05-101453 (51t
•City of Federal Way Sign Permit#: 05 - 101453 - 00 - SG
Community Development Services v
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection request line: (253) 835-3050
Ph:(253)835-7000 Fax:(253)835-2609
Project Name: SUPERIOR CARE MEDICAL GROUP
Project Address: 1711 S 312TH ST\ Parcel Number: 092104 9189
Project Description: Reface of existing monument sign.
Owner Applicant Contractor
SUPERIOR CARE MEDICAL GROUP LUMIN ART SIGNS INC LUMIN ART SIGNS INC
1711 S 312TH ST SUITE 1 3931 B ST NW 3931 B ST NW
FEDERAL WAY WA 98003 AUBURN WA 98001 AUBURN WA 98001
(253)833-2800
Comprehensive Plan Designation City Center Frame Zoning Designation CC-F
Free Standing Signs
Registration# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Height andscape Area
Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) (Ft.) (Sq.Ft.)
A l 05-0049 Monument Yes 2 8 8 1 1
_
f
PERMIT EXPIRES March 30,2007.
Permit issued on March 30,2005
I hereby certify that the above information is correct and that the construction on the above described propert
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingt
the City of Federal Way. /�
Owner or agent: See Application Date: 03—W `0S
• THIS CARD IS TO MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101453-00-SG
Owner: SUPERIOR CARE MEDICAL GROUP
Address: 1711 S 312TH ST \
FEDERAL WAY, WA 98003-4973
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 Final-Electrical(4055) Final- Sign (4085)
Approved Approved
By Date By Date 43 4-,7-0
CITY OF v- ..- . •IGN PERMIT ? s - / . Q ! L S3
Federal Way ECIC,
COMMUNITY DEVELOPMENT SERVICES APPLICATION TD
33325 8TH AVENUE SOUTH•PO BOX 9711
FEDERAL WAY,WA 98063-9718 3u I-U U J
253-835-2607•FAX 253-835-2609
www.catuoffederalway.com
The ollowing is required informatidtt. /VAncomplete application will not be acce•ted. Please .rint legibly(in ink)or type.
•
• ■ PROPERTY INFORMATION
SITE ADDRESS: 17/1 Sou tk 31(9 411 J i, ASSESSOR'S TAX/PARCEL#: Q g.(9 J()3- Q'1 siQ
■ PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): ❑PERMANENT oTEMPORARY ❑NEW ❑ALTERATION ( FACE DEXEMPT
❑ ELECTRICAL(To attach to existing J-box) ❑ ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: QJy\s
PROJECT DESCRIPTION(Provide detailed description):(0 FA GE C J )u.v&.. S i d F Ci E X/Sri t)6-
noNumE.n)* S'{c7-10 - YUULU ViNyL
BUSINESS/TENANT NAME: Su � (2`()R. CAP, .. Cop
■ PEOPLE INFORMATION
SIGN OWNER: NAME: DA ME PHONE:
IU ?�- a LL ck3) 709 - '1163
MAILING ADDRE•SS(STREET ADDRESS; ,STATE,ZIP):
ENL
7 O gq
CITY OF FEDERAL WAYNESS UCENSE NUMBER:, EXPIRATION DATE:
(Required) C90 -c -- 13L -- #61(
CONTRACTOR: tME: PRIMARY PHONE:
/-4 -AcT Pius ( 1 g33 - -YoO
MAI G ADDRESS(STREET ADDRESS;CITY STATE,ZIP): CELL PHONE:
.69 1 3.5 F I)U3 i\vAkelo, WPI R VW) (,) )7410 -130(0
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
C C a 8 -00 — ISL x ( s3 )9: r -Y9701-)
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:p�
(Copy required) aeo 1--u i�1 I rk) 3 169‘ I / 94- /0-7
APPLICANT: NAME:►� DAYTIME PHONE:
`2.1� D (S3) g3 3 -.28'OO
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
q 3 i Si6r'3.w . u)iP ( ) -
PRIMARY PHONE:
CONTACT FOR THIS PROJECT: Moe �Y� Q C /�; ) p?3
Moes
'\ E-MAIL ADDRESS:
`■ **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑BANNER ❑INFLATABLE 0 PORTABLE o SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
cA 0 6
�►n0Sr.-G-r- U� (,(4A- i� c--0
•
PROPOSED NUMBER OF WALL SIGN PROPOSED NUMBER Ol iE STANDING SIGNS:
•
TOTAL ESTIMATED PROJECT COST:$ t ..�C NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:
■ TYPE OF SIGN(S) (Check all that apply) .•
PERMANENT FREE STANDING: /MONUMENT o OTHER ❑ PEDESTAL ❑ POLE 0 TENANT DIRECTORY
NUMBER OF EACH TYPE: ly�C pACf
PERMANENT BUILDING MOUNTED: ❑AWNING 0 CABINET ❑ CANOPY 0 CENTER IDENTIFICATION (CID) o CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑MARQUEE ❑OTHER ❑ PROJECTING ❑TENANT DIRECTORY
NUMBER OF EACH TYPE:
a DETAILED SIGN INFORMATION
FREE STANDING SIGN SIGN AREA(SQ.FT.) ILLUMINATED?: REFACE? PART OF CID TOTAL SIGN BASE
TYPE WIDTH X HEIGHT X#OF FACES NO/INT/EXT YES/NO SIGN? HEIGHT(FT) HEIGHT(FT)
A alU !UT x 6 = qQ ,f}, fj7
�i 1 u `1`
B
C
STREET FRONTAGE(FT):
/
BUILDING MOUNTED ILLUMINATED? SIGN AREA(SQ.FT.) BUILDING EXPOSED BUILDING
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHT X#OF FACES ELEVATION(N,S,E,W) FACE(SQ.FT.)
A
B
C
D
E -
■ DISCLAIMER/SIGNATURE BLOCK
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 permitapplicationis made
NAME(Print) flo, fl2 J ,e4 j �
TITLE: ��' ^(/ Thi
7i
//tom Wc� DATE: 3/r�J/0
!!!< SIGNATURE
FOR OFFICE USE ONLY:
ZONINGDESIGNATION: COMP PLAN DESIGNATION:
BUILDING MOUNTED SIGN FREE STANDING SIGN 0y
AREA PERMITTED: AREA PERMITTED: I.�-a
AREA PROPOSED: AREA PROPOSED: /2:lJ
LARGEST BUILDING FACADE: 1 STREET FRONTAGE: 2- (/IfWCoti01
NUMBER'OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: / ^
ns
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I
: LAND USE APPROVER INITIALS: (DATE: ,i .,,c)1 STRUCTURAL APPROVER INITIALS: DATE:
REGISTRATION NUMBER: REGISTRATION NUMBER: , 0')1 q
S 1
' REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
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SUPERIOR C RE MEDICAL GRP
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