15-101655 Sign
City Federal Way FIL.E •
Permit #: 15-101655-00-SG
Community&Econ.Dev.Services
33325 8th Ave S
Ph:(253F)e835
dea2l 6W0FaWxA:(295830)0335-2609 Inspection Request Line: (253) 835-3050
Project Name: ATI PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: Install(1)internally illuminated channel letter on a raceway wall mounted sign.To attach
to existing J-box
Owner Applicant Contractor
FW TOWNE SQUARE LLC BERRY SIGN SYSTEMS (SIGN) BERRY SIGN SYSTEMS (SIGN)
PO BOX 98922 7400 HARDESON RD BERRYSS857B7(1/27/17)
TACOMA WA 98498-0922 EVERETT WA 98046 7400 HARDESON RD
EVERETT WA 98046
Additional Permit Information
Comprehensive Plan Designation City Center Core Zoning Designation CC-C
PERMIT EXPIRES Wednesday, October 7, 2015
Permit Issued on Friday, April 10, 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 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: .(..f,4-�� evti,-e-e'' Date: / 'I 11
— • THIS CARD IS T MAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-101655-00-SG Address: 32030 23RD AVE S
Project: FW TOWNE SQUARE LLC 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) El Final-Electrical(4055) El Final- Sign (4085)
Approved to place concrete Approved Approved
By Date By Date
f _L -i. . 'By Ak Date f] t S
El Attachment(4010)
Approved
By Date _ L 3 —1
Rough Electrical Final Electrical 111 Right of Way
Approved Approved Approved
By Date By Date By Date
• i . 101 (055- SC
APR06201 '
CITY OF �►..,.. lSIGN PERMIT
Federal F FEDERAL1 PLICATION 5/4-A5
CDS
• PROPERTY INFORMATION
SITE ADDRESS 1) 2-C 0 '2.-90(i! AV"t- S p� '
� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ' G (.5, - ``t ll 0j ZONING DESIGNATION
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ,(a'1rEW 0 ALTERATION 0 REFACE ❑EXEMPT
ECTRICAL(To attach to existing J-box-include on this permit)
0 ELECTRICAL(New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: 1 Freestanding:
TOTAL ESTIMATED PROJECT COST: $ -�7 CC �
DETAILED PROJECT DESCRIPTION: 1 iek S i t ( ( 11k VV\ 114 �t d tL fa tt t,-e I l k i. 15,,,
BUSINESS NAME ON SIGN: A-T-I 7(1 V) S/ a ) "---rk4` k &f V
• PEOPLE INFORMATION
SIGN OWNER: NAME:fT' f-"(„ U -CL i f �V�1 _e v PRIMARY PHONE
Vl l� I �c� ( )
MAILING ADDRESS(STREET BER
ADDRESS;CITY,STATE,ZIP): FAX NUM
2-o 77 o 2- 3 f 5i Wit. a(('lam-1p 1,iJ c ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E-MAIL ADDRESS
CONTRACTOR: CQMPANY NAME - PLICANT NAME OFFICE PHONE
Vi, i .� S� Skl�s (��Vtv (4) 1-� , -mbS
MAILING AD RESS(S'I1 ET ADDR=SS;CITY,STATE,ZIP): /;</ CELL PHONE
.111-0e. v ekk S b I, �0,d eut i-e-- 0,4__ t!) b 3 ( ) -
CPIY OF FEDERAL WAY BUSINESS LIC NSE MBER: EXPIRATION DATE: FAX NUMBER
s Ioo .
CONZRA R'S REGISTRA �9y-N NUMBER: s D _ EXPIRATION DATE: E-MAIL ADD� �/f�)
1 , DJ"! s SsT-113'( ''Lr • t'1otvyi . �// {
rrfr
APPLICANT COMPAN NAME APPLICANT NAME PRIMARY PHONE' `, r C L
70 ( )
-
MAILING ADDRESS COY,STATE,ZIP FAX NUMBER
l ) -
RELATIONSHIP TO PROJECT E-MAIL ADDRESS
ntractor 0 Tenant 0 Other
PROJECT Oa ' E, ,, PRIMARY PHONE E-MAIL ADDRESS:
1111.41 I. A--: r'CONTACIT -
• 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,•wner of the above premises to perform the work for which the permit application is made
!
SIGNATURE �/I '% l j( l ` DATE: q.. / . (I5
i
COMMUNITY DEVELOPMENT SERVICES•33325 8"'AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
• •
• TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
5G-1AF (et
PERMANENT BUILDING MOUNTED: AWNING CABINET I 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 � Q(4 (illy h c. x = 47 " 1� (`h�� west t i44--"f4
2/O i�x x = 1(Q 1� 6- o l41O
x x =
x x =
x x =
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): 1+
2 tf'D
**FOR OFFICE USE ONLY**
ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑FREEWAY
BUILDING MOUNTED SIGN(S) 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
PERMIT #: 15-101655-00-SG
.ADDRESS: 32030 23rd Avenue S
FILET: ATIPHYCALTHERAPY
FILE5
DATE: 4/b/lam
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