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02-101635Cityof Federal Way Conununity Development Services 33530 rst Way S Way, ay, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 0 Building - Co ercial PerMt 02 - 1635 -00 -CO line: 253.835.3050 Project Name: EL JACAL RECiu T a o n Project Address: 29100 PACIFI el el Number: 042104 9073 Project Description: TI - In or alts; nge to t and occupy per plans; Includes plumbing work CE. Mecl u r sep a pe t. Own I I 1% 11 Contractor Lender eceRhodes VERONICA EZ MCBRIDE CONST RESOURCES IN( VERONICA MARTIN 16 4101 BROWN T BLVD NE 4101 BRO T VD NE STSIDE E AWA 2 224 NICKERSON TACOM A W 22-1176 0 too SEATTLE, WA category:" wIM7 - Comm Floor Area (Sq. Ft.): Building Pre -con. Meeting Required ................... No Fire Sprinklers ................................................. Yes Number of Stot ies................................................ l Permit for Foundation Only.................................No Special inspection Required ................................ A N� Sensitive Areas?........................................ #2 II '_ AI #3 sus Categ ............... - Commercial alt add echani I..... ....................... C37 o ILL f ui ng Shell Only ............................ bin ..... Yes Wi rti at or Occupancy b ued?............Y s g Fixtures on1 ua escripti Quantit kh IM 2 W1 Water HeatML ff 11�1 1 CO IT 1. All new and refaced signs requir,nserates apple ion review. (FWCC, Sec. 22-335(g)(6)). 2. This decision shall not waive complian with re City of Fe al Way codes, policies, or standards relating to the subject proposal. PERMI IBES uary 20, 2003, IF NO WORK IS STARTED. Permit issued on July 24, 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 accordan�t with the laws, rules and regulations of the State of Washington and the City of Federal Way. ,� /% 7// Owner or agent: Date: ,' ,i? Y'Z City OT Federal Way Certificate of Occupancy This Certificate issued purs8ant 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 CijY staff. Tenant Name: EL JACAL RESTAURANT Permit number: 101635 - 00 Address: 29100 PACIFIC S Suite 12 E.. Owner Beatrice A Rhodes Name: PO BOX 16 Address: 6622 EASTSIDE DR NE TACOMA WA 98422-1176 t �r Building Official Date The priorityfocus it: the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect 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 ofthe City or the State of %gshington affecting the construction or use ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. F.� Opp #1 #2 #3 #4 Occupancy Group: A-3 a Construction Type: Type V - N Occupancy Load: 112 Floor Area (Sq. Ft.): 2725 Owner Beatrice A Rhodes Name: PO BOX 16 Address: 6622 EASTSIDE DR NE TACOMA WA 98422-1176 t �r Building Official Date The priorityfocus it: the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect 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 ofthe City or the State of %gshington affecting the construction or use ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. F.� Opp .r t+t«. POSNHIS CARD ON THE FRONT OF BUILDI BUIING DIVISION uv INSPECTION RECORD PERMIT #: 02 -101635 -00 -CO OWNER'S NAME: Beatrice A Rhodes SITE ADDRESS: 29100 PACIFIC S Suite12 ( ) FOOTINGS/SETBACKS ( ) DRAINAGE: Line INSPECTION REQUEST PHONE #: 253-835-3050 ( ) FOUNDATION WALL DONO,T POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) Connection () ROUGH PLUMBING: DWV 41' 47n- � Water piping L 4 ,. O ROUGH MECHANICAL Gas piping yam- y --p 3C/� ( ) SHEATHING ( ) SHEAR WALLS Roof Floor w,*ICwvt& O ELECTRICAL ROUGH -IN 4—C4-0-7 P/Ditch Cover ( ) FIRE/DRAFTSTOPS 1 THE ABOVE <MUST BE APPROVED PRIOR TO FRAMING_INSPECTION -,,, w ( ) ELECTRICAL FINAL ( ) PLANNING FINAL O PUBLIC WORKS FINAL O FIRE FINAL THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL () BUILDING FINAL DO'NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED Y", t__ CONSTRU ON PERMIT APPLICATION 4z_ F�: �__'— PPLICATION NUMBER: Q D�aP�W N'4 APPLICATIONPUMBER: GAS 60 G 0E?J 'APPLICATION NUMBER:— **The following is required information — Please print (hi ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. t 1✓r N 501re#la SITE ADDRESS: � /00 PaCi C'L' C, ii lu J* ASSESSOR'S TAX/PARCEL #: © 2 C GJ LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): X BUILDING XPLUMBING ❑ MECHANICAL ❑ DEMOLITION L ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: PROPERTY OWNER.L: aeloot ` °(0a(a CONTRACTOR: 1 If2v (STREET -41z v Y" S (056) NAME: DAYTIME PHONE: t _ c- (,-;e r,) " 71 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: I 2.2a- N kclt4-c2zz� S & c) ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) j_ �.� / c LJ /��il APPLICANT: " E: DAYTIME PHONE: e,mr\; cam. I� . �-�; _ (�3) 9a5 -579 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): � � � EVENING PHONE: -�� y 10 w P RELATIONSHIP TO PROJECT: FAX NUMBER.- El UMBER:❑ ARCHITECT �] TENANT ❑ OTHER ( DESCRIBE): ( - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE:-Tct.0 C_ r yi- / EXISTING BUILDING ASSESSED/ APPRAISED VALUATION $ PROPOSED USE: "�L%�� PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER:LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION NUMBER OF BEDROOMS: ** ESTIMATED SELLING PRICE: $ 74W FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? - ❑ YES ❑ NO SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL ) `� Indicate number of cacti type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) �_ RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) PLUMBING LAVATORY(S) (- RAIN WATER SYS. SHOWER(S) _ SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) IWATER HEATER(S) ❑ ELECTRIC P GAS 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 daim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such daim), which may be made by any person, including tfie undersigned, and filed against the City of Federal Way, but only where such daim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information sy+pplied to the city as a part of this application. NAME/TITLE: A1�IA�i (/i- l /(Lp'Zt' % DATE: q— I y ' O v) ❑ PROPERTY OWNER 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 BOK 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253{661-4129 www-cityoffedera l way.com