07-102232City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2.607 Fax: (253) 835-2609
z
Buil in - Commprvieal Pe�rmii#: 07-102232-00 CO
g Perm
ilk:
Request Line: (253) 835-3050
Project Name: BELMOR GOLF CLUB & MOBILE HOME PARK - BUILDING
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: NEW - 10 x 20 building. New construction for use as cable/internet building to service golf
club and members. Location: Behind Space #11
Owner
Applicant
Contractor
Lender
STEPHEN HYNES
JASON WILLIAMS
T & N ENTERPRISES
1571 BELLEVUE AVE UNIT 210
BELMORE GOLF CLUB
TNPENEI933KB 5/2/2009
W. VANCOUVER BC V7V IA6
2101 S 324TH ST
43428 236TH AVE E
FEDERAL WAY WA 98003
ENUMCLAW WA 98022
—
Census Category: 437 - Commercial alt / add / conversion
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type: Type V - B
Occupancy Load:
Floor Area (sq. ft.) 200 1 0 1 0 1 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, July 9, 2009
Permit Issued on Monday, July 9, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancya+jcJ-Huse will be in alcordance with the laws, rules and regulations of the State of Washington
n 124 and the City of Federal Way.
Owner or agent: A Date: 7 - y —07
THIS CARD IS TO MAIN tON-SITS"
CITY OF �°` �ommuni Development '
ty p t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -102232 -00 -CO
Owner: STEPHEN HYNES
Address: 2101 S 324TH
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
❑ Footings/Setback (4110)
❑ Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By C-, tAj Date j . C0.0
By C LO,.j Date _30-o
By
Date
❑ Re -steel (4215)
❑ Slab/Concrete Floor (4255)
❑
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 g " �— b
By
at
—tom
❑ Fire/Draft Stops (4095)
Approved
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
❑
Framing (4120)
Approved to insulate
By Datesigned-off
Rough -in and Fire/Draft Stop inspections must be
and approved. IBC 109.3.4/UBC 108.5.4
Bye
Date
❑ Insulation (4150)
❑ 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
I
❑ Final - Fire Department (4060)
❑ Final - Planning (4070)
❑
Final - Building (4050)
Approved
Approved
Approved
By Date 107 7
By Date
By
Date . ?
For infector reference only
O Rough Electrical ❑ FINAL - Electrical
Approved
Approved
By Date By Date
aRmyp,pR 2 7
I Federal Way V0F E RM IT
k COMMUNAYDEVFWPMEW SER s* W15PLICATION
PT
FF33325 �IIF.ARAL WAY. WDA 9�3-99771 B�t�'p1NG
253-835-2607• FAX 253-835-2609
www.cityoffederalwail.co
0 1 /�
SF MF (S ME EL PL DE EN FP
W�?
Thepliowing is required ir& nation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
0 PROPERTY INFORNIATION
SITE ADDRESS _2101 S 32't =� STl BI�i�Ft�s� - I SUITE/UNIT #
ASSESSOR'S TAB/PARCEL it /y LOT sum (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) sS 9 t14, G m Al W Y4 !;W '14 +Cc Nw
PINS of N W'%i o F S �� LY�w4 %br- lep a"07r.r � tg .
TYPE OF PERMIT )d BUILDING ❑ PLUAABIIYG ❑ MECHANICAL
o DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Id t ZDV 13441LO (b Ngpj CoN3rG4,ei'+0A.� FvjL U31! AS eA&S 1 LNgAAgT StAlIZI- t TZ)
PROJECT NAME (Name of Business or Owner Last Name) B F Lnt oe e 4 G c u4 a
PEOPLE
PROPERTY
OWNER
CONTRACTOR
COPY of and req•ked
wilt o ha app•atlm
PROJECT
c�
(::LENDER
EXISTING USE
NAME
Swppe z 4. 4 ass DBA bit 6ocF Cc.0
PRIMARY
(�) WA -41/b/
MAILING ADDRESS CRY. STATE, ZIP SC
1511 gr.U.C% AF STe ZIP liA CvaL ,
E-MAIL ADDRESS
PHONE
COMPANY NAME .
719 burr A4 P r P
APPIICANT NAME
86z qu- " 4-46
OFFICE PHONE
(3&0) 94S - 5o (-
MAILING ADDRESS
5/Z8 e O AvE 0.
CnY, STATE, ZIP
eN UMccAW, Gila 9PaILl-
CELL PHONE
(Z610) ?49 - 8715'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
kPAW-10 zoic &C-64-0&- 01-C)()"(041
FAX NUMBER
( ) -
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE
TNE'iJT'** 9gSP5 571 9 I U08
E-MAIL ADDRESS
COMPANY NAME
BE unoQ 601.E &uB
APPLICANT NAMP
LJ W Ayk S
OFFICE PHONE
(2") 032 - o
MAILING ADDRESS
Ziol SoL.ra 3Z�" Sreffr
CnY, STATE,ErcZIP
FEoAL. h/A.y WA ?Sce
CEIb PHONE
( D ) 3(O - 317q
REIATIONSHIP TO PROJECT//
o Architect o Tenant B�Agent o Other
FAX NUMBER
NAME t
�`Ta5oa W 1t L%A"u5
PRIMARY PHONE
( 3 ) 43b - 3179
E-MAIL ADDRESS
WIUCOVI&AC flwil�... Ca+
NAME
Per RCW 19.x7.095:
Lender bVbrination is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? o YES NO
WATER SERVICE PROVIDER
SEWER SERVICE PROVIDER
PROPOSED USE
l.J I ^ VALUE OF PROPOSED WORK $ 13.000 •(Dl2
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES �NO
o HIGHLINE o TACOMA ❑ PRIVATE (WELL)
o HIGffi INE 0 PRIVATE (SEPTIC)
PROJECT•••
AREAS
EXISTING
. FT.
PROPOSED
SQ.FT.
TOTAL
FT.
AREA DESCRIPTION
BASEMENT
❑ ALTERATION
/.,
FIRST
/
Zao
00
SECOND
ZONING DESIGNATION
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
i
❑ NO
GARAGE ❑ CARPORT ❑
/
NUMBER OF FLOORS
nioroSED
7WAL wsr
Ozoo
rorAcrsorase SP
nMwsr
?AU
"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of j#xture to be installed or relocated as part of this project Do not include existing fixtures to remain.
Value of Mechanical Work $ A (A COPY OF BID OR
�• AIR DUNG UNITS EV L
B FAN
BO RS (j �( / � P
C V"
DU SETS
PLUMBING
BA W /sn Comm) LAVS (Bathroom Swm)
DISHWAS RS RAINWATER SYST
D G FOUNTAINS SHOWERS
RIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
BE INCLUDED RM APPLICA770M
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commebat)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (ronet)
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I eErtVy under penalty gf perjury that the information furnished bg me is true and correct to the best gf my knowledge, and further, that I
am authorized bg the owner of the abooe premises to perform the nark for which the permit application is made. I further agree to hold
harmless the City gf Flederat Way as to any claim itncluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made bg any person, u c uding the undersigned, andfled against the City gf F ederai Way. but only where such claim
arises out of the reliance gf the city, incl . i and emplogees, upon the accuracy of the information supplied to the city as a part gf
this application.
NAME/TITLE krc-, —S1t0rr1 ASC*-- DATE 2 3 v
Lure) rnUe)
RELATIONSHIP TO PRO## ❑ Owne Ci'Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT EMnMOVEMENT
sunai NG SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - April 2, 2007
Page 2 of 4
Mandouts\Permit Application
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