15-106037 wilding - Commercial
Community of Federal Way Permit #: 15-106037-00-CO
33325 8th Ave S
Federal Way,ax Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax::(253)53)8 835-2809. � q
Project Name: H&R BLOCK
Project Address: 1612 SW DASH POINT RD Parcel Number: 189880 0010
Project Description: TI-Remove(2)office walls,extend(1)office wall.
Owner Applicant Contractor Lender
DASH POINT VILLAGE LLC JOSH HARRIS INTEGRITY CONSTRUCTION
1201 PACIFIC AVE SUITE 1400 INTEGRITY CONSTRUCTION GROUP LLC
TACOMA WA 98402 GROUP LLC INTEGCG89882(12/2/17)
5105 N 35TH ST 5105 N 35TH ST
TACOMA WA 98407 TACOMA WA 98407 '
d
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
Proposed Structure Valuation. 6850 New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Monday, May 30, 2016
Permit Issued on Wednesday, December 2, 2015
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: l 7- j 2- /
F1:441,4 E D
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THIS CARD IS T MAIN ON-SITE > .
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-106037-00-CO Address: 1612 SW DASH POINT RD
Project: DASH POINT VILLAGE LLC FEDERAL WAY, WA 98023
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 Untilltig 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.
❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110) ❑ Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
• . • •
❑ Drainage/Downspout(4040) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout 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
4 _-.
❑
Roof Sheathing(4220) -❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; ❑ Framing(4120) ❑ Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
.
0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-S K F&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
❑ Final-Planning ❑ Final Erosion Control(4375) '❑ Final-Building(4050)
Approved Approved Approved
By By Date B Date 4i Date
� Cs ,
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IP
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CITY OF - - PERMI' vPLICATION
Federal Way DEC 0 2 2015 ot$°I
117 v
PERMIT NUMBER
1 1 - -( 0 0 7F CO CITY OF FEDERAL WAY
CDS
- - — — TARGET DATE
SITE ADDRESS SUITE/UNIT#
5 W •
RP 1 Z Or Is ff Po r f r 7204-0
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
l'8So • - - - - - — —
TYPE OF PERMIT A BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT fi 1 le- S /DEG)j
-/Dernb 2 +yc ,cam L.�.1U< ..o/eJ►er / �cc & d
PROJECT DESCRIPTION .. , 'I /� l
Detailed description of work to )115,izci/ I) ) -- o {'1'1G} I 7 a-1 IL 4-
be included on this permit only 1
NAME PRIMARY PHONE
PROPERTY OWNER
Pile* e®i ri- I )J1 I A ( �j 253 72 Z_ )y 3e
MAILING 1�-�O"`ADDRESS E-MAIL
��//C c t�Z v SUA,7'(:� "1 OV E-MAIL
CITY STATE ZIP
lirat Cc3m19-
NAME PHONE
7-114e.1 r.Al er-A rir-,h,,i 64-4.10 Le-G_ 253- (025- Lib to S
MAILING ADDRESS E-MAIL-We/r a lC'oK SWu c-'c.'
CONTRACTOR S(6 5 ^1 15 ST tiro,�„_T O 0 6Ivic.-( lc'rt,s3
CITY STATE ZIP AX -
1GAYn ri wvivi 'MO
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
7311' f-(yt.U fmS. Z- )I ! //Ol 0 _
NAME 1 PRIMARY PHONE
o.,SN-1 tAfrY4L.A'5 253•Z2_4, e 13,.
APPLICANT MAILING ADDRESS E-MAIL
5toS 1.3 �c �° I S ,e
CITY STATE ZIP FAX
cvm A- r� *t o? _
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 part of this application. rr-p 6 SIGNATURE: DATE !L/ U( / Zv 1 S-
PRINT NAME: I .t r is
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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(Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(icitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**KEW HOMES ONLY.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories_
TOTAL BUILDING C
TENANT AREA ONLY 3 3 S I
PROJECT AREA ONLY 3) 2 S I
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application