325 811 AVENUE SOUTH•FEDERAL WAY.WA 98003-6325•253-835-2607•FAX:253-S35-2609
S
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(FT)
WIDTH x(HEIGHT x#OF FACES _ NO/INT/EXT YES/NO (FT)
A x I x = 2.L _ IQ 0 IV 0 V I °
x x -
x x -
STREET FRONTAGE(LINEAR FEET): 4 gS P e N 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 =-
x x =
C
x x =
D
x x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET):
**FOR OFICE USE ONL. ...„
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑ FREEWAY
BUILDING MOUNTED SIGNS) FREE STANDING SIGN(S)
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: 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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