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16-104736. 1 • % f, Sig& City of Fedel Community & Econ.�Dev. Way Services Permit #: 16 -104736 -00 -SG 33325 8th Ave S '� y Federal Way, WA 98003` Inspection Request Line: (2 53) 835-3050Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: APRYLL CHIAZ INSURANCE AGENCY LLC Project Address: 202 S 348TH ST Unit 3 Parcel Number: 202104 9128 Project Description: Install one non -illuminated 8" thickness aluminum wall mounted sign Owner A lBl icant Contractor C/E JENSEN FAMILY LP HANS VISSER CULBERTSON SIGN SERVICE 8275 166TH AVE NE UNIT 201 CULBERTSON SIGN SERVICE (ELECTRICAL 04) REDMOND, WA 98052-6629 5209122ND ST E CULBESS984MU (8/30/18) TACOMA WA 98446 5209 122ND ST E TACOMA WA 98446 Additional Permit Comprehensive Plan Designation ..........................Office Park PERMIT EXPIRES Tuesday; Permit Issued on Thursda S�ei I hereby certify that the above information is the occupancy and the use will be in acgor( Owner or agent: F motion.............................................PO 21,201 22, on the above described property and regulations of the State of Washington Date: dnr'of 'Irr Federal Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835.3050 16 -104736 -00 -SG Address: 202 S 348TH ST Unit 3 A'.. Project: 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. 0. Attachment (4010) Approved By Date El Footings/Setback ) 0 Final- ElectricalFinal Final Electrical Approved Sign () 1:1Approved Approved to place concrete By Approved Approved By Date By Date 13y Date 0. Attachment (4010) Approved By Date El Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date - ROCEIVED CITM°F � SEP 2 2 2016 SIGN PERMIT Federal Way Cmr of FWERAL PLI CATI ON I� I04�3�SG - - ------ -- `�ss�D orG SITE ADDRESS 20 Z S 341 gam' S`i SUITE/UNIT # 3 ASSESSOR'S TAX/PARCEL # Z d 2 } 0 - Z U ZONING DESIGNATION 'PC) TYPE OF PROJECT (Check all that apply): y1 NEW ❑ 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: $ 2- S © C> DETAILED PROJECT DESCRIPTION: J 1-C v :--4 / n>, aSC I -A BUSINESS NAME ON SIGN: 4PkYLt, C NI AZ. AG EiVCX SIGN OWNER: CONTRACTOR: APPLICANT NAME: PRIMARY PHONE �FAkt,^ERS: JivSu NC AP2 LC C14/A7 ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): FAX NUMBER zo s sr 5rE L wa oo3 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: E-MAIL ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE Culbertson Sign Service Hans Visser ( 253) 538-0752 MAILING ADDRESS (STREET ADDRESS: CITY, STATE, ZIP): CELL PHONE 5209 122nd St E Tacoma WA 98446 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER 12/31/2016 ( ) ,3g 0778 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS CULBESS842N6 08/26/2018 culbertsonsignservice@comcast.net COMPANY NAME APPLICANT NAME PRIMARY PHONE Culbertson Sign Service Hans Visser ( 253 ) 538-0752 MAILING ADDRESS CITY, STATE, ZIP FAX NUMBER 5209 122nd St E Tacoma, WA 98446 ( 253 ) 538-0778 RELATIONSHIP TO PROJECT E-MAIL ADDRESS X Contractor ❑ Tenant ❑ Other csspermits@gmail.com PROJECT NAME CONTACT I Hans Visser PRIMARY PHONE E-MAIL ADDRESS: ( 253) 538-0752 csspermits@gmail.com 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 af�uthorized1 by the owner of the above premises to perform the work for which the permit application is made SIGNATURE L� C�.t�6d V..C.ILQ.� DATE: COMMUNITY DEVELOPMENT SERVICES • 33325 8TM AVENUE SOUTH • FEDERAL WAY, WA 98003-6325 • 253-835-2607 • FAX: 253-835-2609 PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER OTHER (Describe) PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY OTHER (Describe) -P LA Q U E 51 G I -J FREE STANDING SIGNS MOUNTED SIGNS SIGN TYPE SIGN AREA (SQ. FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT (FT) REGISTRATION NUMBER: REGISTRATION NUMBER: WIDTH x HEIGHT x # OF FACES NO / INT / EXT YES / NO FT B A X_ x - C x x - x x - D x x - B E x x - x x - C X_ x - STREET FRONTAGE (LINEAR FEET): BUILDING MOUNTED SIGNS BUILDING MOUNTED SIGNS SIGN TYPE SIGN AREA (SQ. FT.) WIDTH x HEIGHT x # OF FACES ILLUMINATED? NO/INT/EXT BUILDING ELEVATION N S E W EXPOSED BUILDING FACE . FT. REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: B X_ x - C x x - D x x - E x x - a LARGEST EXPOSED BUILDING FACE (SQUARE FEET): **FOR OFFICE USE ONLY** ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM ❑ LOW ❑ FREEWAY BUILDING MOUNTED SIGNS FREE STANDING SIGN(S) AREA PERMITTED: AREA PROPOSED: LARGEST BUILDING FACADE: NUMBER OF SIGNS ALLOWED: AREA PERMITTED: AREA PROPOSED: STREET FRONTAGE: 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 CITY OF OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 V�ZA�Ly Phone 253-835-2607 Fox 253-835-2609 CORRECTION NOTICE ADDRESS: ZOZ S, 3qg-F� 5-�- L.cn�� 3 PERMIT#: 16c— to T73 (-a IF YOU HAVE QUESTIONS CALL AJV (253) 835- 2039 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. ioI Ik jol) DME INSPECTOR DO NOT REMOVE THIS NOTICE Page of Site Plan PROPOSED SIGNAGE: 5'-6" x 1'-10" 10.08 sq. ft SIGN A A&16, NORTH Farmers Insurance 202 S 348th St Ste. 3 Federal Way, WA 98003 PARCEL: #2021049128 ZONE: PO AP'PRAft a MMM. UM By _ A Date RECEIVED SEP 2 2 2016 CITY OF FEDERAL WAy CDS 5209122nd St. East, Tacoma WA 98446 WA Lig.# CULBESS984MU e Customer: o Site Address: 202 S 348th St Suite 3 Sales Representat if Drawn By: �® Date: 09-22-2 Scale: Description: Single face non -illuminated wall sign C7 v y -o D m rn00 M n co Approved o 4�- 00 z o CIO The art work shown is the C Z1 ( CD 60 0 of Culbertson Signs Ltd A requested that this and a generated for presentatior M within our customers org: and not be gisen out for distribution without a deposit. Farmers Insurance an e e v a t o n 202 S 348th St Ste. 3ign Federal Way, WA 98003 PROPOSED SIGNAGE: 5'-6" x 1'-10" 10.08 sq. ft SIGN A EXISTING (to be removed) PROPOSED PARCEL: #2021049128 ZONE: PO EXPOSED BUILDING FACE = 469 sq. ft. 469 X .07 = 32.83 sq. ft. MAX SIGN AREA PROPOSED SIGN AREA = 10.08 sq. ft. 1 SCALE: 1/4" = 1'-0" 5209122nd St. East, Tacoma WA 98446 WA Lic.# CULBESS984MU Customer: Site Address: 202 S 348th St Suite 3 Sales Representative: Drawn By: (Date: 09-22-2016 (Scale: %4" = 1'-0" Description: Single face non -illuminated wall sign Approved The art work shown is the properh of Culbertson Signs Ltd. It is requested that this and all prints generated for presentation remain within our customers organization and not be given out for general distribution without a design deposit. ign Farmers Insurance rAKLLL:-1tZUZIU4VI'Ld a n e evation 202 S 348th St Ste. 3 ZONE: PO Federal Way, WA 98003 PROPOSED SIGNAGE: 5'-6" x 1'-10" ,10.08 sq. ft SIGN A "I" OF INSURANCE ao c� 00 "I" OF INSURANCE i 2'-9 114" M 5 APF 001*, 11 FARMERS W,, INSURANCE !� FRONT VIEW (@ ST PLAQUE SIGN - STYLE 40 SCALE: 1 1/2"= V-0" Sq Ft :10.08 SPECIFICATIONS: ALUMINUM FACE WITH VINYL GRAPHICS APPLIED FIRST SURFACE ATTACHMENT: MIN. 4) #10 X 2'/2" LAG SCREWS OAC APPROX. SIGN WEIGHT = 20lbs :J_� CITY OF FEDERAL WAY CDS 5209122nd St. East, Tacoma WA 98446 WA Lila.# CULBESS984MU ® Customer: s Site Address: 202 S 348th St Suite 3 Sales Representative: Drawn By: (Date: 09-22-2016 CS 1 1/z" = 1'-0" Description: Single face non -illuminated wall sign Approved The art work shown is the properh of Culbertson Signs Ltd. 11 is requested that this and all prints generated for presentation remain within our customers organization and not be gisen out for general distribution without a design deposit. COLOR LEGEND VINYL: 3M DARK RED 3630-73 PAINT RED - PANTONE 201 VINYL: 3M RED 3630-43 PAINT RED - PANTONE 201 VINYL: 3M EUROPEAN BLUE 3630-137 PAINT BLUE - PANTONE 287 VINYL: EVENING BLUE 3630-317 PAINT BLUE - PANTONE 2717C IIE] WHITE: PAINT, SATIN FIN IAECEIV CITY OF FEDERAL WAY CDS 5209122nd St. East, Tacoma WA 98446 WA Lila.# CULBESS984MU ® Customer: s Site Address: 202 S 348th St Suite 3 Sales Representative: Drawn By: (Date: 09-22-2016 CS 1 1/z" = 1'-0" Description: Single face non -illuminated wall sign Approved The art work shown is the properh of Culbertson Signs Ltd. 11 is requested that this and all prints generated for presentation remain within our customers organization and not be gisen out for general distribution without a design deposit. REVISED ATTACHMENT INFO Farmers Insurance an e e v a t o n202 S 348th St Ste. 3ign Federal Way, WA 98003 PROPOSED SIGNAGE: 5'-6" x 1'-10" ------ -- --- 10.08 sq. ft SIGN A 5-6" "I" OF INSURANCE 00 co 00 c0 o Lo M "I" OF INSURANCE 2'-9 1/4" FARMERS INSURANCE FRONT VIEW (&- S/F PLAQUE SIGN - STYLE 40 B SCALE: 1 1/2"= 1'-0" Scl Ft :10.08 SPECIFICATIONS: ALUMINUM FACE WITH VINYL GRAPHICS APPLIED FIRST SURFACE 2 31" a "i's 0-1 FI It REVISED ATTACHMENT INFO -- — — — — — — — --——— — — — — — y PARCEL: #2021049128 ZONE: PO :Az APPROVED By �(j Date 1011 /(9. FILE RESUBMITTED OCT 2 5 2016 CITY OF FEDERAL WAY CDS ( _ 1ay73� 5209122nd St. East, Tacoma WA 98446 WA Lic.# CULBESS984MU F— Customer: o Site Address: 202 S 348th St Suite 3 o Sales Representative: e Drawn By: (Date: 09-22-2016 (Scale: 1 '/2" = 1'-0" Description: Single face non -illuminated wall sign Approved The art work shown is the proper" of Culbertson Signs Ltd. It is requested that this and all prints generated for presentation remain within our customers organization and not be given out for general distribution without a design deposit. L COLOR LEGEND VINYL: 3M DARK RED 3630-73 PAINT RED - PANTONE 201 VINYL: 3M RED 3630-43 PAINT RED - PANTONE 201 VINYL: 3M EUROPEAN BLUE 3630-137 PAINT BLUE - PANTONE 287 VINYL: EVENING BLUE 3630-317 PAINT BLUE - PANTONE 2717C IE] WHITE: PAINT, SATIN FINISH ( _ 1ay73� 5209122nd St. East, Tacoma WA 98446 WA Lic.# CULBESS984MU F— Customer: o Site Address: 202 S 348th St Suite 3 o Sales Representative: e Drawn By: (Date: 09-22-2016 (Scale: 1 '/2" = 1'-0" Description: Single face non -illuminated wall sign Approved The art work shown is the proper" of Culbertson Signs Ltd. It is requested that this and all prints generated for presentation remain within our customers organization and not be given out for general distribution without a design deposit. L