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08-104603 • Sign City of Federal Way F' Q Community Development Services P.OBox 9718 Permit #: 08-104603-00-SG . Federal Way,WA 98063-9718 Request Inspection Line: Ph:(253)835-2607 Fax (253)835-2609 p (253) 835-3050 Project Name: HEALTHPOINT Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: Installation of a new monument cabinet on an existing base. No alterations to the existing lighting system.No J-box wiring needed. **Includes electrical re-connection to existing J-box** Owner Applicant Contractor HEALTHPOINT CULBERTSON SIGN SERVICE CULBERTSON SIGN SERVICE 33431 13TH PL S 5209 122ND ST E CULBESS984MU(8/30/10) FEDERAL WAY WA TACOMA WA 98446 5209 122ND ST E TACOMA WA 98446 e tIf ,` s ano * nn . o '-4 Reg.# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Landscape Faces (Ft) Width(Ft.) Height(Ft.) (Ft.) Height(Ft.) Area(Sq Ft.) Sign A 08-0150 Monument Yes 2 3.00 6.25 4.00 5.00 1.00 0.00 Comprehensive Plan Designation Office Park Zoning Designation OP PERMIT EXPIRES Monday, April 13, 2009 Permit Issued on Wednesday, October 15, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Fed ral Way. Owner or agent: ,,,e/Li/k/ --oZ wh Date: /0-16 --0D d"ry Sign ty of y • Q Community DevelopmentFederalWaServices Permit #: 08-104603-00-SG P.O.Box 9718 Federal Way,WA 98063-9718 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 : : Project Name: HEALTHPOINT Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: Installation of a new monument cabinet on an existing base. No alterations to the existing lighting system. No J-box wiring needed. Owner Applicant Contractor HEALTHPOINT CULBERTSON SIGN SERVICE CULBERTSON SIGN SERVICE 33431 13TH PL S 5209 122ND ST E CULBESS984MU(8/30/10) FEDERAL WAY WA TACOMA WA 98446 5209 122ND ST E TACOMA WA 98446 Free Stan ing Sign Information ri Reg.# Sign Type Illuminated #Sign Setback Sign Face Sign Face Sign Height Base Landscape Faces (Ft.) Width(Ft.) Height(Ft.) (Ft.) Height(Ft.) Area(Sq Ft.) Sign A 08-0150 Monument Yes 2 3.00 6.25 4.00 5.00 1.00 0.00 „, e • '`a sz a ion, �z � +Isr ,amu =�g Comprehensive Plan Designation Office Park Zoning Designation OP PERMIT EXPIRES Monday, April 13, 2009 Permit Issued on Wednesday, October 15, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accord- ce with the laws, rul- and regulations of the State of Washington and the Ci if eder. ay. Owner or agent: Date: Cfc / sl �c . . .%,, THIS CARD IS TO PAIN ON-SITE , CITY OF � - Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08-104603-00-SG Owner: HEALTHPOINT Address: 33431 13TH PL S FEDERAL WAY, WA 98003-6357 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 are logged on the back of this card. 0 Footings/Setback(4110) ❑ Final-Electrical(4055) 0 Final-Sign(4085) Approved to place concrete Approved Approved By Date By Date C5 Date//-4.—A - l4- - 0 Attachment(4010) Approved By Date • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved • By Date By Date , RECESJED or- 0a3 - �� moo CITY OF �"�/ 2i"'IGN PERMIT aTD Federat yF FEDERAdMCATI0N ° • 200,r C LIE � • PROPERTY INFORMATION ` SITE ADDRESS —1 1 (( (A(�, 5- �ck \ �1 q(W3 SUITE/UNIT# --7 1 ( ASSESSOR'S TAX/PARCEL# ( o 1 d -0 0 10 ZONING DESIGNATION Op • PROJECT INFORMATION TYPE OF PROJECT(Check all that apply): A PERMANENT ❑TEMPORARY ❑NEW $ALTERATION ❑REFACE ❑EXEMPT ELECTRICAL(To attach to existing J-box-include on this permit) ❑ ELECTRICAL(New/altered circuit&J-box added-separate permit is required) NUMBER OF SIGNS APPLIED FOR WITH(� THIS/APPLICATION: Wall Mounted: Freestanding: TOTAL ESTIMATED PROJECT COST: $ l it460©• DETAILED PR,AOJECCT DESCRIPTION: fit) & WQ ) X�•'�". C 04.04 g-k Q'y_ P.46164)11 NC) reM l fr BUSINESS NAME ON SIGN: '\ \ O\Y,k- ■ PEOPLE INFORMATION SIGN OWNER: NE: PRIMARY PHONE MAILING ADDRES (STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER '63(43 3 ` "MoLciL: 3c uv , wit qi5o0 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: (R4uircd prior to permit issu ce) E-MAIL ADDRESS CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE \ t'�C c` \ 51 ZIP `woe- NVetc �r96)5 - MAILING ADDRESS(STREET ADD A q$Lfq U ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:( 0 6 �� -d O E7fe 11z-OSI;t /6 Y 05 75) 55 C6 - COPY of card required CONTRACTORS REGISTRATION NUMBER: EXPI IRATION DATE: E-MAIL ADI DRESS with each applicatloo CD LB�3Ct t‘& ) 9 -o / l Cu't1oprknoYlScir'1--')oY'V9,Ct... APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE CUtber-- -N �f 5cr‘A\(.J Co_PFcc\ ( 6)5Y -0150- MAILING ADDRESS cJ CITY,STATE,ZIP FAX NUMBER Qct 12dnO *•'- cGCCmc\l kmA i36-3)6 6. - 61115 RELATIONSHIP TO PROJECT E-MAIL ADDRESS 1ontractor ❑ Tenant ❑ Other PROJECT NAM PRIMARY PHONE E-MAIL ADDRESS: CONTACT l�®e— `�ei- ( "•53 )173-'Y// 6T "S (ei4)c/ tcc 4--- ■ SIGNATURE I certify under penalty of perjury that e information furn�is -d by me is true and correct to the best of my knowledge,and further,that I am authorized by the /' er of the : •ove pr=y'rses to perform the work for which the permit application is made SIGNATURE y / DATE: �G'?3/1/7 � �*CJ COMMUNITY DEVELOPMENT SERVICES•33325 8TH AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-835-2607•FAX:253-835-2609 11) • • **TEMPORARY SIGN APPLICATIONS ONLY** TYPE/PURPOSE OF EVENT: DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS: DESCRIPTION OF PROPOSED SIGNAGE: ■ TYPE OF SIGN(S) (Indicate number of each) I PERMANENT FREE STAND, ' : Mr ' NT PEDESTAL POLE TENANT DIRECTORY OTHER OTHER(Describe) PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY OTHER(Describe) • DETAILED SIGN INFORMATION FREE STANDING SIGNS SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT(Fr) WIDTH x HEIGHT x#OF FACES NO/INT/EXT YES/NO (FT) A (13" x �l' x a = .s° ZN'T 6 C-ir x x = x x = * tuba 5i Cgbtrq STREET FRONTAGE(LINEAR FEET): BUILDING MOUNTED SIGNS SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.) A x x = B x x = C x x = D x x = E x x = LARGEST EXPOSED BUILDING FACE(SQUARE FEET): **FOR OFFICE USE ONLY** ZONING DESIGNATION: ()sr') PROFILE: ❑ HIGH ❑ MEDIUM LOW ❑FREEWAY BUILDING MOUNTED SIGN(S) FREE STANDI G SIGN(S) AREA PERMITTED: AREA PERMITTED: C) AREA PROPOSED: AREA PROPOSED: S214 1- ` LARGEST BUILDING FACADE: STREET FRONTAGE: Alb 4- sit by-)tJ NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: LAND USE APPROVAL BY:4A _ DATE:/ O—p 4'Od' STRUCTURAL APPROVAL BY: GL.3 DATE: 11,_/Z'_del REGISTRATION NUMBER: REGISTRATION NUMBER: 0.r..-015-0 REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: i , 4111 • 4,..,N..�IrY°F . .. _ SIGN PERMIT ID Federal Way APPLICATION ? • PROPERTY INFORMATON SITE ADDRESS )41 \ q ' 1(kLSL, 3-;rEeckuroA c,-,4 CW3 SUITE/UNIT# I� ASSESSOR'S TAX/PARCEL# 7 (o co , \ -t `) -0 \\ J 1 0 ZONING DESIGNATION • PROJECT INFORMATION TYPE OF PROJECT(Check all that apply): A:PERMANENT 0 TEMPORARY o NEW $ALTERATION 0 REFACE 0 EXEMPT *ELECTRICAL(To attach to existing J-box-include on this permit) ❑ ELECTRICAL(New/altered circuit&J-box added-separate permit is required) i NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION: Wall Mounted: Freestanding: TOTAL ESTIMATED PROJECT COST: $eft-)ti-loo. �� DETAILED PROJECT DESCRIPTION: -+1\i'j \\ 1PNOCW �•� C �� (5'I P � 11 l/r'G�`r No lard .a.f l Irk/J-1 reA.UI ei2Ct IJ n BUSINESS NAME ON SIGN: C�2, \A1\c�\nt • PEOPLE INFORMATION SIGN OWNER: N E: PRIMARY PHONE MAILING ADDRES (STREET ADDRESS;CITY,STATE,ZIP): FAX NUMBER ?�3�-131 i. .‘-'1\ " ko u- 3 `t-ic :v 4ti,ti1,Wf 600 ( ) - CITY OF FEDE WAY BUSINESS LICENSE NUMBER: (Required prior to permit issu ce) E-MAIL ADDRESS CONTRACTOR: COMPANY NAME APPLICANT NAME OFFICE PHONE ti\'ao r 5\ (��,,,K i LL e-To ec.\ 05'6)f)- `6 - O1 - MAILING ADDRESS(STREET ADD CITY,STATE,ZIP): CELL PHONE 3 )et \ (\ 3V '..Ic��Como.. )P q s�q Y u ( ) - CO OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER ( 53) 5 -ell CwOPYith of cardeach requiatre iodn I > CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS applic { .(4 .( I ^. q 1,e APPLICANTCOMPANY NAME APPLICANT NAME PRIMARY PHONE APPLICANT , �I \z m (.so fx .-rV\U Got \ c c (�6)5 -07 g- ING CITY,STATE,ZIP FAX NUMBER at9QC! 1( fO J•E-- .-7-COAC c 10,..) MA ctV1.14Co L� U.s'd - inn RELATIONSHIP TO PROJECT E-MAIL ADDRESS ,ontractor ❑Tenant ❑ Other PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS: CONTACT ( ) - • SIGNATURE 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 SIGNATURE DATE: COMMUNITY DEVELOPMENT SERVICES•33325 8"'AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-835-2607•FAX:253-835-2609 . • • ■ **TEMPORARY SIGN APPLICATIONS ONLY** TYPE/PURPOSE OF EVENT: DATE OF INSTALLATION: DATE OF REMOVAL: TOTAL CALENDAR DAYS: DESCRIPTION OF PROPOSED SIGNAGE: • TYPE OF SIGN(S) (Indicate number of each) PERMANENT FREE STANDING: I MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER OTHER(Describe) PERMANENT BUILDING MOUNTED: AWNING CABINET CHANNEL LETTERS TENANT DIRECTORY OTHER(Describe) ■ DETAILED SIGN INFORMATION FREE STANDING SIGNS SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? REFACE? TOTAL HEIGHT BASE HEIGHT(FT) WIDTH xtHEIGHT x^#OF FACES NO/INT/EXT YES/NO (Fr)r A V "3 x L` x a = 5 Z VT 6 h`- ` P B x x = C x x = STREET FRONTAGE(LINEAR FEET): �ug l�n CAb� BUILDING MOUNTED SIGNS SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E,W) (SQ.FT.) A x x = B x x = C x x = D x x = E x x = LARGEST EXPOSED BUILDING FACE(SQUARE FEET): **FOR OFFICE USE ONLY** ZONING DESIGNATION: PROFILE: ❑ HIGH ❑ MEDIUM 0 LOW 0 FREEWAY BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S) AREA PERMITTED: AREA PERMITTED: AREA PROPOSED: AREA PROPOSED: LARGEST BUILDING FACADE: STREET FRONTAGE: NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED: LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: REGISTRATION NUMBER: 1. . 11 ii/Z 110M0==11 /M ...,....(?-00 0 0 NOPiI'S"E O 28,00 J Mml mom \M J i . `\\ -..,.,,,, O kiiCO O .11111 03O al Ems 7nip[1 r"0 . { in 0 z a UD- 2rr --.........) 0 . n C V� o 0 o o[T1 C o - 0 C IN= MIIMPOk C=1 n , 13 ...... \— Z ) •o ,, w t E>E CD LA D -' D 0 D ii o a) 2:2 i >1. * 13 Cf) )<1 k CD cc) ' r 4 k\-- I J1. il4'7.-------- V o t cg v /_\_r\ o 0 1T1 0 0 { v O L ,,/' OTI \ 0 o O O L = . ° o O o rn 0 c "�'k N)T1 , 111/ Ix III ii v � ,,,. = $ C z . :: ' m * , ,(1 my t . p -e, o 0 ,� m o 0 44441 t. 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