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HomeMy WebLinkAbout21010 67th Ave Ne_BLD1771_2026 Jim Sutterfield 01/05/18 SIGN PERMIT APPLICATION Department of Community & Economic Development City of Arlington • 18204 59th Ave NE • Arlington, WA 98223 • Phone (360) 403-3551 THIS APPLICATION MUST BE ACCOMPANIED BY TWO (2) SETS OF COMPLETE PLANS, INCLUDING STRUCTURAL CALCULATIONS WHERE APPLICABLE, TWO (2) FULLY DIMENSIONED PLOT PLANS SHOWING ALL SIGNS ON SITE. (EXISTING & PROPOSED) Project Address: Parcel ID #: Lot #: Subdivision: Valuation: Owner: Phone Number: Address: City: State: Zip Code: Contractor: Phone Number: Cell Phone: E-mail: Address: City: State: Zip Code: Contractor’s License Number: ________________________________________ Expiration: _________________________________ WALL SIGN CALCULATIONS MONUMENT SIGN CALCULATIONS Wall Height: Wall Length: Street Setback: Area of Wall: Height of Proposed Sign: Sign Length: Sign Height: Width of Proposed Sign: Total Sign Area: Total Sign Print Area: Total Sign Structure Area: First Floor Square Feet First Floor Square Feet X .025 = Is there other wall signage on the building? No __ Yes __ If yes, provide location and size of each sign. I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above-described property will be in accordance with the laws, rules and regulations of the State of Washington. Applicants Signature Date Print Applicants Name FOR STAFF USE ONLY ____________________ ____________________ ____________________ ____________________ ____________________ Permit # Accepted By Amount Received Receipt # Date Received Marketer/Dealer: S & S DIVERSIFIED INC Site Name: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 1 OF 8 PROJECT LOCATION: 21010 67TH AVE NE, ARLINGTON, WA 98223 SHIP TO#: 845753 SITE - EXISTING PROJECT OVERVIEW: A Site Map B Canopy Visuals C Dispenser Visuals D Main ID Visuals PROJECT MANAGER: Big Red Rooster Flow 2 Northfield Plaza, Suite 250, Northfield, IL 60093 SITE - PROPOSED REVISION # DATE TYPE OF CHANGE ORIGINAL 11.13.2017 approval signature BIG RED ROOSTERFLOW I have reviewed the visuals within this document and I approve 2 Northfield Plaza, Ste 250, Northfield, IL 60093 the designs and scope of work listed within. P: (847) 441-1818 F: (847) 592-9564 This document reflects trade secrets and confidential business information. It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. Marketer/Dealer: S & S DIVERSIFIED INC A SITE PLAN Created by: H. Ferro Scale: N/A Page#: 2 OF 8 Site Name: S & S DIVERSIFIED INC SITE PLAN Canopy LogosA Canopy ImageB Main IDD 69′ 10 1/2" BUILDING D A B 66′ A REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 3 OF 8 B CANOPY LOGOS Site Name: S & S DIVERSIFIED INC .063” X ¾” 20" 20 " 5 5/8" ALUMINUM COLLAR ¾ " DIAMETER 3/8” DIA. HOLE .063” X ¾” ALUMINUM COLLAR AGI-LIGHT APEX LED 6500K 33 ½ " 20 " 33 ½ " .063” ALUMINUM 11 LEDS BACKING MEAN WELL CLASS 2 MODEL: LPV 6012 7/8” DIA. ELECTRICAL HOLE INPUT 120 VAC - 1.2 AMPS OUTPUT 12VDC - 5 AMPS .063” ALUMINUM BACKING WEEP HOLES FRONT VIEW SIDE VIEW LED LAYOUT BACKING BACKING PLASTIC FACE DECORATED SECOND #8 X ½” HX. WSHR. HD. 10" SURFACE TEK SCREWS (4 REQUIRED) 33" LOGO: 6 SF FACE FASTENER 5" 5" (QTY 4) .063” X ¾” Paint ALUMINUM COLLAR .063” ALUMINUM BACKING PMS 165C 18½" 33" 33 ¾ " PMS 287C CONVEX FACE ATTACHMENT DETAIL Text ALUMINUM TEEPEE 28" WIRE COVER MEAN WELL CLASS 2 Voltage 120 VAC RADIUS MODEL: LPV 6012 #8-24 X ¾” PAN HEAD BOLT INPUT 120 VAC - 1.2 AMPS Circuit ONE PLASTIC FACE W/ 10-24 HEX NUT OUTPUT 12VDC - 5 AMPS DECORATED SECOND 3 DRAFT FRONT VIEW SURFACE SIDE VIEW Current 5 AMP FACE FACE .063” ALUMINUM BACKING GROUND WIRE Design W/ EYELET CONNECTOR ½” CHASE NIPPLE 90 MPH W/ LOCK NUT Load CONNECTION DETAIL REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC B CANOPY IMAGE Site Name: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 4 OF 8 ELEVATION A: NON-ILLUMINATED 69′ 10 1/2" 36" BUILDING B A ELEVATION B: NON-ILLUMINATED 66′ Non-Illuminated C 24" 600" 36" D ELEVATION C: NON-ILLUMINATED 69′ 10 1/2" 600" 36" ELEVATION D: NON-ILLUMINATED 66′ 600" 24" 36" CANOPY PERSPECTIVE REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC B FASCIA DETAIL Created by: H. Ferro Scale: N/A Page#: 5 OF 8 Site Name: S & S DIVERSIFIED INC ***WARNING***: The following examples are for visual purposes only. REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC C DISPENSER VISUALS Created by: H. Ferro Scale: N/A Page#: 6 OF 8 Site Name: S & S DIVERSIFIED INC ***WARNING***: The following example is for visual purposes only. 644784 NON- ILLUMINATED VALANCE Illuminated Valance See Gilbarco Encore S Single Hose Product ID Overlays for PID Options Pump Topper Regulatory Decal 573602* 577121 Take One 2 PC. CRIND FRAME SET 4 PC. WIDE CRIND FRAME SET 573569* 2 PC. BEZEL DOOR SET 1/2” CLEAR SPACE FROM EDGES 573576* Clean Air Nozzle Instructions (CA Specific)577105 SOFTKEY California Fuels Sales Tax Decal (CA Specific)PRICE READER BLANK 573577* 573565* Prop 65 Decal (CA Specific)KEYPAD CARD READER RECEIPT 577181 Safety Decal SOFTKEY W/ CALL 57712Gasoline Decal(CA Specific)2 & ADA 577134 MAIN DISPLAY ADA PIN PAD 573321* ATTENTION W e Hon orC REDI T -DEBI T C A R D C UST OM ER S If you use a credit or debit card at the pump, the bank that issues your card may place a hold on your account that may exceed the purchase amount. W/ CALL This hold is usually released when the completed transaction is received by the issuing bank, but the release of the hold may take a few hours or several days, depending on the bank’s policy or practice. For more information regarding your bank’s policies, call the customer service number on the back of your card. If you wish to avoid having a hold placed on your account, you may pay inside. Credit Card Decal ZI P C O D E V ERIFICATIO N DUAL NOZZLE YCY0P 0P 0LJ00JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JL asked to enter your zip code. If the zip code is entered incorrectly or is from 0YPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC0YJ L0000JPC00PC 0C00L0 0LJ0 outside the USA, you may be asked to see the attendant to complete your 0 L0 PC0YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000Y 0C00 0C purchase. Your zip code information will not be used for marketing 0P0Y JL0JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000J0 0J0 0Y0P0 L purposes. Y *Validatparticipatinglocations. Phillips 66®, Conoco®, 76®, and their respective logos are registered trademarks of Phillips 66 Company or one of its subsidiaries. © Phillips 66 Company 2012. Other logos and products mentioned herein may be trademarks of their respective owners. CSH 12-1359 599656* 578516 573568* KEYPAD SOFTKEY Cancel CC BLANK W/ ADA 577134 RECEIPT ADA PIN PAD 577128 Octane Decals CC INSTRUCTIONS 576328 CROWN LOGO 573570* TOP SPEAKER PANEL 654631 CREST DOOR GRAPHIC 654629 DOOR WITH GRAPHIC Existing Dispenser Type: Gilbarco Encore S Single Hose with Privacy Keypad REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC D MID SIGN Created by: H. Ferro Scale: N/A Page#: 7 OF 8 Site Name: S & S DIVERSIFIED INC Note: - New 76 Panel ID Panel PCRY0043 - New 3 Product Pricer Panel PCRY0044 - Existing Manual Message Board - Paint Poles Titanium Gray EXISTING MANUAL MESSAGE BOARD Existing Proposed: Reface REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTERFLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC D MID SIGN Created by: H. Ferro Scale: N/A Page#: 8 OF 8 Site Name: S & S DIVERSIFIED INC 48 5/8" CABINET 48 5/8" TRIM 46" V.O. 46" V.O. 45" FORMING 45" FORMING FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" 48 5/8" 46" 45" 65 5/8" 63" 62" CABINET V.O. FORMING TRIM V.O. FORMING FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" FRONT VIEW FRONT VIEW REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC Site Name: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 1 OF 8 PROJECT LOCATION: 21010 67TH AVE NE, ARLINGTON, WA 98223 SHIP TO#: 845753 SITE - EXISTING PROJECT OVERVIEW: A Site Map B Canopy Visuals C Dispenser Visuals D Main ID Visuals PROJECT MANAGER: Big Red Rooster Flow 2 Northfield Plaza, Suite 250, Northfield, IL 60093 SITE - PROPOSED REVISION # DATE TYPE OF CHANGE ORIGINAL 11.13.2017 approval signature BIG RED ROOSTERFLOW I have reviewed the visuals within this document and I approve 2 Northfield Plaza, Ste 250, Northfield, IL 60093 the designs and scope of work listed within. P: (847) 441-1818 F: (847) 592-9564 This document reflects trade secrets and confidential business information. It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. Marketer/Dealer: S & S DIVERSIFIED INC A SITE PLAN Created by: H. Ferro Scale: N/A Page#: 2 OF 8 Site Name: S & S DIVERSIFIED INC SITE PLAN Canopy LogosA Canopy ImageB Main IDD 69′ 10 1/2" BUILDING D A B 66′ A REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 3 OF 8 B CANOPY LOGOS Site Name: S & S DIVERSIFIED INC .063” X ¾” 20" 20 " 5 5/8" ALUMINUM COLLAR ¾ " DIAMETER 3/8” DIA. HOLE .063” X ¾” ALUMINUM COLLAR AGI-LIGHT APEX LED 6500K 33 ½ " 20 " 33 ½ " .063” ALUMINUM 11 LEDS BACKING MEAN WELL CLASS 2 MODEL: LPV 6012 7/8” DIA. ELECTRICAL HOLE INPUT 120 VAC - 1.2 AMPS OUTPUT 12VDC - 5 AMPS .063” ALUMINUM BACKING WEEP HOLES FRONT VIEW SIDE VIEW LED LAYOUT BACKING BACKING PLASTIC FACE DECORATED SECOND #8 X ½” HX. WSHR. HD. 10" SURFACE TEK SCREWS (4 REQUIRED) 33" LOGO: 6 SF FACE FASTENER 5" 5" (QTY 4) .063” X ¾” Paint ALUMINUM COLLAR .063” ALUMINUM BACKING PMS 165C 18½" 33" 33 ¾ " PMS 287C CONVEX FACE ATTACHMENT DETAIL Text ALUMINUM TEEPEE 28" WIRE COVER MEAN WELL CLASS 2 Voltage 120 VAC RADIUS MODEL: LPV 6012 #8-24 X ¾” PAN HEAD BOLT INPUT 120 VAC - 1.2 AMPS Circuit ONE PLASTIC FACE W/ 10-24 HEX NUT OUTPUT 12VDC - 5 AMPS DECORATED SECOND 3 DRAFT FRONT VIEW SURFACE SIDE VIEW Current 5 AMP FACE FACE .063” ALUMINUM BACKING GROUND WIRE Design W/ EYELET CONNECTOR ½” CHASE NIPPLE 90 MPH W/ LOCK NUT Load CONNECTION DETAIL REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC B CANOPY IMAGE Site Name: S & S DIVERSIFIED INC Created by: H. Ferro Scale: N/A Page#: 4 OF 8 ELEVATION A: NON-ILLUMINATED 69′ 10 1/2" 36" BUILDING B A ELEVATION B: NON-ILLUMINATED 66′ Non-Illuminated C 24" 600" 36" D ELEVATION C: NON-ILLUMINATED 69′ 10 1/2" 600" 36" ELEVATION D: NON-ILLUMINATED 66′ 600" 24" 36" CANOPY PERSPECTIVE REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC B FASCIA DETAIL Created by: H. Ferro Scale: N/A Page#: 5 OF 8 Site Name: S & S DIVERSIFIED INC ***WARNING***: The following examples are for visual purposes only. REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC C DISPENSER VISUALS Created by: H. Ferro Scale: N/A Page#: 6 OF 8 Site Name: S & S DIVERSIFIED INC ***WARNING***: The following example is for visual purposes only. 644784 NON- ILLUMINATED VALANCE Illuminated Valance See Gilbarco Encore S Single Hose Product ID Overlays for PID Options Pump Topper Regulatory Decal 573602* 577121 Take One 2 PC. CRIND FRAME SET 4 PC. WIDE CRIND FRAME SET 573569* 2 PC. BEZEL DOOR SET 1/2” CLEAR SPACE FROM EDGES 573576* Clean Air Nozzle Instructions (CA Specific)577105 SOFTKEY California Fuels Sales Tax Decal (CA Specific)PRICE READER BLANK 573577* 573565* Prop 65 Decal (CA Specific)KEYPAD CARD READER RECEIPT 577181 Safety Decal SOFTKEY W/ CALL 57712Gasoline Decal(CA Specific)2 & ADA 577134 MAIN DISPLAY ADA PIN PAD 573321* ATTENTION W e Hon orC REDI T -DEBI T C A R D C UST OM ER S If you use a credit or debit card at the pump, the bank that issues your card may place a hold on your account that may exceed the purchase amount. W/ CALL This hold is usually released when the completed transaction is received by the issuing bank, but the release of the hold may take a few hours or several days, depending on the bank’s policy or practice. For more information regarding your bank’s policies, call the customer service number on the back of your card. If you wish to avoid having a hold placed on your account, you may pay inside. Credit Card Decal ZI P C O D E V ERIFICATIO N DUAL NOZZLE YCY0P 0P 0LJ00JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JL asked to enter your zip code. If the zip code is entered incorrectly or is from 0YPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC0YJ L0000JPC00PC 0C00L0 0LJ0 outside the USA, you may be asked to see the attendant to complete your 0 L0 PC0YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000Y 0C00 0C purchase. Your zip code information will not be used for marketing 0P0Y JL0JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000JPC000YL0000J0 0J0 0Y0P0 L purposes. Y *Validatparticipatinglocations. Phillips 66®, Conoco®, 76®, and their respective logos are registered trademarks of Phillips 66 Company or one of its subsidiaries. © Phillips 66 Company 2012. Other logos and products mentioned herein may be trademarks of their respective owners. CSH 12-1359 599656* 578516 573568* KEYPAD SOFTKEY Cancel CC BLANK W/ ADA 577134 RECEIPT ADA PIN PAD 577128 Octane Decals CC INSTRUCTIONS 576328 CROWN LOGO 573570* TOP SPEAKER PANEL 654631 CREST DOOR GRAPHIC 654629 DOOR WITH GRAPHIC Existing Dispenser Type: Gilbarco Encore S Single Hose with Privacy Keypad REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC D MID SIGN Created by: H. Ferro Scale: N/A Page#: 7 OF 8 Site Name: S & S DIVERSIFIED INC Note: - New 76 Panel ID Panel PCRY0043 - New 3 Product Pricer Panel PCRY0044 - Existing Manual Message Board - Paint Poles Titanium Gray EXISTING MANUAL MESSAGE BOARD Existing Proposed: Reface REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTERFLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Marketer/Dealer: S & S DIVERSIFIED INC D MID SIGN Created by: H. Ferro Scale: N/A Page#: 8 OF 8 Site Name: S & S DIVERSIFIED INC 48 5/8" CABINET 48 5/8" TRIM 46" V.O. 46" V.O. 45" FORMING 45" FORMING FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" 48 5/8" 46" 45" 65 5/8" 63" 62" CABINET V.O. FORMING TRIM V.O. FORMING FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" FOR EXISTING 6" ABLE MULTI-SEG LEDS LED V.O. : 6.88" x 16" FRONT VIEW FRONT VIEW REVISION # DATE TYPE OF CHANGE SHIP TO#: 845753 ORIGINAL 11.13.2017 BIG RED ROOSTER FLOW This document reflects trade secrets and confidential business information. 2 Northfield Plaza, Ste 250, Northfield, IL 60093 It may not be copied, published or disseminated in any manner without the written approval of Big Red Rooster Flow. All rights reserved, including patent, trademark and copyrights. P: (847) 441-1818 F: (847) 592-9564 Permit #: 1771 Permit Date: 12/11/17 Permit Type: SIGN INSTALLATION Project Name: 76 Gas Station Applicant Name: Signs Plus, Inc. Applicant Address: 766 Marine Drive Applicant, City, State, Zip: Bellingham, WA 98225 Contact: Daniel Corbin Phone: 360-671-7165 Email: jims@signsplusnw.com; dan@roostercsi.com Scope of Work: Signage update Valuation: 32000.00 Square Feet: 0 Number of Stories: 1 Construction Type: Occupancy Group: ID Code: Permit Issued: 01/05/2018 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel # Address Legal Description Owner Name Owner Phone Zoning S & S 549 Other Retail 31051100301100 21010 67TH AVE NE DIVERSIFIED INC Trade - Food NEC Contractors Contractor Primary Contact Phone Address Contractor Type License License # ROYCE CONSTRUCTION SIGNS PLUS INC 360-671-7165 766 MARINE DR COA 602 475 651 SIEVING CONTRACTOR ROYCE CONSTRUCTION LABOR & SIGNS PLUS INC 360-671-7165 766 MARINE DR SIGNSPI952LW SIEVING CONTRACTOR INDUSTRIES Plan Reviews Date Review Type Description Assigned To Review Status 12/11/2017 SIGN INSTALLATION Marc Hayes 12/11/2017 SIGN INSTALLATION BUILDING Fees Fee Description Notes Amount Building Permit Table 4-1 $653.30 Processing/Technology $25.00 Total $678.30 Attached Letters Date Letter Description 01/04/2018 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 01/05/2018 Daniel Corbin 67949823 cc $678.30 Outstanding Balance $0.00 Notes Date Note Created By: 01/05/2018 Emailed that permit is ready to issue. KF Kristin Foster 01/05/2018 Emailed permit for signature. KF Kristin Foster 01/04/2018 No Land Use issues as this is a change out of existing signage. Per MH (KF) Kristin Foster Uploaded Files Date File Name 01/05/2018 2929643-1771_Issued Permit.pdf 12/11/2017 2844060-76_845753_Arlington_WA-001_Part1.pdf 12/11/2017 2844061-76_845753_Arlington_WA-001_Part2.pdf 12/11/2017 2844062-76_845753_Arlington_WA-001_Part3.pdf 12/11/2017 2844048-76_21010 67th Ave NE - Sign Permit Application.pdf