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00-105915City of Federal Way Conmmnity Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: OSH KOSH B'GOSH Project Address: 32065 PACIFIC S Project Description: ELE - Adding electrical for sign Electrical Permit #:00 -105915 - 00 - EL Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Parcel Number: 150050 0120 Owner Applicant Contractor JDI TACOMA LIMITED PARTNE NONE CULBERTSON SIGN SERVICE 29 N WACKER DR CHICAGO IL CULBERTSON SIGN SERVICE 60606-3203 NONE 213 FRONTAGE RD S Electrical Fixtures Description Quantity Description Quantity Description IlQuantityl Sign PERMIT EXPIRES June 5, 2001, IF NO WORK IS STARTED. Permit issued on December 7, 2000 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 ith the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: 3 ° /Z ' J-1 e 10 1 uvea d-1 5 , f' i'-1 / , % %© 5 Yl -S. '3 , 2r. &f L 'A'&t6_7 ANw- 7�aertw ..,,,,,' CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: , - I D _ 1 - PPLICATION NUMBER: _ _ _ _ n f c ®1 APPLICATION NUMBER: _ _ - _ _ _ _ _ - V� h�Ong is required information — Please print (in ink) or type** � Please noW Y dk cal, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: �ZO�o� ' ASSESSOR'S TAX/PARCEL-#: ���7'� O �fl LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): n - PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: J P 1 � Pw ` �� � ' DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): ``JJ NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: NAME r W ^ � • l/��``JJ DAYTIME PHONE: Ib' -L C A - I MAILING ADDRESS (STRW ADDRESS . STATE, P): EVENING PHONE: _�oGas(�� S. CU ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): i/►' -(-N . ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT /"�cONTRACTOR I DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: $ ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PROJECT FLOOR AREAS FLOOR EXISTING SO. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) .DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) URINAL(S) WATER HEATER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS SHOWER(S) WASH MACHINE OUTLET SINKS) WATER CLOSET(S) MISC. SUMP(S) I certify under penalty of perjury tint 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. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the Investigation and defense of such daim,, which may be made by any person, induding the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DATE: COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063.9718 •253{61-4000 • FAX: 253-661-4129