09-104801 >< • AIL Building - Comtmercial
City of Federal Way
Community Development Services Permit #: 09-104801-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 ec
Ins tion Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: CHEVRON#206851
Project Address: 1650 SW DASH POINT RD Parcel Number: 122103 9069
Project Description: TI-Remodelling existing C-store.Existing floor plan to remain the same,with construction
of 3 interior,non-load-bearing walls. Plumbing on separate permit.No mechanical.
Owner Applicant Contractor Lender
M G INVESTORS LLC EVERGREEN ENVIRONMENTAL EVERGREEN ENVIRONMENTAL
1650 SW DASH POINT RD SERVICES(GENERAL) SERVICES(GENERAL)
FEDERAL WAY WA 98023 17108 9TH AVE SE EVERGES061J5(1/14/10)
MILL CREEK WA 98012 17108 9TH AVE SE
` MILL CREEK WA 98012
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq ft.) 1,747 0 0 ` 0
i a kg;:".::::,, `;`1 s:� ,,: ' i' ` y ,
..,.g. - �;.,x a --. ,.., ..:. .-.."...'t:, -' ..,a .. m «.. r. ..
Existing Sprinkler System in Building? No Mechanical to be Included9 No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Service Station Zoning Designation BN
� � �,�,� q�,y ,-.a :s � t'x a r. �`,,P x k '«- yy s r # f o'' z .r� i
.. .�.. a .al: raF�,��Sw ,,. „�. s, ?}*b:.. n atm ry 5•.
PERMIT EXPIRES Saturday, June 19, 2010
• Permit Issued on Monday, December 21, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w' - in accordant ith the laws, rules and regulations of the State of Washington
an e City of Federal Way. /
Owner or agent: /s' Date: 6 /e//cI
C
.KLZ/3I/0
0 THIS CARD IS TO IN ON-SITE
CITY OF
41115.1111 • Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
•
PERMIT #: 09-104801-00-CO Address: 1650 SW DASH POINT RD
Owner: M G INVESTORS 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.
O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
o Re-steel (4215) Ei Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install flooring 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 /l/G7
approved. IBC 1093.4 By ,...-----Date / By Date
• •
❑Gypsum Wallboard Nailing(4130)' �0 Suspended Ceiling Grid (4265) Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By , yLDate /7/5//e7
0 Final-Planning(4070) 0 Final Erosion Control(4375) Final-Building(4050)
Approved Approved Approved
By Date By Date By� ,....j Date 2 'a) p
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
E - / OLL
CITY OF PERMIT
SF F CO ME EL PL E EN P
Federal Way
COMMUNITY DEVELOPMENT 9ERvICES , r APPLICATION
253-8352607•FAX 253-835-2609
'Lttrr FERAL WAY
SITE ADDRESS
/6.51) 5 4,.E /LS// A. led'
SUITE/UNIT# ZONING 14, ASSESSOR'S TAX/PARC/..# /1
3 _ (,
NAME OF PROJECT
(Tenant or Homeowner Name) .fit r _4 a(�(Q gI
BUILDING ❑ PLUMBING 0 MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION &i S+i�Ie( C—S4c e- �iL r�(r�, 4 .-1(70-.4" In`t.,t
Detailed description of work to IS, .2.-4 IS 6'4" -o ‘ .IJL0s31"Al2-1I"54
be included on this permit only ���� � oS � �S G8uw4Cr_
NAME ``/, " 1 PRIMARY PHONE
Lt,�,
PROPERTY OWNER '� M► ;C.,l rore..A)a.1 9010 ) 417 ?Co
MAILING ADDRESS,CITY,S E.ZI'�� E-MAIL
. • 61,4) i11.• et Ar` .. _ .A .. . . .
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT r 0 PROJECT CONTACT—4
NAME � PRIMARY PHONE
EVe., - u 4. IF.4tV) ..e0 .%./kt l �>J � ('i r)7'9 - S'3 S7
CONTRACTOR MAILING SS.CITY,STATE,ZIP FAX
/rra b 914- AVE.—5'E M IAr4 98012. (1-41(17S7 -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE F DERAL WAY BUS ESS LICENSE#
EVER 5 010I �' / / /E lab/o, °-at-/ cry a►.
NAME ! PRIMARY PHONEAPPLICANT 0 - " ( ) 74 7 - 89i 7
MAILING ADDRESS,CITY,S,�TE,ZIP FAX
I/Iv> 9"= Ave_ Sri. AAA Cr )s kus ciBo►Z ( 1 ) 791- 78
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and t]Fr (Ali()7 Sq p 7
respond to all correspondence MAILING ADDRESS,CITY.S E,ZIP FAX
concerning this application)
17 Mi qtL SQL- tAAI\C Ha-r) 78t- 7$
ALTERNATE CONTACT NAME: PRIMARY PHO E E-MAIL
_ Q\- ; (I-Ws") 787- 1,987
PROJECT FINANCING NAME
Required for projects with 17 4 7°S
s OWNER-FINANCED
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
IRCW 19.27 095) 6p0L ' {301'+k Ctnv . Syr. (32s1 A` .- /W
o
CA 9yc8)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a part ', this appl l'on. p q�
SIGNATURE: -C.- DATE /2-/i3v'
PRINT NAME: !
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
• S • •
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST B ''OVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not '•• .•e existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OU ' OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOO S ommercI I)
BOILERS FURNAC IT WATER TANKS(this)
COMPRESSORS GAS Lore S •S REFRIGERATION SYST
DUCTING GAS PI•! G WOODSTOVES
1 MBI ( FIXTURES
Indicate number of each type of fixtur• . .e installed or reloc t d art of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo LAVS Oland Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKIN -•UNTAINS SINKS(atohen/utuuy) WATER HEATERS(clecmc)
.e BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION �✓ WATER PURVEYOR SEWER PURVEYOR VALU� * - is I•.i.• ' ENTS
L.0 L....0 0
EXISTING/PREVIOUS USE LOT SIZE(In STjuare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
e_ 5 1 _4a..... z'ZZ ❑Yes/ No ❑Yes )(No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATE I - LLING PRICE$ #OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area Constructi• . ' of
in S•uare Feet Occupancy Group(s) pe Stories Additional Information
NEW BUILDING
ADDITION
- I MERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet n JOccupancy Group(s) Type Stories Additional Information
TOTAL BUILDING. f 6 C--C' 4, RGA. /
TENANT AREA ONLY /
PROJECT AREA ONLY i 420.12 /--.[# r* ts,'r1- /�' /
Bulletin#I00-4/21/2009 Page 2 of 4 k:\Handouts\Permit Application