09-103709 • • Methaiiical
City of Federal Way Q
Community Development Services Permit #: 09-103709-00-ME
P.O.Box 9718
• Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: MI TIENDITA LATINA II
Project Address: 2020 S 320TH ST SUITE M Parcel Number: 092104 9297
Project Description: Installation of Type II Hood
•
Owner Applicant Contractor
ANDREW CRATSENBERG JOY CONSTRUCTION INC JOY CONSTRUCHON INC
CRATSENBERG PROPERTIES 2408 S 272ND ST JOYCOCI943KH(8/1/10)
PO BOX 3045 FEDERAL WAY WA 98032 2408 S 272ND ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98032
Additional Permit Information
Mechanical Valuation 3500.00 Is this an Online or O.T.C.application? No
Mechanical Fixtures
Hood,
1
PERMIT EXPIRES Saturday, April 10, 2010
Permit Issued on Monday, October 12, 2009
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
an. the City of Federal Way.
Owner or agent: A Date: /b '
''110io/is//
THIS CARD IS TO REMAIN ON-SITE
=Y� • Construction Infection Record '
Feder" INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-103709-00-ME Address: 2020 S 320TH ST SUITE M
Owner: ANDREW CRATSENBERG FEDERAL WAY, WA 98003
Scheduled inspections may he 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 vv ith 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) ElGas Piping (4125) ID Final-Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By --f„......ggie /0/5/ 7
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
'By Date By Date By Date
„A ,..:
--- rEIVE OPERMIT ---v-': - serC qF c-oci-E---ii (71. 31,1, .7DE °EN 'FP
Federal Way-0
t
. COMMTIA77Y DEVELOPMENT'SERVICES
6”4 21 1 APPLICATION / . ' /
, 253-835-2607.FAX 253-835-2609
www.cituoffederalwau.com
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SITE ADD.. LS - - -64_ , •
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SUITE/UNIT*,, ZONING ASSESSOR'S TAX/PARCEL II
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NAME OF PROJECT ,
(Tenant or Homeowner Name) 72 -A,'/ 77,-.:4 L,1 //, 4 ... .
0 BUILDING 0 PLUMBING XMECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
-7:;si-; - /•-/-72—i(
PROJECT DESCRIPTION
Detailed description of work to '
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER C7i2,4 icen/B re "rty.e4lict, ( ) _
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
°(.50NTRACTOR
g NAME 1
f/ (;711(-4-7xr-4— Z—Ak
MAILING ADDRESS,CITY,STATE,ZIP 1
-7 i-l' 1 ('
i ,
WA STATE CONTRACTOR'S LICENSE 1"1 Cr (( )) PRIMARY PHONE
_
FAX
_
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
- -- .
/ /
NAME y— c_ :-'4./.3 K._/1 f I Li-- rt rn,7'(._4/PRIMARY PHONE
PHONE
APPLICANT • isf" . -
/ DDi 7;/ I-47/MIZ-.--
(2sf3) )1; - iie`;'I
MAILING ADDRESS,CITY,STATE,ZIP FAX
517.- .0/0 ( ) _
PROJECT CONTACT NAME . PRIMARY PHONE
(The individual to receive and mAll zil---1 till V Li el----- (14'2) )- -i-t,&
respond to all correspondence 0 ADDRESS,CITY,STATE,ZIP FAX
concerning this application) EN• 'N ..., . tli s--r ;2:4-/pi
, yi s 2 )--t, ( ) _
_
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
(_)
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
...
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by arty person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: \ ZDATE
L4.-- ----- - Wi.;477
..
PRINT NAME: 77-91---7 L//-7t-e--
i .- .
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application '
64t,
Value of Mechanical Work$ �1J (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(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
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDE
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT — — —--
FIRST FLOOR(or Mobile Home) --- --- —— --_
SECOND FLOOR -- — -- —.�
COVERED ENTRY — ---- — —
DECK
GARAGE El CARPORT El
OTHER(describe) -- — —
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
CO ,, . I2CIAL-NEW/ADDITI(},.;..
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT ISP , VEMENTS`
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\I-Iandouts\Permit Application