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00-100123 � E CityofFederal Way Building - Commercial rmit #: oo - 1001�3 - o;� Communiry Development Services 33530]st Way S II1S ection re uest line: 253.661.4140 Federal Way,WA 98003-6210 p q Ph:2�3.661.4000 Fas:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: CAFE INDOCHINE(REROOF) Project Address: 31254 PACIFIC HWY S Parcel Number: 092104 9046 Project Description: REROOF-TORCH DOWN SYSTEM(UNDER DECK INSULATION) Owner Applicant Contractor L.ender Plaza Llc Dana INDOCHINE SEAFOOD AND SATA J&M ROOFING INC NONE 31260 PACIFIC HWY S 31406 PACIFIC HWY S JMRO01*153M9(5/1/00) � FEDERAL WAY WA • FEDERAL WAY WA 98003 3425 S 146TH 98003-5448 SEATTLE WA 98168 NONE Includes: Census category: #1 #2 #3 #4 Occupancy Group: Construction Type: Occupancy Load: Floor Area(Sq.Ft.): Mechanical................................................. No New Address Required........................................No Over the Counter Permit......................................Yes Permit for Building Shell Only............................No Permit for Foundation Only.................................No Ptumbing................................................. No Proposed Project Valuation.................................9514 [s Review to be Expedited...................................No PERMIT EXPIRES July 11,2000,IF NO WORK IS STARTED. Pernut issued on January 13,2000 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 and the City of Federai Way. Owner or agent: � �,t:. ✓' Date: � ��� � � . � , POST IN A CONSPICUOUS PLACE City of Federal Way INSPECTION REPORT Job start date: Date Honrs ' Remarks ' Inspector % C� , 3 y i � / /lao � a � 2-� —60 BUII,DING DIVISIOIV �''Of �'•.,'= 33530 First Way South -�!-- EDE,I-�F3L � ,�, � -~M'-. Federal Way,WA 98003 �V �y �����`` �' , (253)661-4000 Fax(253)661-4129 ��� � � APPLICATION`'����fiLDING PERMIT oo— �dc'7 �Z�-0� PLEASE PR/NT APPLICATION# >#�ii:.�:S•:::::::::::::�:i:::>:i•'o":%:<:::::;;;:.>•:::::::::::.:.:.•:.:r::::::::;•:y;;:;;.;:;. .. .?:: >:-..:.. :.»:.>:»«:::�.�;`..}:;�:ti�x;.;;:";�^;i�`#'$-�� Site address :��'�::':�:��`��:�1��';>:::�:=;:::«<z:�:::>:.,:>:3:�::>:�.w>:r;,,,::,:�sr?��::� Tenant name .. • Lot# Assessor's Tax# , uildi�g Owner's Name Address �..\ 3l" ! \ Ci �' 'C�:, State + '_ Z� Phon � c - '2,.L � Oescri tion of Work '. (�C�C", C.' �c�t'� In tl Sz 5+ 'i s,.�w��or� i 5 C3�I�.N �w� ►7eG� I �t..,55"(,` I 1 �v�.rc 'f<c}` ;' yti+.o� ,r �,,o-�•M1%:�<;::; .+ ; 't" y : tti`r< � w o2`.::�?r.'::i: •�iF'.�' �.�.�.'��..... ......... ......... .....<....:r:•:.'':::': � . . ..... .... . .. . . . Name (F,M,L) v.d- ti'l •,.�`'.� n . � Address ;,� ;r;'� � Z' S i t�1 ;Icit ' L stece ' zi Contact Person ay Phone Other Phone Fax � `1- �a9 ti(3 - � - in Li n # �#�Ult::i���:;Ct�NTf3���`E���:::<�»��>>><::;;:::;::<:::::>:::<:::>:::`: Federal Wa Bus ess ce se ............................................................................................ Y Company Name Address (� Cit State Zi Contact Person Phone Fax t1actor's # (card must be presentedJ Expiration Date Verified ❑ Yes ❑ No :iA�lii�����E:::E>3>::::>:i:i;>:?':»:?::<:Ef:>:;:iE:::::::`;:::;i:i[':?:::::<:':::::;?:':::;;:i;S:::' ............................................................................................ Name Address / i Cit � State Zi Contact Persan j Phone Fax / LEGAL DESCRIPTION \\ �. Please Complete Reverse Side ���(� ''E3E<:::':::;:<:>�::::':<:::�:::>:�'>:�::::::�::::::::i<:::;:?:::::::;>:=:::;::%;;i:;>: xistin ... �:::::.:;:;:.;;:::.;;:::� ;;:::::::::::::::::..: :. .;. . :.��:�.�.����.....::•. :;,. ;..: .:; g Use roposed Use Permit includes: ❑ Buildi� ❑ Piumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ #of bedrooms ❑ Deck ❑ Commercia� ❑ Addition ❑ Re air ❑ Gara e O Shed Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro ed Total Area s ft Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S �°O Zonin Lot Size Existin Bld Valuation S ••`:�::o?:::�:::�:�::;`:<;?��:::;;`i�:�>:::�'vJ�k:2a�•��.�`v:;;?'.'•�:. •+ •:y,�Y•\�: • . ���.�'::,��:;;�;:�}:��r>;.fi�:�r�:.n�:,�����V • :;. ���; For new residentia/on/ - Pro osed sellin cost: S Name Address / Cit � State Tr c�2,:G,:c."w�.?;,��".^e::i::::$p�;�:c:'a':\i','..:?',6: '.;>'u.r k.titit: <. >�"-.?;: :� - � : . r . , ..s2•�. �;'.� .;q�V - �'��,�:'�..��.�...d!...:.:...:.:.:..#:��:;::�' ���:: Contractor Name Add�ess C� State Z Contact Ph e Fax License # Ex iration Date Verified ❑ Yes ❑ No �::;:z�?:�:>?:�:>:=::::>::?»»s::::��:: ���k:::•:::z:••.�::ar;•;<,:<k.,••x:: ���:�..:;<��':: ..:>..:..,.;?,_. .............................:..:::: ......:::....,......::.:•::...,,.---�•-=:�: :::.:•....:.:....... .. ..... lYl. .�11E�':i%>.t`�'ut��l7'�#E:�:�!��:t::<;;::;:.>s:::<'<::<;:<::::::x:��:: :...:.................................................................................:. Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No � '�i:L��iYI$.:I�.'.:::.::�::::�#:'�tE::r:�r<::i:<�:;.;:s;:>:??;:::�:::::z::�::?.:::;r:i:i::<:>::::i::::i��i::>::: .........:....� G��T�F��.:�f�E��T..........;;:.;:.;;:.;;:.;:. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Was ers Drinkin Fountains Other Showers Electr' Water Heaters Sum s _ ........ _ _.. Lavatories W hin Machine Drains >"I'aYaf;attitre:< ou: >:»:zs»:»:;:;:;:_>:::>:: �1...........�.....11t............... .... ��ir�i���a�v;_>>;:;.>.«::::;:<t_>.>__>`<»;:<.}<>::<:<::.»;<.<<;.;::::>:::«<':>::>::�=::>::::�::::: ...........:.:..::...:����-:��t.F#`..G��k'�;.:::.:::;:.::.: ::;.;:.::.;. MECHANICAL EVALUATION ONLY S Fuel T e ( as/electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lo Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work O-3 Tons Under round ................ ........................................................... BBQ's Wood Stoves 3-15 Tons ;T�t�l:Untti Gaii:n:i>:::>:>:::z?:>':::::::::::::::<:;::«; DISCLAIMER: I certify under penalty of perjury that the infocmation fumished by me is true and correct to the best of my knowledge,and further,that I atn authorized by the owner of the above premises to perfortn the work for which pertnit application is made.I fuRher agree to save hamiless the City of Pederal Way as to any claim(including costs,expenses,and atiomeys'fees incurred in invesligation 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 of�icers and employees,upon the accurecy of the infortnation supplied to the city as a part of this applicatioa ��, }QJwneNAgent: �./;��;� 1.aL(,. Date: �I)�/d(� �/1 N�noir.c.nK flfv6Fo L/1HI�J3