08-105300 _ Meet4liniCa
t� City of Federal Way
Community Development Services Permit #: 08-105300-00-ME
P.O.Box 9718F ILE
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TAO RESTAURANT
Project Address: 30333 PACIFIC HWY S Parcel Number: 042104 9040
Project Description: Replacing commercial hot water heater
Owner Applicant Contractor `
MAI SHANNON REYNOLDS CUSTOM PLUMBING LLC REYNOLDS CUSTOM PLUMBING LLC
MAZATLAN PROPERTY LLC 12621 230TH ST E REYNOCP972B1(2/01/09)
33507 9TH AVE S BLDG C GRAHAM WA 98338 12621 230TH ST E
FEDERAL WAY WA 98003 GRAHAM WA 98338
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Mechanical Valuation 8500 Is this an Online or O.T.C.application” Yes
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Gas Pipe Outlets 7 Hoods 1 Hot Water Tanks 1
Ranges.... 2
PERMIT EXPIRES Tuesday, May 5, 2009
Permit Issued on Thursday, November 6, 2008
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 in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: LMLO a . Date: I 1 - C. —Oe
,,r t
THIS CARD IS TO RESIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105300-00-ME
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
•
•
By Date By Date By0,1-1.1 Date gm/01
•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
•
• ,•..__
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Fre.
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COYBfONI7YDSVEWPMENTSERVICSs PERMIT SF MF CO -E-.- L PL DE EN FP
33345 8TM AVENUB SOUTf(•PO �,r„
53435-2 WAY,WA 98063.9 1 6 L�} 3 APPLICATION
453 ww.cit w•PAX 2518354609
835.4609 / ,-,-,i
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The folds u l RAL WAY
r ormation-an incomplete application will not be accepted Please print legibly(in Ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 3 6 3 3 3 `Pig c. t g- I c 14 ‘43Y. So SUITE/UNIT#
ASSESSOR'S TAX/PARCEL 0 - _ LOT SIZE(sl
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) .
(AQ uPwate Palle for WOW legal deaa{ptlan)
• PROJECT INFORMATION
TYPE OF PERMIT • 0 BUILDING CHANICAL
• O DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this-hermit or4lzt) .
.;.ai�.• I err___=►:._ —S...r2Y N Q.--!. c,►Si. . ` rmL-1G _Al/s-o Z-V)LAC.£
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PROJECT NAME(Name of Business or Owner Last Name)-Q K;E^C-ru a..A r
U PEOPLE INFORMATION
PROPERTY NAME •
�T PRIMARY PHONE
OWNER MAILIN R�F.ss m 1 ft 5(4 m"),.)4,•..) - _ . (1{Z$ ) 'L4(o - 941.-)
ICITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
't�f'rrOCK-0s Gucror►.. PL.4-)n B I#3G WI(-t_twan'D .RG'••)ac.pS (2s3 )yos -v2-81
MAILING ADDRESS CITY,STATE,ZIPp�y CELL PHONE
12(.a 1 Z30"6 fir. t. &ICA N b M 1i)19• 19333 k -
CITY OF FEDERAL-WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(S" )S03 S315
CONTRACTOR'S REGISTRATION HUMBER
r�E Y IJ d C P CI-7Z 6 ( EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•SAr+''IE YJS A8 • ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( ) -
FAX NUMBER
❑ Architect a Tenant a Agent a Other- .JM 3 ( ) -
PRtiJECT NAME PRIMARY PHONE
CONTACT y,,)t L.` tea r,n 'D . QCr-&o Ld 6 ZS,.7 E-MAIL ADDRESS
( ) yas - Zig j
LENDER NAME Per RCW 19.27.095:
MAILING ADDRESS •
Lender information is required /prefect value exceeds$5,000_
CITY,STATE,ZIP PHONE
(• ) _
® DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINIG.ERED BUILDING? a YES a NO FIRE,SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
L7QSTING PROTOSSO TOTAL TOTAL 5518TIN0 sl TOTAL P50lOB5Dsl TOTALS?
NUMBER OF FLOORS
""NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SE LING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ de, 5500•° (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS 7 GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
•
BOILERS, FIREPLACE INSERTS I HOODS(coalman:us
COMPRESSORS FURNACES 2► RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS(Bathroom sham) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS cranes
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 amply 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,stats,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 apart of this application.
SIGNATURE: 11��o D • CT 1 DATE I - to —
08
Property Qand/or Authorized Agent
o NEW o ADDITION o ALTERATION a REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES u NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application