13-104509sign
City y & Federal Way Permit #: 13 -104509 -00 -SG
Community Econ. Dev. Services
33325 8th Ave S
Federal Way. WA 98003 253 R
ti
Ins econ Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p q ( ) 835-3050
Project Name: FITNESS EVOLUTION
Project Address: 1211 S 320TH ST
Parcel Number: 150050 0030
Project Description: Install (1) internally4fluminated,198.87 sqft, channel letter wall mounted sign. To attach to
existing Xbox
Owner
Ani
Contractor
MGP IX SUNSET SQUARE LLC
MIXIGN INC DBA SHORELINE SIGN &
MIXIGN INC DBA SHORELINE SIGN &
425 CALIFORNIA ST FLOOR I 1
AWNING
AWNING
SAN FRANCISCO CA 94104
12101 HUCKLEBERRY LN
SHORESA982I W (4/16/14)
12.20
ARLINGTON WA 98223
12101 HUCKLEBERRY IN
ARLINGTON WA 98223
Sign A
Wall Sign Information
Reg. #
Sign Type
Illuminated
# Sign
Faces
Sign Face
Width (Ft.)
Sign Face
Height (Ft)
Building
Elevation
na
Channel Letters
Yes
1
28.00
12.20
North
Additional Permit Information
Comprehensive Plan Designation. ......................... City Center Frame Zoning Designation. ............................................... CC -F
PERMIT EXPIRES Monday, May 5, 2014
Permit Issued on Wednesday, November 6, 2013
1 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
II�^ /and the City of Federal Way. r
Owner or agent:Date:
F I" vutlf,cC
THIS CARD IS TO MAIN ON-SITE
CITY of Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 13 -104509 -00 -SG Address: 1211 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003-5339
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)
0 Final - Electrical (4055)
Final - Sign (4085)
Approved to place concrete
Approved
Approved
By Date
By " Date 12-1 I ta' 13
By " Date I-,?_ I Lo 1 13
11 Attachment (4010)
Approved
By W9 Date 12 [O 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVIE# _ t n 450q VC)
Federa( WayOCT 10 Z01PO:N1161IGN PERMIT
+
CITY OF FEDERAL�AYpPLI CATI ON
�+
PROPERTY INFORMATION
SITE ADDRESS 20rw %3,wt-i SUITE/UNIT #
ASSESSOR'S TAIL/PARCEL # , -3- U O .� 0 - 0 0 d_ 0 ZONING DESIGNATION C. /:
PROJECT•
TYPE OF PROJECT (Check all that apply): IrEw
❑ 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:
TOTAL ESTIMATED PROJECT COST: $ o c DETAILED PROJECT DESCRIPTION: 4 I M L r- HYV! A574 /C� <l�z& (,
sC1-4!12
BUSINESS NAME ON SIGN:
SIGN OWNER:
CONTRACTOR:
PROJECT
CONTACT
■ PEOPLE INFORMATION
NAME:
PRIMARY PHONE
FirAI, J' vo tor✓
( 703) i,
MAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP):
FAX NUMBER
S, Q, -A' r' .0 r yr 9C
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
E-MAIL ADDRESS
S,hi'44� f"� C+YrI �OCJ
t
COMPANY NAME
APPLICANTN
E
OFFICE PHONE
�' E �
MICA—
�cHi9.p V
(36d) l/3.9" -,W0/3
MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP):
0/0/ uC t gut
CELL PHONE
RELATIONSHIP TO PROJECT
E-MAIL ADDRESS
Contractor ❑ Tenant ❑ Other
CITY OF FEDERAL WAY BUSINESS LICENSE ER:
EXPIRATION DATE:
FAX NUMBER
(34,m) 4)-Ts"-�9�/
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE:
E-MAIL ADDRESS
S -Slj 9dP1,T\A/
11-16d
, '
J
COMPANY NAME
APPLICANT NAME
PRIMARY PHONE
51QA",r / l- %51eA) W1yW6
i . / 'VD
Wev ) y am" - -�?6/3
MAILING ADqRFSS
C , STATE, ZIP
FAX NUMBER
0/0/ uC t gut
)-4/&` - y9�/
RELATIONSHIP TO PROJECT
E-MAIL ADDRESS
Contractor ❑ Tenant ❑ Other
NAMEPRIMARY PHONE E-MAIL ADDRESS: t
I certify under penalty of perjury that the tion furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the o of the above premises to perform the work for which the permit application is made
SIGNATURE - DATE: l
0110113
COMMUNITY DEVELOPMENT SERVICES • 33325 8r+ AVENUE SOUTH • FEDERAL WAY, WA 98003-6325 • 253-835-2607 • FAX, 253-835-2609
•
0
■ TYPE OF SIGNS) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER (Describe)
PERMANENT BUILDING MOUNTED: YAWNING CABINET CHANNEL LETTERS TENANT DIRECTORY
OTHER (Describe)
■ DETAILED SIGN INFORMATION
FREE STANDING 51GNS
SIGN TYPE SIGN AREA (SQ. FT.)
REFACE?
TOTAL HEIGHT
BASE HEIGHT (FT)
WIDT HEIGHT x # OF FAT
YES NOx=Blx
EXPOSED BUILDING FACE
•�
TLU?
WIDTH x HEIGHT x # OF FACES
N XT
E W
. FT.
A
G ,,,�
x x - �7
A/
�N/S
/�
�a.
B
x
REGISTRATION NUMBER:
REGISTRATION NUMBER:
C
x x -
x x -
C
i
STREET FRONTAGE (LINEAR FEET):
BUILDING
MOUNTED SIGNS
B LDING MOUNTED SIGNS
SIGN TYPE
SIGN AREA (SQ. FT.)
ILLUMI TED?
BUILDING ELEVATION
EXPOSED BUILDING FACE
•�
WIDTH x HEIGHT x # OF FACES
N XT
E W
. FT.
A
G ,,,�
x x - �7
A/
�N/S
/�
�a.
B
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
x x -
C
X_ x -
D
x x -
E
x x -
LARGEST EXPOSED BUILDING FACE (SQUARE FEET): /i�_
**FOR OFFICE USE ONLY** _
ZONING DESIGNATION:
PROFILE: ❑ HIGH MEDIUM ❑ LOW ❑ FREEWAY
B LDING MOUNTED SIGNS
FREE STANDING SIGN(S)
z�
AREA PERMITTED
AREA PERMITTED: .-
•�
AREA PROPOSED:
AREA PROPOSED:
LARGEST BUILDING FACADE: 415 If:,
STREET FRONTAD
NUMBER OF SIGNS ALLOWED:
NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY:AW 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/Sip Permit Application
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PERMIT #: 13-104509-00 SG
ADDRESS: 1211 S 320th Street
PROJECT: Channel Letter Sign
FITNESS EVOLUTION
DATE: 10/10/13
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PERMIT #: 13-104509-00 SG
ADDRESS: 1211 S 320th Street
PROJECT: Channel Letter Sign
FITNESS EVOLUTION
DATE: 10/10/13
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