15-105511City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ANYTIME FITNESS
Building - Commeicial
Permit #: 15 -105511 -00 -CO
Inspection Request Line: (253) 835-3050
Project Address: 1614 SW DASH POINT RD Parcel Number: 189880 0010
Project Description: ALT - "Soft" demolition of finishes and non-structural components prepartory to tenant
improvements by separate permit. %%
Owner
ARRI*cant
Contractor
Lender
DASH POINT VILLAGE.LLC
MELINDA LEWIS
BELLON CONSTRUCTIO
1201 PACIFIC AVE SUITE 1400
31429 42ND PL SW
RENOVATIONS LLC
TACOMA WA 98402
FEDERAL WAY WA 98023
BELLOCL853C6 2/27)
1295 MONTE ELflV RD
ELMA WA 985111
Census Category: 437 - Commercial alt / addi conversiolk
Includes: • #1 92 .0 3 #4
.r
Occupancy Class: w.
Construction T J
Occupancy Load.-
Floor
oadFloor Areas . ft. 0 0 0
e✓
Add' ' n ` ermit Inform n
•
Mechanical to be Included? ............................... lfl� r of Stories ................................................. 1
Permit for Building Shell Only9............................ tl bing to be Included? ...................................... No
New / Additional Sq. Feet - Total .......................... 0.O
Plumbing Fix
Drinking Fountains ................. Lavatories....................................... 3 Showers .......................................... 2
Sinks ............................................... Water Closei ................................ 3 Water Heaters................................. 1
rs o
"N*k
ER TE"*RES Monday, April 25, 2016
Permit1AJ on Wednesday, October 28, 2015
I hereby c fy t t the ove inforAinccordance
ris correct and that the construction on the above described property and
the occupan d th use will be with the laws, rules and regulations of the State of Washington
a d the City of Fedepral Way.
C
Owner or agent: ��� C��J Date: (, C) 04-6
+ CITY OF •+���MMMI�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -105511 -00 -CO Address: 1614 SW DASH POINT RD
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 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 - Building (4050)
Approved
By Date
Initial Erosion Control (4365)Footings/Setback
(4110)
Floor Sheathing (4105)
Re -steel (4215)
Approved to place concrete
To be done prior to breaking ground
Approved to sheath floor
Approved to place concrete
By
Approved to place concrete or grout
By
Date
By
Date
By
Date
Final - Building (4050)
Approved
By Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Right of Way
Approved
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By Date
Date
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
prior to scheduling a Framing inspection;
Approved
Approved
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
E]
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Suspended Ceiling Grid (4265)
Final - S K F & R (4060)
❑ Final Erosion Control (4375)
Approved to drop tile
Approved
Approved
By
Date
By
Date
By Date
Final - Building (4050)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Y OF
*A�L Federal Way
YT
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: I& 1A S w � p 12 PERMIT#: 15--- 1 DSS k i - C c7
IF YOU HAVE QUESTIONS CAla �S�.a� Sz /C (253) 835-
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
/
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE Page_I Of�
RECHIMPERMIPAPPLICATION
CIN 0.
Federal Way OCT 2 8 2015
G CITY OF FEDERAL WAY
PERMIT NUMBER' J _ 1 S f S` _ C 0 I 2� f
_ TARGET DATE
SITE ADDRESS —SUITE/UNIT
✓ V
11YY^^1t
PROJECT VALUATION
$ (. 3"000,J10
ZONING
ASSESSOR'S TAR/PARCEL
-L s"1 9 W D_ U 0 i D
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL (-1 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
(,.{GL
PRIMARY PHONE
2T - q ( 'Y3
Ma
ct j-- � � J �
E-MAIL
(e sAl ( e iiDW��Gt
CI
Z 49
NAME (
Il
PHONE .J 22
MAILING ADDRESS
E-7
Kes
rl rn W "
CONTRACTOR
�7
CITY,?- V 1' `�
STATE
!V /`/vim,
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME <
PRIMARY PHONE
Ci S
MAI G ADD ESS ^ 5 �
r
�� ` _ C ��
APPLICANT
CITYd-"
STATE ZIP
(/
FAX
NAME T tRe
PRIMA' OHoxiz, _ " �7�)7/!
f� /
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
SjiATE ,
�i��J
��/ VV, (/lam
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME (,I (6 �L
v v
OWNER -FINANCED
Required value of $5, 000 or more
19.2 7.095)
IN ADDRESS, CITY, STATE, ZIP
PHONE
(RCW
l S
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 apart of this a plication.
, %
SIGNATURE: / f� v!� DATE
PRINT NAME: , 4A n / 1 f ~ � 0e -A
Bulletin #100 — January 1, 2013 Page I of 3 k:\IIandouts\Permit Application
k.-�
( 4-0
V'/40/
• • 1
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 (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
NEW BUILDING
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existingfixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sic.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Occupancy Group(s)
DRINKING FOUNTAINS
SINKS (Kitchen/ut,7ity)
WATER HEATERS (Electric)
TOTAL BUILDING
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PRE OUS USE
�( UU
LOT SIZE (In Square Feet)
0
Lf 0 1
EXISTING FIRE SPRINKLER SYSTEM?
Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑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) l
MSTRM PROPOSED TOTAL
Area Totals
ro 777,77
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
-71`�
TENANT AREA ONLY
N J
r
PROJECT AREA ONLY
5
Bulletin # 100 —January 1, 2013 Page 2 of 3 k:\Handouts\Pennit Application