04-100504City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: TACOS GUAYAMAS
Project Address: 31434 PACIFIC S
Mechanical Permit #:04 -100504 - 00 - ME
Project Description: Fabricate and install extension to existing Type I hood.
Inspection request line: 253.835.3050
Parcel Number: 092104 9257
Owner
Applicant
Contractor
SALVADOR SAHAYUN
LIBERTY SERVICES
LIBERTY SERVICES
TACOS GUAYMAS Y MAS
10704 SE 201 ST
10704 SE 201ST
31434 PACIFIC HWY S
KENT WA 98031
KENT WA 98031
FEDERAL WAY WA 98003
(253) 813-6967
Mechanical Valuation..........................................450 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description Quantity Description Quantity Description Quinti
Hoods 1
PERMIT EXPIRES August 17, 2004.
Permit issued on February 19, 2004''
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: Date: Z 1 Cl— O�
z
IRE
COMMUNITY DEVELOPMENT SERVICES
33530 RW WAY SOt17it • PO BOX 9718
cmr of �� } i l� J FEDERAL WAY, WA 98063-9718
Federal way PERMIT APPLICATION- �53v61wR"«_ .�mm'Z'
Far offs«us<orly: y - Q T— - ! (
FW File Number: 5-P t •
The following is re uired in ormation - an Inco fete aeL21ication udli not be accepted. Please rint Ie ild /in in or e.
PROPERTY•- •
SITE ADDRESS: SUITE/APT # .
ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _ _ SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT1 •- •
TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEE G ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlyt
L CL�\�;q I- 400') FxrEA-)7'►'0t,.c
PROJECT NAME (Name of Business/Owner Last Name):
PROPERTY
OWNER:
L1l2v�O
CONTRACTOR
LENDER:
(if P-p—d vd- > $5,000)
APPLICANT:
NAME: V^ iFS" A m qJ 4 L i PRIMARY HONE: -
MAILIN A DRESS�1 ((STREET AD ESS;): CITY, STATE, ZIP 1`
NAME
LiQe-iz Eav1�F
COMPANY
OFFICE PHONE:
VS-3) '-&0)44
MAILING ADDRESS (STRE ADDRESS;):STATE,
o V S F. 201
ZIP
�LTX-tr
CELL PHONE:
(?0&) s.39
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
63 - 1 oD5 S 8 — _ -- / /
FAX NUMBER:
(K3 ) 813
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) _ / /
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAM COMPANYOFFICE
UAArrr ),J� 6 y y€��
PHONE:
-oq &4-
MAILING ADDRESS (STREET ADDRESS): CITY, STATE, ZIP
( 3 P)cA �-cC 1�c,c "- o� rv�� wn �kDo3
EVENING PHONE:
( ► -
RELATIONSHIP TO PROJECT: F
❑ Architect ❑ Tenant Other (Describer
FAX NUMBER:
CONTACT PERSON FOR THIS PROJECT. ❑ Property Owner ❑ Contractor pplicant E-MAIL ADDRESS:
DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
■ PROJECT FLOOR AREAS
mm
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o NEW ❑ ADDITION
❑ ALTERATION
FIRST
BUILDING. SHELL ONLY?
SECOND
BASIC PLAN?' o YES
❑ NO
THIRD
CHANGE OF USE? ❑ YES
o NO
FOURTH
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
ADDITIONAL FLOORS (DESCRIBE)
•
PLATTED LOT? '
❑ YES o NO
DECK (COVERED?)
o NO
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EGSTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
-AIR HANDLING UNITS
BBQS
BOILERS
--_COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (orTub/Sha—r Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (cemme al)
RANGES
G, -4S WATER HEATERS
WATER CLOSETS (roaa) _
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
-)ISCLAIMER/SIGNATURE BLC
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my
knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit
application is made. 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 of Federal Way, 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 o%f this plication.
NAME/TITLE: , !� DATE: -1 / D
(Signatur (Title
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
Page 2
�rurtcvrra�.r. vac. va.a.a.
o NEW ❑ ADDITION
❑ ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING. SHELL ONLY?
;, a YES ❑ NO
BASIC PLAN?' o YES
❑ NO
ZONING11 DESIGNATION:
CHANGE OF USE? ❑ YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
o NO
•
PLATTED LOT? '
❑ YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
Page 2