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04-1005080 City of Federal Way y . ConununityDevelopmentServices Building - Commercial Permit #:04 - 100508 - 00 - CO 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: EL MARIACHI ALEGRE Project Address: 29100 PACIFIC HWY S Suite12 Parcel Number: 042104 9073 Project Description: TI - Permit to complete the work of Permit #02-101635 and get final inspection and approval. Includes installation of Class I hood per drawings and installation of new gas -fueled appliances. Original permit for: Interior alterations; change from taver Owner Applicant Contractor Lender Beatrice A Rhodes LIBERTY SERVICES LIBERTY SERVICES NONE 6622 EASTSIDE DR NE 10704 SE 201ST LIBERS*009CH 2/13/06 Yes TACOMA WA KENT WA 98031 10704 SE 201 ST 112 98422-1176 BC KENT WA 98031 NONE Includes: Census category: 437 - Comm Occu =P Y Group: _ _ _ -- #1 A-3 437 - Commercial alt/add #2 - -- #3 -lr #4 — Number of Stories................................................1 YP---- Construction T e: Type V- N YP Permit for Foundation Only.................................No Plumbing ................................................. Yes Special Inspection Required ................................ No Will Certificate of Occupancy be Issued? ............ _anc — -- Occupancy Load 112 Zoning Designation ............................................. BC Floor Area��- Description _ Description _';Quantity! -- — ----- �r Dishwashers 2' FGas Pipe Outlets Building Pre -con. Meeting Required...................No Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers ................................................. No Mechanical................................................. Yes Number of Stories................................................1 Permit for Building Shell Only ............................ No Permit for Foundation Only.................................No Plumbing ................................................. Yes Special Inspection Required ................................ No Will Certificate of Occupancy be Issued? ............ Yes Sensitive Areas? ................................................. No Zoning Designation ............................................. BC Plumbing Fixtures Description Quantity Description J�Quantity Description _';Quantity! -- — ----- �r Dishwashers 2' FGas Pipe Outlets — 5 Lavatories 2 Urinals 1 2 Water Heaters CONDITIONS: 1. All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22-335(8)(6)). 2. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES September 1, 2004. Permit issued on March 5, 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: (p? Q �'>_:_ O City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: EL MARIACHI ALEGRE Address: 29100 PACIFIC S Suite 12 Permit number: 04 - 100508 - 00 #1 #2 #3 #4 Occupancy Group: A-3 Construction Type: Type V - N Occupancy Load: 112 Floor Area (Sq. Ft.): 2725 Owner Beatrice A Rhodes Name: 6622 EASTSIDE DR NE Address: TACOMA WA 98422-1176 Building Official Date The priorityfocus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely ffect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. POSjrIS CARD ON THE FRONT OF BUILD ACI S ,-1 Federal Way BUIL ING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 T'ERMIT #: 04 -100508 -00 -CO OWNER'S NAME: Beatrice A Rhodes SITE ADDRESS: 29100 PACIFIC S Suite12 O FOOTINGS/SETBACKS ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED () UNDERFLOOR FRAMING_ O ROUGH PLUMBING: DWV O ROUGH MECHANICAL_ O SHEATHING () SHEAR WALLS O ELECTRICAL ROUGH -IN_ O � �RE/DRAFTSTOPS Water piping Gas piping Roof Floor Ditch Cover ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK O WALLBOARD NAILING ( ) SUSPENDED CEILING <THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE O ELECTRICAL FINAL_ () PLANNING FINAL O PUBLIC WORKS FINAL O FIRE FINAL THE ABOVE MUST BE ( ) BUILDING FINAL TO BUILDING DEPARTMENT FINAL DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED DEV 395530 F:RSr WAY SOl1l1i Po BOX 9 cma aF FEDERAL WAY, WA 98063-9718 ��61�/15�FAX' Federal way PERMIT APPLICATION 4536614/29 Imow.citunf(ederalwau mm �'1 Foy Ots« U- o'ay: FW File Number: The following is required information —an incomplete application will not be accepted. Please print legibly (in ink) or SITE ADDRESS: �ry G�©� �/J� /F/� �CC> y SUITE/APT # _ ASSESSOR'S TAX/PARCEL SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1) =f— L (Attach separate page for lengthy legal description) TYPE OF PERMIT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onluh. PROJECT NAME (Name of Business/Owner Last Name): L Iq k / 1 1 C �} / l— - I� E PEOPLEI • - • PROPERTY OWNER: LENDER: (I[ P-P—d Value > $5,0001 APPLICANT: NAME• MAILING ADDRESS (STREET ADDRESS;): PRIMARY PHONE: MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP WA JP MAILING ADDRESS (STREET ADDRESS): /any .sem ze�� CITY, STATE, ZIP �t �� 03 ^ EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: ❑ Architect ❑ Tenant ❑ Other (Describer �CIA�/1,61C %� FAX NUMBER: NAME4COMPANY OFFICE PHONE: (253 ) 9/3 - 4'r10 - MAILING ADDRESS (ST EET ADDRESS;): 2 Jz,1 C[TY, STATE, ZIP q86-31 CELL PHONE: ( )2Dw S�CO1% CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: z— L e e O ' EXPIRATION DATE: (copy of cud required with each application) C.._ ("/ NAME: —T-15ITY, DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS;): STATE, ZIP NAME: r U, 10 1-1412 TleO COMPANY Z S�f�t//C' OFFICE PHONE: ( 2.x'0) sqq - D 1 MAILING ADDRESS (STREET ADDRESS): /any .sem ze�� CITY, STATE, ZIP �t �� 03 ^ EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: ❑ Architect ❑ Tenant ❑ Other (Describer �CIA�/1,61C %� FAX NUMBER: CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor ❑ Applicant = DRESS: DETAILED 1 • I • • EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED?: ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 19 ■ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT FIRST o YES ❑ NO BASIC PLAN? o YES o NO SECOND CHANGE OF USE? o YES o NO THIRD o YES o NO UP/SEPA/SU? o YES o NO FOURTH o YES o NO DEMO PERMIT REQUIRED? o YES o NO ADDITIONAL FLOORS (DESCRIBE) DECK (COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISDNG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED `*NEWHOMES 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. MECEL4ATCAL Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (or Tub/shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS pauuo sink EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS REFRIG. SYSTEMS HOODS(co­w) WOODSTOVES RANGES MISC (Describe) G -AS WATER HEATERS WATER CLOSETS Ironed MISC (Describe) DRINKING FOUNTAINS RAINWATER SYS HOSE BIBBS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 st the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers ant loyees, upon the accuracy of the information supplied to the cityas a art of this plication. NAME/TITLE: DATE: Cy h i ure) (Title( RELA o Property Owner ❑ Applicant ❑ Architect ❑ FOR OFFICE USE ONLY: ❑ NEW o ADDITION ❑ ALTERATION ❑ REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? o YES o NO ZONING DESIGNATION: CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Page 2 0 Public Health Seattle & King County HEALTHY PEOPLE. HEALTHY COMMUNITIES. Alonzo L. Plough, Ph.D., MPH, Director and Health Officer May 3, 2002 Veronica N. Martinez 4101 Browns Point Blvd NE Tacoma, WA 98422 RE: El Jacal Mexican Restaurant 29100 Pacific Hwy S Suite 12 Federal Way, WA 98003 Dear Veronica N. Martinez: We have approved the plans for your food service establishment. V10 da k Your establishment has been assigned the following business identification number (SR#1036108). Please use this SR# in all future contact with us. Before you open for business, you must complete the enclosed application for a permit and return with the correct fee of ($495.00) for a (6302) permit. If you open before you obtain your permit, your permit fee will be double. Before you open you need to schedule a pre -operational inspection by the Health Department. Although your application for a food service establishment permit from Public Health Seattle and King County will be approved during this inspection, you may need to obtain additional permits or approvals from other agencies. It is the responsibility of the food service establishment operator/owner to obtain all necessary permits and approvals. Operating the establishment without these required permits or approvals may subject you to legal action by the appropriate agencies. If you open without health inspection, you may be closed. Once your plumbing permit has been finalized, contact me at (206) 205-1903 to schedule the pre -operational inspection. Failed pre -operational inspections will require a $100.00 fee for a repeat inspection. Be sure all other business inspections are done (plumbing, building, etc.) before you call for your Health Department inspection. Sincerely, U_0� Mike Milbach Plans Examiner MM:dg Enclosure Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 • Kent, WA 98032 T (206) 296-4708 F (206),296-0163 • www.metrokc.gov/health City of Seattle. King County Gregory J. Nickels, Mayor Ron Sims, Executive BE C-0111PPED wn, _4 A, W [", V 'ij Mi OF rdREE PAR-iUFNTS; A qPACE PGR SOILED OTENSIOLS AHEAD -r4' RRST COMPARTMEVI, 03 URAIM s t C-OARDS FOR CLEAN UTENSIU. rv9,- AIN 0AR03 AT EACH ".N0 RECOMM- NDIRECT DRAFWAGE TO SEWER IS R E-WRED FOR WASTE LIQUID DISCHARGE Kli E(TIPPMENT AND UTENS1, 8 MWT BE IN CONFORMANCELITHTHE CURREN'-'-i- LISTINGS Of Nv"lli AL SAS ATION FOUNDATION (NSF) OR APPROVED F0911"I'All.-FNIT. APPro(V�"D PRE -(MING INSPHTION BY MAY 0 2 2002 OPMM%. APPUCWT '13 FWRED TO BE AVAPLAO LE 3M DURINCI INSKCROK - 0 OF:;,* F� L -/k " J,&S62- 1, /Z to i. ( , t o D 0 U) u- 0 Ncy) I w F)RAWN T. BUCKLEY CHECKED E)^ -re 02/18/02 SCALE J(DF3 NO. 02032G SHEET F= 4:3 — I W Q w u -