05-100323 City of Federal Way Electrical Permit #: 05 - 100323 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: TWIN LAKES GOLF AND COUNTRY CLUB
Project Address: 3583 SW 320TH ST Parcel Number: 179021 7660
Project Description: Hook up kitchen hood system to existing fire alarm system.
Owner Applicant Contractor
TWIN LAKES GOLF/COUNTRY CLUB MERIDIAN SECURITY&ELECTRIC(ELECT MERIDIAN SECURITY&ELECTRIC(ELECT
3583 SW 320TH ST P.O.BOX 7171 P.O.BOX 7171
KENT WA 98042 KENT WA 98042
\FEDERAL WAY WA 98023 (253)638-1792
Electrical Fixtures
Description Quantity Description Quantity Description !Quantity
Low Voltage Fire Alarm-Residential 1
PERMIT EXPIRES July 24,2005.
Permit issued on January 25,2005
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 Washingtonand
the City of Federal Way. ,
Owner or agent: /..C)' Date: t 2
60:7°.\1\\CP
•
THIS CARD IS TO REMAIN ON-SITE i
4
CITY OF Community Development InspectionRecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100323-00-EL
Owner: TWIN LAKES GOLF/COUNTRY CLUB
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 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
p:/' Rough Electrical(4225) ❑ Ceiling Cover(4020) $1 Final-Electrical(4055)
Approved Approved , Approved
By/C c/ Date -4.---2.)
By Date By ,' Date j gyp ��
L
❑ Under-slab groundwork(4295)
Approved
By Date •
irA . D
Federal Way PERMIT
COMMUNi7YDEVELOPMENT SERVICES
SF MF CO M: ;'L DE EN FP
333258TMAVENUE,WA 9•PoBOX97/8 APPLI CR - D
FEDERAL WAY,WA 98063-9718
253435-2607•FAX 253-835.2609
u,ww.dtuofederaltuau.com JANQ
2 5
The following is required information-an incomplete application will not be accepted. Please rant legibly(in ink)or type.
35s-3 5 2�1 �UIL1�{() pEPT.
SITE ADDRESS �J JJT' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pogo for lengthy legal drnoiption)
` ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
OV,_ kk- t)oc d -tom s v<, ayrn 3L•pie 41-
PROJECT NAME(Name of Business or Owner Last Name) ( tAJ ' A I a_0L 5 G.l r f C 0,---,4w1 c f k. b
U PEOPLE INFORMATION
PROPERTY NAME /� / r,, �c r, ,nom PRIMARY PHONE
OWNER \Q v� 1 1.--d- g ( io tc / W ll.1 t i v 9 Out _ ( )
MAILING ADDRESS CITY,STATE,ZIP
,__3 ,3 SvI _ -1 sk Epr1Qrai (ADP qt3
CONTRACTOR COMPANY NAME APPLICANT NAME OFIIF�CE�'SPHONE
mAd(&n &LVII :FF}
CITY,STATE,ZIP CELL PHONE) 3 1 7%2
MAILING
-P.O. ,1&))(,1&))( S-77 Ke l-r-t R V112 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER 0 J.40 3(94,4, EXPIRATION DATE FAX NUMBER
'3_-1 Q "U'73 (e-L CICS L3_-`k (t C69(0
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
J E g L L73 E sD c? ? D 5 3 /,25 / oto
APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE
.- Ck,r..2 CC......0r .5--......-Cw,c+6 (--` ( ) -
MAILING ADDRFSS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER ' Per RCW 19.2Z 095 Lender information is•. NAME
required ifproject,value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
' .■ DETAILED BUILDING INFORMATION •
EXISTING USE PROPOSED USE ^T
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ t 6o t V
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? q YES 0 NO
WATER SERVICE PROVIDER ❑LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER CI LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DES ` BE)
DECK(COVERED?)
-
GARAGE/CARPORT
TOTAL • •:G TOTAL PROPOSED TOTAL EXISTING AND PROPOSEDHOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROO
ESTIMATED SELLING PRICE $
FIRTIIRES �`
Indicate number of each type of fixture to be ' lied or -located as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGSWOODSTOVES
BBQS FANS HOODS(commera�tl
FIREPLACE INSERTS GES MISC(Describe)
COMPRESSORSPRS FURNACES
COGAS .ATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBINGN
WATER CLOSETS poua� MISC(Describe)
BATHTUB (or Tub/shouvrcombo} SHOWERS
DISHW .HERS SINKS DRINKING FOUNTAINS
G PE OUTLETS
SUMPS RAINWATER SYST
HOSE BIBBS
WASHING MACHINES URINALS
LAYS(Bathroom Sinks(
VACUUM BREAKERS ELECTRIC WATER HEATERS
- - --DISCLAIMER/SIGNATURE BLOCK
that
y •
I certify under penalty of perjury that the information f furnished
the work for which thepermitrct to the basion est of is my knowledge,
further an further,
r, holdI
am authorized y the aof the above premises perform
harmless the City of Federal Way as to any 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. 1:).5.----.��\�- `�1. DATE
NAME/TITLE 4✓"t' �`i (Title)
i RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
it BUILDING SHELL ONLY? a YES 0 NO BASIC PLAN?
❑YES o NO
{ ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
t NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU?. ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
5
Bulletin#100-March 30,2004 -
Page 2 of 4 k\Handouts-Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
r
RESIDENTIAL _COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ftp-$87.00;Each add'n 500 ft2-$28.00) 0 101 -200 amp 117.50 74.00
❑ Detached outbuilding vgarage ❑ 201-400 amp 220.50 87.00
(Inspected
rviected with sece) $36.50 256.50 103.00
❑ Detached outbuilding or garage 0 401-600 amp 332.00 140.50
(Inspected separately) $58.00 ❑ 601-800 amp
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
❑ 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY 0 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ Oto 200 amp
$ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 ❑ #of circuits to be added/altered
❑ over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
0 Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 mus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder.only $58.00
O Service and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ 101 -200 74.00 51.00
❑ #of service or feeders 0 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
❑ 401 -600 117.50 n/a
O over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
U-''_' ❑ #of Signs
(First-$43.50;add'n-$13.50/ea)0 #of Thermostats Le.55*i "' (First sign-$43.50;add'n sign$20.50/ea)h ❑ Swimming pool/hot tub $87.00
❑ Low Voltage VO (Includes additional circuit,if required)
® Fire Alarm S
Square Feet to beSystem
served by system(s) ❑ Yard Pole meter loops $58.00
m $87.00/hour
❑ Security Alarm System 0 Additional Plan Review
❑ Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) 1"2500 ft2-$51.00; L `
Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5)(/f&ii)
Bulletin#100-March 30,2004 Page 3 of 4
k\I landouts-&e3ised\Pennit Application