01-101367e
City of Federal Way
Commmdty Development Services Sign Permit #: 01 - 101367 - 00 - SG
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 F= 253.661.4129 Inspection request line: 253.835.3050
Project Name: MUTUAL INSURANCE SERVICE
Project Address: 1108 S 322ND PL Parcel Number: 150260 0040
Project Description: SGN - Install (1) non -illuminated foam letter wall sign. "Mutual Insurance" SAP=17.23
EBF=2209.28
Owner
Applicant
Contractor
Kathleen M Tiernan
MUTUAL INSURANCE SERVICE
EVERGREEN SIGN CO
2709 43RD ST NW
1108 S 322ND PL
1513 S CENTRAL
GIG HARBOR WA
FEDERAL WAY WA 9:
KENT WA 98032
98335-1771
(253) 852-1354
Comprehensive Plan Designation ............ City Center Frame Zoning Designation..................................CC-F
all Signs
Sign_
ii}ti+_??i' v.:;frii};.:i-r•2•-0:}•:*Cr
Registration # T f?" Illuminated Sign Face Sign Face # of Sign Faces Building
>x. ✓;. ' {:: }J:. ,.,• {:?} ;s:•-:, ,•:,; :-[,}<� Width ) C' \ (Ft. Height (1 t.) Elevation
^: -i'•?:v i\ C::._ } Q,.?f ?E`i v\}}}i:'4}Y r.4ff}••?i h:•h \y
JJ A Ul- .. � 1 L6#e""' r:rs•r�` "` _
No -----. 16.33 2.1 1 South
i3�.�'•l:•r
Window signs are all si �#ed ins #66" ow and intended to be viewed from t_he erte of a
g fit •:,; } , ::. - -. _ R?:
structure. Window signsed to se ;,•'' V"}Y n, hours
of operation, address ,}#nd ti> rgeit y cif . kl tie a o wi inns shall 2 J ow area.
Signs should be contgu d a `{ Jae not
visible. This does ucr �I _ nes a an in art of ' er ,
No sign shall project ip1��;- -�a a ` ���#eched. � r -`-? , 22- ' • 1
is:s:":w`}`_'.\r�•��ri%+rlaE.::i •r '` "� � ,.?.}: n:.r:•,fn s i.
A separate electr aT� v 1 ::an' sign requiring electrical work. The electrical work must be approved
by one of the city c J J s tib
FINAL SIGN INS}: 1JWEIVE SIGN REGISTRATION NUMBER. PLEASE
CALL 253-661414 -. ...O 2 f?
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?t }t•{ 4 `1 v.`•'r t�f:•� Y� XP ober 31, 2001, IF NO WORK IS STARTED.
__ ` '`>' Permit issued on May 4, 2001
t•:ifii v}•}
I hereby certify that the a cove info mation i orrect and that the construction on the above described propert;
the occupancy and the use a m accor ce with the laws, rules and regulations of the State of Washingtt
the City of Federal Way. /
Owner or Date:
d ley/ �—
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**The
� �IVE,D
IGN PERMIT APPLICATION
PP•LICATION NUMBER:
APR 0 5 2001 — —
on — Please print (in ink) or type**
y
SITE ADDRESS: 1108 S 322nd Pl ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATION
TYPE OF PROJECT (Check all that apply): INPERMANENT ❑ TEMPORARY KNEW ❑ ALTERATION ❑ REFACE ❑ EXEMPT
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
PROJECT DESCRIPTION (Provide detailed description): �� G.y/L---725 3�c��%� <—f (/�(G 1� OA1
5ocTiN Ftt96- 4)l41/&*41 ;r46--
BUSINESS/TENANT NAME: Mutual Insurance Services
SIGN OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: DAYTIME PHONE:
Mutual Insurance Services ) 941-4099
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
P.O. Box 6109, Federal Way, WA 98063-6109
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
-
NAME:
EvergreenSign Co. �&Z) j6co �f�, ® f -
DAYTIME PHONE:
( 253 ) 852-1354
MAILING ADDRESS (STREET ADDRESS, CrM STATE, ZIP):
EVENING PHONE:
1513 South Central
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(Copy required)
NAME: DAYTIME PHONE:
Mutual Insurance Services ( 253) 941-4099
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
P.O. Box 6109, Federal Way, WA 98063-6109 ( 253) 661-9513
FAX NUMBER:
CONTACT FOR THIS PROJECT: ( 253) 941 4815
❑ PROPERTY OWNER TCONTRACTOR E-MAIL ADDRESS.
onnie@mutualins.com
TEMPORARY• •
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION:
TEMPORARY SIGN TYPE: ❑ BANNER
NUMBER OF EACH TYPE:
DATE OVAL:
❑ ORTABLE ❑ SEARCH LIGHTS/BEACON
PROPOSED NUMBER OF WALL SIGNS: 1 PROPOSED NUMBER OF FREE STANDING SIGNS:
—
TOTAL ESTIMATED PROJECT COST. 050 :: :., : 2
. $ NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: —
A\
r
PERMANENT FREE STANDING: ❑ MONUMENT Q OTHER ❑ PEDESTAL ❑ POLE ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED: ❑ AWNING ❑. CABINET ❑ CANOPY P(Ci LATER IDENTIFICATION (CID) ❑ CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE XOTHER ❑ PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE: - - k_ -01_ ms
■ DETAILED SIGN INFORMATION
FREE STANDING SIGN
TYPE
SIGN AREA (SQ. FT.) -
WIDTH X HEIGHT X # OF FACES
ILLUMINATED?:
NO INT EXT
REFACE?
YES NO
PART OF CID
SIGN?
TOTAL SIGN. ••
HEIGHT FT '
• BASE
HEIGHT FT
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AREA.PROPOSED:
.'�,.:_,':_' �,.r _,n_ t,,,• .k�,:',i"�-'.:_'= r _- _ -
„'� _ - - �-_ _ : - _ .. ' _ _ _�',i _,._ _,� .i� ��_-�,�i,�",.,,a
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LARGEST BUILDING FACADE:
STREET
FRONTAGE: _ y=_::k=,r,•__,
NUMBER OF SIGNS ALLOWED:':=__,:�.r. ,• .;'
FC
LAND USE APPROVER IN-ITIACS: _
C
STRUCI'(IRAL' _APPROVER INITIALS:� . -� �'"�`" . _ � _
DATE:.-
REGIST;RATION. NUMBER: __:': -._ _ .
REGISTRATION NUMBER:
#tEGLSTR,4TION=REGISTRATION'NUMBER:
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STREET FRONTAGE (FT):
BUILDING MOUNTED
SIGN TYPE .'.
ILLUMINATED?
=N0 INTERNAL' EXTERNAL
SIGN AREA (SQ. FT.) ' •
WIDTH X HEIGHT X OF FACES': `•
BUILDING;-; _ _;-
ELEVATION N S E W
EXPOSED BUILDING
- =,".FACES . FT.
A13
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AREA.PROPOSED:
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LARGEST BUILDING FACADE:
STREET
FRONTAGE: _ y=_::k=,r,•__,
NUMBER OF SIGNS ALLOWED:':=__,:�.r. ,• .;'
NUMBER OF SIGNS ALLOWED:.
LAND USE APPROVER IN-ITIACS: _
C
STRUCI'(IRAL' _APPROVER INITIALS:� . -� �'"�`" . _ � _
DATE:.-
REGIST;RATION. NUMBER: __:': -._ _ .
REGISTRATION NUMBER:
#tEGLSTR,4TION=REGISTRATION'NUMBER:
D
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■ 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 th owner of the above premises to perform the work for which the permit application is made
NAME/TITLE: DATE: ?2
SIGNA
NAME (Print)
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION: ;;,; _s,;"_':, v_
COMP PLAN DESIGNATION:_ -�
BUILDING MOUNTED IGN
FREE STANDING SIGN
AREA PERMITTED:
AREA PERMITTED:
4 i '. i[i=' � �..t'h,
.v.� �i},� f f" yi,��'v S ?� t#'" _3+='"i_ii--'-�.
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AREA.PROPOSED:
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LARGEST BUILDING FACADE:
STREET
FRONTAGE: _ y=_::k=,r,•__,
NUMBER OF SIGNS ALLOWED:':=__,:�.r. ,• .;'
NUMBER OF SIGNS ALLOWED:.
LAND USE APPROVER IN-ITIACS: _
DATE:
STRUCI'(IRAL' _APPROVER INITIALS:� . -� �'"�`" . _ � _
DATE:.-
REGIST;RATION. NUMBER: __:': -._ _ .
REGISTRATION NUMBER:
#tEGLSTR,4TION=REGISTRATION'NUMBER:
'kTiEG TION NU ER: _ . , - , - �;�� �=;amu.
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COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98003-66221 • (253) 661-4000 • FAX: (253) 661-4129
a 9� FT Aim► � -r-c�C� Naz = 70
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