99-102562 CY)/)6 $6,a
CITY OF FEDERAL WAYPERMIT NO: BLD99-0415
33530 First Way South . 131„11 .1" N., .D.. . f:::,ER ill.. ,. N SUED: 07/02/99
Federal Way, WA 98003 Building Inspection Requests 258-661-4140 BY : FC
253-661-4000 EXPIRES: 12/29/99
ADDRESS: 1520 S DASH POINT RD
NO. : 052104-9158
PROJECT DESCRIPTION:TI - ADDING WALLS, BATHROOM for retail space. INCLUDES PLUMBING AND MECHANICAL.
= OWNER -__,..; - ___._,...__..-.._=:_..,.�--___..,_:__..____. ._ _
1 TIM DISSMORE S +0 ,Vl __.
�iU�(f OWNER IS CONTRACTOR
31051 51ST AVE SW
FEDERAL WAY WA 98023
I
411/ II
*t* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% ***
BLD?:X MEC?:X PLM?:X FLR -EXIST--PROP--- DWELLING UMTS. ,0 I COMP PLAN •CB FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: .1560:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ 0 PLAN CHECK FEE $ 63.21
CENSUS CATEGORY •437 2ND.: 0: 0:s EIG"T ' C.CO ft HAZARD C A.SS •9 FD PLAN CK-COMM ONLY $ 14.59
OCCUPANCY GROUP 3RD.: 0 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 ',OM BUILDING PERMIT....* $ 97.25
:M :? :? :? GER: C: 0:sf :XIS"..$: 0 €: FRONT 0.00 ft SBCC SURCHARGE * $ 4.50
BENT: 0. 0...y 2 �03
TYPE OF CONSTRUCTION LJ.II. �, ,,,�, TROY...$: 4uLu ° Sic....,.....: 3.30 f:. WATER SERVICE..:? MECH PLRNCHECK FEE $ 5.88
:5N :? :? :? DECK: 0: �• HAP, �^•�� ""ECH PERMIT FEE $ 23.50
�.5= :,�r..:..... . .... ,,,,, .� SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:07/02/99 PLUMBING PLAN CHECK $ 9.10
0: 0: 0: 0: TOTL: 0: 1560:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? PLUMBING FIXT....93* $ 14.00
FUEL TYPES.:? ? FANS • 1 BOILERS/COMPRESSORS ° WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 232.03
1 GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
1.<100K..• 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS 0 SUMPS 0
HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 i LAVATORIES • 0 VAC BREAKERS...: 0
I CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 l SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ! ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS Awa' ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF ION F.7URNISHED ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT ,, DATE Z
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FILE COPY
4
C:4TY< OF FEDERAL. WAY PERMIT NO: BLD99-•0415
X35:� U First Way SouthI LDI NG FERMI 1" ISSUED: 07/Q2/9'4
Federal. Way, WA 98O03 I3uil.ding Inspection Requests 253 -*1 -4140 .DY- F`r
253--661.4O0O EXPIRES:: 12/."29/99
.
ADDRESS:1520 S DASH POINT RD 1
NO. : 052104 91.50 --- .0
PROJECT
. -
PROJECT AEC R;EPrION TI - ADDING WALLS, BATHROOM for retail space. INCLUDES PLUMBING AND MECHANICAL.
OWNER �an�����aar .�naxc�a.� « �mwa*at a�u �.a'��tt •ar CONTRACTOR :z� _2�� =az w w::. ,��. sa n: -s ' �;nw p :_.; LENDER .,__�� ,x annar� ..tea= n :� ��r r:� ,;ate ;ate :a .x�=n ��
111 DISSNORE ' •� a7 r,,ti,+4(l,! L OWNER IS CONTRACTOR
31051 51ST AVE LW
FEDERAL WAY WA 90023 .' I j
:ti:r armL+sKa:s:Jxsu:nA.Y>CfK.a:.xxtflrxaa:t:u::ee+a�ss�rerr�+sxs.:..:c,sa a3:.:>r.a:."fl .......r .�. ,. :..:r,...-i'„t_te..¢x.:^.aj.,•.,cn n.Rae;usmrx�tsnznxccx:�a» -:siSm:Ysmra:Po t.lu zr:nse>r^v:x,lr::cc G'.iwl.a:w'.1a:s:tzR ran:.ui;al:ix%..2xa::::rSr¢rc.'aT.r.Aci:mcamos.m;::i nza+eCitlroGy',.
ttx COIIIRACIORS, PRASE M",1 1001ION LODE` 1717 VIEFR RIPOPTIR0 SALES TAX FOR PROJECTS WIININ INE CITY Of FEDERAL WAY. TAX RATE = 8.6% *1*
s-t: ass:e:xar,:acusx:�u ma:swwau::a:axzrwlfF jua su�6e;s1�k78+ .# ' -. _x=a:x .�mxinaaeae::r::rxas,..,;Mze.ax rcxo^s..tmc• •swxt.rs^x_wxas:saxmwxwaa¢aaa::xas s:aiuxamax:am ct:t.::v:.xxwcramv,xacsaaaewmxxuc:asax:m^:..r;ms
BLD?:X NEC?:X PLN'.:X FLR ENIST PROP DWELLING ONttS: 0 cOMP PLAN, 'CB FEES: '
TYPE Of WORK:TEN USE:COM 1ST.: 0: „ .560 s 5I+itll„> : U REQUIRED PARKING..: 0 SPRINKLERS' •� PLAN CHECK FEE $ 63.21
CENSUS CATEGORY •43T 2ND.: 0: 0:s NOW.. 0.00 f, HAZARD CLASS •' FD PLAN CK-COMM ONLY I 14.59
l
OCCUPANCY GROUP . - 3RD.: 0 - VAI 1:ON--. ..__... PE TRED St FOAL` --' �'', '' ; 4"" ®' ` . '% ,e_ .',--.� I ....# 97.25
BUILDING PERM
� ! K
:M :? :? : #IHS,. 0: sf 4 EAI f.. : A ;P001‘1,,,.... O. fit '� „ A ', ' r: SRC( SURCHARGE 4.50
TYPE OF CONSTRUCTION BSAI: O. .O '. .$: 4UOi3 SiUt. .,..,,* L thI ft TER SE•', ,, , 1,k10#0totolEcy FEE $ 5.88
:5H :? :? : DECK: ,I O sf i Q14 • 0.00:ft SEWER SERVICE..:? MECH PERMIT FEE $ 23.50 {
OCCUPANT LOADGAP : �: U `f PECI I' VEl.. .O ;+n?/;?i PLUMBING PLAN CHECK $ 9.10
. 0: 0: 0: 0: 1011: 0: 1560:sf , 1MPERV SURFACE: 0 sf SENSITIVE AREAS?.:? PLUItBIHG FIXT...•93* $ 14.00 1
![N➢JGZ ASI:sax:rsecG�mvnRz>¢G.r_.::nes.0.t x::w:ux°l:+f at.9'Ieaa W(NkM1"'!ik#.eaz.zb:S.rx......::a sam.. Fez.,ta....,::u.L. :._....ff'al::t.r,sCFinatt�a:s sfaxtr.:.xmGs.sR'.c.s z.:LCr.:»'.�q:u«,^_:a:aws x�.wxe a
FUEL TYPES.:? ? FANS....,.,...: 1 POURS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 232.03
S PIPING.: 0 ft HOOD • 0 0-3 100,....: 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 ,
S HWT • 0 WOOD STOVES..,: 0 15-30 TON,.,: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN)100K • 0 30-50 TON.: • 0 ; SINKS • 1 DRAINS.........: 0
BBQ • 0 MSC • 0 1 50+ TON... 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS-- `-- -- ELEC NIR HEATERS...: 0 OTHER FIXTURES.: 0 I
RANGE - 0 <:10,000 CEN: 0 A:IYE GROUND: 0 LAUM WSHR OUTLTS...: 0 I
GAS LOGS...: 0 > 10,000 CFR: 0 UNDERGROUND.: 0
qBY&;'2wiCS3CxC::xx'dsa3nwC'maa0<f.'•'.z a..ans ,.surJus�'S.e....,sn-'r..a::}a tt4tzt:.�'xirr...zat JJ:,, r.2:.3 x..xrt.x.l:n.; r._.c..,..`r:�na3e::Cneata:.� tax.:xx.�.'ar.�r..�*# '-::u:.�.:ctslxrral;a«a:n:7,rc.:;Ka ax;t«..as.-.s`..•r7c:::ssxffi.:x J:cv.xlcCmA:x sc:Yczmxx:axaz�p.za:m E:::.sfh x::::.n�
PERNITS EXPIRE 18O DAYS • " ISSUANCE IF 00 WORK I5 SIARIED, RESIDENTIAL AND DANK PERMS EXPIRE IRE YI.AR AFTER DATE Of ISSUANCE.
I (REIFY THAT HIt INF'" ,• ION FURNISHED $1 IS TRUE AND CORRICT TO fly etST Of NY ENOMI.EDGE AND THE APPLICAIILE CITY OF FEDERAL WAY NEQU.IREMENES WILL Bt NET.
OWNER OR AGENT - Z
_._ _...___.. __.7 __.....���+�''"4....__.___.__. ____._.____ .___..___._._.__ ..�_..__....__._.... DATE .7___ _V_...._,_._
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FIELD COPY
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1 ETBAE:MCS &FoTrN�s .
Date By
2
Date By
3 PLUMBING GROEJNQW4R1+ » ::>::>
Date By
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4 SLAB INSULATION
Date By
5 FOOTING....:4WNSI OlitAINI >::>> >':> >:.;:.;:.�:.
Date By
6
Date By
7 SHEAR WALLS
Date By
8 PLUMBING ROUGH-IN
Date c<i,-- I ' 44r By
9 GAS PIPING
Date By
... ..... ........................
10 MECHANICAL ROU�}GH-IN
Date — 1 .7 I By
11 ERAMING.:::
Date $'—t7--M By
12
Date By
13 t3ili a '1':: : 1"fEa
Date61:-/7-4. 71' By
14
Date By
15
Date By
16
Date By
17 L>S s ' ':` . Mai €>>
Date By
18 FIR SINAL
Date By
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19 BUILDING FINAL' •
Date ///c//?1 By
20
Date By
CD0193(Rev 4/97)
BUILDING DIVISION
crrr f G
�o33530 First Way South
ElZAL , .t R"- Federal Way,WA 98003
R (253)661-4000
Fax(253)661-4129
JUL 0 2 1999
APPLICATION •FORBBUIibING PERMIT
PLEASE PRINT APPLICATION # (-31.-1)/ �j - Q 111 5--
`'" Site address
Tenant name _ /� / Lot # Assessor's Tax # ,
/& 75- % fJIr nv5 �J~�IbY I �5c�
�0
Building Owner's Name Address
T:Ii Ss(cm ,0i,Syrnc.'e.- 3/03)
City F JState LL4' , Zip 9. 019. 01,3L$ I Phone e. —2 kf
Description of Work Jlt !7E ccJ /.14/Are vyt i►I
Name (F,M,L)
/m 0135/PI 'C
Address
3/o5/ 5711. 4rA .5Ltr
City A/41-yal Cc% State et � Zip 784242-3
Contact Person /'� Day Phone Other Phone Fax
m 1/f�r7/is ?C 3 92,-/-c45-‘
10(16.4416:6046:05.11111111111 Federal Way Business License #
Company Name t
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
Name
/t
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
• Please Complete Reverse Side•
istin
>" Ex Use
�.1e Proposed Use
Permit includes: I4 Building Plumbing ❑ Mechanical 0 Other
Type of Work: 0 Residential 0 New l Remodel 0 #of bedrooms 0 Deck
Br-Commercial ❑ Addition ❑ Repair El Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability )a' Sewer Availability jam' On-Site Septic System Availability 0 Project Valuation $ "
Zoning I Lot Size Existing Bldg Valuation $
LENDER« : <« > < <« « « «< >'`<` ><«`<' sellingCost: $
For new residential only - Proposed
Name (/�f/ ./�) Address
City State Zip
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Contractor Named ,, Address
/t
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
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PLUM 131N NTRACT`£fR>» > [>>>>>>[>>
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes El No
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PLUM HIND FIXT RECOUNT»>> <>>>:::
/
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
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Lavatories Washing Machine Drains Total;;Ffxtttre Aunt :i
..... i:ii.................. ..ii:ii: ..............oi:i..............mi.i........
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fileCHANICALIINIRCOUNTEMEgi MECHANICAL EVALUATION ONLY
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons TiAtiV ft{t;G!attnt~
DISCLAIMER: 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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.
Owner/Agent: ` L ,4yn1'1-C- Date:
15080 6(18 • •
Revsco 6/19/99