04-104588 it tea'
City of Federal Way •
• Sign
Community Development Services Permit #: 04-104588-00-SG
P.O.Box 9718
Federal Way,WA 98063-9718
.4vr r
Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SHELL
Project Address: 1650 SW DASH POINT RD Parcel Number: 122103 9069
Project Description: Install(2)sets of 19" SHELL channel letters and banding to replace old Tesoro signage.
Connecting to existing J-Box
Owner Applicant Contractor
RE POWELL DISTRIBUTORS EAGLE SIGNS EAGLE SIGNS
501 E WINE COUNTRY RD 2110 W WASHINGTON AVE EAGLESL990NZ 8/16/2009
GRANDVIEW WA 98930 TACOMA WA 98903 2110 W WASHINGTON AVE
TACOMA WA 98903
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A 04-0196 Canopy Yes 1 0.00 0.00
- •- sem::
K
Comprehensive Plan Designation Community Zoning Designation BC
Business
PERMIT EXPIRES Wednesday, July 1, 2009
Permit Issued on Friday, January 2, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u ' be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: � " Date: // /c,
THIS CARD IS TO MAIN ON-SITE
CITY OF a . tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104588-00-SG
Owner: RE POWELL DISTRIBUTORS
Address: 1650 SW DASH POINT RD
FEDERAL WAY, WA 98023
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.
❑ Footings/Setback(4110) ❑ Final-Electrical(4055) ❑ Final-Sign(4085)
Approved to place concrete Approved Approved
By Date By Date By n Date \ —E0\
0 Attachment(4010)
Approved
By Date
— —_- — For inspector reference only ------ --- -----_-_-.. . .._._-
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
aTYOF . ..... REAWPITPERMIT - LI g
Federal Way PgLICATION TD / /
COMMUNITY DEVELOPMENT SERVICES
33325 8TM AVENUE SOUTH•PO BOX 9718 NOV 2 / Ci
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
www.cituolkdemlwau.com CITY OF FEDERAL WAY
The ollowin• is re•uiredin {+t ria.D dAi}compiete a•'lication will not be acce•ted. Please •rint legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS: /(,sC (h"lSth��•c� �. ASSESSOR'S TAX/PARCEL#:
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): )6ERMANENT ❑TEMPORARY ❑NEW ❑ALTERATION ❑REFACE ❑EXEMPT
"ELECTRICAL(To attach to existing 3-box) o ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: TA-)0
PROJECT DESCRIPTION(Provide detailed description): LI/i��1 J— '� , E e.:5F /Y I SHELL—
Gl"b'4 L� L ir4k. . rz
BUSINESS/TENANT NAME:
• PEOPLE INFORMATION
SIGN OWNER: NAM Pow DAYTIME PHONE:
(. 561) geZ -2/13
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
,moi ,mss 6eANci98�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
(Required)
CONTRACTOR: NAME: PRIMARY PHONE:
rert.. ( ,q) L 5 -675-7 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CELL PHONE:
1 tO J {5 G?> 7ZPJ _ (SM ) �9?�) - t(77
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
ZO...0y" i0y318-00-6L-- -- (q) 4-63 --7`11Z
CONTRACTORS REGISTRATION NUMBER: �7 EXPIRATION DATE:
(Copy required) i� 51._-!1Z..
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CELL PHONE: yy�
( ')C.T/ -U7?
PRIMARY PHONE:
CONTACT FOR THIS PROJECT: \
E-MAIL ADDRESS:
• **TEMPORARY SIGN APPLICATIONS ONLY**
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑BANNER ❑INFLATABLE ❑PORTABLE o SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
■ PROJECT DETAILS
PROPOSED NUMBER OF WALL SIGNS: PROPOSED NUMBER OF STANDING SIGNS:
TOTAL ESTIMATED PROJECT COST:$ 1' ( gib NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: J
■ TYPE OF SIGN(S) (Check all that apply)
PERMANENT FREE STANDING: ❑MONUMENT o OTHER o PEDESTAL o POLE o TENANT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED:o AWNING ❑CABINET ,CANOPY ❑CENTER IDENTIFICATION(CID) ❑CHANNEL LETTERS
NUMBER OF EACH TYPE: [
❑MARQUEE ❑OTHER ❑ PROJECTING o TENANT DIRECTORY
NUMBER OF EACH TYPE:
■ 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(Fr)
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.)
A i4 LinTra6 13 AYE /ZS ,sQ'
B fit, t /P80 '
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 permit application is made
NAME(Pri � O7 J TITLE: V 1
DATE: 1/O q '01
SIGNATU E
FOR OFFICE USE ONLY:
ZONING DESIGNATION COMP PLAN DESIGNATION:
BUILDING MOUNTEDS N FREE STANDING SIGN
AREA PERMUTED: <. AREA PERMITTED:
AREA PROPOSED: I ! . AREA PROPOSED:
LARGEST BUILDING FACADE: U l/ STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: I1 NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: 'DATE: (— 2-
3 Ca►i
STRUCTURAL APPROVER INITIALS: DATE
REGISTRATION NUMBER: p
Cyt-viol(0 REGISTRATION NUMBER:
REGISTRATION NUMBER: ct c REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
al
1'Y OF FEDERALV�(�Y ••1,-.....00.1111DEPT. OF COMMUNITY DE PMENT 0
�RE��v�
Permit 4 - 104588 - 0 0 t
Address: 1650 SW DASHPOINT RD ' NOV 1 0 2004 - gY
Project: (2) NEW WALL SIGNS ON CANOPY _ y,� � a!-'
Owner: SHELL CI—Y OF FEDEI�lIIVAY �i
Date submitted 11/10/04 — EsUILDrihiG-DEPT. IcE
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DAT SUBMITTED DATE APPR VED r 01/t 12'pECIDllOUS-
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PROPERTY UNE 115' 50 • IN THIS AREA:10'
SIDEWALK 62,LOti
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lath' SITE PLAj1 3Cgl.E:,.1"=20' \
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A PROJECT NAME&ADDRESS: Job#: 00815
INSIGNIA SIGN, INC. TESORO OAS STATION
Scale: 1"=20'
5808 Lakemont Blvd.5.E.,Bellevue,WA 98006 1650 Pah Point Road
_ (425)643-8410 Fax: (425)643-8512 Federal Way, WA Page 1 of 2
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