12-105064City of Federal Way
Community & Econ. Dev. Services r y -> r
33325 8th Ave S t +
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CHIWAZ MEXICAN BURRITOS
Project Address: 32040 231RD AVE S
Building - Commercial
Permit #: 12 -105064 -00 -CO
Inspection Request Liner (253) 835-3050
Parcel Number: 162104 9028
Project Description: TI - Interior renovations to create a "fast food" mezican restaurant. Plumbing and
mechanical included.
Owner
MARIO ESCAJEDO
A RIn icant
MARIO ESCAJEDO
Contractor
OWNER IS CONTRACTOR
Lender
OWNER IS LENDER
CHIWAZ MEXICAN BURRITOS
CHIWAZ MEXICAN BURRITOS
Occupancy Load
26505 187TH AVE SE
26505 187TH AVE SE
COVINGTON WA 98042
COVINGTON WA 98042
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class.
A-3
Construction T
Type V - B
Occupancy Load
Floor Areas . ft.
0 1 0 0 0
Additionat.-Permit Information
Existing Sprinkler System in Building?.................Yes
Number of Stories.................................................1
Plumbing to be Included?.......................................Yes
Occupancy #1 - Use ............................................... Restaurant
Mechanical to be Included? ................................... Yes
Permit for Building Shell Only?............................No
New / Additional Sq. Feet - Total .......................... 0
Nlectsanicat Fixtures'.
Gas Piping ...................................... 1 Gas Pipe Outlets............................. 1 Hoods.....................
Hot Water Tanks ............................ 1
Plumbing Fixtures
Lavatories ....................................... 2 Sinks............................................... 3
PERMIT EXPIRES Monday, June 3, 2013
Permit Issued on Wednesday, December 5, 2012
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: ��'j D �c cla Date: l �-� 5� 9
.S'
THIS CARD IS TO REMAIN ON-SITE
CITY CWConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -105064 -00 -CO Address: 32040 23RD AVE S
Project: MARIO ESCAJEDO FEDERAL WAY, WA 98003
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Re -steel (4215)
Plumbing Groundwork (4190)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Approved to place concrete or grout
By
Approved to cover
Approved to place concrete
By
Date
By
Date
By
Date
0
Underfloor Framing (4285)
Floor Sheathing (4105)
Rough Plumbing (4230)
Approved to sheath floor
Approved to install flooring
Approved
By
Date
By
Date
By
Date
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Framing 4120
g ( )
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
By
Date
approved. IBC 109.3.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
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 - Planning11
Final Erosion Control (4375)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Mechanical (4065)
Final - Plumbing (4075)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
"•°F `10PERMIT
Federal WJ�CEIVED
COMMUNITY DEVELOPMENT SS
APPLICATION
253-835 2607 PAX 253-835-2609
ederalwati.cmr' Nov 0 6 2W
• MFCO ME PL DE EN FP
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SITE ADDRESS CM QF
CDS ,1
3'" aVe, W o0
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASS SSOR'S TAX/PARCEL #
TYPE OF PERMIT
"A—BUILDING LUMBING ECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENPPN
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
W
,
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
CCA -joj 3 9 — Te O
MAILING ADDRESS [
S7(0 G7.af/c S Cdow /Oq k1A. 0
E-MAIL
CITY
STAT
ZIP
a
�
a
NAME
PHONE
Mario
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
-NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAMEI
i'1 d'p
o_ NE
&P-3
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
�:�
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CI TE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that o the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that 1 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 as apart of this application.
SIGNATURE: DATE I Z6 Ll,;)-
l,;)'PRINT
PRINTNAME: &Y/,v 4�Sfa i C
Bulletin #100 —January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
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VAiUEw'OFMECAAMCAL WORK x-71
J V (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER'*
FIREPLACE INSERTS
HOODS (commerciat)
BOILERS
FURNACES
�_ HOT WATER TANKS (cas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/ Sh—r Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Unity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
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Bulletin #100 — January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application