HomeMy WebLinkAbout430 N West Ave_BLD871_2026 ' CITY OF ARLINGTON
238 N. OLYMPIC AVE- ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:430 N West Avenue#1 Permit#:871
Parcel#:0061 81 005001 00 Valuation:4800.00
OWNER APPLICANT CONTRACTOR
Name:JENSEN DONALD E&DOROTHY M Name:NW Signs Name:NW Signs
Address: 13520 272ND ST NE Address:28400 NE 120th Street Address:28400 NE 120th Street
City,State Zip:ARLINGTON,WA 98223-6831 City,State Zip:Duvall,WA 98019 City,State Zip:Duvall,WA 98019
Phone: Phone:425-844-6415 Phone:425-844-6415
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION
PERMIT TYPE: Sign CODE YEAR: 2012
STORIES: 1 CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: 1 OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC 10/IRC1 10.
SALFS TAX NOTICE:Sales tax relating to construction and construction materials in the City of rlin ton ust be reported on your sales tax return form
and coded City of A1li1 1 n#3101.
Rebecca Hiatt 1/5/2016
S lgndtllrC Print Name Date Released By Date
CONDITIONS
Adhere to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
1/4/2016 Sign Permit Fee $150.75
Total Due: $150.75
Total Payment: $150 75
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling For an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
SIGN PERMIT
APPLICATION
046:vw 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.
(EXISUNG&PROPOSED)
430 N W Ave#1 Arlington, Wa 98223
Project Address: Parcel ID#:
Lot#: Subdivision: _ — Valuation: 4900.00
Owner: Autumnwood Dental - Bakhtair Ardi Pribadi Phone Number: 3604749163
Address: 430 N W Ave#1 City:Arlington State: wa Zip Code: 98223
Contractor: NW Signs Phone Number: 4258446415
Cell Phone: 4258446415 E-mail: rebecca@nwsigns.com
Address: 28400 NE 120th St City:Duvall State: WA Zip Code: 98019
Contractor's License Number: ccnwwhos*929m9 Expiration: 9/5/2016
WALL SIGN CALCULATIONS MONUMENT SIGN CALCULATIONS
Wall Height: 16' Wall Length: 60' Street Setback:
Area of Wall: Front left of building facade Height of Proposed Sign:
Sign Length:96" Sign Height: 36" Width of Proposed Sign:
Total Sign Area: 24 sq ft Total Sign Print Area:
Total Sign Structure Area:
First Floor Square Feet ` First Floor Square Feet X .025= ;p
Is there other wall signage on the building? No,L 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.
_.. 12/23/2015
Applicants Signature Date
Rebecca van der Linden
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted v Amount Received Receipt# Date Received
96.000" 6.0"
CV
4t 0 n to o o )eria
0 0
4 Front of sign can
White lexan face
FRONT ELEVATION SIDE ELEVATION
Digital printed vinyl graphics
Silver paint on all sides
of cabinet AuNfflnwood Dental
C vF AG U G U i�� mi
PIP L.DINt'A DEPARTMENT
PROVED
AC- sr7� G
DATE ?21 BY_
NO CHANGES AUTHOr07.E0
UNLESS APPROVED I, l E
BUILDING INSPECTO' ll Example of sign
NW Signs 425 I g44-6415 designer Revisions Scale project Approval
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/411- 1 r Autumnwood Dental Roof Sign
www.NWSigns.com NWWHOS'929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE
EDRAWICAREFULLY
SSHREVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawin s DM THHANGESTOTH AS SHOWN. IMADE E BEFORE
Y
9 CHANGES TOTHESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRICE PRODUCTION
MAY
ALTALL CHANGES MUST ER IN W IHE ONTAACT
FOR REPRESENTATIONAL PURPOSES ONLY
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
O U� ELECTRIC SIGNS PRODUCED AT NW SIGNS CONFORM TO ILL 48
STANDARDS AND DISPLAY THE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL.
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS Z)�b V I
nt000 a
.125 aluminum skin
Sun Supply sign cabinet extrusion �-
. I
Sign cabinet extrusion
FRONT ELEVATION assembly
❑ o 0 0 0 0 o E-1 E-1 a 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cut-off switch o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00-
SIDE ELEVATION
UL label
o 0 0 0 0 0 0 0 0 0 0 0 0 00
f
co
1 y CC,rF A RL NG 1 0)N Sign cabinet extrusion
BUILDING DEPARTMENT LED power supply
APPROVED
DATE ,2 By. White LED light
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR Vertical aluminum
rienforcement bar
. . • . • • • • • • • •' • • • • • • ill
• • i • ' ' • ' • •
NW signs 425 1844-6415 designer Revisions Scale project Approval
28400 NE 120th
gne
Duvall WA 98019 Contractors III DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSigns.com NWWHOS"929M9 Brian Stoddard 10/9/201 5 PermeConced DM IHEDRAWIAVE EFULLYSSH WED ANDHEREBYACCEPT
desi
11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN, I REALIZE THAT ANY
CHANGESTOTHESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1681-2815 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
�� NW SIGNS CONFORM TO UL46
STANDARDS AND DISPLAY THE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL,
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
MANSARD ROOF MOUNTING ASSEMBLY
Aluminum sign cabinet
2"aluminum tube frame structure painted
to match roofing shingles
90 Mitered and welded corners
0
0
1-A
1 s°
2"aluminum
angle � 2 aluminum
tube 1-A 3/8"x 6"non-corrosive lag bolt
3/8"x 3" �— into dimensional lumber
non-corrosive
IQ
nut and bolt All bracket components to be g
painted to match roof shingles
25.125"
2"angle mounted to back
of sign cabinet
1 BRACKET DETAIL
i
No scale A
V /
O
4.29"
�C3111-Y OF ARUNGfON Front mansard roof line
BUILDING DEPARTMENT
APPROVED
DATE Z 5I )I�By_ a
NO CHANGES AUTHOR17ED
UNLESS APPROVED BY THE
BUILDING INSPECTOR SIDE ELEVATION SIDE ELEVATION
� . • . • 11 • Al • .•1.• • • • � •• •' � ' � • • • • .� � • • • • � • i • • • � . • . • . �
Revisions Scale project Approval
NW Signs 425 1844-6415
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1 Autumnwood Dental Roof Sign
www.NWSigns.com NWWHOS"929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
1 1/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE ALL CHANGES MUST BE IN WRITING AND
NW AND MAY NOT EXACTLY MATCH THE COLORS 425 1681-2815 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE
SIGNS O ELECTRIC SIGNS PRODUCED AT
U� NW SIGNS CONFORM TOUL48
STANDARDS AND DISPLAYTHE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL.
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
L VVI .t7*TT":,1 Existing junction box for
t power to new sign
Proposed sign installed on roofline
• ' • • of existing building
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BUILDING DEPARTMENT
rlrl i 6: r O C H ANGES A IJ
UNLESS APP"0VLi i i ii r
011541INT,We
designer Revisions Scale project Approval
NW Signs 425 I g44-6415 '.
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/411= 1 1 AutumnwoQd Dental Roof Sign r,
www.NWSigns.com NWWHOS"929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
+ ---- CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com { AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 168 1-2S 1 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
U� NW SIGNS CONFORM TO UL 48
STANDARDS AND DISPLAY THE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL.
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
CITY OF ARLINGTON
238 N. OLYMPIC AVE-ARLINGTON,WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT
Address:430 N West Avenue#1 Permit#:871
Parcel#:00618100500100 Valuation:4800 00
OWNER APPLICANT CONTRACTOR
Name:JENSEN DONALD E&DOROTHY M Name:NW Signs Name:NW Signs
Address: 13520 272ND ST NE Address:28400 NE 120th Street Address:28400 NE 120th Street
City,State Zip:ARLINGTON,WA 98223-6831 City,State Zip:Duvall,WA 98019 City,State Zip:Duvall,WA 98019
Phone: Phone:425-844-6415 Phone:425-844-6415
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP.
JOB DESCRIPTION
PERMIT TYPE: Sign CODE YEAR: 2012
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, IBCI 10/IRC1 I0.
SAL.ES'I'AX N0rl*1CF.:SaleS lax relating to construction and construction materials in the City of rlm ton ust be reported on your sales tax return form
and}y,ode�d City ofArhngt n#3101.
2 1clal C Rebecca Hiatt 1/5/2016 I �j
Signature Print Name Date Released By Date
CONDITIONS _
Adhere to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED,THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC_)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
1/4/2016 Sign Permit Fee $150.75
Total Due: $150.75
Total Payment: $150.75
Balance Due: $0.00
CALL FOR INSPECTIONS
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
CITY OF ARLINGTON
238 N. OLYMPIC AVE -ARLINGTON, WA. 98223
PHONE; (360)403-3551
BUILDING PERMIT "I"
Address:430 N West Avenue#1 Permit#:871
Parcel#:00618100500100 Valuation:4800.00
OWNER Jill& APPLICANT I CONTRACTOR
Name:JENSEN DONALD E&DOROTHY M Name:NW Signs Name:NW Signs
Address: 13520 272ND ST NE Address:28400 NE 120th Street Address:28400 NE 120th Street
City,State Zip:ARLINGTON,WA 98223-6831 City,State Zip:Duvall,WA 98019 City,State Zip:Duvall,WA 98019
Phone: Phone:425-844-6415 Phone:425-844-6415
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Name: Name:
Address: Address:
City,State,Zip: City,State,Zip:
Phone: Phone:
LIC#: EXP: LIC#: EXP:
JOB DESCRIPTION W�
PERMIT TYPE: Sign CODE YEAR: 2012
STORIES: I CONST.TYPE:
DWELLING UNITS: 0 OCC GROUP:
BUILDINGS: I OCC LOAD:
PERMIT APPROVAL
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. IBC110/IRC110.
SALES TAX NOTICE:Sales tax relating to construction and construction materials in the City of Arlington must be reported on your sales tax return form
and coded City of Arlington#3101.
Signature Print Name Date Released By Date
CONDITIONS
Adhere to approved plans.
THIS PERMIT AUTHORIZS ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES
Date Description Fee Amount
1/4/2016 Sign Permit Fee $150.75
Total Due: $150.75
Total Payment: $150.75
Balance Due: $0.00
CALL FOR INSPECTIONS '
BUILDING(360)403-3417
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
96.000" 6.0"
r14
n(Dood en a I
�10 14 Front of sign can
(y)
White lexan face
FRONT ELEVATION SIDE ELEVATION
Digital printed vinyl graphics
Silver paint on all sides
of cabinet
Z7 Z7�
C)F A R U'N(Q)T 00 fflnWood Dental
1r.'1U!I-DINk"A DEPARTMENT
APPROVED
DATE ) h�5 By=kce'
NO CHANGES AIUTHor-��o
UNLESS APPROVED U f, f E
BUILDING INSPECTOR Example of sign
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPARATELY.
NW Signs 4251844-6415
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1 1 Auturnnwood Dental Roof Sign
www.NWSignS.COM NWWHOS*929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DIM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
CHANGES TO THESE DESIGNS MADE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONBEFORETRACT
FOR REPRESENTATIONAL PURPOSES ONLY
PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE
(9
ELECTRIC SIGNS PRODUCED AT
NW SIGNS CONFORM TO UL 48
UL STANDARDS AND DISPLAY THE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL. SIGNATURE&DATE
ALL ONSITF PRIMARY ELECTRICAL CONNECTIONS BY OTHERS. Z4 9-11
.125 aluminum skin
Sun Supply sign cabinet extrusion �-
I
Sign cabinet extrusion
FRONT ELEVATION assembly
❑ 0 O O 0 O O O O C� O C� O 0 0 O 0
Cut-Off switch SIDE ELEVATION
UL label
r'
Sign cabinet extrusion
BUILDING DEPARTMENT LED power supply
i,PPROVE®
DATE 12— _-5®Y A Y White LED light
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR Vertical aluminum
rienforcement bar
NW Signs 425 1844-6415 .
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER
3/4//—— 1/ Autumnwood Dental Roof Sign
WWW.NWSIgns.com NWWHOS14929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DM THE DRAWIN(S)ASSHOWN- I EALIZETHATANY
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com CHANGESTO THESE DESIGNS MADE BEFORE OR
FOR REPRESENTATIONAL PURPOSES ONLY
AFTER PRODUCTION MAY ALTER THE CONTRACT
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPRI ED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
o UL ELECTRIC SIGNS PRODUCED AT NW SIGNS CONFORM TO UL 48
STANDARDS AND DISPLAY THE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL SIGNATURE&DATE
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
MANSARD ROOF MOUNTING ASSEMBLY
Aluminum sign cabinet
2"aluminum tube frame structure painted
11 to match roofing shingles
90 Mitered and welded corners
0
0
1-A
2 aluminum
angle � 2 aluminum
tube 1-A 3/8"x 6"non-corrosive lag bolt
3/8"x 3" �— into dimensional lumber
non-corrosive —► ;,
nut and bolt I All bracket components to be o
p o
painted to match roof shingles
2"angle mounted to back 25.125"
of sign cabinet
1 BRACKET DETAIL
A No scale
V
O
O
4.29"
I! CC "ff OF ARUNGTON Front mansard roof line
BUILDING DEPARTMENT �
A F'4"ROV D
bATE 11,151 BY
NO CHANGES AUTH0€I7E0
UNLESS APPROVED FY THE
BUILDING INSPECTORdesigner Revisions Scale project Approval
SIDE ELEVATION SIDE ELEVATION
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPERATELY,
NW Signs 425 1844-6415
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSigns.COM NWWHOS'929M9 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
Brian Stoddard 11/9/2015 Permi[drawings DM THE DRAWING(S)AS SHOWN. IREALIZETHATANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE
O U� ELECTRIC SIGNS PRODUCED AT NW SIGNS CONFORM TO UL48
STANDARDS AND DISPLAYTHE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL.
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
; - "Unw Existing junction box for
power to new sign
Proposed sign installed on roofline
of existing building
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CITY (0)FAR, Nf-31CLYN
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NO CHANG`Ai-i'! .
UNLESS APPROVLO
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND C�-'.-' M!%y PF PURC'11ASED SEPERATELY.
NW Signs 425 I g44-6415 designer Revisions Scale project Approval
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumhwogd Dental Roof Sign
www.NWSigns.COM NWWH0S"929M9 10/1612015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
Brian Stoddard 11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY
PRICE.ALL CHANGES MUST BE WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS
OF THE MATERIALS PROPOSED FOR USAGE. 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIORR TO PRODUCTION.
O U� ELECTRIC SIGNS PRODUCED AT NW SIGNS CONFORM TOUL48
STANDARDS AND DISPLAYTHE SIGNATURE&DATE
LANDMARK SIGNS&DESIGN UNDERWRITERS LABORATORIES LABEL.
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
96.000" 6.0"
N
cood i)e�fe
O O
� Front of sign can
White lexan face
FRONT ELEVATION SIDE ELEVATION
Digital printed vinyl graphics
Silver paint on all sides
of cabinet
frtnwood Dental
Example of sign
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPARATELY.
NW Signs �designer Revisions Scale project Approval
425 1844-6415
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSignS.COM NWWHOS*929M9 Brian Stoddard 10/16/2015 Concept DM
I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11 9 2015 Permit drawings DM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
NW SIGNS CONFORM TO UL48
o L STANDARDS AND DISPLAY THE
UNDERWRITERS LABORATORIES LABEL. SIGNATURE&DATE
LANDMARK SIGNS&DESIGN
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
cood )eyta
.125 aluminum skin
Sun Supply sign cabinet extrusion �.
FRONT ELEVATION Sign cabinet extrusion
assembly
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Cut-off SWItCh o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SIDE ELEVATION
UL label
Sign cabinet extrusion
LED power supply
White LED light
Vertical aluminum
rienforcement bar
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPERATELY.
designer Revisions Scale project Approval
NW Signs 425 1844-6415
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSigns.com NWWHOS*929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. I REALIZE THAT ANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
NW SIGNS CONFORM TO UL48
®L STANDARDS AND DISPLAY THE
UNDERWRITERS LABORATORIES LABEL. SIGNATURE&DATE
LANDMARK SIGNS&DESIGN
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
MANSARD ROOF MOUNTING ASSEMBLY
Aluminum sign cabinet
2"aluminum tube frame structure painted
to match roofing shingles
90 Mitered and welded corners
0
O
1-A
18"
2"aluminum
angle 2"aluminum •
tube 1-A
3/8"x 6"nnn-corrosive lag bolt
3/8"x 3"
�— into dimensional lumber
non-corrosive
nut and bolt fi All bracket components to be
painted to match roof shingles -
2"angle mounted to back 25.125"
of sign cabinet
1 �
BRACKET DETAIL
A No scale
V
O
O
4.29"
Front mansard roof line
SIDE ELEVATION SIDE ELEVATION
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPERATELY.
NW Signs 425 I g44-6415 designer Revisions Scale project Approval
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSignS.COM NWWHOS*929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. IREALIZETHATANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.Com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
NW SIGNS CONFORM TO UL 48
o� STANDARDS AND DISPLAY THE
UNDERWRITERS LABORATORIES LABEL. SIGNATURE&DATE
LANDMARK SIGNS&DESIGN
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
Existing junction box for
! power to new sign
_ Proposed sign installed on roofline
of existing building
aon
' _.
AM
~ I
d Dental
i
A.]].
_ I
1
li
ARTWORK AND CONCEPTS ARE THE PROPERTY OF NW SIGNS, PLEASE REFRAIN FROM FORWARDING TO COMPETING SIGN COMPANIES, YEARS OF EXPERIENCE AND MANY HOURS ARE BEHIND OUR CONCEPTS. ARTWORK MAY BE PURCHASED SEPERATELY.
NW Signs 425 I g44-6415 designer Revisions Scale project Approval
28400 NE 120th
Duvall WA 98019 Contractors Lic# DATE REVISION DESCRIPTION DESIGNER 3/4"= 1' Autumnwood Dental Roof Sign
www.NWSignS.COM NWWHOS*929M9 Brian Stoddard 10/16/2015 Concept DM I HAVE CAREFULLY REVIEWED AND HEREBY ACCEPT
11/9/2015 Permit drawings DM THE DRAWING(S)AS SHOWN. IREALIZETHATANY
CHANGES TO THESE DESIGNS MADE BEFORE OR
THE CUSTOM ARTWORK DEPICTED HEREIN IS brian@nwsigns.Com AFTER PRODUCTION MAY ALTER THE CONTRACT
FOR REPRESENTATIONAL PURPOSES ONLY PRICE.ALL CHANGES MUST BE IN WRITING AND
AND MAY NOT EXACTLY MATCH THE COLORS 425 1 681-281 5 APPROVED BY BOTH PARTIES PRIOR TO PRODUCTION.
OF THE MATERIALS PROPOSED FOR USAGE.
ELECTRIC SIGNS PRODUCED AT
NW SIGNS CONFORM TO UL 48
o� STANDARDS AND DISPLAY THE
UNDERWRITERS LABORATORIES LABEL. SIGNATURE&DATE
LANDMARK SIGNS&DESIGN
ALL ONSITE PRIMARY ELECTRICAL CONNECTIONS BY OTHERS.
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)
430 N W Ave #1 Arlington, Wa 98223
Project Address: Parcel ID#:
Lot#: Subdivision: Valuation: 4900.00
Owner: Autumnwood Dental - Bakhtair Ardi Pribadi Phone Number: 3604749163
Address: 430 N W Ave #1 City:Arlington State: wa Zip Code: 98223
Contractor: NW Signs Phone Number: 4258446415
Cell Phone: 4258446415 E-mail: rebecca@nwsigns.com
Address: 28400 NE 120th St City: Duvall State: WA Zip Code: 98019
Contractor's License Number: ccnwwhos"929m9 Expiration: 9/5/2016
WALL SIGN CALCULATIONS MONUMENT SIGN CALCULATIONS
Wall Height: 16' Wall Length: 60' Street Setback:
Area of Wall: Front left of building facade Height of Proposed Sign:
Sign Length:96" Sign Height: 36" Width of Proposed Sign:
Total Sign Area: 24 sq ft 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,L 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.
efCeee 6 b Lz c m 12/23/2015
L Applicants Signature Date
Rebecca van der Linden
Print Applicants Name
FOR STAFF USE ONLY
Permit# Accepted By Amount Received Receipt# Date Received
Permit#: 871
Permit Date: 12/28/15
Permit Type: SIGN INSTALLATION
Project Name: Autumnwood Dental
Applicant Name: NW Signs
Applicant Address: 28400 NE 120th Street
Applicant, City, State, Zip: Duvall,WA 98019
Contact: Rebecca van der Linden
Phone: 425-844-6415
Email: rbecca@nwsigns.com
Scope of Work: New Sign
Valuation: 4800.00
Square Feet: 0
Number of Stories: 1
Construction Type:
Occupancy Group:
ID Code:
Permit Issued: 01/05/2016
Permit Expires:
Form Permit Type:
Status: COMPLETE
Assigned To: Launa Black
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
JENSEN DONALD 699 Other
00618100500100 430 N WEST AVE Miscellaneous
E&DOROTHY M
Services NEC
Contractors
Contractor Primary Contact Phone Address Contractor Type License License
Rebecca Van der 28400 NE 120th CONSTRUCTION
NW Signs Linden 425-844-6415 Street CONTRACTOR
Plan Reviews
Date Review Type Description Assigned To Review Status
I called Autumnwood Dental and asked for the square
12/30/2015 BLD footage of their leased space.The total square footage is
1,550 square feet,which gives them a maximum signage
area of 38.75 square feet.
Fees
Fee Description Notes Amount
Signs Valuation Permit Fee Only $150.75
Total $150.75
Attached Letters
Date Letter Description
O1/04/2016 Building Permit
12/31/2015 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
O1/04/2016 Brian Stoddard 57649181 cc $150.75
Outstanding Balance $0.00
Notes
Date Note Created By:
01/04/2016 Emailed permit for signature-1p Launa Black
Uploaded Files
Date File Name
O1/05/2016 1413992-871 Issued Permit.pdf
12/28/2015 1406767-Autumnwood Sign Permit Application CX7WmOMOLJZ87y_.pdf
12/28/2015 1406768-Autumnwood sign Cabinet PERMIT DRAWINGS 12-15-15.pdf