18-100315 • ea 1 '
Sign
City Federal Permit #:18-100315-00-SGCom ty>
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: THE CHOPPED LEAF
Project Address: 35002 PACIFIC HY S Parcel Number: 185295 0050
Project Description: Install(1)set of individual,internally illuminated channel letter on a raceway wall mounted
sign.
Owner Applicant Contractor
FEDERAL WAY CROSSINGS FEDERAL WAY SIGN LLC(GENERAL 01) FEDERAL WAY SIGN LLC(GENERAL 01)
10655 NE 4TH ST SUITE 700 34205 18TH PL S FEDERWS894DS(3/20/19)
BELLEVUE WA 98004 FEDERAL WAY WA 98003 34205 18TH PL S
FEDERAL WAY WA 98003
Additional Permit Information
Comprehensive Plan Designation Commercial Enterprise Zoning Designation CE
CONDITIONS:
Separate Electrical Permit Required.
PERMIT EXPIRES Wednesday,25 July,2018
Permit Issued on Friday,January 26,2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use I be in accordance with the laws, rules and regulations of the State of
W Ohington and the City of Federal Way. pp
Owner or agent: • Date: ( ._.. 24" 2� O
. 404
THIS CARD IS TO REMAIN ON-SITE
`""�' Construction Inspection Record
F@del'al /ay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 100315 00 Address: 35002 PACIFIC HWY S Unit A-103
Project: FEDERAL WAY CROSSINGS 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.
ID Footings/Setback(4110) Final-Electrical(4055) Final-Sign(4085) '
Approved to place concrete Approved Approved
BY Date By Date Date � '
® Attachment(4010)
Approved
By Date
Rough Electrical Q Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
t RECEIVED
44444„„„....,
`'' JAN j 2018SIGN PERMIT
CITY OF ..
FE' doral Way ' ,?All' FEDERAL
D OP ENT APPLICATION
PERMIT NUMBER 10
0 �� - TARGET DATE Z'"
SITE ADDRESS 35 0c 2 ick.c. • il-cV - • frt-w A - k03 i 'Rai'• waci,
BUSINESS NAME ON SIGN Tick_ ka-1
ASSESSOR'S TAX PARCEL# - _ _ l!
ZONING DESIGNATION''•
ELECTRICAL INCLUDED(Attaching to existing J-box) Yes/No PROJECT VALUE $ '1 1 0 0
DETAILED PROJECT DESCRIPTION S &_€_{- p- ii.,LG ,M Q-C-e.QkQ. it 4....21-VIA-..-04-tel -e-C-4---
.62-i'teXt
•--
r2Q-i'teXt o,,_ Xki)Z--(ArCT
SIGN OWNER: NAME ILL PRIMARY PHONE
-tU`v- a- S.
V(1IAL.
(253) 31s - 105
MAILING ADDRESS 'QC . (� Ft -'O1 l
FAX NUMBER
z soc,
CITY . G•tk,..4,Ay-• STTE
J� 9 g O O/ E-MAIL ADDRESS
CONTRACTOR: NAME Lon L`�leat (2OFF )PHONE 2-C1 - 7-.0t�
MAILING ADDRESS t� CELL PHONE
. 4.2.0. t%{-t, 112. S • ( ) -
CITY STATE ZIP CODE E MAII ADD S o(1 C
��-• � IN� q 8 00 3 O-T/1joitstr.
WA STATE CONTRACTOR'S LICEN EXPIRATION DATE: FEDERAL WAY USINESS ENSE:
Fe-DERW9 R 4.DS 3-to- 20l1
APPLICANT NAMEPRIMARY PHONE
dk- U '�• (7.53) 5 21- 'LotI
MAILING ADDRESS 4 FAX NUMBER
'.64-'2..OS I gi-k.- %k-. S • ( ) -
CI1 YSTATE ZIP CODE E-MAIL ADDRESS
• w� 88003 g0 .c -
PROJECT NAME hi LbPRIMARY PHONE E-MAIL ADDRES
CONTACT "� � (1 '6) 5 2 Ct - Zo u
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
authorised by the owner of the above p isms to perform the work for which the permit application is made.
SIGNATURE }.�(,. DATE:
1- ice '1 18
PRINT NAME '`e
PERMIT CENTER+33325 gm AVENUE SOUTH+FEDERAL WAY,WA 98003-6325+253-835-2607+FAX:253-835-2609+permitcenter@cityoffederalway.com
PROVIDE THE FOLLOWING INFORMATION FOR EACH PROPOSED SIGN
FREE STANDING SI
SIGN TYPE SIGN AREA I • INATED? LANDSCAPING TOTAL BASE
(Monument,Pedestal,Pole) (#of faces x 2) (square feet) HEIGHT HEIGHT
A
B
C
SUBJECT PROPERTY'S FRONTAGE ON • =LIC RIGHT OF WAY(LINEAR FEET):
BUILDING MOUNTED SIGNS
SIGN TYPE SIGN AREA ILLUMINATED? BUILDING ELEVATION EXPOSED
(Cabinet,Channel Letter,Awning,etc.) (N,S,E,W) BUILDING FACE
A Q,.,a.u. (, 162..4I•01A 660.3
B
C
D
E
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): GC="C)
EXEMPT SIGNS
SIGN TYPE SIGN AREA SIGN HEIGHT NUMBER OF
(Directional,Instructional,tenant panel,etc.) SIGNS
E-1
E-2
E-3
E-4
E-5
Bulletin#102-May 3,2016 Page 2 of 3 k:/Handouts/Sign Permit Application
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