08-104807 r' Building - Commercial
} City of Federal Way
Community Development Services •
Permit #. 08-104807-00-CO
P.O.Box 9718
Federal Way,WA 980639718 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q (253)835-3050
Project Name: TAO RESTAURANT
Project Address: 30333 PACIFIC HWY S Parcel Number: 042104 9040
Project Description: Demolition and removal of interior finishes and damaged elements including sheetrock,
flooring,ceiling,etc.
Owner Applicant Contractor Lender
MAI SHANNON MAI Y LLC
SHANNON MAZATLAN PROPERTY LLC
MAZATLAN PROPERTY LLC MAZATLAN PROPERT33507 9TH AVE S BLDG C
33507 9TH AVE S BLDG C 33507 9TH AVE S BLDG C FEDERAL WAY WA 98003
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 999 -Unknown
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
r t �- am' .,`i, 4 Y 3.�.,: '. 8'w1 R4 `' arca ,?sS,o,.. 3. »�a'
N
Mechanical to be Included9 No • Number of Stories 0
• Permit for Building Shell Only No Plumbing to be Included? No
8 ix ;•� F spa a ,"` % �,'
a ' s * 11
PERMIT EXPIRES Wednesday, Apr:1280,028009
Permit Issued on Friday, October 10
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be i ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. J
Owner or agent: Dater/C��b
. 411146, . _
01 THIS CARD IS TO R AIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104807-00-CO
Owner: MAI SHANNON
Address: 30333 PACIFIC HWY S .
FEDERAL WAY, WA 98003-4235
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.
•
❑ Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
— ❑ Re-steel(4215) ❑ 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
❑ Floor Sheathing(4105) ❑ Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By .Date
❑ Fire/Draft Stops(4095) NOTE Prior to scheduling a Framing(4120) El Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
.❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) ❑ Final-Building(4050)
Approved Approved J
By Date By 4 if/Date /
' /'/SZ/
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�. EX4
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4I may. 0 .E. 11
COI(MUN/TYDBVBLOPMBMSsuBMITTEDPERMIT SF M'� CO E EL PL DE EN`FP
33325 dry AVENUE SOUTH•PO BOX 9718 1 /
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The followingt.ya 7.4. '
{��{SII►INS .4.�• omP�application will not be accepted. Please print legibly(in ink)or type.
PROPERTY INFORMATION
t (�
...4.SITE ADDRESS_ 30X33 ActtrtC Hu,y3 , toil1vez3 SUITE/UNIT it
—4 ASSESSOR'S TAX/PARCEL 9 U V 0,. / 4, ,'P- A n iti P LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
peach araratePaps forWeft legardelertudeni
• PROJECT INFORMATION
--TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
ZCEEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
mai, PROJECT DESCRIPTION(Provide detailed tion of work included on this permit onlu) -
Ii ' 1i e"
4J /
.d, 11 l /I. t .R i/ . .1.. ' 'A ii. / &... 2- 1,14M
„j�%
_ PROJECT NAME(Name of Business or Owner Last Name) 1:1-e, leo_ TdiiG/�f d 7 & c
• PEOPLE INFORMATION (/
PROPERTY NAME
OWNER /99=71/44/ .,3'G 4 a-6% PRIMARY
A MAILING AD CITY.STATE,ZIP E-MAIL ADDRESS?35e,7 9 d--,..e .S I / /-17,17 viva .n-t,
> 4,m nd
CONTRACTOR . COMPANY NAME APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )_ -
CONTRACTOR'B REGISTRATION HUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME
i OFFICE PHONE
MAILING ADDRESS( CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER -
❑Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT • ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required 4f project value=seeds$5,000
MAILING ADDRESS •+' .STATE,ZIP PHONE
( )
■ DETAILED EUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED V : • $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? • ' . a NO FIRE SUPPRES •N SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND •
THIRD
ADDITIONAL •ORS(DESCRIBE)
DECK(0 COVE' 5. OR 0 UNCOVERED?)
GARAGE 0 • "ART •
❑
RaSTBIo PROMS® - TOTAL TOTALR AT TOTAL memos SF TOTAL el
NUMBER OF FLOORS
*"NEW HOMES ONL NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
N FIXTURES
Indicatenumber of each typ- ' fixture to be ailed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL .
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS 'ANS GAS WATER HEATERS MISC(Describe)
BOILERS •'PLACE INSERTS HOODS(comma rdoq
COMPRESSORS FU' CES RANGES
DUCTS. • GAS LO t SETS REFRIG.SYSTEMS
PLUMBING URINALS MISC(Describe)
BA =' (ormb/shower Combo) LAVS(Bathroom stogy)
DIS."ASHERS RAINWATER SYST VACUUM BREAKERS
KING FOUNTAINS SHOWERS WATER CLOSETS Crones •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE •
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 as a part of this application.
SIGNATURE: DATE
/P//‘;?‘"-eid
Property Owner and/or Authorized Agent
•
o NEW o ADDITION o ALTERATION o REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY? D YES o NO BASIC PLAN? oYES o NO
• ZONING DESIGNATION CHANGE OF USE? o YES D NO
- NEW ADDRESS REQUIRED? D YES o NO UP/SEPA/SU? o YES o NO
▪ PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pern»t Application