04-105161 4
City ofFederaio a Electrical Permit #: 04 - 105161 - 00' EI -
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$ Parcel Number: 179021 7660
Project Description: Alter 300-amp sub-panel in connection kitchen remodel.
Owner Applicant Contractor
TWIN LAKES GOLF/COUNTRY CLUB TANDEM ELECTRIC,INC TANDEM ELECTRIC,INC
3583 SW 320TH ST 5836 S 228TH 5836 S 228TH
\FEDERAL WAY WA 98023 \KENT WA 98032 (253)395-8806
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Sery./Feed 201 amps-600 amps- 1
PERMIT EXPIRES June 20,2005.
Permit issued on December 22,2004
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 Washingtort.
the City of Federal y ','P
Owner or agent: Date:
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THIS CARD IS TO REMAIN ON-SITE
OF Community Development Inspection~Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105161-00-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
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date 3 I ipkcb.--"
❑ Under-slab groundwork(4295)
Approved
By Date
X
1-11
(1\ rit
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O
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mor A RECEIVED Q -1 - 1 O 5�' 1 � l
Federal Way DEC E R M I T
(` / SF MF CO M' EL Pt DE EN FP
COMMUNITY DEVELOPMENT SERVICES AC ,'1 PLICATION
33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 TD / /
253-661-4115•FAX 253-661-4129 mCITY OF FEDERAL www.cittlotfederalwaq.
mm CITY WAY
BUILDING DEPT.
The ollowin• is re•uired in ormation-an incom•tete a••iication will not be acce•ted. Please •rint le•ibl (in ink or •e.
PROPERTY INFORMATION
SITE ADDRESS5. U32
,� � �
� c /'i'-( / Wei,`{ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / 7 5 f - 7 Cc 0 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION)ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Proyride detailed descriptio,of work included on thispermit onl
PROJECT NAME(Name of Business or Owner Last Name) 17/4-) t A La.ki2 S 6-0 I f � CCJl-,i e.1/1"13
PEOPLE INFORMATION
PROPERTY NAME i_ PRIMARY PH NE
OWNER 'To.;G� ,t'' tal/ S 6c 4 !- Co .r.,.}-, .0 C: '53)co 7 -`&1.10
MAILING ADDRESS CITY,STATE,ZIP
3 S?3 5, u. •a.)c- f�, -t" re,,ic,1 we i A if' c+.23
CONTRACTOR ANY N ME APPLICANT NAME
OFFICE PHONE
. tck 0 LJti _r•G. ipL' - ( )/C i Z.Yc' ((
p53) 'S- - kit (`
MAILING t M C °, ZIPSTATE, 71'32 �� )CELL / -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXYPIRATION DATE FAX NUMBER
It-q1 _-L Q 2 .± ' B L /2 / 31 / 0V jS3 ) 3c - 1fl0
CONTRACTOR'S REp
ISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY N E / APPLICANT NAME OFFICE PHONE
VIA i•4: l-'l ( f ,!`r ,( 1_,. nuc-. ( ) -
NG ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT 1 � � FAX NUMBER
❑ Architect 0 Tin:enant 0 Agent .Other(Describe) 0't./��•=c3 - ( ) -
CONTACT NAMF/� I 1..., / j' r PRIMARY PHONi y / E-MAIL ADDRESS
LENDER ,PerR0W19.2T'091•:a �q
:; de n ; NAME
rtgtctrpro,/+ '.ed I t ,,,:. $5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELLi
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
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-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage 1 ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ 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
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
X201 -600 amp 220.50
Service or Feeder 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑.Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage U 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 $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1="2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) *Per WAC 296-46-910(5)(b)(i&ii)
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Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Revised\Permit Application