05-100955 .80
•
City of Federal Way Electrical Permit #: 05 - 100955 - 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 51 Parcel Number: 179021 7660
Project Description: Voice and data cable system remodel
Owner Applicant Contractor
TWIN LAKES GOLF/COUNTRY CLUB NETVERSANT WASHINGTON INC. NETVERSANT WASHINGTON INC.
3583 SW 320TH ST 3849 1ST AVE S 3849 1ST AVE S
SEATTLE WA 98134 SEATTLE WA 98134
\FEDERAL WAY WA 98023 (206)340-1955
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage-Other Commercial I 1900
PERMIT EXPIRES August 28,2005.
Permit issued on March 1,2005
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 Washington and '
the City of Federal Way. ti
Owner or agent: -e Date: D/ Os
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100955-00-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.
❑ Slab/Concrete Floor(4255) #❑ 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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 1: Final-Electrical(4055)
Approved Approved Approved
By Date By Date By '`) Date
❑ Under-slab groundwork(4295)
Approved
By Date
. - 4
..
. •
' A RECEIVED 0 S - ( U 6 9 S S
Federal Way PERMIT - -
COMMUNITY DEVELOPMENT SERMAR 0 1 2005 SF MF CO ME EL PL DE EN FP
33325 D AVENUE SOUTH• X 9718
p LI C ATI O N
FEDERAL WAY,WA 98063-9718 TD / /
253-835-2607•FAX253- rOF FEDERAL
:Lt�'tior(ederpltaay. BUILDING DEPT.
The ollowin• is re,aired in ormation-an inco •fete a••lication will not be ecce• d. Please •rint le,ibi in ink ort • .
�, • PROPERTY INFORMATION
SITE ADDRESS > Z1 .._5 $„.., 3 2,,j', ii- 57- SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
D DEMOLITION ILECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
J C;::(C Y— )..-11-7-41- (ma y%.(�
PROJECT NAME(Name of Business or Owner Last Name) . IL's /L C tot 5 (.0 w..).77-2--t C-UJ .,
• PEOPLE INFORMATION
PROPERTY NAME r PRIMARY PHONE
OWNER .'"ri,iy`eW LA tLF S _..:r J Ni '-( C.�,o/2 (Z.$-3) ii'31 S C`a 3 2
MAILING ADDRESS CITY,STATE,ZIP
?5-5 3 s..0 3 tv 'TN- s-r..i . v,i4.4 / 9 3 4 2 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
rkie--N EP-4,4 1) r ,Sq•% r,.1p1EA-s- U ( Z Ct) Po - (C yS-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
aco A 1 iO 3 S,i 9 I s. ,�� S' 5 �A- 79 ( b ) s:-�1 - 5 4,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0.S V)'( it
-9i-j'Lt I� '101)-B L I2 l3( /6 ( ) -
t e. CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
4,/ 'i ELI rAe qr/c) s 7 / 2 _-� `,, V....
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
T '?+ \_.,YnE Ct v (Zcb ) s 71 - Sr'z G' -c°►,E:'isv^) Tuv,Ls4'"
LENDER 4r� .�i ' � �kr a
��"6.' ;ef7fer.K :;,-6.= � k NAME
��
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
1
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES • 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
eaasrma PROPOS® rorty. .,-.KalewaRiSTII10 Sr- 34rs1Af PROPOS D + .7fOTAl,SF
NUMBER OF FLOORS 'idG�u ;.a _� .
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commere;ol) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or'ub/Shower Combo) SHOWERS WATER CLOSETS roue)
(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Slake) VACUUM BREAKERS X' ELECT WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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 Feeral Way,but only where uch claim
arises out of the reliance of the city,including its officers and empo
upon the accuracy of the inform supplied to the city assa partof
this application.
"
NAME/TITLE
t �/ j/G S t^� ``0`LTA DATE �L(Z d S
c
Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor 0 Architect 0 Other
,a NSP a ADDI' ION'��)� ERATI �� � ��a:ti;a REPAIR a TENANT IMPRO E�N'P ���n
yl 4 r �iiU
114P "SHELL ONL3Ci" � r SASItia1T 2'� V eS B 1�iC?
ZONING D GNA' ! bio �r C G 1OP USE? ; a YES t NO
NEW ADD a NO Vii!""
tiW ' UI
I " �..�
E 'ail o
.RO,..._.... . .,.w... ... DEM}PS REQRED o YES...., ad NQ 11(i
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
v 1 t
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder
❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%o of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
(voice Cabling Xfor modified submittals)
O Data Cabling 190 D 59' F- Automation Fee on all Permits .. $5.00.
'er System(s)la 2500 ft2-$61.00;,.> .
Each add'n 2500 ft2-16.00) .Per WAC 296116-910(5)(b)(i&ii)
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Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application