00-100779A&I
PLEASE PRINT
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MAP, 0 1
CITY 0'r FEL%izv, AL ' WAY
BUILDING DEPT,
-f TV . 00y �a +e.
APPLICATION FOR BUILDING PERMIT
Bummmftasm
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
I�q — 00
APPI IrATim if 00 - iOt -) J
.................
Site address syj�
Tenant name :•
,
Lot #
Assessor's Tax #
Building Owner's Name
Address ?)O 3
I city f;Aa&( W(.�N fState L4L/A.
zip 177 o 2 '5
lPhone1j;3) q2-7- 1qqQ
,
IDescription of Work
9
P-Aarol Wow Riia;naca I inancwlfi I t/—
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Name 0 on r"ec. A-rr
Address 44- Sf
Ci
Company Name
I Wd
zip 019,407—
it- C- P
Address
Lj
Fax Lq I- I
J Q
State Lj
zip 7"
Contact Person
C L
tz�'(,4 3 A)
NS
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Phose —
Z27-22L)
Fa
'072 1 27 5Y
�ontractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
LBO Aj 0 v 6 / e) !X q5s—
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Name 0 on r"ec. A-rr
Address 44- Sf
Ci
State
zip 019,407—
Contact Person
1r,0.vf.6
Phon
I 2 -
Fax Lq I- I
LEGAL DESCRIPTION
Please Com
jzkte Reverse Side
AshL
H tI R ::>:«:><>::»:::::»>:::;;::}:':>':>':::»::>;::>:<:>: : >:::;::; }:: >}:: > < >:: »:: »:<: »;; For new residential only - Proposed selling cost: $
Name
Address
xistin Use
g
s
ro osed Use s
P
Contact
Permit includes:
Fax
Buildin
'XPlunbi.g
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ New
Remodel
❑ # of bedrooms
❑ Deck
50+ Tons
ommercial
❑ Addition
1,6epair
❑ Garage
❑ Shed
Enter 1 at Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area %2-45-0 sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Proposed To Are
sq ft
Water AvailabilitV
❑ Sewer Availabilit
❑ On -Site Septic S stem Availability ❑
Project Valuation
s / 7/ SOO
Zoning
Lot Size
Existing BI Valuation
Is
H tI R ::>:«:><>::»:::::»>:::;;::}:':>':>':::»::>;::>:<:>: : >:::;::; }:: >}:: > < >:: »:: »:<: »;; For new residential only - Proposed selling cost: $
Name
Address
City
State
Zi
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
license #
Expiration Date
Verified ❑ Yes ❑ No
C— _ i
Contractor Name I Address
Contact
Phone Fax
License # __ I Expiration Date I Verified ❑ Yes ❑ No
:fi•:iXl1[1•T�i•��I1R�R.' V il•�'�•+l:�l� V �'•1• .......................
Water Closets /
Sinks.
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Range
Lavatories
Washing Machine
Drains
7' gtal�: iXtli` e::(: A...1?t ........................
'}}`.`:
i:: i' iiiiij• }j:•: :isSii.'::: }ii��:iiiii:? iii: :::: iv:: i} :$•:{• }:�i: :: : {i: :iy:;i:�:;::•` Fi:'
a MA ��'� �� '�` ' ; ';`�:: �;
_.-
MECHANICAL EVALUATION ONLY
Fuel Type (as /electric /other)
Gas Dryer
Air Handlin < — 10,000 CFM
15 -30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
. 30- 507ons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Under round
BBQ•s
Wood Stoves
3 -15 Tons
1 akel Mitt >Gaut}
DISCLAIMER: I certify under penalty of perjury that the information famished by we is true and correct to the best of my kpowledge, and further, that I am authorized by the owner of
the above promises to perform the work for which permit application is made. I further agree to save hamiless the City of Federal Way as to any claim (including costs, expenses, and
attorneys! fees incurred in 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 reli i'il,e city, including its officers and employees, upon the accuracy of the information supplied to the city as apaart of this application.
Owner /Agent: 3 i� ✓ Date: " v "'
.AR 1
City a Federal Way
anun
Con ity Development Services Building - Commercial Permit #: 00 - 100779 - 00 - CO
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003 -6210 P 9
Ph: 253.661.4000 Fax: 253.661.4129 (3 :30pm cut -off for next day inspections)
Project Name: TWIN LAKES GOLF & COUNTRY CLUB (T.I.)
Project Address: 3583 SW 320TH ST Parcel Number: 17 77660
Project Description: STRUCTURAL/ NON - STRUCTURAL INTERIOR ALTERATIONS TO EXIST RETAIL
BUILDING (PRO- SHOP). INCLUDES PLUMBING WORK.
Owner
Applicant
Contractor
Lender
Occupancy Group:
M
TWIN LAKES GOLF & COUNTRY C
TWIN LAKES GOLF & COUNTRY C
DONOVAN BRO19ERS
ONE
3583 SW 320TH ST
3583 SW 320TH ST
DONOVBI09405 exp
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
1801 WE V Y 1
PO BOX 81
NONE
Includes: - /U7
Census category: 437 - Comm
#1
#3
#4
Occupancy Group:
M
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ......... ......... ............. 437 = Co
Number of Stories ........ .. ....1
Permit for Foundation Only...... ..............No
Will Certificate of Occupancy be Issued? ............ No
Lavatories
I hereby certify that the ab
the occupancy and � use
the City of Federal ay.1
Owner or agent:
1
PI
is corre a
lance wi e
w '
'ermit for I
Plumbing.!
Zoning Des
Fixtures
No
1 ................... No
................ Yes
........ ............................... RS 7.2
m gagniffli :.'
21%0, IF NO WORK IS STARTED.
March 14, 2000
construction on the above described property and
aes and regulations of the State of Washington and
f�> . S� /Z /�✓ iJi�I
Date: 3 ~ 14 0
t