20-104819-Building Permit Application1*44"
-a
CITY OF 'y
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
— — TARGET DATE
SITE ADDRESS
SUITE/UNIT #
29100 Pacific Hwy S, Federal Way, WA 98003
Suite 3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 5,000
BC- Community Business
0 4 2 1 0 4 - 9 0 7 3
TYPE OF PERMIT
V BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Picanteria El Cevichito
PROJECT DESCRIPTION
k l t ,
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
DN & TL LLC
206-6973172
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
29100 Pacific Hwy S.
CITY STATE
Federal Way WA
n98003
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Pablo Lizarraras
253-3291235
APPLICANT
MAILING ADDRESS
29100 Pacific Hwy S
E-MAIL
minisuperlafamiliar@gmail.com
CITY STATE
ZIP
FAX
Federal Way WA
98003
NAME
PRIMARY PHONE
PROJECT CONTACT
JR Computax - Alexis, Jeannette
360-7753544
MAILING ADDRESS
31919 1st Ave S St
E-MAIL
info@jrctax.net
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Federal W_ay
WA
98003
360-7753808
PROJECT FINANCING
NAME
Pablo Llzarraras
0 OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
29100 Pacific Hwy S, Federal Way, WA 98003
PHONE
253-3291235
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 a part of this application.
//as
SIGNATURE: Al'A:8 .L_ G DATE 12)7(20
PRINT NAME: Pablo Llzarr s
Bulletin # 100 - February 19, 2020 Pagel of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many o each type o ucture to be installed or relocated as part of this project. Do not include existirkgfixtures 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how mang of each tyee offt<ture
to be installed or relocated as
part of this project. Do not include existin a- ures to remain.
BATHTUBS (or Tub/Shower combo)
LAYS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/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
Lakehaven Water and
Lakehaven Water and
N/A
Sewer District
Sewer District
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Retail/Wholesale
32,165
❑ Yes VNo
dyes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
�INGPROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
"NEW HOAM
OlYLY"' - -
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
S are Feet
Occupancy Group(s) Construction
a
# of
Stories
Additional Information
NEW BUILDING
i
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
10,000
Business - Group B
Wood Frame
1
TENANT AREA ONLY
1,302
Assembly - Group Al
Wood Frame
1
PROJECT AREA ONLY
Bulletin # 100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application