18-100643City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax (253) 835-2609
Project Name: RINCON DE LAS DELICIAS
Project Address: 30406 PACIFIC HWY S
FILE
Building - Commercial
Permit #:18 -100643 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9107
Project Description: TI - Tenant improvement to include construction of partition walls to create restroom and
kitchen. Includes plumbing and mechanical.
Owner
Applicant
Contractor
Lender
FRANCISCA PEDROZA
MICHAEL VALIENTEESTATE
QUALITY WOODWORKING &
OWNER IS LENDER
205 S 287TH PL
SERVICES UNLIMITED LLC
CONSTRUCTION LLC
New / Additional Sq. Feet - Garage........................
FEDERAL WAY WA 98003
1802 NW 201ST
PO BOX 81002
Plumbing Work Valuation?.....................................
10000
SHORELINE WA 98177
SEATTLE WA 98108
I
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class:
B
Construction T
Type V - B
Occupancy Load:
Occupancy #1 -Construction Type .........................
Floor Area (sq. ft.)
420.00 0.00 0.00 0.00
Additional Permit Information
New / Additional Sq. Feet -1st Floor ..................... 0
New / Additional Sq. Feet - 2nd Floor....................
0
New / Additional Sq. Feet - 3rd Floor ..................... 0
Occupancy #1- Area (Sq. Feet)..............................
420
New / Additional Sq. Feet - Basement .................... 0
Occupancy #1 -Construction Type .........................
Type V - B
New / Additional Sq. Feet - Deck ..........................
0
New / Additional Sq. Feet - Garage........................
0
Mechanical to be Included? .....................................
Yes
Plumbing Work Valuation?.....................................
10000
Mechanical Work Valuation? .................................. 6000
Number of Stories...................................................
I
New / Additional Sq. Feet - Other ........................... 0
Is this an Online or O.T.C. application?..................
No
Permit for Building Shell Only? ..............................
No
Plumbing to be Included? ........................................
Yes
New / Additional Sq. Feet - Total ...........................
0
Occupancy #1 - Use................................................
Restaurant
Comprehensive Plan Designation ...........................
Community Business
Zoning Designation .................................................
BC
Total Valuation: 25,000.00
limmilospla a iii ii�
11111
11111
Gas Piping
1 Gas Pipe Outlets
MEN=
5 Hoods
1
Hot Water Tanks
1
MICRO
Drains
10 Lavatories
2 Sinks
1
Water Closets
1 Water Heaters
1
PERMIT EXPIRES Saturday, 13 October, 2018
Permit Issued on Mondav, April 16, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupanc nd 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 ag Date:j
r
cnrr or
Federal Way
THIS CARD IS TO REMAIN ON-SITE
f '--istruction Inspection Record
NSPECTION REQUESTS: (253) 835-3050
PERNM #: 18100643 00 Address: 30406 PACIFIC HWY S Unit C
Project: FRANCISCA PEDROZA FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TINS 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.
❑
Initial Erosion Control (4365)
0
Footings/Setback (4110)
0
Re -steel (4215)
To be done PRIOR to creaking ground.
IM
Approved to place concrete
By
Approved to place concrete or grout
By
Date
By
Date
By
Date
0
Plumbing Groundwork (4190)
®
Slab/Concrete Floor (4255)®
®
Underfloor Framing (4285)
Approved to cover
IM
Approved to place concrete
By
Approved to sheath floor
By
Date
By
Date
By
Date
0
Floor Sheathing (4105)
E9
Rough Plumbing(4230)
®
Mechanical Rough -in (4165)
Approved to install flooring
IM
Approved
By
Approved
By
Date
By
� Date 5
By
Date
By
Date
By
Date
I
By
Gas Piping (4125)
El
Fire/Draft Stops (4095)0
Interim Erosion Control (4370)
Approved to release test
Approved
JBy
Approved
By
Date
By
Date
Date
118 sche"llag
a&
Framing (4120)
®
Insolation (4150)
EPrior
M
Approved to insu/late
Approved to install wallboard
and FhwBraft Stop iaspectieas nwt be siped.
off and approved. II3C 1093.4
By
Date w
By
Date
16
Gypsum Wallboard Nailing (4130)
®
Suspended Ceiling Grid (4265)
ED
Final - S K F & R (4060)
Approved to install mud do tape
Approved to drop tile
1BY
Approved
By
AfJ Date
By
Date
Date
®
Final - Planning
®
Final Erosion Control (4375)
0
Final - Mechanical (4065)
Approved
Approved
113Y
Approved
By
Date
By
Date
Date
0
Final - Plumbing (4075)
E9
Final - Building (4050)
Approved
Approved
By
Date
By
Date '
Approved
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
I
By
Date
41k
CITY OF
Federal Way
PERMIT NUMBER I � _
RECEIVED PERMIT APPLICATION
FEB 0 9 2018 PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
CITYOF FEDERAL WAY
10 0 DEVELOP- _ C b
TARGET DATE 3 / f0 /
SITE ADDRESS
SUITE/UNIT #
�o4o& h -W q Q c a w Ri3Do 3
- G
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
BUILDING 2PLUMBING JZ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
P(NCO N 'e i A -s•
Me—VICE D L1 co),liG'cSTING M �2ePk2lti4. PAQjT JUIC6c
PROJECT DESCRIPTION
Detailed description of work to
u0 R- fee, 0640 NG 647-41,1-
47-41,Lbe
beincluded on this permit only
i]„ee px- -nrjzz- 4ciwr. -s4c� 55-A-rIP4 .
NAME
PRIMARY PHONE
Loftp- e-44AC-P S
PROPERTY OWNER
MAILING ADDRESS
I X41 o g$Ac" (G AtAr 4P 4 Z2,
E-MAIL
CITY
iYc-o"
STATE
I 'A A
ZIP
11 22'
(�
NAME _
PHONE
MAILIM DRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
EDERAL WAY BUSINESS LICENSE #
NAME
^60AA-1
PRIMARY PHONE
2 .6 47-7
MAILING ADDRESS
(fdD0-9W 201 ST
E-MAIL
emit, 2
APPLICANT
CITY
CITY
sitaird-i" f,
STATE
I wR
ZIP
M Nn
FAX
NAMEs
^-n
PRIMARY PHONE
PROJECT CONTACT
f'�M' (.l C,&PT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME QW "E g-
OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, Z
'rt{ 1 _ / 111��L �gco�
iI dPHONE
Zg�% Z 1 J' ' 4 f a
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the blest
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 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 Z Zattl
PRINT NAME:�L�
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
4A-_
VALUE OF MECHANICAL WORK
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
Indicate how many of each type
offixture to be installed or relocated as part
of this project. Do not include existing res to remain.
AIR HANDLING UNITS
FANS _rte
GAS PIPE OUTLETS ✓ OTHER (Describe),
AIR CONDITIONER
FIREPLACE INSERTS —L
HOODS (commercial) fin- -.y—,y v4aS
BOILERS
COMPRESSORS
DUCTING
FURNACES L
GAS LOG SETS
GAS PIPING
HOT WATER T,%nKS -_HJT
REFRIGERATION SYST S7LA�M TW3(,�
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 1A0/ 0c,0
Indicate howmanyo each type offixture to be installed or relocated as part o -this-project. Do not include e 'etinq ftxtures'tin to, remain.
BATHTUBS (o Tub/shower Combo) ?+ LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
— O DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS (Kitchen/Utility) WATER HEATERS (Bkeetto�/i�L�• (}56
HOSE BIBBS SUMPS WASHING MACHINES —� TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
4A-_
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
FOR OFFICE USE
{
AlSET1�I�FT� ��
A
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Stories
{ _,
� � kms. Ow
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
{
AlSET1�I�FT� ��
A
# of
Additional Information
.-..... ____._.--... -.- . --......-..-......-........-...-..........-.....-.........-----
11 _ ..
.-�
—
Stories
{ _,
� � kms. Ow
FIRST FLOOR (or Mobile Home)Ow
•g��g�j
/u ,
!
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
COVERED ENTRY
Square Feet
�
�
�.,. ''
.-....... -..--..................... ..-............--... -........ --._....................
,sem �km....carth.... � ..Y t";,t ���
,�J �".✓�
�fF��Yf„ •�
'� +• .g
✓/. �f :. i ..« .. •_c
GARAGE ❑ CARPORT ❑
nil. ,�`. � . � .f.. st2. .yinf'h y,
TENANT AREA ONLY
420
�F� ..
�i%rte se '.�'• �s:v.
...............-...... -........ ...........................-.-....... ---..... -_.....
gfiF
,Sorts
r,.'.0 Y"
,y„=5 orf ^:-„rik�,�n '` /1.t�-w'
N'111.111
Area Totals
EXISTING
PROPOSED`
TOTAL
MEr
x
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
Area in
AREA DESCRIPTION
Occupancy Group(s)
Construction
# of
Additional Information
S uare Feet
a
Stories
{ _,
� � kms. Ow
•g��g�j
/u ,
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of Additional Information
Square Feet
a
Stories
k
.,
.T. �.
✓/. �f :. i ..« .. •_c
- ..r n �_ . .;
nil. ,�`. � . � .f.. st2. .yinf'h y,
TENANT AREA ONLY
420
�i%rte se '.�'• �s:v.
�
,Sorts
r,.'.0 Y"
,y„=5 orf ^:-„rik�,�n '` /1.t�-w'
N'111.111
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application