09-100501MechahkAl
r City of Federal Way
Community Development Services Per] � #: 09-100501-00-M E
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q (253) 835-3050
Project Name: MI PUEBLO MARKET
Project Address: 31007 PACIFIC HWY S Suite A
Parcel Number: 082104 9061
Project Description: Installation of (1) commercial Type I hood, (1) Type II hood, (1) make-up air unit, (1)
baking oven, (4) gas pipe outlets, and associated ductwork.
Owner
Applicant
Contractor
SALVADOR PALACIOS
SALVADOR PALACIOS
OWNER IS CONTRACTOR
3001 288TH ST APT A39
3001 288TH ST APT A39
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Mechanical Valuation............................................7500 Is this an Online or O.T.C. application? ................. No
0,y..
Ducting........................................... 1 Fans ............................................. 1 Gas Piping ...................................... 1
Gas Pipe Outlets ............................. 4 Hoods............................................. 2 Ranges............................................ 1
........................
QQN 1TIONS:
Per FWCC, Sec. 22-960, Mechanical vents, penthouses or equipment that extends above the roofline must 1
surrounded by a solid sight -obscuring screen that meets the following criteria: a) The screen must be
integrated into the architecture of the building. b) The screen must obscure the view of the appurtenances
from adjacent streets and properties.
PERMIT EXPIRES Wednesday, September 2, 2009
Permit Issued on Friday, March 6, 2009
1 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
j and the City of Federal Way.
Owner or agent: Date: 3 �� O
FINAr -� �
THIS CARD IST MAIN ON-SITE
CITY OF Community Develop ent Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09 -1005.01 -00 -ME
Owner: SALVADOR PALACIOS
Address: 31007 PACIFIC HWY S Suite A
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 3 3 �, By v✓ ) Date B Dat
For ins ector reference only___ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
C"TOF
Federal�Cel\/W PERMIT
COMMUMTY DEVELOPWM SERVICES
333?FED AU WAY, WA 9 • POBOX 97 00 P ,I C AT I O N
FEDERAL WAY, X 98063.260 2 p
253-835?607• PAX 2S3-835-2609 ,.p,
www.aha/ *n *vm cm
40- civ -so l
SF MF CO(5 EL PL DE EN FP
r 2�' / ez 7;'lt /oll
ASSESSOR'S TAR/PARCEL # a ':� 2- —� a e,--- ? e _6 / LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme FstateS, Lot 1)
PROJECT.- •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 4 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work vwhtded on this m n d only)
E PEOPLE INFORMATION
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
COMPANY NAME
M ! ,C"if'c-c' M/���f� j',zr�:;
APPLICANT NAME
/���.ci�,.�;„� dC�l ccs
OFFICE PHONE
(mac`=-)-'"-�i�
MAILING ADDRESS
7i GCS � 'ACI ' 1� )-TU fl—
O AD
gr
CELL PHONE
STA ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICEN
NUMBER EXPIRATION DATW
FAX NUMBER
( )
CONIBACPOIi'8 REGISTRATIOA NOIR$
Lr DA1B
E-MAIL ADDRESS
COMPANY NAME
M ! ,C"if'c-c' M/���f� j',zr�:;
APPLICANT NAME
/���.ci�,.�;„� dC�l ccs
OFFICE PHONE
(mac`=-)-'"-�i�
MAILING ADDRESS
7i GCS � 'ACI ' 1� )-TU fl—
CITY, STATE. ZIP
r-rrf7L
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect Aienant ❑ Agent ❑ Other
( ) -
---,?14-` ! ” ! C,' 6j PRIMARY PHo C E-MAIL ADDRESS
NAME
Per RCW 19.27.095.
-oder iq jorn-Han is required tf P^oj—t
d-carry, TE. ZIP
EXISTINGUSE �' l= / � 7 C tC PROPOSED USE /1' '' "-' f`� cL ( 76., r- 1y
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORE
SPREINE LERED BUILDING? ❑ YES /%fl NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? *YES O NO
WATER SERVICE PROVIDER / (LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER kLAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
BASEMENT
EBISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
FIRST
VACUUM BREAKERS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
SECOND
ELECTRIC WATER HEATERS
BBQS
FANS
THIRD
-MISC (Describe)
BOILERS
FIREPLACE INSERTS-
ADDITIONAL FLOORS (DESCRIBE)
YES 0 NO
COMPRESSORS
FURNACES
DECK (❑ COVERED OR ❑ UNCOVERED?)
M1�p
DUCTS
GAS LOG SETS
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
` '
'ROPOSID
TOTAL
TaTetasarauosr
7OTAL J00POSED ar
Tenter
"NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudune to be installed or relocated as part of dds pToject. Do not include existing fixtures W remain.
ACDCBAIIMCAL .
v_: v
Value of Mecieanicxnl Work $ 61:'C;
(A COPY OF BID OR EsnMATE MUST BE INCLUDED WrM APPLICATION)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETSWOODSTOVES
ELECTRIC WATER HEATERS
BBQS
FANS
GAS WATER HEATERS
-MISC (Describe)
BOILERS
FIREPLACE INSERTS-
HOODS (A
YES 0 NO
COMPRESSORS
FURNACES
Z RANGES
M1�p
DUCTS
GAS LOG SETS
REMO. SYSTEMS
BATHTUBS (CrTub/$hmwCemb4
LAVS ( 9n*q
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rromq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
IIP/SEPA/SU? 0 YES
SIGNATURE
I cert(jy under ponalty of perjury that I ane the propertly osmer or authorized agent of the property owner. I cerWy that to the best of any
knowledge, the Wormation submitted in support of this permit application is true and correct I certify that I udU comply with all applicable
City of Federal Way does not remove the ou/ner'a res P 9 to the nark authorized by the issumees of a permit: I understand that the issueowe of Ws pwmtt
I lttr em ague fs hold respohaninzee the � compliance wain loco4 st � or federal laws regulating construction or wwjronmental laws.
City of federal Wady as to any claine #neheding costs, w9wnses, and attorneys' fees incurred in the
investigation and defense of such claim), which may be mads by any person, inciudlny tho undersigneei, and ,Bled against the city, but only
where such claim arises out of the of the city, including its officers and anployees, upon the accuracy of the ir{formation supplied to
the eity as a part of this app
SIGNATURE: DATE '� !✓/
Property Owner and/or Authorized Agent
0 NEW o ADDITION
a ALTERATION
o REPAIR ANT MIPROVEMENT
BUILDING SHELL ONLY?
0 YES ANO
BASIC PLAN? 0 YES
PVO
ZONING DESIGNATION
CHANGE OF USE? o YES
94FO
NEW ADDRESS REQUIRED?
0 YES k(NO
IIP/SEPA/SU? 0 YES
00
PLATTED LOT?
YES 0 NO
DEMO PERMIT REQUIRED? 0 YES
brio
tsullenn IF I UU — January 1, 2009 Page 2 of 4 MandoutsTermit Application