91-100032CITY OF
FEDERAL WAY
BUILDING PERMIT
q)460t3a
BUILDING INSPECTION
941-1555
PERMIT NO. 96-0001 -S- OWNER'S NAME PHOENIX MUTUAL LIFE INS JOB ADDRESS 33600 SIXTH AVE S
CONTRACTOR J M ARCHITECTURAL
SIGN$DDRESS 1603 116TH AVE NE #110 BELLEV UE
9RODAhONE 455-2677
CONT. REG. NO. JMARCS*158MP
OWNER'S PHONE 454-4180 OWNER'S ADDRESC/O GRUBBBhLR
IIP 1505-1 1 6TH AVE NE
TYPE JOB: NEW RESIDENCE ADDITION
NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN XX GRADING__ OTHER
TAX ACCOUNT NO. 926480-0205-32
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
_ DATE OF ISSUE - DATE OF APPLICATION 12-20-90
BUILDING INFORMATION
NE OP _ OCCUPANCY
TYPE OF CONSTRUCTION
BLDG. SO. FISICN- 7 n SP
SETBACKS: FRONT 5
SIDE S REAR rj _ STORIES
HEIGHT LIMIT
PLUMBING NO.
NO, MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER
HEATER _ GAS PIPING FT BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _ COMPRESSOR _ ----- __ TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER
LAVATORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _
AMOUNT
PLANNING DEPT APPROVAL: BK 1-4-91
VALUATION —5,092-00
SIGN MUST BE AT LEAST FIVE FEET FROM ALL PROPERTY
LINES
PERMIT FEE 81-00
PLAN CHECK FEE�i 0-a--
BUILDING DEPT APPROVAL: MM 1-7-91
PLUMBING FEE
:CHANICAL FEE
TAIL BLDG. FEES
CALL FOR FINAL INSPECTION-- 661-4140
PART P/C FEE
SEPA REVIEW
AMOUNT:
WATER SERVICE
WATER MAIN CHG.
DATE:
S.B.C.C. FEE
OTHER FEES
RECEIPT: "7
AMOUNT DUE 1 -14 nn
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
/
i
OWNER OR AGENT
DATE
a
21!
T i
J HERWIS�: AFPROVt0 ijY
Tt-E FEDERAL WAY BUILDING
DEPARTMENT. ---------
• •
Permit #
CITY OF FEDERAL WAY
SIGN PERMIT APPLICATION
This application must be submitted to the Building Department, and a sign
permit must be issued prior to displaying any sign, except a political
sign, whether or not the proposed sign requires construction or structural
alteration.
WARNING: DO NOT CONSTRUCT OR ORDER A SIGN UNTIL A PERMIT HAS BEEN
ISSUED. THE INSTALLATION PERMIT WILL EXPIRE 180 DAYS AFTER
ISSUANCE
OWNER OF SIGN � AUt-- N) X M 1( 7 k-(/9- 4_ [_ 1 4 L 1 i6. PHONE
>c� C; �_ (A
ADDRESS /�n0.� //� rY4 A -ti ,_ � t; ° / �` F7 G L k- t, U 12_� 19 9 SOy Y
NAME AND TYPE OF BUSINESS WITH WHICH SIGN IS ASSOCIATED
1LJJiAll
ADDRESS OF SIGN (- C') 0 X Tl -4 A V t S ) i�E J2, /4 L W P y-,, (,J /9'
CONTRACTOR J.M. Architectural Signs PHONE (206) 455-2677
CONTRACTOR ADDRESS 1603 - 116th Ave. NE, #110, BellevuCONT. REG. NO. JMAI?CS*158MP
98004
PROPERTY TAX ACCT. # Y 6 EXP. DATE
All signs must meet the requirements of the zoning and Building
Codes. Two sets of plans showing the location of sign(s), size of
sign(s) (maximum plan size 2411x 3611) and drawing of sign(s) must be
submitted with the sign Permit application.
ESTIMATF—P PROJFCT COST
2. TYPE OF SIGN: WALL MARQUEE PEDESTAL MONUMENT-�
3. ILLUMINATION: INTERNAL (CABINET) INTERNAL (LETTERS ONLY)
EXTERNAL NON -ILLUMINATED
OTHER (describe)
4. SIGN AREA (SQUARE FEET) -:20 5�,_-f
RECEIVE® HNAL IN5FECTION
DEC 3 1 1990
CITY OF FEDERAL WAY REQUIRED
BUILDING DEPT UPON COMPLE 1ON OF WORK
,vim
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 APPLICATION IS MADE.
I
OWNER OR
SIGNATURE
"' '/'
OWNER'OR A(
PRINT NAME
vo0lT33q2Nj JAIM�i
03fllW93q,,
vamAo aA mQm, ja,�nn;� �'��lR:
DATE
u
5 .
SIGN DIMENSIONS
�r..wwY lti,.
6.
SUITE FRONTAGE
7.
STREET FRONTAGE OF ENTIRE
PROPERTY (FT.)
8.
NUMBER OF TENANTS, OR
AVAILABLE BUSINESS
SPACES, ON PROPERTY �-
9.
DOES THE PROPERTY HAVE
A COMPREHENSIVE SIGN PLAN APPROVED BY THE
CITY? IF YES,
WHAT IS THE FILE NUMBER? k6fLUQ s� fa rr r �` S ,�usc n�Ss
10.
LIST TYPE AND SIZE OF
ALL EXISTING SIGNS
ASSOCIATED WITH THE BUSINESS:
f- -ee
t-
11.
LIST TYPE AND SIZE OF
ALL OTHER EXISTING
SIGNS ON THE PROPERTY:
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 APPLICATION IS MADE.
I
OWNER OR
SIGNATURE
"' '/'
OWNER'OR A(
PRINT NAME
vo0lT33q2Nj JAIM�i
03fllW93q,,
vamAo aA mQm, ja,�nn;� �'��lR:
DATE
OFFICE USE ONLY
PLANNING DEPARTMENT APPROVAL:*�/ DATE
PARCEL FILE (IF APPLICABLE) NIA
ZONE (D? SIGN CATEGORY Y
SIGN AREA PERMITTED �I� SQ. FT. SII �fi ST► °� �ro''�•
SIGN AREA PROPOSED O SQ. FT.
CODE CITATION WHICH ALLOWS THIS SIGN
REMARKS SIGN v;tiu.D"T GF, Art EAST 17-wC FECVy>L�-
��y�c�('cq."t
yr*��*yr yryt*yr yr yr**y,**yr*yr**yr**yr********yr*�*****yr***yr*ytyt�kyYylr�lc�cyr�lcilryr�r�lrtk�k�t�kytlk�k�ktk�lrtk�t�lr
DEPARTMENT OF PUBLIC WORKS APPROVAL:* DATE
REMARKS
STATE SURCHARGE
REMARKS
/-All t t -
* ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND
BUILDING DEPARTMENT WITH 24 HOURS INDICATING THE REASONS FOR DISAPPROVAL.
DATE OF FORM
THFRF ARAugust 8, 1990
r TM, �� �,,... , ,
TO
SIGNPER.APP/MSTRFORM, JJ\LS/tp T��
DPtin „Y,LNT.
BUILDING DEPARTMENT
APPROVAL:
DATE
VALUATION
$�
PERMIT FEE
$l
PLAN CHECK FEE
$
S
APPROV"77
1 7 (-Il
TOTAL FEE
$
STATE SURCHARGE
REMARKS
/-All t t -
* ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND
BUILDING DEPARTMENT WITH 24 HOURS INDICATING THE REASONS FOR DISAPPROVAL.
DATE OF FORM
THFRF ARAugust 8, 1990
r TM, �� �,,... , ,
TO
SIGNPER.APP/MSTRFORM, JJ\LS/tp T��
DPtin „Y,LNT.
To Lease trade 'February 2811990between PHOENIX MUTUAL LIFE INSURANCE
and Adaptive Health Systems, yJnc._ (Tenant).
COMPANY (Landlord)
W
1079056. recorded under Recording No.
Lots 1 and 2 of King County Plat No. LU
7912270583, records of King
County, Washington; U
a e■ 7 ark, inclusive. W
TOGETHER WITH that portion of olume197eof Platseat paggees Park, according Co Cc
the plat thereof recorded in Vo Cou►►t Lot Line
records of said County, said portion being shown on King Y
Adjustment Application No. 784054 approved by Hr. Bernard 1liotnpeon o►t July 2
1984 and being more particularly
described as Eollowst ng
therly line
e inning at Northwest corner of said Lot 21,ht7encealo Nestr260.20 feet toeaeof
6 g said point
North 83002'37" Cast 259.96 feet; thence South plat,
point on Easterly margin of Sixth Avenue South as shown on said
being a curve concave to the Nest having a radius in t1►ofeet; thence ly
ougha centralNeingla
30.84 feet along saidointvofabeginningnd said aeterly mllrB
of 07040'55" to the p
ations at record, if any.
SU8.11~CT T0i Easement, restriction, and cesery
F olPERMIT NUMBEn------ -----
PI-Cso
ADDRESS
PLANS FOR
OWNER
DATE SUBNiiTTF r) -� +- - DATE P, P1 - -"j t
?^!
APPP HOENIX t✓UTUA LIFE INSURANCE COMPANY
BY. c i.
Lan ord
e 'fit
�t GG
" A 0,11 �, 11111111 11111
1 1101
IR
FINAL INSF°Et� 1 awry:
gE;_(jpjREDWopK
uaoNco►�
ADAPTIVE HEALTH SYSTEI`•`.S, INC.
BY:
Tenan
THFRE ARF TO Pr-
TO
FTO THE APPRO;� LJ �.:..-
UNLESS OTHERWISE APPROVE{:. r
-THE FEDERAL WAY BUILDING
DEPARTMENT. ---
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FILE
".VICINITY MAP
i
CONSTRUCTION LEHN
INTERIOR ST
INSULATED
I HOUR WAL
WITH SOUNI
•
36
E
2 3 ., � � ` 3 .. 2'
�i
RUSSELL#�;3A-2P Smoke Ring
PLAZt� Shadow Blue Copy
066 Sandy Pink
#63 Wedge rood Blue
I Security Pacific Sank I
Weyerhaeuser Recruiting ! Painted
Fiberglass Module
Adaptive Health Systems
I Goodiin Financial I
I Taishan, Inc.. I
Managed by Grubb & Ellis
Painted
Aluminum Slatz
White cop; -
scale 1 = 1 'C"
I
t iw•: r Vis,.„4 •
PANE _ -• ...i -•.. .Ti' -r
00 + e' t+ • er rf • 44
i%w e tj 2
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++c'f a...fwc.o►�s arst w rrr„E�
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THERE ARE TO BE NO r)'-%!f�-
4 -� .: '•
• TO THE APPROVED DRAt"!.:: 3
UNLESS OTHERWISE APPROVr-b i,y
THE FEDERAL WAY BUILDING
tslDe VIEW DEPARTMENT. -
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9P 16003D
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC _ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS _) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
IONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER _
RECEIVED _
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTALMECHANICALAMOUNT
,� J r:'r� 3K -4- 1
VALUATION `SIGN MUST RE AT LEAST FIVE FEET FROM ALL PROPERTY LINE'
PERMIT FEE
PLAN CHECK FEE jILDING DEPT APPROVAL: MI.!:, 1-7-91
PLUMBING FEE
CHANICAL FEE
TAL BLDG. FEES CALL FOR FINAL INSPECT/0M-_ 661-4140
PART P/C FEE _
SEPA REVIEW °HOCNT' .. .�
WATER SERVICE
WATER MAIN CHG. DATE:
S.B.C.C. FEE
OTHER FEES RECEIPT: ...�...- .,.._.___._,.,
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
I
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