07-104623City of Federal Way
1 Community Development Services
I P.O. Box 9718
Federal Way, WA 98063 -9718
Ph (253) 835 -2607 Fax: (253) 835 -2609
Project Name: PUERTO VALLARTA
Project Address: 2002 SW CAMPUS DR
•
Mechanical Permit #: 07- 104623 -00 -,MULE
Inspection Request Line: (253) 835 -3050
Project Description: Install/replace refrigerant piping for walk -in cooler and freezer.
Parcel Number: 132103 9108
Owner
Applicant
Contractor
PUERTO VALLARTA RESTAURANT
SEA -TEMP
SEA -TEMP
PUERTO VALLARTA RESTAURANT
20838 SE 240TH ST
SEATE * *971C4 (2/24/09)
2323 SW 336TH ST
MAPLE VALLEY WA 98038
20838 SE 240TH ST
FEDERAL WAY WA 98023
MAPLE VALLEY WA 98038
Addit a0 Permit Information
Mechanical Valuation ................. ...........................3400 Over the Counter Permit? ...................................... Yes
rt
va n icaI Flkturds
Refrigeration Systems .................... 2
PERMIT EXPIRES Saturday, August 22, 2009
I hereby
the occ
Owner or agent:
e
* I
C�
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104623 -00 -ME
Owner: PUERTO VALLARTA RESTAURANT
Address: 2002 SW CAMPUS DR
FEDERAL WAY, WA 98023 -6603
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.
[] Mechanical Rough -in (4165)
Approved
B Date
Gas Piping (4125)
Approved to release test
By Date
Final - Mechanical (4065)
Approved
By tw j Date%. r -b
For inspector reference only _
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
as
Federal WaPECEIVED PERMIT
r • COMMUMTYDSVEWPMBNTSERVlCEB SF MF C ME EL PL DE EN FP
339 2S dmAVBIVUY, W 98,63 s A P P LI CATI O N
FBDERAL WAY, WA 98063 -�i 2 2 2007
1S3-835.1607• FAX 153.835 2609 /
OW OF FEDERAL WAY
Tice following is OWWO184RWon —an incomplete application will not be accepted Please print. legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL # l Q 3— ' O
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORMATION
SUITE /UNIT i
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. P44ECMMCAL
❑ DEMOLITION ❑ ELECTRICAL O ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJFCT DESCRIPTION (Provide detailed descrVion of work included on this permit o
PROJECT NAME (Name of Business or Owner Last Name)
-PEOPLE •• •
PROPERTY
NAM PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COVAkNY NAME
A
MAILING ADDRESS CITY, STATE, ZIP
E -MAIL ADDRESS
COVAkNY NAME
A
NT NAME
OFFICE PHONE
-
( a) ak4S -7061
(2,0(c ) Zo5
1N0 S
, STnTAY , ZIF
C PHONE
TIONSHIP TO PROJECT
NUMBER
❑ Architect ❑ Tenant )I Agent ❑ Other
0 - b7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DA E
FAX NUMBER
(05)L13), -50'tg'
CONTRACTOR'S REGIST TION NUMBER
MATION
E-MAIL ADDRESS
JATZ
a
e 1 0►
COMP ME
APPLI NT AME
OFFICE PHONE
-
PHONE
( a) ak4S -7061
C 1
CELL PHONE
Mms
C] -
TIONSHIP TO PROJECT
NUMBER
❑ Architect ❑ Tenant )I Agent ❑ Other
NA PRIMARY PHONE EMAIL ADDRESS
NAME
PerRCW 19.27.098:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK !$
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? O YES O NO
MATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 13 HIGHLINE o PRIVATE (SEPTIC)
E
PROJECT FLOOR
AREA DESCRIPTION
EXISTING
8 : FT.
PROPOSED
8 . FT.
TOTAL
SO. FT.
BASEMENT
_ EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
FIRST
FANS
GAS WATER HEATERS
MISC (Describe)
SECOND
FIREPLACE INSERTS
HOODS iCommorob�
a NO
THIRD
FURNACES
RANGES
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
GAS LOG SETS
REFRIG. SY MS
C �S 611-1
a YES a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
�Cir`
1
a NO
GARAGE ❑ CARPORT ❑
0
NUMBER OF FLOORS
ausrsra
rsoroeso
rarer
rorecsaanaoar
r°r"sra°ra°sssr
ror"tu
"NEW HOMES ONLY". NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installrd or relocat d asplaq of th' prqjff�ljo5p include existing fixtures to remain.
b7ECIIAIVICAL �'v'
Value of Mechanical Work $ m � P FBID OR IMATE MUST BE C WITHAPPLICATTON)
I certify under penalty of perjury that 1 an the property owner or authorized agent of the property owner. 1 certVy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I c that I will co
city of Federal Way regulations pertaining o the work authorised order raps ante all his permit
g by the issuance of a permit. I understand that !hs Issuance of this permit
doss not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental taws.
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 application. r�
SIGNATURE: DATE V
riy Owner snd /or Authorized Agent
,o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
AIR HANDLING UNITS
_ EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS iCommorob�
a NO
COMPRESSORS
FURNACES
RANGES
UP /SEPA /SU?
DUCTS
GAS LOG SETS
REFRIG. SY MS
C �S 611-1
a YES a NO
DEMO PERMIT REQUIRED?
�Cir`
1
a NO
fi
0
BATHTUBS fo,Tub /shower combo)
LAVS peaueemsink4
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS Ironeq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
_ SUMPS
I certify under penalty of perjury that 1 an the property owner or authorized agent of the property owner. 1 certVy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I c that I will co
city of Federal Way regulations pertaining o the work authorised order raps ante all his permit
g by the issuance of a permit. I understand that !hs Issuance of this permit
doss not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental taws.
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 application. r�
SIGNATURE: DATE V
riy Owner snd /or Authorized Agent
,o NEW o ADDITION
o ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
UP /SEPA /SU?
a YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin # 100 "August 16, 2007
Page 2 of 4.
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