05-102929 ' • • J
City of Federal way
Community Development Services Building - Commercial Permit#: 05 - 102929 - 00 - Co
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253)835-3050
Project Name: DASH POINT STATE PARK SHOP CONVERSION
Project Address: 5700 SW DASH POINT RD Parcel Number: 102103 9002
Project Description: ALT-Change existing shop to office space;Plumbing only,no mechanical
Owner Applicant Contractor Lender
STATE OF WASHINGTON STATE OF WASHINGTON STATE OF WASHINGTON NONE
PO Box 42668 PO Box 42668
PO Box 42668
PO Box 42668 !Olympia,WA 98504 PO Box 42668 !Olympia,WA 98504 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: iI -
=MIF---
1
Construction Type: j�
Occupancy Leal:
Floor Area 8< Ft):s
"-' 1 i
Census Category, a;J,--,,' 437-Commercial alt/add Mechanical No
Numb fStorieS .. G" 1 Pettttitfor Building Shell Only . :,, o {
Plumbing t.---I... ... .... ,Zoning signation ti......,: ....., .. E
,r«
Plumbing Fixtures
Description Quantity ` Description _Quantity Description Quantity
Lavatories 1
PERMIT EXPIRES February 25,2006.
Permit issued on August 29,2005
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 an d
the City of Federal Wzy.
Owner or agent %r!„._ .�' C / Date: c7 9 0�
- THIS CARD IS TO.MAIN ON-SITE -
OF - it ommuni Development Inspection Record
CITY ommunity p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102929-00-CO
Owner:
Address: 5700 SW DASH POINT RD
FEDERAL WAY, WA 98023-2045
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.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
`
❑ Roof Sheathing(4220) 15ZI Rough Plumbing(4230) t] Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By,jlr' Date 10 c By Date tp (,k t< •
•NOTE: Prior to scheduling a Framing(4120) Framing(4120) •❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be l
,signed-off and approved IBC 109.3.4/UBC 108.5A N,,r'',,
0. . B 4 Date R<
# ,By p&p Date 1Oj0lo6-•
II: Gypsum Wallboard Nailing(4130) 4...._ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
4
B tip'ke� j Date (r ais I By Date • By Dated'-/.5-.4A,,
•❑ Final-Planning(4070) ❑ Final-Public Works(4080) ❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
O Final-Building(4050)
Approved
By W Date • Z?-v
t 41
Federal Way CLIVE-PERMIT 11 S 0.(3 _L a
Ooi WNI7YDEV WPMENT SERVICES SF M. CO E EL
PL DE EN FP
93325 D AVENUE SWA 9•POBOX 9718 JUN 21��`` P LI C AT I O N
FEDERAL WAY,WA 98063.9718 Tp / / ,
25&835.2607•FAX 253.835-2600 1 �s�
www.dtuo7ederahuou.am C
The oliowi • is re, t d In of t pn{n,
pn co •lets a••lication will not be acce•ted. Please •tint le• •I n in or
�7 II PROPERTY INFORMATION
/
SITE ADDRESS 00 .Si A} j) j s 4 -?-1- g 1. SUITE/UNIT# tt'l2)V
ASSESSOR'S TAX/PARCEL I - _ _ — LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deactptioa)
IN PROJECT INFORIIIATION
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prouide detailed description of work included on this permit only
Li ^ "ye(.p. `, 1,-,0p /`, ) 4-6 0 FC t'C -e ;' S -C
PROJECT NAME(Name of Business or Owner Last Name) n/k 5 .1 ,`c4 o
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE OWNER J I P `L fA1.e /l(/k. ro'e (253 ) 66/ - 1L 9
51S
MAILING ADDRESS CITY,STATE,ZIP �/
--Pc:),, E x I/2 66"8 ®(y L414 , 9 c 3-cs
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5-t- -C L/ji-she/.+ti- („z 5'3) F�4/ - 1/9•55 '
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE, -4 3�r 7
h 4/2_668 cD)y�. 4)4, 9i c/ foO ) s3' /boy.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
/ / )
-B L -
i
CONTRACTOR'S REGISTRATION NUMBER copy of card required with each applications EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5 ifre OF- td4 '/1L 7 / L53) 4:6/ - `/9s3'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
57°6 5cd P45/71 21-Re-/ P— - i s ioy
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑Other(Describe) ( )
i -
CONTACT NAME ' PRIMARY PHONE E-MAIL ADDRESS
5r v4 #17c_ ,3‘-k-- ( ,) 64 '`&$
LENDER ' NAME 3 , #''1,-, I i C g,•MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE o FF/CV /5 //-p f PROPOSED USE 8 /e'"6"-- /157^i kie-iflee-
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4 6at7
SPRINKLERED BUILDING? ❑ YES 16+46 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES re NO
{
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑I1IG----HLINE ,$.3'ACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEKAVEN ❑ HIGHLINE }PRIVATE(SEPTIC)
PROJECT FLOOR AREAS °+}
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=MN PROPOSED TOTAL 3.frt kl, .z4.,.n; 'oroaw". 'a .7
NUMBER OF FLOORS 7
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
,BATHTUBS(arTub/Shower Combo) SHOWERS WATER CLOSETS(roost) MISC(Describe)
DISHWASHERS — SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(B.mroomSiohq VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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. 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 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. �.y� )
NAME/TITLE / r/4 —�� DATE 6 ( �
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑ Architect ❑ Other
�l atac (e)j ,0 Dki. CO O v 0q:01444-0
aR€)fit Pc'; tD1-j, a7 ( r;? na:t 0) lry,F-1(e ,�trm � s= 4� • ∎(
/o)∎9R∎ .e.)?.00)+( a +k r e v�(o) ' R y ' ;(€11
e( 7'�`eae�'",��..�g , •OaR(t>> dlj�c t(Of ._..,u, y ,t'•� 4 ;r,;.
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application.