04-103535City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 99003-6210
Ph:253.661.4000 Fax:253.661.4129
Sign Permit #: 04 - 103535 - 00 - SG
Inspection request line: 253.835.3050
Project Name: XTREME DOLLAR
roiect Address: 35421 21ST AVE SW Parcel Number: 252103 9002
Project Description: Installing 2 new internally -illuminated, cabinet signs which will hook up to existing ,l- oxes.
Owner
ROYAL PLAZA ENTERPRISES I
509 S 63RD ST
TACOMA WA
98408-6325
Applicant
INTERNATIONAL SIGN CO
12414 HWY 99 S SUITE 2
EVERETT WA 98204
Contractor
INTERNATIONAL SIGN CO
12414 HWY 99 S SUITE 2
EVERETT WA 98204
(425) 741-8877
Comprehensive Plan Designation............ Neighborhood Business Zoning Designation....... I .................... :..... BN
Wall Signs
Registration # Sign Type Illuminated Sign Face Sign Face # of Sign Faces Building
Width (Ft.) Height (Ft.) Elevation
A 04-0154 Cabinet Yes 12 3 1 5auth
B 04-01:53 1 Cabinet Yes 12 3 1 East
PERMIT EXPIRES March 19, 2005.
Permit issued on September 20, 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.
r
Owner or agent: G Date: "(
THIS CARD IS TO I MAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103535-00-SG
Owner:
Address: 35421 21 ST AVE SW
FEDERAL WAY,
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO N Q 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)
F
Approved to place concrete Approved pproved
By Date ByLo, Date %�L �cs By ate 7
Attachment (4010)
.3 Approved
Date
SIGN PER rF APPLICATION
CITY IF "lE�ifGl �1 d- PPLI MN NUMBER:DV- _
FF;deral Way
**The following is required information -Please print (in ink) or ty
•iI a
SITE ADDRESS: �41 2 (5T hvv- ' S ' W - ASSESSOR'S TAX/PARCEL #: 25 2 I o 3 - D D 2
TYPE OF PROJECT (Check all that apply): PERMANENT ❑TEMPORARY ❑NEW ❑ALTERATION ❑REFACE ❑EXEMPT
KELECTRICAL (To attach to existing J-box) ❑ ELECTRICAL (New/altered circuit & j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: 0
PROJECT DESCRIPTION (Provide detailed description): t S--gI XIE--T S KA)
�o tV ?2s S
BUSINESS/TENANT NAME: &CWL--�V-
SIGN OWNER:
NAME:
6-?CTC3�
MAILING ADDRESS Q IEET>I gr- , STATE, AS:
J
CITY OF FEDERAL WAY BHSINESS LICENSE NUMBER:
Required) o 3kL41
`FOAN N G VyeJ
CONTRACTOR: NAME:
7,-ovr�KMT%)I4L, �t4Ns,Co
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
4- I *w Y G.q SVC- # Z 1
CITY OF FEDERAL WAY BL51NESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(Copy required) T�jrle r- 5C, C
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
1 4 tWY- `A— -It z-
CONTACT FOR THIS PROJECT:
TYPE/PURPOSE OF EVENT:
DAYTIME PHONE:
(2-06) ft4- - M7.0
DATE:
DAYTIME PHONE:
(42,51 7,V -g°a77
EVENING PHONE:
N (T wA--%1v4 ( 2-51 744 - 6077
FAX NUMBER:
EXPIRATION DATE:
11 / 07 12W/ -
; PROPERTY OWNER tCAPPLICANT ❑ CONTRACTOR
DAYTIME PHONE:
(U6) 67'eq -4
EVENING PHONE:
LCar) 74-1 - 72
FAX NUMBER:
E-MAIL ADDRESS
DATE OF INSTALLATION: OF F,EMOVAL:
TEMPORARY SIGN TYPE: ❑ BANNER INFLATABLE P RTABLE ❑ SEARCH LIGHTS/BEACON
NUMBER OF EACH TYPE:
PROPOSED NUMBER OF WALL SIGNS: 2 PROPOSED NUMBER OF FREE STANDING SIGNS:
TOTAL ESTIMATED PROJECT COST: $_ r F _ NUMBER OF TENANTS/BUSINESS SPACES ON PROPERTY: -
WPE OF SIGN(S) (Check all that wpfi-"-21� EIML
�EIRM N1"'E-STANDING: ❑ MONUMENT ❑ OTHER ❑ PEDESTAL ❑ POLE ❑ TENANT DIRECTO 'Y
NUMB F EA k{ TYPE: —
PERMANEW BUILDING MOUNTED: ❑ AWNING /.:CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION (CID) ❑ CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE ❑ OTHER ❑ PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
FREE STANDING SIGN
TYPE
A
C
STREET FRONTAGE (FT):
SIGN AREA (SQ. FT.)
WIDTH X HEIGHT X # OF FAC
=S
ILLUMINATED?: REFACE? PART OF CID
NO/INT/EXT i YES/NO I SIGN?
TOTAL SIGN
HEIGHT FT
BASE
HEIGHT FT
BUILDING MOUNTED ATED? SIGN AREA (SQ. FT.)
SIGN TYPE N INTERNAL XTTRNAL WIDTH X HEIGHT X # OF FACES
A CA�� rg � 3/r, (2` 3 ,NZ`42-
B (I%`, 1'�_) it
C
It,
E
ELEVATION
O& -- (, 04 " ,;'#2
EXPOSED BUILDING
FACE (SO. FT.)
r- 11LIS00s9 h
.ti I, 8-0oSq ro
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/TITLE: DATE: ✓ �U(fL+-
S NATURE - —
NAME (Print)
PRINT
FOR OFFICE USE ONLY:
ZONING DESIGNATION:
COMP PLAN DESIGNATION: -
BUILDING MOUNTED SI N
AREA PERMITTED:
FREE STAN"-
AREA PERM
g
AREA PROPOSED: 2
AREA PROP
LARGEST BUILDING FACADE: 6
STREET FRO
NUMBER OF SIGNS ALLOWED:
NUMBER OF SIGNS ALLOWED:
LAND USE APPROVER INITIALS: (/
DATE:
STRUCTURAL APPROVER INITIALS:
DATE:
REGISTRATION NUMBER: 41
REGISTRATION NUMBER:
REGISTRATION NUMBER: -. O
REGISTRATION NUMBER:
REGISTRATION NUMBER:
REGISTRATION NUMBER:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH -P.O. BOX 9718 -FEDERAL WAY, WA 98063-9718 - 253-661-4115 -FAX: 253-661-4129