17-105853 Sign
City of Federal Way Permit #:17-105853-00-SG
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MULTICARE HEALTH SYSTEM
Project Address: 31861 GATEWAY CTR BLVD S Parcel Number: 092104 9137
Project Description: Installation of(2)internally illuminated channel letter wall signs; includes electrical
connection.
Owner Applicant Contractor
MULTICARE INDIGO URGENT CARE HANS VISSERCULBERTSON SIGN CULBERTSON SIGN SERVICE
PO BOX 5299 SERVICE (ELECTRICAL 04)
TACOMA WA 98415 5209 122ND ST E CULBESS984MU(8/30/18)
TACOMA WA 98446 5209 122ND ST E
TACOMA WA 98446
•
Wall Sign Information
Reg.# Sign Type Illuminated #Sign Sign Face Sign Face Building
Faces Width(Ft.) Height(Ft.) Elevation
Sign A n/a Channel Letters Yes 1 19.00 3.00 West
Sign B West Channel Letters Yes 1 19.00 3.00 South
Additional Permit Information
Comprehensive Plan Designation City Center Core Zoning Designation CC-C
PERMIT EXPIRES Monday,2 July,2018
Permit Issued on Wednesday,January 3,2018
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
moi` / Washington and the City of Federal Way.
Owner or agent: /S Date: ()7O/?S
alliNk‘..- THIS CARD IS TO REMAIN ON-SITE
CITY OF
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105853 00 Address: 31861 GATEWAY CTR BLVD S
Project: MULTICARE INDIGO URGENT CA FEDERAL WAY WA 98003
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.
® Footings/Setback(4110) 0 Final-Electrical(4055) ® Final-Sign(4085)
Approved to place concrete Approved Approved /
By Date By Date �By�� Date (S-7L/
❑ Attachment(4010)
Approved
By Date
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
y
t RECEIVED
72017
CITY OF � 00 DEC 0 SIGN PERMIT
Federal Way WAY
C CITY O TY DEVEFEDELOPMENT
APPLICATION
PERMIT NUMBER I TARGET DATE /'i 1 O
SITE ADDRESS 3 176,"6 1 &A....7-.6 J A7' CEA A e3 i-v t S
BUSINESS NAME ON SIGN 1 K/Z,/60 IND uL 7-) CA,.C
ASSESSOR'S TAX PARCEL# 0 q 2 1 0 y - `'1S 1 37 ZONING DESIGNATION e C —C
ELECTRICAL INCLUDED(Attaching to existing J-box)(Ye No PROJECT VALUE $ 6 6 pc,
DETAILED PROJECT DESCRIPTION
/A.)STALL -7"iii0 i("7E4 i A.)ALty - 1L.ci lit 4reA
/
t,✓4&.L 516A)S OA) 7'1-1. T 2 AMAil-5 w&s-T Acv 50Lr%{-1 wE.s—r-
E>4--r-e g..)0): Et_Ek1A'n on15
SIGN OWNER: NAME PRIMARY PHONE
ANS 1.-J-Cd ( ) -
MAILING ADDRESS FAX NUMBER
7o 73(9) l y l ( ) -
CITY STATE ZIP CODE E-MAIL ADDRESS
41/4i EL)k,' WA '$0_71
CONTRACTOR: NAME OFFICE PHONE
v2._.J3e)2TSG"3 St&A.) SEfZ\/1 Cfc (263 153 - 0752
MAILING ADDRESS CELL PHONE
5 2131 122.,, Si. E ( )
CITY STATE ZIP CODE E-MAIL ADDRESS
-7CO1AAA WA ly Lt6 eSSPcR-14,‘ -rS 06wtA.;,_ .co.vt.A.
WA STATE CONTRACTOR'S LICENSE: EXPI TION DATE: FEDERAL WAY BUSINESS LICENSE:
Ci.14-55.S81"7 2 N6 7 26/ig" /4-fq--i06? 7-vD-&-.
APPLICANT NAME PRIMARY PHONE
Cvr--T3F_R.►sy' Si&#J 5Et V10E (253 ) 533 -0752_
MAILING ADDRESS FAX NUMBER
529 i2-2*j ST' .g (253 ) 53 7 -077 F1
CITY STATE ZIP CODEE-MAIL ADDRESS
� f
Co-"^-a (A/4 "4/416 CSS PER-1AA,►Ts(a6N A«.c.
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT /i4/U5V/S 5E>e as 3 )53F -076 2- GSS PE/2),v\kT- 6vl",Ai l..C6i1^-
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 abovevepremises to perform the work for which the permit application is made.
.
SIGNATURE f ... (J/-�/--- DATE: /.2 07 2017
�J ,
PRINT NAME /14A-)S /S 1/I S S&✓1.
PERMIT CENTER+33325 8TH AVENUE SOUTH+FEDERAL WAY,WA 98003-6325+253-835-2607+FAX:253-835-2609+permitcentenacitvoffederalwav.com
,
PROVIDE THE FOLLOWING INFORMATION FOR EACH PROPOSED SIGN
FREE STANDING SIGNS
SIGN TYPE SIGN AREA ILLUMINATED? LANDSCAPING TOTAL BASE
(Monument,Pedestal,Pole) (#of faces x 2) (square feet) HEIGHT HEIGHT
A
B
C
SUBJECT PROPERTY'S FRONTAGE ON PUBLIC RIGHT OF WAY(LINEAR FEET): _
BUILDING MOUNTED SIGNS
SIGN TYPE SIGN AREA ILLUMINATED? BUILDING ELEVATION EXPOSED
(Cabinet,Channel Letter,Awning,etc.) (N,S,E,W) BUILDING FACE
A C i-/ANm.)tL Lg-rr2 33 ,11 pf7 E5 v✓ ! 7'7 ' --15N.1'7
B '33
CNA /Lit 1.- LETTl r 3 3.`-1 0 )15 5 IA) i/3 0 5
C
D
E
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): .2044
EXEMPT SIGNS
SIGN TYPE SIGN AREA SIGN HEIGHT NUMBER OF
(Directional,Instructional,tenant panel,etc.) SIGNS
E-1
E-2
E-3
E-4
E-5
Bulletin#102—May 3,2016 Page 2 of 3 k:/Handouts/Sign Permit Application
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