03-101217 City of Federal Way • 0
Sign Permit#:03 - 101217 - 00 - SG
Community Development Services
33530 1st Way S o
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.0O 35.3050
Project Name: OHS SANJIVNI LLC
Project Address: 2120 S 314TH ST 6-1I-5 NA, Tea ?6/ Parcel Number: 092104 9053
Project Description: Install channel-letter sign on external raceway and connect to existing dedicated sign circuit.
Owner Applicant Contractor
ROSEN PROPERTIES SHORELINE SIGN SHORELINE SIGN,INC.
PO BOX 5003 17038 AURORA AVE N 18021 61ST AVE NE
BELLEVUE WA 98009 SEATTLE,WA KENMORE,WA 98028
98113 (206)254-1563/66
Comprehensive Plan Designation City Center Frame Koni esigna Con CC-F
W ll Sig
Registration# Sign Type Illuminate k ign Face Sign Face #of Sign Faces Building
'dth(Ft.) Height(Ft.) Elevation
A 03-0046 Channel Letters Yes --11.66 2.5 1 South
CONDIT INS:
This permit is issued based on the informat provided by the pplica. ; ce pr i •erty lines cannot be verified
without a survey,the property owner,his/herr or assigns sh,II ass liabil'y for any relocation or any other
associated costs should the sign be located in p right-of-way •r within the requi •d yard setback.
Pursuant to FWCC,Sec.22-1602(f),no sign ma tain or utiliz:the foliow•ng: (1) • ny exposed incandescent lamp
with a wattage in excess of 25 watts.(2)Any expos incandescent 1 mp wi intern, or external reflector.(3)Any
continuous or sequential flashing device or operatio•-T 4)Except fo electronic hangea.,le message signs,any
incandescent lamp inside an internally lighted sign.(s ternal ligh' sources'•7Tected to and or shining on vehicular
or pedestrian traffic or on a street.(6)Internally ligh •s• i•ns using 8 0-milli.mp or larg• ballasts if the lamps are
spaced closer than 12" o.c.(7)Internally lighted signs si • 425-millia p or I• ger ballast•if the lamps are spaced
closer than 6" o.c.(8)All illumination for externally ill• • ted signs st be • away om nearby residential uses
&on-coming traffic.
No sign shall project above the roofline of the exposed building face to wh h it is at ed.(F` CC,22-1601(B)(2))
FINAL SIGN INSPECTION IS REQUIRED in order to receive the sign re__istration er.Pl•.se call 253-835-3050 to
schedule the inspection.
PERMIT EXPIRES October 1,2003.
Permit issued on April 14,201.
I hereby certify that the above information is correct and that the construction on the a;we described property
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingto
the City of Federal W. .
Owner or agent: 1� Date: 64/111/0,./
..--- RECEIVED
cal,* G MAR 2 8 2003 SIGN PERMIT APPLICATION
EME CITY OF FEDERAL WAY APPLICATION NUMBER: 6.:,..S• 012,j J- a....)
BUILDING DEPT
• **The following is required information-Please print(in ink)or type**
• PROPERTY INFORMATION
SITE ADDRESS: 2/Z't) i )/I( 571- ASSESSOR'S TAX/PARCEL#: /LI�C�Y toi ' `_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): jj ..
■ PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): [T PERMANENT o TEMPORARY a NEW ❑ALTERATION o REFACE o EXEMPT
r
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATIQN:
PROJECT DESCRIPTION(Provide detailed description): i ekt h/j g t 3i 0 c),-
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t
$BUSINESS/TENANT NAME: _ �
N I z . 1. , (v .. CI19/2 -0 t f filfi 1 ifeci l . .4i), /62%7Zi/i rJ
■ PEOPLE INFORMATION
SIGN OWNER: NAME' J 7 DAYTIME PHONE:
a Cz I .-- (/c4)37/- 9is
MAIU ADDRESS(STREET,CITY TE,jIQ).
144
CITY OF FEDERAL WAY BUSINESS UCENSEUMBER �� � � ���� EXPIRATION DATE:
- I / '
CONTRACTOR: NAME:, I DAYTIME PHONE:, � �
,,h) el is(ie Si6n -,4 01 h ( ) -g
MAILING ADDRESS ADDRESS; STAT,ZIP): EVENING PHONE:
17C`703y t.lor - fi e-Al,, $ ie1 i v4e_ k)0- 1; _3:-' ( ) ;-- -
CITY OF FEDERAL WAY BUSINESS LICEy5E,19J1MBER:n�- ���0�-- � n /� FAX NUMBER: -
CONTRACTORS REGISTRATION NUMBER: /�'' (/!! %x 'Tj` /J�/ EXPIRATION DATE:
(Copy required) . .L1� acz& &J (.)V // t,-, /
APPLICANT: Nom+ ^ / DAYTIME PHONE:
,d /r `1 ( �÷hil in /i���°i?e411r ( ) �>jz - '739
UNG ( ADDRESS;CITY, ,ZIP): EVENING PHONE:
/903 w)ra iSh. he. 0.1- 91— 3 ( ) -
FAX NUMBER: •
CONTACT FOR THIS PROJECT: (F` ) C_YZ - 5'27
❑PROPERTY OWNER ❑APPLICANT If-CONTRACTOR E-MAIL ADDRESS: J /
�1 � A/yknee Sitore.6 lig,.si' n.
■ **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: o BANNER o INFLATABLE o PORTABLE o SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
ori �I:1-i•1>ra1�7\1t�7/('1iT�;�-11 � -
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PERMANENT FREE STANDING: LI MONUMENT ❑ OTHER ❑ PEDESTAL ❑ POLE r7 TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED: U AWNING Li CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION (CID) ❑ CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE a OTHER n PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
•, i X, 2'h g+Yz '.•a.+;!`4 , i'-?a"'s't f' +"' .F'.+'»•V.a,..s:YTe r -:> ;t n iJ;: •z `cAX..°'+(L.,�.-+.i'Kt+-tom'- .xi'"�Y 4. 1�"`53^r +ere'G"�JS"Ey-
'DETAILED SIGN INFORMATION
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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(Fr) HEIGHT(FT)
A
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.)
. 2., = 4fi cifY)
C
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t�34 `44.:Wfa-FAEr14 3 R"4 ISCLAIMER/SIGNATURE BLOCK. •5'39 �w Yom.
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 permit application is made
4- t `
NAME/TITLE: tR 31
�J CS' /Pat I� DATE: ti I y j�.!
., // SI NATURE ��
NAME(Print) s cl � r71
PRINT 1 1
FOR OFFICE USE ONLY:
ZONING DESIGNATION: o_e_{ COMP PLAN DESIGNATION: cr.f
BUILDING MOUNTED SI10 FREE STANDING SIGN
AREA PERMITTED: 60 jL1 AREA PERMITTED:
AREA PROPOSED: _atAREA PROPOSED:
LARGEST BUILDING FAOADE: STREET FRONTAGE:
NUMBER,OF SIGNS ALLOWED: 2- NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: � DATE: j/0
STRUCTURAL APPROVER INITIALS: tiJ DATE: 4..
REGISTRATION NUMBER: 3_oc,Cf REGISTRATION NUMBER:
REGISTRATION NUMBER: t REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4115• FAX:253-6 1-4129
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`� • •IGN PERMIT APPLICATION
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**The following i; required information—Please print(in ink)or type**
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SITE ADDRESS: ASSESSOR'S TAX/PARCEL#: -
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TYPE OF PROJECT(Check all that apply): ❑PERMANENT TEMPORARY ❑NEW [;ALTERATION ❑REFACE EXEMPT
o ELECTRICAL(To attach to existing 3-box) ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
PROJECT DESCRIPTION (Provide detailed description):
BUSINESS/TENANT NAME:
41 3:M i ^""r mgt *,Y' =3c a3tl -"a: +na ter r:"Nv r- ..i. ..st,3
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SIGN OWNER: NAME:
- DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):CITY -- - -- -- —
OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
(Required) -- __ / /
CONTRACTOR: NAME: --
DAYTIME PHONE: L
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
EVENING PHONE:
( ) L,
. CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(Copy required) EXPIRATION DATE:
APPLICANT: NAME:
DAYTIME PHONE:"\/
(
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
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CONTACT FOR THIS PROJECT: FAX NUMBER:
u PROPERTY OWNER n APPLICANT oCONTRACTOR E-MAIL ADDRESS:
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TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: o BANNER o INFLATABLE Li PORTABLE ❑ SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
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PROPOSED NUMBER OF WALL SIGNS: PROPOSED NUMBER OF FREE STANDING SIGNS:
TOTAL ESTIMATED PROJECT COST: $ NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:
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F:\Buildings\Hillside Plaza\Legal\Singh,Fazier and Sood.doc