00-100004;tylb deral Way wilding - Commercial P ri t #: oo - 10004 -
Community Development Services Ste 01 1 f
335301st Way S Inspec equ est line: 253.661.4140
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 (3:3Upm cut -off for next day inspections) 1q-1V2 f3Z
Project Name: TWIN LAKES (TI)
Parcel Number: 179021 -7660
Project Address: 3583 SW 320TH ST
Project Description: TI - NONSTRUCTURAL ALTERATIONS TO EXISTING COUNTRY CLUB. WORK INCLUDES
INTERIOR D PORTION OF WALL �APARTITIONS, W CORNER OF ANQUETROOMREMOVAL, UBJECT TO FIELD
ER
Owner Applicant
Contractor Lender
TWIN LAKES GOLF & COUNTRY C TWIN LAKES GOLF & COUNTRY C ALLEN - BRADBURY CONSTRUCTI NONE
3583 SW 320TH ST 3583 SW 320TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 2209 N 30TH STE 6 NONE
TACOMA WA 98403
Includes: #2 #3 #4
Census category: 437 - Comm
#1
Construction type:
Occupancy Load:
Floor Area (Sq. Ft.):
437 - Commercial alt/add;
. ...............................
No
Census Category .................. ...............................
Over the Counter Permit.......... ............................Yes
New Address Required ........... .............................No
y .... .............................No
permit for Foundation Only
Permit for Building Shell Only
Proposed Project Valuation ........ .........................
15000
g ................. ...............................
Plumbing
Will Certificate of Occupancy be Issued ?............No
No
Zoning Designation .............. ...............................
g
RS 7.
Is Review to be Expedited .... ...............................
No
PERMIT EXPIRES July 2, 2000, IF NO WORK IS STARTED.
Permit issued on January 4, 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 acc rdance with the laws, rules and regulations of the State of Washington and
the City of FederalWay.
Date:
Owner or agent:
City of Federal Way 03uilding - Commercial P it #: 00 - 100004 - 00
Commanity Development Services
335301st way S Inspec request line: 253.661.4140
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 (3.30pm cut -off for next day inspections)
Project Name: TWIN LAKES (TI)
Project Address: 3583 SW 320TH ST Parcel Number: 179021 -7660
Project Description: TI - NONSTRUCTURAL ALTERATIONS TO EXISTING COUNTRY CLUB. WORK INCLUDES
INTERIOR DEMOLITION, PARTITIONS, CELING GRID REMOVAL, PATCH AND REPAIR
AND PORTION OF WALL AT SW CORNER OF BANQUETROOM, SUBJECT TO FIELD
Owner
Applicant Contractor Lender
TWIN LAKES GOLF & COUNTRY C TWIN LAKES GOLF & COUNTRY C ALLEN - BRADBURY CONSTRUCT] NONE
3583 SW 320TH ST 3583 SW 320TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 TACOMA N OMA A 30TH 6
TAC WA 98403 NONE
Includes: #3 #4
Census category: 437 -Comm
#1 #2
Construction Typ
Oecunancv Load:
Floor Area (Sq. Ft)
Census Category
437 - Commercial alt/add;
Mechanical .................
"'
No
New Address Required ......... ...............................
No
Over the Counter Permit ..................... .................Yes
Permit for Building Shell Only
No
Permit for Foundation Only .. ...............................
No
No
Proposed Project Valuation .. ...............................
15000
Plumbing
Will Certificate of Occupancy be Issued? ............
No
Zoning Designation .............. ...............................
RS 7.2
Is Review to be Expedited .... ...............................
No
PERMIT EXPIRES July 2, 2000, IF NO WORK IS STARTED.
Permit issued on January 4, 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 wi4 be in ccordan e with the laws, rules and regulations of the State of Washington and
the City of FederalWay.
Date:
Owner or agent:
�l
0
�c� pflG3
c�rraF G
RECEIVED
PLEASE PLANT
. DUILDING DIVISIO\
33530 First Way South
Federal Way, WA 98003
(253) 661 -4000
JAN ® 4 001L Fax (253) 661 -4129
uI iY IJ FEDERAL
ING DEPT. AY
APPLICATION FOR BUILDING PERMIT
APPLICATION It 190 - /40611 4 61,
•.:'•' ..`
Site address
Tenant name N /�
Lot # Assessor's Tax #
Buildin Owner's Name
v�iN ,5 CCvwT* - n-v (3
Address
city F-
State w
zi
IPhon 15S ti7 —
Description of Work ZM0 i 1 O A) Di ICJ) jU6 AOQM
Name (F,M,L) C no f—�
J
Address
City
State
Zip
ContaaLp6reJSOn Bn 1O�
Day PZj43 clh7 -4,4 0
Other Phone
Fat31477^
(7- j CZ53 >573• 145
Federal Wav Rosiness License #
Company Name n ufw `bp-A ouaa
Address 2�9 (v �Or s7` SVl T£
/
City T oM
State W
zip
Contact Person
L
Phone
A0 a \IF-
Fax
66 �/ =
Contractor's # (card must be presented)
Expiration Date
Verified • ❑ Yes ❑ No
i I I R
% T
Name
CaP 1-%f—s DGV3A %1V i zscLs
Address n , � � � ( _ c—
State
Zi
t Person ^ I�
t
P n�e� Z __4
LEGAL DESCRIPTION
Please Complete Reverse _Side
Name
For new residential only - Proposed selling cost: $
Address
State
Contractor Name „1 /A IAddress
%Aly I State zip
Contact I Phone Fax
❑ Yes ❑ No
Contractor Name 'r
r;<;:;•
xisting Use
Ask
Wroposed
Use
Contact
Permit includes:
Fax
Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work: ❑
Residential
Commercial
❑ New
❑ Addition
❑ Remodel
❑ Repair
❑ # of bedrooms
❑ Garage
❑ Deck
❑ Shed
Enter 1 at Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Gara e sq ft
Existing Floor Area
Proposed Total Area
sq ft
scl ft
Water Availability ❑
Sewer Availabili
❑ On -Site Septic System Availability ❑
Project Valuation
S 5 Ob
Zoning
Lot Size
Existing Bldg Valuation
S
Name
For new residential only - Proposed selling cost: $
Address
State
Contractor Name „1 /A IAddress
%Aly I State zip
Contact I Phone Fax
❑ Yes ❑ No
Contractor Name 'r
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
g z #'ns ?s
Water Closets
Sinks
Urinals
Lawn Sprinklers =
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
-Washing Machine
Drains
>fi ot_ xue : CLavatories
DISCLAIMER: 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 permit application is made. I further agree to save harniless the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurred in invesC ion anfensesuch 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 ou relianc f the including its officers and employees, upon the accuracy of the information supplied to the city ps a paryof this application.
Dlh-
95-o.- Am