04-102559 • •
5
City of Federal way
Community Development Services Sign Permit#:04 — 102559 — 00 — SG
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: SOUTH 288TH FAMILY DENTISTRY
Project Address: 1718 S 288TH ST Parcel Number: 332204 9109
Project Description: Install one new monument sign.Remove existing wall sign.
Owner Applicant Contractor
GOODWIN JACOBSON PARTNERS VILMA SIGNS VILMA SIGNS
1718 S 288TH ST 30432 MILITARY RD S 30432 MILITARY RD S
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98003-3260 (253)941-9008
Comprehensive Plan Designation Community Business Zoning Designation BC
Free Standing Signs
Registration# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Height Landscape Area
Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) (Ft.) (Sq.Ft.)
A I 04-0094 Monument I No 1 f 7.7 6 3 5 2 26
PERMIT EXPIRES January 10,2005.
Permit issued on July 14,2004
I hereby certify that the above information is correct and that the construction on the above described propert;
the occupancy and the use will be in ac rdance with the laws,rules and regulations of the State of Washing
the City of Federal Way. /'" ,,, ----
Owner or agent:/5, l/ 0 .— Date:_ 7", — cJ7/
41111).. THIS CARD IS TO FMAIN ON-SITE
CITY OF .- community' Developmrtt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102559-00-SG
Owner:
Address: 1718 S 288TH ST
FEDERAL WAY, WA 98003-3260
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 lo d on the back of this card.
Footings/Setback(4110) 0 Final-Electrical(4055) Er/ .final- Sign (4085)
A . d to place concrete Approved i/ pproved
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By /�r Date I (D a By Date `B. �� Date l I (0(0, f
IrL _ chment(4010)
i' Approved
figliC:A�_ Date 1( (o 21
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4 •,,. G1TY OF FEDERAL WAY
PROF COMMUNITY DIVILOPMENT "Ill
1718 S 288TH 04-102559-SG - i
RECEIVED MONUMENT SIGN P
-
JUN 2 8 2004 S 288TH FAMILY DENTISTRY 06-28-04 J Ian
CITY OF FEDERAL WAY
DATE SUBMITTED DATE APPROVED 9 / /Nil
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BUILDING DEPT.
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CARL A. JAC(: . D.D.S.
BRETT H. JACOBSON D.D.S.
THOMAS V. GOO WIN D.D.S., P.S.
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LMMIE STADULIS R.D.H., B.S.
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FINAL SIGN INSPECTION is e"-/e1. -4---7-7‹:,A..) S' A-190.1,4- I`"(''=r G'n'A'oE. a °D
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NUN 2 8 2004
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ORD#TO CORRECT 'VIOLATIIAN LOG SHEET
VIOLATION date I I
PIC# - 1 Business license II SG00#
Business name J
Name of Proprieto
lIAddress of Business i ` % Suite Phone#
• Name of Property Owner
Address of Property Owner Suite# Phone#
Sign location
Y 1
•
Sign Description
violation #of signs Person issuing order
PIC# - Business license# SG00#
Business name
Name of Proprietor
Address of Business Suite# Phone#
• lame of Property Owner
Address of Property Owner Suite# Phone#
Sign location
Sign Description
violation #of signs Person issuing order
PIC# - Business license# SG00#
Business name
Name of Proprietor
Address of Business Suite# Phone#
Name of Property Owner
Address of Property Owner Suite# Phone#
Sign location
• Sign Description
violation #of signs Person issuing order
�..a ' •IGN PERMIT APPLICATION
APPLICATION NUMBER: Q - CSA_ - dfr.
vv wJUN 2 8 2004 - ----
**The following is required information—Please print(in ink)or type** ///C7 toil
CITY OF FEDERA I _ (((
■ PROPERTY INFORMATION •
SITE ADDRESS: 1 7/0 Sv ,2 ASSESSOR'S TAX/PARCEL #: 3 3 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): 1 PERMANENT ❑ TEMPORARY ❑ NEW ❑ ALTERATION ❑ REFACE ❑ EXEMPT
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: /
PROJECT DESCRIPTION (Provide detailed description): Sp,v0gms'TLeO
BUSINESS/TENANT NAME: .2,e?'
- • PEOPLE INFORMATION •
SIGN OWNER: NAME: DAYTIME PHONE:
teg coasaJ c253)8"39 --5////
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/7/f ,5270)% a28$ Se. L GtAy ed/4 . l8ofz3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER": EXPIRATION DATE:
CONTRACTOR: NAME: , DAYTIME PHONE:
Vem.14 (v253 )9Y/ - 9oof
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
301/3•2 i'', , s� z lSJ c,�a.9droo3 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE 1EUMBER: FAX NUMBER:
(231 WS9 lv f'PO
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(Copy required) �� L Ards .1
APPLICANT: NAME: DAYTIME PHONE:
(,26.i)1Y/ -9vog"
MAIUNG ADDRESS(STREET ADDRESS;CITY,S E,ZIP): - EVENING PHONE:
( )
FAX NUMBER:
CONTACT FOR THIS PROJECT:
111PROPERTY OWNER ❑ APPLICANT (CONTRACTOR E-MAIL ADDRESS:
::. = • **TEMPORARY SIGN APPLICATIONS ONLY** -
TYPE/PURPOSE OF EVENT:
DATE OF INSTALLATION: DATE OF REMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER ❑ INFLATABLE U PORTABLE ❑ SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
■ PROJECT DETAILS
PROPOSED NUMBER OF WALL SIGNS: ¢S PROPOSED NUMBER OF FREE STANDING SIGNS: I
TOTAL ESTIMATED PROJECT COST: $ x,5-6 . NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:
•
•
• TYPE OF SIGN(S)(Check all that apply)
PERMANENT FREE STANDING: 0,MONUMENT ❑ OTHER ❑ PEDESTAL LI POLE ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE: 1
PERMANENT BUILDING MOUNTED:❑ AWNING ❑ CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION (CID)❑ CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE ❑ OTHER ❑ PROJECTING ❑ 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(FT)
A Sl3wo6leib-lec) X 3 x AJ 100 rip
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
B
•
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-eWner of the above premises to perform the work for which the permit application is made
NAME/TITLE: _ .� DATE:
-�/
! SIG
�NATURE /I j
NAME(Print) *i/i9,Z/y
PRINT
FOR OFFICE USE ONLY: //__
ZONING DESIGNATION : C., &
COMP PLAN DESIGNATION: 0
BUILDING MOUNTED SIGN FREE STANDING SIGN ca Cztet
AREA PERMITTED: AREA PERMITTED: r�0
AREA PROPOSED: AREA PROPOSED: [ 9
LARGEST BU s G FACADE: STREET FRONTAGE: 1 TO
N- 'BER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: I
LAND USE APPROVER INITIALS: • 4 DATE: OL
STRUCTURAL APPROVER INITIALS: DATE: w
REGISTRATION NUMBER: 0.14 -_ , # REGISTRATION N BER:
REGISTRATION NUMBER: 1 REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98003-6221•(253)661-4000• FAX (253)661-4129