05-105403 • City of Federal Way Mechanical Permit #: 05 - 105403 - 00 - ME
" Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:<253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
4
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Project Name: AZTECA pt'
Project Address: 31740 23RDIS Parcel Number: 092104 9030
Project Description: MEC-Replace 65-gallon gas hot water tank. Permit is to inspect the work of expired permit
#01-102145.
Owner Applicant Contractor
AZTECA MEXICAN RESTAURANT AZTECA MEXICAN RESTAURANT WASHINGTON ENERGY SERVICES CO
31740 23RD AVE S 31740 23RD AVE S 2800 THORNDYKE AVE W
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 SEATTLE WA 98199
(206)282-4700
Mechanical Valuation 700 Over the Counter Permit. Yes
PERMIT EXPIRES April 18,2006.
Permit issued on October 20,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy + the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of FedNi, ay.
Owner or agent: Date:
10 "246-05
L
A
r THIS CARD IS TO REMAIN ON-SITE , .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105403-00-ME '
Owner: AZTECA MEXICAN RESTAURANT
Address: 31740 23RD AVE S
FEDERAL WAY, WA 98003-5425
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) 0 Gas Piping(4125) p Final-Mechanical(4065)
Approved Approved to release test Approved
d k n
By Date By Date B \ Date IC (2AN
A .
Fede flay RECEIVED -O-f. I .0 -O -
COMMUA?IYDEVELOPMENT SERVICES P R R M IT SF MF CO ME EL PL DE EN FP
33325 fM AVENUE 17f•PO-971 9718 OCT 2 ° t ,P LI C AT I O N
FEDERAL WAY,WA 9eo63-97Ia Tp /
253-835-2607.FAX 253-835-2609
yww.dt yoIFederalwa y.am
The
CITY OF FEDERAL WAY
ollowi
1 ,,..1,,,- pn Inco .tete a..licatlon will not be acce.ted. Please •rint le,ibl in or •e.
IS PROPERTY� INFORMATION
SITE ADDRESS 3 7 0 A 3e• ave._ S SUITE/UNIT#
p
ASSESSOR'S TAX/PARCEL# O ! O / n V- ? v_3 0 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sgsarate psgejar lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING XMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION ' .vide detailed des. '.tion of work included on • ..:,e„it onl
A 0 ' /t eZ,t� • ,. . / A. ' /
41_,# .LL_ i t.
• — P- IMIllittet, Aim! _ a Si w
PROJECT NAME(Name of Business or Owner Last Name) A s fe ca • •
IN PEOPLE INFORMATION
PROPERTY NAME -7— PRIMARY� PHONEg� Gj
OWNER 4 L E04 (0R53) O3j - 6b!?,
i ' D ).3 CI2�P OA 91005
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE
FFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -
/ I
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with etch application) EXPIRATION DATE
/ /
APPLICANT COMPA ME°VOn APPLICANT NAME OFFICE PHONE
t
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER 1
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - I
CONTACT NAME. --E)% P MAY PHQNE .6- pZ' E-MAIL ADDRESS Y�
LENDER rl.a 0Llrt .,/,,,,I- por.,'bi7r{;or,,-, x; 1NNAAAMEEVy1U� C1�
MAILING ADD••-' a ATE,ZIP
• ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE UE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ $:. a NO FIRE SUPPRESSION SYS -,, PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER • LAKEHAVEN a HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVID' • 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) -
•
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL •
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
_FIS
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
ctasroro Orosco TOTAL it.!:_• aJs ii ?.. A1'idi
NUMBER OF FLOORS - -:•' .M1;..
"NEW HOMES ONLY'* NUMBER OF BE ODMS ESTIMATED SELLING PRICE $
FIXTURES -
Indicate number of each type offudure to be installed or relocated as part of this project. Do not include existing furfures to remain.
MECHANICAL
Value of Mechanical Work $ lj(Ilk
•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm.:ciao WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES - MISC(Describe)
COMPRESSORS FURNACES t GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tab/ShowerComboi SHOWERS WATER CLOSETS tuna) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS _ SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(eel.Std VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider 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 against the City of Federal Way,but only where such claim
arises out of reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this applicatio
r
NAME/TITLE ' ' __ illirc44 • 2 VA I4 DATE 10—2:6— Dip
(s?-•tune) (Title)
RELATIONSHIP TO PROJECT Owner ❑Agent ❑ Contractor O Architect 0 Other
r
`INV ,�It)t)('t`(-)1( ','i t'Sf}.1Y,U o)ON( .._ ._ �7, ,...._.`l• .,tti� �,.yt;I I'1)'YC 'f:n!,1: r+,' '•
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• Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Pernut Application