04-104988 ' , . ' . 1 ,
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City of Federal Way Building - Commercial Permit #: 04 - 104988 - 00 - CO
Community Development Services
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: EXXON MOBIL
Project Address: 1650 DASH POINT RD SWParcel Number:122103 9069
Project Description: ADD-Installation of new 18tsgft etncls QJQt oil and groundwater remediation equipment
Owner Applicant Contractor Lender
EXXON MOBIL OIL CORPORATIOI ENVIRONMENTAL RESOLUTIONS ENVIRONMENTAL RESOLUTIONS NONE
4464 LONE TREE WAY SUITE 602 815 INDUSTRIAL DR ENVIRRI044JD 02/12/05
ANTIOCH CA 94531 TUKWILA WA 98188 815 INDUSTRY DR
TUKWILA WA 98188 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
sIOccupancy Group: 1 F-1
Construction Type: Type V-B
Occupancy Load: I
Floor Area(Sq.Ft.): ,',-,1. � i— 1
1st Floor Proposed Sq.Feet. 180 Census Category 4 TrCommercial alt/add
Mechanical Yes Number of Stories 1
Permit for Building Shell Only No Permit for Foundation Only.... ,No '
Plumbing Yes Total Proposed Sq.Feet .180
Will Certificate of Occupancy be Issued? .No Sensitive Areas9.... No
Zoning Designation BN
Plumbing Fixtures
Description Quantity Description Quantity Description ;Quanti y
Sumps 1
Mechanical Fixtures
Description Quantity 1 Description Quantity Description i t7antityj
Compressors 3 Fans 2
PERMIT EXPIRES February 28,2006.
Permit issued on September 1,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us w' I be in cordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /I— Date: 7/ .,J
THIS CARD IS TO MAIN ON-SITE .
art �ommuni Develo m t Inspection Record
- A
tY P P
Federal Way WR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104988-00-CO
Owner: EXXON MOBIL OIL CORPORATION
Address: 1650 SW DASH POINT RD
FEDERAL WAY, WA 98023
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.
,
.13 Footings/Setback(4110) ❑ 41`.. .Foundation Wall(4115)
❑
Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By C.ti IA) Date(L.)2.o By G(../IA) Date #2. 2 2. q•"'By Date
❑ Re-steel(4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By, Date By Date By /LF Date /212 4$7 --"
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By G i Date Z- f . a fo
❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) , ; 0 Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date z,/G ...0(00By Date By Date
❑ Gas Piping(4125) 0 Fire/Draft Stops(4095) t' NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By G u3 Date /6 •0( By G tii Date Z.2Z.,-0 G By Date
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By -- .( Date 61/6 /6 7
❑ Final-Public Works(4080) 0 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
❑ Final-Building(4050)
Approved
By CG) Date 6(o.-67_67
gVW
NO
{ tlfY Of` -
Federal Wa q__f2MIT Q �QF MF / ' E EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES A0,40 O JZ o o Y
33325 8TH FEDERAL
WAY,
WA 9•PO BOX 3-9718 18 A P P L I C AT �(
FEDERAL WAY,WA 98063-9718 'mpir
253-835-2607•FAX 253-835-2609 ) FEDERAL
www.atuoffederalwau-com BUILDING DEF
The ollowing is required information-an incomplete a••lication will not be acce•ted. Please •rint legibly(in ink)or type.)b
. - • PROPERTY INFORMATION
I SITE ADDRESS ( ^Q $w 'bl 6 p011,4-1- 1 As.4
r SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ( 2 e2---- ( J — 0 / q LOT SIZEfr.')
23 c--2_2___
0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S VEL A" G t Rk )
(Attach separate page for lengthy legal desoipton)
. r `-::. IN PROJECT INFORMATION
TYPE OF PERMIT lA BUILDING X PLUMBING ,MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Q,p Cst?-A- o F- (' -Z 11'r..(C.v-- -RNI C Lo�J.LT FOO___ 1•17 LAI SO/Z____.
At NI,N CnJ-0 Q it.IL.J hZ - i'-)i'–n d J ti(Oiv -L- L-7-, o rnt 6-c t'r,Q,c-
4---IAN�c (ATI opQ o P 5 T�� i .P c=xxowL AA,ox I l—,
PROJECT NAME(Name of Business or Owner Last Name) F LUV 7--_t ) /.1 5 - K1 7- 't S J
• PEOPLE INFORMATION
PROPERTY NAME < l PRIMARY PHONE
OWNER a -Ofq M.()il(J 0 LL---- CO J2-PO O (7 ) ` -szh 6
MAILI dRESS CITY,STATE,ZIP
`-- LoNE`rit i,Jk ? *t ole(cito }-/ GA-- f S'3(
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
E(J-= Pkutl u i Q (2,6 ) s9,–=m,53'
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
S) LC NI b tit STJ2-t- T tit 14,'L t_.4", LJA' t g t o o (206 ).St o - 2'S tic
�t✓ t (ni�(/I A CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -_ _ / / ( 7-4) 5 �= 6c3
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of cardfuted with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Stic-MA-5 C6 c€ C w&— ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
o Architect 0 Tenant ❑Agent 0 Other(Describe) C6'"--00--Ag---C614— ( ) -
CONTACT- NAMq� PRIMARY PHONE E-MAI DDRESS
I�4.00..........,
L L kA
.f � — ( 2.4)S -.S:� 25 i 'pk,1 2x-,-us.to tM
LENDER ',er RCW 9 27 095 PLender Information is',, NAM E
r- A
requuedprojeclvatue exceeds$5,000 ,` A---FA-C14-
,
MAILING ADDRESS CITY,STATE,ZIP
- ■ DETAILED BUILDING INFORMATION
EXISTING USE J? ewri 0 64 {7 �PM�
Q.)► � PROPOSED USE Cj
CM
EXISTING ASSESSED/APPRAISED VALUE $ I+ 0 c00 VALUE OF PROPOSED WORK $ ('/0
SPRINKLERED BUILDING? 0 YES 11.N0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 1NO
i . WATER SERVICE PROVIDER 0 LAKEHAVEN a IIIGHLINE ❑ TACOMA a PRIVATE(WELL) 0414
SEWER SERVICE PROVIDER ` CLAKEHAVEN a IIIGHLINE 0 PRIVATE(SEPTIC)
t ;t OR r'• ,•`- ' , .
AREA DESCRIPTION EXISTING SQ: P. • 4 SE r • TOTAL
BASEMENT
FIRST A Ap,44k 4 S-c) I go 1.1,0
a k t V• = _:ab S J
SECOND
THIRD
FOURTH 1
ADDITIONAL FLOORS(DESCRIBE)
— 1
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"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 furfures to remain.
MECIIANICAL / 1 kid
Value of Mechanical Work $ 60i 000 ),
ZAP
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS Z FANS HOODS(Commsraat) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
',°S _ COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shown Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS .1. SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroomsunits) VACUUM BREAKERS ELECTRIC WATER HEATERS
:3 ';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 the ci i eluding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. , '/' t�
NAME/TITLE I '1 bZ al i,t�.:L ' — ,^ DATE i l7 a /
(Sign!turc) (Title)
( RELATIONSHIP TO PROJECT ❑ Owner i?Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
_ .
o NEW o ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
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Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
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