12-101149wave eBuilding "Commer'CiaL.
City of Federal Way
Community & Econ. Dev. Services i P erm><t #: 1 �- 101149 -00 -CO
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 8355 -30550
Project Name: DENNIS J HAHN, DDS INC PS
Project Address: 1500 S DASH POINT RD Parcel Number: 052104 9027
Project Description: REP - Structural repair of wall damaged by vehicle.
Owner
ARplicant
Contractor
Mende
DENNIS J HAHN
HOLLYWOOD INTERIORS INC
HOLLYWOOD INTERIORS INC
1500 S DASH POINT RD
8113 240TH AVE E
HOLLYII92IMS (8/4/12)
FEDERAL WAY, WA 98023
BUCKLEY WA 98321
8113 240TH AVE E
Occupancy Load
BUCKLEY WA 98321
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft.
0
0
0
0
Additional Permit Information
Existing Sprinkler System in Building? .................No
Number of Stories ................... ..............................1
Plumbing to be Included? .......... .............................No
Mechanical to be Included? ....... .............................No
Permit for Building Shell Only ? ............................No
New / Additional Sq. Feet - Total .......................... 0
No Fixtures Associated With This Permit !!
CONDITIONS:
*Structural drawings to be on site at framing inspection*
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, September 8, 2012
Permit Issued on Monday, March 12, 2012
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 Federal Way.
Owner or agent: Date:
IA %/1 L
�� . elk
r THIS CARD IS TO MAIN ON -SITE
< C,TM. Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #:
Project:
12- 101149 -00-CO
DENNIS J HAHN
Address: 1500 S DASH POINT RD
FEDERAL WAY, WA 98003 -3753
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.
Final - Fire Department (4060) Final Erosion Control (4375) Final - Building (4050)
Approved Approved Approved
By Date By Date :B:y�L Date 17-4
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings /Setback (4110)
Approved
Approved to place concrete
To be done prior to breaking ground
Approved to backfll
Approved to place concrete
By
Date
By
Date
By
Date
Final - Fire Department (4060) Final Erosion Control (4375) Final - Building (4050)
Approved Approved Approved
By Date By Date :B:y�L Date 17-4
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Re -steel (4215)
Right of Way
Approved
Approved to place concrete
Date
Approved to backfll
By
Approved to place concrete or grout
By
Date .-�{ -
By
Date
By
Date
0
Slab /Concrete Floor (4255)
❑
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
to install roofing
Approved
By
Date
By
%� ,Approved
/��1 ' Date
By�� Date 4_Z
Interim Erosion Control (4370)
Framing 4120
g ( )
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
G Approved to insulati
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Bye Date
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
L.L Date ! f -Z�- ��_
By
Date _ � _ �—Z
By
Date
Final - Fire Department (4060) Final Erosion Control (4375) Final - Building (4050)
Approved Approved Approved
By Date By Date :B:y�L Date 17-4
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
M
4 CIT/OF
Federal Wa RMIT
COMMUNITY DEVELOPMENT SE� 'A I C A T I O N
253- 835 -2607 FAX 253- 835 -2609
LI_'1/'_f.(l O PQP.YfI= 'II�.CORi
MAR 12 20`2
__L ?,- 0L L 1� _�_
OM CO E PL DE EN FP
X907
a
SITE ADDRESS
FEDERAL
SUITE /UNIT M
CITY OF
l <� �. Iasi, ? r j c-4 c . ")A--'
PROJECT VALUATION
$ o? 0 6 6 D
ZONING
ASSESSOR'S TAX /PARCEL t
_0 S C) -y - a--
TYPE OF PERMIT
&"BUILDING ❑ PLUMBING ❑ MECHANICAALL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
PROJECT DESCRIPTION
Detailed description of work to
" i t
be included on this permit only
PROPERTY OWNER
NAME
De (-�aln ►�
PRIMARY PHONE
Zj' — —Z
MAILING ADDRESS
l DSO 5, 2_6
E -MAIL
CITY
ariQY �lJ
STATTE
�A.1
ZIP
NAMEy
PHONE
MAILING ADD
7 '����
E-MAIL
CONTRACTOR
CITY
STATpE,,
2I,P{�
FAX
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHONE
MAILING ADDRESS
E -MAIL
APPLICANT
-
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
AME + ` C
_
HGNE
MAILING ADDRESS
E -MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
N
OWNER - FINANCED
Required value of $5,00 r more
IRCW 1 9.27.0 /
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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 claim), which may be made by any person, including the undersigned, and filed against the city,
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 of this application.
r
SIGNATURE: DATE
PRINT NAME: %eGlr�li ,�G(i'1
Bulletin #100 -January 1, 2011
Page] of 3
k:\Handouts\Permit Application
VALUE OFMECHARICAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REF GERATION SYST
DUCTING
GAS PIPING
WO DSTOVES
Indicate how ma j y of each type of fixture to be installed or relocated as part
this project. Do not include existing fixtures to remain.
BATHTUBS (or b /show rcombo)
LAVS (Hand Sinks)
TOILETS WATER PIPING
DISHWASHER
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNT NS
SINKS (kitchen /unuey)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY?
EXISTING /PREVIOUS USE
ATER PURVEYOR
LOT 84B (I. Sgnare Feet)
AREA DESCRIPTION I in
PURVEYOR VALUE OF EXISTING IMPROVEMENTS
fG FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No []Yes ❑ No
PROPOSED I TOTAL
Ewsi i PROPOSED w TOTAL
# OF BEDROOMS
Occupancy Group(s)
r • Occupancy
TENANT AREA ONLY
FOR OFFICE USE
# of I Additional Information
Construction I # of I Additional Information
Tvue Stories
Bulletin #100—January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application