03-104720 411
City of Federal Way Sign Permit#:03 - 104720 - 00 - SG
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: DOVE FAMILY DENTISTRY
Project Address: 2300 SW 336TH ST Parcel Number: 132103 9097
Project Description: Reface portion of CID sign(2 faces).
Comprehensive Plan Designation Community Business Zoning Designation BC
Owner Applicant Contractor
IDC&TWIN LAKES LLC*IDC&TWIN LAK CONLEY'SIMPLOPlns C S I SIGN SVC&LIGHTING INC
74211fteltsttion# Sign Type Illumi I 4NLEY'S' S(I:L P'4NSSign Face Sign Fae00 ligptigiAlpINBowElliligh.likEntinape Areal
Width(Ft.) Height(FYY (gt.) Ft.) (Sq.Ft.)
KIRKLAND WA 3502 ME RUM
AVE(FEt.) S ATTLE WA 98104 ,
9& 3-69.1330151 Monument N)EDGEWOODAVA 98371 3.9 1.E (206)824-0555
PERMIT EXPIRES April 18,2004.
Permit issued on October 21,2003
I hereby certify that the above information is correct and that the construction onthe above described property
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingt
the City of Federal a .
Owner or agent: aArlIC 4617
Date: /0424/o3
Cidx) l" 72,3
av
iso
w /2003 09:43 FAX 25366141 ENE
1AY Z002/007
E ECE E • a r
D
UttO' SIGN PERMIT APPLICATION
5 L.uVF L-
ITT 4 2 °03 'APPLICATION NUMBER: Q__-____44.__7_01_0- 511 1
pootAA
••The[8,1-01410--1=ifka reu trt ation-Please print(in ink)or type•
LD O DE
.�J- a�7+eti r3�.rly(> a-1- s ��.� y � .,y,�,;,,, _ _ .. ..
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SITE ADDRESS: i7\!0(9 S() 3 3 /- , ,c/` _ ASSESSOR'S TAX/PARCEL$1: -'3 Z i (/5- g0,77,22_,
1-"s?:a"E�i�5 �t�� 3rq. „.�-�:1.`.�'y�iiis�� �� '�'-r•.�. - r
�.`t..- .w=� t<r. X3.., u:2.1- z,--1x �'ain >PRO]ECT;�NFORNtATiciii1 :4-Y�:� t;
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TYPE OF PROJECT(Check alit:hat apply): ;;PERMANENT DTEMPORARY r;NEW °ALTERATION (PREFACE r°EXEMPT
I1 ELECTRICAL(To attach to existing)-box) H ELECTRICAL(New/altered circuit&j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: / _ r���
PROJECT DESCRIPTION(Provide detailed description): //ivy/ je�az.5 l'Jv ex/S///V4 54,,0 ,i-ycz-
BUSINESS/TENANT NAME: 2r!1�2izz ,2 ../. 0.1/-. -Z
�,-.. YF.'r,„ 7 t„ ,a.'".",',-'-r - +1- AO �ti ,,`:' r> 1.:
� ` : r L._om :57ae*:: ”yti ;' Y7�Y`a � � .PEOPLEIVFORMTIN ,t-s, ,,,u . . 7.i-f
SIGN OWNER: r+A+I[ DAYTIME HONG
//V. 4,4,r, , t se/97 (12.491‘) 7 273
MNUNG ADDRESS(SI ET ADDRESS;CITY,STATE,ZIP).
CITY Or FEDERAL WAY BUSINESS LICENSE NUMBER:
EXPIRATION DATE-
(Required) -- / /
CONTRACTOR: ++P
CSI Sign Service & Lighting DAYTIME PItON
300 Queen Anne Ave N, #179
Seattle, WA 98109
Cl
FWBL 02-103559 FAX NUMBER.
CSISII*99508 �`� ) ATE
CI EXPIRATION DAT[
(1 / /
APPLICANT: r•AziL. DAYTIME PIwNE:
OF Ah'47J-41/ 2).6.4,1 J'-J-ST,Cy ()S`3) 92 7-)77?
MAILING ADDRESS(STREETDRESS;C11 ,STATE,ZIP): EVENING PHONE:
/,-2 SC 334 i - /.-eller n - (?S� !/r-3j i O
CONTACT FOR THIS PROJECT: FAX NUMBER:
9't 23 c2f3) c)7— 631
0 PROPERTY OWNER \JAPPLICANT CONTRACTOR E-MAIL ADDRESS:
•
2- ,Y47a .- -i- f-..a 1: **TEMPORARY SIGN APpLICA'RONSiONLY _ sal,-.;.,..7-w%�DI.-i,- --,�Y s F,F='.
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: •F REMOVAL:
TEMPORARY SIGN TYPE: 0 I,. • 0 INFLATABLE o PORTABLE 0 SEARCH LIGHTS/BEACON
NUMBER OF EACH •
, ` � y�;9;:: 1- �:L v }v:, :; ;; PROit:CTrDETAiLS;i- ': : « z. 1'
PROPOSED NUMBER OF WALL SIGNS: PROPOSED NUMBER OF FREE STANDING SIGNS:
)(TOTAL ESTIMATED PROJECT COST: $ /010• NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: ____ __
` /2003 09:44 FAX 2536614141 CITY FEDERALWAY 0003/007
r */ /
PERMANENT FREE STANDING: !X MONUMENT 0 OTHER ra PEDESTAL a POLE ,ru ti NT DIRECTORY
NUMBER OF EACH TYPE:
PERMANENT BUILDING MOUNTED:0 AWNING 0 CABINET a CANOPY a CENTER IDENTIFICATION(CID) C CHANNEL LETTERS
NUMBER OF EACH TYPE:
0 MARQUEE a OTHER ❑ PROJECTING O TENANT DIRECTORY
NUMBER OF EACH TYPE:
'{.:� ° 1-:''rf_ } � 1- rA DETAILED..SIGN INFORMATION_ .,' .«.Y:� ;•-.4,-,-.-f .- v-.rn.
FREE STANDING SIGN SIGN AREA(SQ.FT.) ILLUMINATED?: REFACE? PART OF CID TOTAL SIGN BASE
�� WIDTH X HEIGHT X It OF FACES NO/INT/EXT _YES/NO IGN? HEIGHT(FT) HEIGHT(FT)
� be-s ' 5
B
C
STREET FRONTAGE(FT):
BUILDING MOUNTED ILLUMINATED? "SIGN AREA(SQ.FT.) BUILDING EX•• : :. 1 G
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHT X#OF FACES ELEVATION . , FACE(SQ.FTS
A
B
C
D
E
�z i ,L:;li,- 4^t 4 7,�?raj ;;,%i DISCLAIMER%SIGNATURE BLotit _ '.. ,. =: ,
I certify under •enal of perjury that the information
sfurnished by me is true and correct to the best of my knowledge,and
further,that I •- •uthorized by th-y m e :bove prees to perform the work for which the permit application is made
KNAME/T LE: �� � DATE: —7-- 9)
NAME(Print) �A �.�,� j . / j1/?'t �'.'fi
PRINT
FOR OFFICE-USE-ONLY: 1_
ZONING DESIGNATION: COMP PLAN DESIGNATION:
BUILDING MOUNTED SIGN FREE STANDING SIGN •
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRONTAGE:
NUMBER_OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: .
LAND'USE`APPROVER INITIALS: DATE:
STRUCTURAL APPROVER INITIALS: DATE:
REGISTRATION ryUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REG2ST4TION.NUMBER. REGISTRATION NUMBER:
COMMUNTIY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH-P.O.BOX 9718•FEDERAL WAY,WA 98063.9718•253-661-4115• FAX:253-661-4129
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