06-102549City of Federal Way
Community Development Services
P.O. Box 9718 4"
;.r
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 06 -102549 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: LA BELLA CAFE
Project Address: 1805 S 316TH ST Suite A101
Project Description: Installing new gas piping for new hot plate in restaurant
Parcel Number: 092104 9304
Owner
Applicant
Contractor
WESTERN PALISADES INC
ESTHER FOERDERER
MAN -REE CONSTRUCTION INC.
5515 AIRPORT WAY S
MAN -REE CONSTRUCTION INC.
MANRECI988N8 3/21/06
SEATTLE WA
1227 NE 198TH ST
1227 NE 198TH ST
98108-2202
SHORLINE WA 98155
SHORLINE WA 98155
Additional Permit Information
Mechanical Valuation............................................500.00 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Gas Piping.. .................................... 12 Gas Pipe Outlets............................. 1
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record_
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102549 -00 -ME
Owner:
Address: 1805 S 316TH ST Suite A101
FEDERAL WAY, WA 98003
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
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test / Approved
By Date By / Gf Date By Date
"/-?7_ 77
G(//L L 665'"
-�TGIE ��/tdyj�n ,� .
I
CITY OF RECEIVED
Federal Way— — —
CoMwffl"D'%V=pM,,s=wCffs MAY 19 2006 PERMIT SF MFC ME EL PL DE EN FP
3332S 8w AVERAL WA , WA 9 • PO BOX 9718 �' ' LI C AT I O N
FEDERAL WAY, WA 98063-9718
ss3a3sa6o7•PAxss9a3s-s6®ITY OF FEDE A /OT'
"°h"°"'°°"' BUILDING DEPT.
The follogdis cwuired information - an Inco late a iication will not be accerrted. Please rant legibly n in or
PROPERTY•- 1 •
r
SITE ADDRESS �` 8e) 15 s, - 3 / Ej � S'" 1 S / !e, / D / SUITE/UNIT i .
I ASSESSOR'S TAX/PARCEL — — _ - LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Awadi a��proel� N�hY M7� d1
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO T DESCRIPTION (Provide detailed des ' tion of work included on this vern it onl
,J f� 2/
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE;•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
VU
1"
EXISTING USE
NAME PRIMARY PHONE
MAILING AD REST CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE NE
MAILING ADDRESS
AN � C ,�
CELL PH NE'
(/�(i � j�
- 3
MAILING ADDRESS
�f. /4 4
CITY, STATE, ZIP
lw'� �J
CELL P ONE
(3x)Z216
-3 S
CITY O FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX
— --- --- — — -B L
�ER%
(2,�'3D�(,
-3
CONTRACTORS REGISTRATION NUMBER (copy of card required with **ch application)
EXPIRATION DATE
COMPANY NAMEC
APPLICANT NAME
OFFICE PHONE ONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PH NE'
RELATI NSHIP TO PROJECT
❑ Architect [3Tenant ❑ Agent Other (DescribeJ�/ �7 roL-C' 11.
FAX NU BER
( ) 6 _
NAME
MAILING ADDRESS CITY, STATE, ZIP PHONE
( )
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 5700 ' CO •
SPRINKLERED BUILDING?FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? ❑ NO
WATER SERVICE PROVIDERrfES
EHAVEN❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDEREHAVEN ❑ HIGHLINE ❑ PRIVATE SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
80. FT.
BASEMENT
FANS
HOODS pammercw
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Descrile)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS ireuq
MISC (Describe)
DECK(COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
smtuo
nwroem
TWAL
LAVE pt.,x-4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
MECHANICAL
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS pammercw
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Descrile)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
G
BATHTUBS IerTub/sho.erGembd
SHOWERS
WATER CLOSETS ireuq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE pt.,x-4
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the Warmation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 dny 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.
NAME/TITLE DATE
(Signature) lTil
RELATIONSHIP TO PROJECT O Owner O Agent O Contractor O Architect ❑' Other
9 ..PA L\T.inn.innM\Ds.•mi} Ann .eofinn
REGISTERED 'AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 MANRECI988N8"08/28/2006
:EFFECTIVE DATE 08'/28/2'002
MAN-REE"CONSTRUCTION INC
1227 NE 198TH
.SHORELINE WA 98155
Signature
issued by DEPARTMENT—QE, LABOR AND INDUSTRIES