06-106474 1
110
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City of Federal Way Mechanical Permi #• 06-106474-00-ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PUERTO VALLARTA
Project Address: 2002 SW CAMPUS DR Parcel Number: 132103 9108
Project Description: Mechanical for new restaurant to include (4)split systems,ductwork,(4)compressors& (2)
exhaust fans.
Owner Applicant Contractor
CLEMENTE ANDRADE MECHANICAL&CONTROL SERVICES MECHANICAL&CONTROL SERVICES
2611 35TH AVE SE 4624 16TH ST E MECHACS962BR
PUYALLUP WA 98374 FIFE WA 98424 4624 16TH ST E
FIFE WA 98424
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Additional Permit Information
Mechanical Valuation 59896 Over the Counter Permit? No
Mechanical Fixtures
Compressors 4 Ducts... 4 Fans 2
Furnaces 4 Gas Pipe Outlets 4
PERMIT EXPIRES Monday, January 26, 2009
- Permit Issued on Friday, January 26, 2007
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 ,ith the laws, rules and regulations of the State of Washingtoniiii
-)....„:01,....t ity of Federal Way.
Owner or agent. Date:/6/e
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THIS CARD IS TOMAIN ON-SITE
CITY OF ommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-106474-00-ME
Owner: CLEMENTE ANDRADE
Address: 2002 SW CAMPUS DR
FEDERAL WAY, WA 98023-6603
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.
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gMechanical Rough-in(4165) . Gas Piping(4125) Ej Final-Mechanical(4065)
Approved ptiC
Approved to release test /3 j pe4 Approved
By Date By Date 2A3/07 By Datelo-e4—n 7
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CITY OF 2006 OLl ! O 6 Y71/
Fe.deralWay DEC 2 - PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO Q�/111i JEL PL DE EN FP
3332F5E8;AVENUE SOUTI{VA •PO BOII.y�I�pF FEDERAL AT �� /
253-83S-2607. AX 25343S-2609 BUILDING DAPPLICATION TD
www.dttro/ledemlwau.com
I / rill/
07.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
R PROPERTY INFORMATION •
SITE ADDRESS P co 51..,,-` 6z-,vvii9sr 5 Oche... SUITE/UNIT ft
ASSESSOR'S TAX/PARCEL# t 3 Z I O -D - 9 ( 0 8� LOT SIZE(sj) 7 Sc ')
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LEGAL DESCRIPTION(e.g.Acme Estates, Lot I) •
(Attach separate page/or lengthy legal ducription)
■ PROJECT INFORMATION
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TYPE OF PERMIT 0 BUILDING 0 PLUMBING ., IECHANICAL
.0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
..S-fm 5 1 l (Li ) S pal: - S c..vi 5 + rc._-4,.t.r,..1c-i-tc- g. ) i=x h4„5 f fi e.,
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PROJECT NAME(Name of Business or Owner Last Name) Pu e r 4-0 Vet )1elr4 Z S-4 trtt o-C w..4-
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ' - � &i ICI G1"5 ( ) -
MAILIN DDRESS CITY,STATE,ZIP E-MAIL ADDRESS •
I v I I_ _•i,c l 3 6'-. . 4'e. (,,►-tt t.✓h- Gtr'Sei 7
CONTRACTOR COMPANY NAME . APPLICANT NAME OFFICE PHONE .
.i/11¢.ranrt,e1tkx 1 4.(co'irkoA r,rit., .---17e c..1 1-1,-*,�. ('5 3) 9c? --'I 7 71
MAILING ADDRESS CITY,STAT ,ZIP - CELL PHONE .
z&-di-1t rcc }�' .5'�. eqs r- ••i , r .4 ' 5ri.rxi (ms's 3) 3 C,1•v 3 Y..
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
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(o?J 3) go76,--90)a
COPY of ontd ngnirid CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
rltheaeh.ppUotttots b • rn Ll./4C314,9j5r 0//3'/o •'c'ristfr✓lCt.hN.t'tceie.6-,-4.r7A
APPLICANT COMLEYYIAyE APPLICANT NAME OFFICE PHONE ' Jl
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MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
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( ) -
' RELATIONSHIP TO PROJECTFAX NUMBER
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❑ Architect 0 Tenant ❑Agent 0 Other ( ) - ,
PROJECT NAME PRIMARY PHONE E-MAIL 4DbRESS•
CONTACT e G ( , .-1)1-%4 WSJ ) •97-, 4-,..,-4-77 17 7 • -+e.I d ru.bw.,i,lcC,.{ten
LENDER NAME Per RCW 19.27.095: '
. .-. i -nder information is required if project value exceeds$5,000
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MAILING ADDRESS . CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ . 'VALUE OF PROPOSED WORK $ � ,J�C74:7'
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0-YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREASilt
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AREA DESC ION EXISTIN PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
#SE )ND _.;�
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
U FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL G � ,,
Value of Mechanical Work $ I���1` "` (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
60 AIR HANDLING UNITS EVAPORATIVE COOLERS , GAS PIPE OUTLETS WOODSTOVES
BBQS j/ FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS y FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or rub/Shower combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
SIGNATURE
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 against the City of Federal Way,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 a part of
this application.
NAME/TITLE �� DATE /C7 7/-7‘
(tfignature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Othet
t )a A2?;a" 1S R tif
a NEW a ADDITION a ALTERATION a REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES)iO BASIC PLAN? a YES ii0
ZONING DESIGNATION rj14 CHANGE OF USE? a YES O
NEW ADDRESS REQUIRED? o YES -ONO UP/SEPA/SU? a YES O
PLATTED LOT? a YES ANO DEMO PERMIT REQUIRED? o YES NO
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Bulletin#100—January 1,2006 Page 2 of 4 k\I-Iandouts\Permit Application