04-102640 City af'Feaeral Way SIgIl Perllllt ft:�4 - 102640 - 00 - SG r
Communiry Development Services
33530 Is[Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: MIRROR LAKE JAVA HUT
Project Address: 803 SW 312TH ST Suite102 Parcel Number: 072104 9125
Project Description: NEW-Install cabinet sign; connecting to existing j-box
***DOUBLE FEE PER HEATHER-SIGN INSTALLED WITHOUT PERMIT****
Owner Appiicant Contractor
Medina Andres SIGN GUYS CORP SIGN GUYS CORP
424 S 60TH ST 1714 S 341ST PL SUITE WS 1714 S 341ST PL SUITE WS
TACOMA WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98408-6443 (253)942-3688
Comprehensive Plan Designation............Neighborhood Business Zoning Designation..................................BN
Wall Signs
Registration# Sign Type Illuminated Sign Face Sign Face #of Sign Faces Building�
� Width(Ft.) Height(Ft.) Elevation �
A 04-0099 Cabinet Yes 15 2 a 1 North �
PERMIT EXPIRES January 18,2005.
Perin�t issued on July 22,2004
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 accordance with the laws,rules and regulations of the State of Washingt
the City of Federal Way.
��_: � o
Owner or agent: Date:
.
\
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THIS CARD IS TO .MAIN ON-SITE
. • ' .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102640-00-SG
Owner: MEDINA ANDRES
Address: 803 SW 312TH ST Suite 102
FEDERAL WAY, WA 98023-4526
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
aze 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 Date� �
❑ Attachment(4010)
Appmved
By Date3 �ll���
k�:�:4r�.t v�.r�
IGN PE IT APPLICATION
CITY OF�
�Federa�'Way� � i � PP��nory + BER: _ -
�I�Y OF FED�RAL WA�*The foliowing is required infonnation-Please print(in ink)or ij�
G I�EP�:
• • • . • .
SITE ADDRESS: p D� S.V�'. �j�-�-I/� �' , ASSESSOR'S TAX/PARCEL#: -
� — — — — — — — — — —
�
' � • • •
I TYPE OF PROJECT(Check all that apply): dPERMANENT ❑TEMPORARY ❑NEW ❑ALTERATION ❑REFACE ❑EXEMPT
d €LECTRICAL(To attach to existing J-box) ❑ ELECTRICAL(New/altered circuit&j-box added)
' (Separate permit is required)
I NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
` PRO]ECT DESCRIPTION(Provide detailed description): �"�f� �-� � � C-� ,S'���-Q„'�y-�
t 2 �
BUSINESS/TENANT NAME: � ��'��''-' L��Q_ �Q��V-i'� Vl'I""
• • • �
SIGN OWNER: NAME: DAYTIME PHONE:
�"1'c�wl�' L�,�- S'0`� C nt'f" � ) -
MAILING ADDRESS(S7REET ADDRESS;CITY,STATE,ZIP):
�'°'� �_ � , `3 �'�� S't , w�l . `�(�15d3 ,
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
(Required) - � 0� -- -- � Z / 3 � /
CONTRACTOR: NAME: � /+�� � DAYl1MEPHONE:
� l� L , r^, , (Cis�) �� - ��
MAILING ADDRESS(S�REET ADDRES ;CITY,STA7E,ZIP): EVENING PHONE:
C��--�6 S , �� I `- �l �'}''Lc4- ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGIS7RATION NUMBER: �XPIRATION DATE:
(Copy required) � �
APPLICANT: NAME:
DAYTIME PHONE:
t -� �c'�. ^�W� � )
\DDRESS(STREET ADDRESS;C1TY,S7ATE,ZIP): EVENING PHONE:
� �
FAX NUMBER:
�' • � �
❑ PROPERTYOWNER p APPLICANT �NTRACTOR E-MAILADDRE55:
� v
' • ' • •
\ " " DATE OF REMOVAL:
❑BANPFER ❑INFLATABLE ❑ PORTABLE ❑ SEARCH IIGHTS/BEACON
� �
�
f PROPOSED NUMBER OF WALL SIGNS: � PROPOSED NUMBER OF FREE STANDING SIGNS:�
/L� 6'°
TOTAL ESTIMATED PROJECT COST: $ �T� !' NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY:
�
• i , = LL
� ` �
��pN'�7� �AQIDI�G:�'� ❑MO MENT ❑ OTHER -DESTAL LE ❑ TENA�Yf DTR�CTORY
NUl�R �
p U D G MOUNTED: o AWNING ❑CABINET ❑ CANOPY ❑CENTER IDENTIFICATION (CID) ❑ CHANNEL LETTERS
NUMBER OF EA��E:
o MARQUEE ❑OTHER ❑ PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
� � • • • I
FREE STANDING SIGN SIGN AREA(SQ.FT.) IILUMINATED?: 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
I
B -- iI -----i --
C --- +
STREET FRONTAGE(FT):
BUILDING MOUNTED ILLUMINATED? SIGN AREA(SQ.Ff.) BUILDING EXPOSED BUILDING
SIGN TYPE NO/INTERNAL/EXTERNAL WIDTH X HEIGHT X#OF FACES ELEVATION N S E W FACE S .FT.
A �b��-- �, �.' �c 1z' � � � �� .�Ls
B
�
D
E
� •
I certify under penalty of perjury that the'nformation furnished by me is true and correct to the best of my knowledge,and �
further,that I am authorized by the owner of th bove premises to perform the work for which the permit application is made �
✓'", .-�-j � � ��
NAME/TITLE: � DATE:
SIGNATURE . � ►
NAME(Print) T� � � � ��
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION: COMP PLAN DESIGNATION:
BUILDING MOUNTED SI FREE STANDING SIGN
AREA PERMITTED: O AREA PERMITTED:
AREA PROPOSED: L�d AREA PROPOSED:
LARGEST BUILDING FACADE: __�� STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: � NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: DATE:
STRUCTURAI APPROVER INITIALS: DATE: �
REGISTRATION NUMBER: a — REGISTRATION NUMBER: j
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
J
i
COMMUNCTY DEVELOPMENT SERV[CES•33530 F[RST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253 661-4ll5•FAX:253-661-4129 �
, '. CI� �� F����A�.d`��Y
� DEPT. 0�C�Th�lll(f�P�iTlf D�1��L�RBUI�NT
� i Permit # 04 - 102640 - 00
FINAL SIGN INSPECTION is � �
� Address:803 SW 312th ST
REQUIRED in order to receive sign � Project: New Wall Sign 1
registration number. Call 253-835- Owner: MIRROR LAKE JAVA HUT '
3050 to schedule inspection. Datesubm�tted ;;1io�
�Jh?E"�L'�i;�A�TTE�?� �?�i�r,tPk�� �D� 7- ^-c�
: ,o:>-.�r�°.�"�'�BY
S.W. 312TH ST.
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MIRROR LAKE JAVA HUT � �
803 S.W. 312TH ST. cr�
FEDERAL WAY WA. 98003 � � �� w ,
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SAM'S MARKET
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Y�� �� UPOi� �OMPLETION OF W Ju�.. o � 'n��
ORK
_s � �I�'r i�� h=El3�l�AL WAY
� ": �,��` ��;�~�` � ,. `:��„� BUILUING �EPT.
,
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M1��0�
.�' Lake e e
2' X 15' SHEETMETAL CABINET
WITH PLASTIC DESIGN AS ABOVE.
SHEETMETAL CABINET ��� O ,
�,�P= � C�
800 mo FLUORESCEM LAMPS pLYWOODEN WAIL
POLYCARBONATE SIGN FACE
3/8"x 3"SCREWS WITH WASHERS N FRAME
(BPLACES) �y�'�'O S /KC.,. fMeN1�<%�
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INSTALLATION METHOD DETAILS
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