07-100128 City of Federal Way Bu dlFIIlmCl Perls t #: 07-100128-00-CO
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: TWIN LAKES GOLF NEW DRIVING RANGE POLES &NETTING
Project Addres3: 3583 SW 320TH ST Parcel Number: 179021 7660
Project Description: NEW-Installation of 3 new driving range poles and netting
Owner Applicant Contractor Lender
TERESA MCDANIEL TERESA MCDANIEL TWIN LAKES GOLF AND
TWIN LAKES GOLF AND TWIN LAKES GOLF AND COUNTRY CLUB
COUNTRY CLUB COUNTRY CLUB 3583 SW 320TH ST
3583 SW 320TH ST 3583 SW 320TH ST FEDERAL WAY WA 98023
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Census Category: 329 -New Structure Other Than Building
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included9 No Number of Stories 0
Permit for Building Shell Only? No Plumbing to be Included No
Special Inspection(s)Required2 No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Towers Building Pre-con.Meeting Required? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, February 8, 2009
Permit Issued on Thursday, February 8, 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
„ . the City of Federal Way.
Owner or agent: /!/%ice,% �/ Date:
N.,
THIS CARD IS TO RAIAIN ON-SITE
CITY OF ..5.f,: Community Developmer t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100128-00-CO
Owner: TERESA MCDANIEL
Address: 3583 SW 320TH ST
FEDERAL WAY, WA 98023
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.
O Footings/Setback(4110) ❑ Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing (4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
El Fire/Draft Stops (4095) r NOTE: Prior to scheduling a Framing(4120) 1 ❑ Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical I Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
O Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department (4060) 0 Final-Planning (4070) ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
O Final-Building (4050)
Approved
By 717 'Z.—Date`J 3A7
4 . ! 5.4„2. 06 X03 70.1 it
CITY OF 6-49.4
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OO
Federal Way cc E PERMIT — `�
COMMUNITY DEVELOPMENT SERVICES .LGG,v I SF MF C� ME EL PL DE EN FP
33325E D AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063.9718 TD /
253-835-2607•FAX 253-835-2609 J ,APPLICATION /
www.cityofederalwa4.com `K 1
The following is required infqr 4^ incomplete application will not be accepted. Please print legibly(in ink)or type.
Pe:
MPROPERTY INFORMATION •
SITE ADDRESS 3� 3 g,"L A-, .a '' 5 7i SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ( -7 - U 7 tl - 7 6 1 •p LOT SIZE(s�
-- — _ __ /
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) .4 7,4t/ „„44/14,417erC.
(Attach%orate page for lengthy legal description)
•
In PROJECT INFORMATION
TYPE OF PERMIT u BUILDING ❑ PLUMBING ❑ MECHANICAL
O DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit orllu)
/// `3f/ Z � :" ._77e. L.e,% . //2/i', IJe/ /«/7 •- t tz=4,',s
/*-7-7/7, `7-;),--7/--/-..J./, /
•
PROJECT NAME(Name of Business or Owner Last Name) T) l- kS 6 f1C. — Kid—"Po les
U PEOPLE INFORMATION
PROPERTY NAME
.__,"--' j� /' L j �•- ( PRIMARY PHONE
OWNER j /JI ,AL«S 617i 1 (.-t)Cl.)'1 �I Cl4 3 ) S �1�/3L.
MAILING ADDRESS CITY,STATE,ZIP i - E-MAIL ADDRESS
'5 j : S•• .c_ 3,t,�`` .5-/- c,---e 4c).4.1 tart cyeLe. l
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
S, .t.& ,is. 6LeNom- ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
coPY ar para raqulred ^ CONTRACTOR'S REGISTRATION NUMBER - EXPIRATION DATE E-MAIL ADDRESS -
wlth each appitoatloa I ,!
APPLICANT COMPANY NAME APPLIC. T NAME
OFFICE PHONE
-. •
La,5 ) _
MAILING ADDRESS C _ATE,ZIP CELL PHON
}/ 1.
5 -3 cc . 3r 3 S LY, C-4-41, Lci :23 ( )
RELATIONSHIP TO PROJECT t FAX NUMBER
0 Architect 0 Tenant Agent ❑ Other ( ) -
•
PROJECT +•• PRIMARY PHONE E-MAIL ADDRESS
CONTACT ,"/ AJ ti - s - /! OS <> .-, a
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
IN DETAILED BUILDING INFORMATION
EXISTING USE �r. v 1 yam, R <l,c PROPOSED USE -I)i-'d LI i k c R
EXISTING ASSESSED/APPRAISED(VALUE $ VALUE OF PROPOSED WO• $ '3 5 .0 .f 00 •
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ Y
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICEPROVIDER 0 LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
,a
■ PROJECT FLOOR AREAS '�`•.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITION LOORS(DESCRIBE)
DECK(❑ 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 $
■ FIXTURES
Indicate number of each type of fixture to be insiaiied or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerriol)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet)
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 arty 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 1— Z)
(Signature)
✓ (Title)
RELATIONSHIP TO PROJECT 0 Owner Agent 0 Contractor 0 Architect 0 Othet
® e
o NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application