02-104433r
City unity Development Services Federal Way
mun
ComMechanical Permit #:02 -104433 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: LUTONG BAHAY FAST FOOD AND VARIETY STORE
Project Address: 2012 S 320TH�SuiteH Parcel Number: 092104 9297
Project Description: MECH - Instal gas piping and (4) outlets for new restaurant.
Owner
Applicant
Contractor I
Andrew Cratsenberg
R & T HOOD & DUCT SERVICES INC
R & T HOOD & DUCT SERVICES INC
PO BOX 3045
6100 12TH AVE S
6100 12TH AVE S
FEDERAL WAY WA 98063-3045
SEATTLE WA 98108-2702
SEATTLE WA 98108-2702
(206) 726-0940
Mechanical Valuation..........................................1000 Over the Counter Permit ...................................... No
Mechanical Fixtures
i fiorl. Qt ai fl w= 3esca t40h; - Qiaailtl
Gas Piping 75Number of Gas Outlets 4
I -
PERMIT EXPIRES May 21, 2003, IF NO WORK IS STARTED.
Permit issued on November 22, 2002
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. i� �
Owner or agent: rrDate: 2.PO
r
11
caYOF G RECEIVED CONSTRUCTION PERMIT APPLICATION
'— PPLICATION NUMBER: Z -z _ `'
OCT O 8 2002 APPLICATION NUMBER: - -
PPLICATION NUMBER: -
CITY OF FEDERAL WAY
**The fo"tom IIm"f" information -Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 200 5. •-�DC; �- 5 -AL 5U 17 N ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ _ _
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): U I f�nlC� ANAL/
o"> -', .7_,)' C-1 C,
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING )q MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME, LUTI✓` c., AN y Y
PEOPLE•• •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME:DAYTIME PHONE:
lyf711- A�y d �.�
MAILING AODRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
taC — 19
(o?c(o )7,Z&
'o I''o
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
IC, J,2-114 A 6
( )
-
CITY OF FEDERAL WAY BUSINE LICENSE NUMBER:
FAX
FAX NUMBER:
` h ) L
1 J� —
Q
(20(p )70
'` -„
-24-67
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) 4i` G D7 !i� ,2
2
la /01
/ o3
NAME: IDAYTIME PHONE:
R I E r i (�) 7aia -b9yo
MAILING ADDRESS ( ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
92102( )
RELATIONSHIP TV PROJECT: FAX NUMBER:
o ARCHITECT o TENANT ❑ OTHER( DESCRIBE): (;2� )-74.'7 --)(-67
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER (APPLICANT ❑ CONTRACTOR
DETAILED 13UILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE (SEPTIC) I
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
Indicate number of each type of fixture
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
SECOND
AIR HANDLING UNIT(S)
THIRD
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FOURTH
HOOD(S)
WOODSTOVE
BOILER(S)
OTHER FLOORS (DESCRIBE)
RANGE(S)
MISC.(
COMPRESSOR(S)
DECK
-v FT
DUCT(S)
GARAGE
HOW MANY FLOORS?
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
TOTAL:
BATHTUB(S)
BLOCKDISCLAIM ER/SIG NATURE
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 a part of this application. y
NAME/TITLE: AAA4 UJDATE:
❑ PROPERTY OWNER 01 APPLICANT ❑ CONTRACTOR ,
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
FIXTURES
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
Indicate number of each type of fixture
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE
BOILER(S)
FIREPLACEINSERT(S)
RANGE(S)
MISC.(
COMPRESSOR(S)
FURNACE(S)
-v FT
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINALS)
WATER HEATER(S)
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
BLOCKDISCLAIM ER/SIG NATURE
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 a part of this application. y
NAME/TITLE: AAA4 UJDATE:
❑ PROPERTY OWNER 01 APPLICANT ❑ CONTRACTOR ,
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
www.citvoffederalway.com