07-100093 .► •
City of Federal Way Mechanical Permit #: 07-100093-00-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: 35105 ENCHANTED PKWY S Suite G103 Parcel Number: 185295 0040
Project Description: Gas piping& gas hot water tank in conjunction with plumbing work for tenant
improvements.
Owner Applicant Contractor
PUERTO VALLARTA RESTAURANT SILVERDALE PLUMBING&HEATING,INC. SILVERDALE PLUMBING&HEATING,INC.
PUERTO VALLARTA RESTAURANT 11875 SILVERDALE WAY NW SUITE 104 SILVEI*220NU 8/31/08
2323 SW 336TH ST SILVERDALE WA 98383 11875 SILVERDALE WAY NW SUITE 104
FEDERAL WAY WA 98023 SILVERDALE WA 98383
l
Additional Permit Information
Mechanical Valuation 2500 Over the Counter Permits No
Mechanical Fixtures
Gas Pipe Outlets 8 Hot Water Tank 1
PERMIT EXPIRES Saturday, February 7, 2009
Permit Issued on Wednesday, February 7, 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 with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: L Date: Z\Q\ \ (
D
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THIS CARD IS TO REMAIN ON-SITE•
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100093-00-ME
Owner: PUERTO VALLARTA RESTAURANT
Address: 35105 ENCHANTED PKWY S Suite G103
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 GU.-..1 Date 3. 23„ 0-7 By G Date3 27- p"? By G Date —p 7
• 0-7 - 10609 ; ��
RECEIVED - gig 0.....1- •' 10(.._�lrr� _
Federal Way 007 PERMIT
COMMUNITY DEVELOPMENT SERVICES JAN 0 8 SF MF CO ME EL PL DE EN FP
33325 BTM AVENUE SOUTH• BOX 9718 Ids L I C ATI O N `r°
FEDERAL WAY,WA 98097-2�18
ITY OF FEDEp / 2 ,4)
/ 0it
253-835-2607•FAX253863-35 "CY
❑ni•,r,.citan9ederolwari.enm. BUILDING DEPT.
The ollowin. is re•uired i ormation-an incom•lete a.•lication will not be acce.ted. Please .rint le.ibi (in ink)or .
� • PROPERTY INFORMATION f
SITE ADDRESS351 -'3 A £I/1e? A \ ark(Ll:(_,l 3.� SUITE/UNIT# ( ;{C 11-1)
ASSESSOR'S TAX/PARCEL# ( 5 c / 3 0 y 0 LOT SIZE(sfi
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �,
^(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING X PLUMBINGCHANICAL
❑ DEMOLITION ❑-ELECTRICAL ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
----"P i r AAN- T 3-2(.1\P2O i 07 iUka.S- ----47:0C cn?H wrar
Pi.AZ1/4.a ... 9 e caD u , g AZ Praek )-r4 ('r.O AvYkta5t.C- 171 L ii-c2
PROJECT NAME(Name of Business or Owner Last Name) P�;e f \fin .ka \CJS. Rn nu vaxl
• PEOPLE INFORMATION
PROPERTY NAME 1 �/�'_ Q
A l I �41 PPRRIMCAR�Y PPHHOONEI GOWNER ( �� 1 O l%V\�• t7`.Y / - P -if 3 O
01333 MAILING SS S W 3 3 /Q .. CITY.STA_'1. ,Z[P
CONTRACTOR COMPANY NAME `/ APPLICANT NAME OFFICE PHONE
3i\fit'c6a `'lom iat' 1(�,iA6 1.�c c3 (3t'c) it i -IND
MAILING ADDRESS am CITY,STATE,ZIP CELL PHONE
IIrt5L5itki .rd tk. LA' M. IC4 3i11,) .rckLL . (Mai (3XXC ) 31-6- I3 3
COY OF FEDERAL WAY BUSINESS LICENS NUMBER EXPIRATION DATE FAX NUMBER
r .o-4 t42-1 U P.. 1 L-B L (). ' 3i ' 0-7 ' e) LA) - NV1
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE Q
,.� Lv e T i :..)-- C N C s / 51 / (J
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
'
Dr 2-3.-3 i=u4.6O t (36i.7) 6g2.- - R.:3442 A (Cceci1l lei!(.trb.
LENDER Per RCW 19.27.095: Lender information is NAME / y/�/-��? _cyyn
required(f project value exceeds$5,000 IP �
MAILING ADDRESS COY,ST , \ PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ -VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES FIRE SUPPRESSION SYSTE SED/REQUIRED? 0 YES o NO
WATER SERVICE PROVIDE LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE
SEWER SERVICE P ER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
-- I
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND ` --'-- '
THIRD
/
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT■
NUMBER OF FLOORS EXISTINGPROPOSED TOTAL TOTAL.EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offucture to be installed or relocated as part of this project. Do not' elude existing fixtures to remain.
MECHANICAL e_C_ ! ��
Value ofMechanical Work $ C�', ,�� � J^ ;
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES MISC(Describe)
COMPRESSORS FURNACES I GAS WATER HEATERS
DUCTS — GAS PIPE OUTLETS
PLUMBING i(°"
P b inw
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS rronet) M D scribe)
DISHWASHERS SINKS DRINKING FOUNTAINS a� \°°rn
G
PIPE OUTLE:lb SUMPS
ST
WASHING MACHINES URINALS HOSE BIBBSATER 131\oc Din ye 1 1-1)
5 LAVS(Bathr000,Sinks) VACUUM BREAKERS 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 against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including i officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /!
NAME/TITLE ��' A L _ t 6-0LNAL ;1v1(iti N(,r;Q DATE I tj i
(Signature) (Title)
RELATIONSHIP TO PROJECT o Owner ❑Agent o Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
u NEW c ADDITION c ALTERATION ❑REPAIR u TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES u NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? c YES c NO
PLATTED LOT? u YES u NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application .