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04-104923 City of Federar way Mechanical Permit #: 04 - 104923 - 00 - Mn Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C Project Name: TWIN LAKES GOLF AND COUNTRY CLUB Project Address: 3583 SW 320TH 5 Parcel Number: 179021 7660 Project Description: TI-Grease exhaust system related to kitchen remodel. Owner Applicant Contractor TWIN LAKES GOLF/COUNTRY CLUB BELLEVUE MECHANICAL INC. BELLEVUE MECHANICAL INC. 3583 SW 320TH ST 1489 130TH AVE NE 1489 130TH AVE NE BELLEVUE WA 98005 BELLEVUE WA 98005 \FEDERAL WAY WA 98023 (425)453-2140 Mechanical Valuation 5500 Over the Counter Permit No Mechanical Fixtures Description Quantity Description Quantity Description Quantity Fans 2 Hoods 2 PERMIT EXPIRES July 6,2005. Permit issued on January 7,2005 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. k Owner or agent: /a, ,°/j �'s Date: / V° 9 9 3 )/ r1' 2 vcsld THIS CARD IS TO REMAIN ON-SITE • CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-104923-00-ME 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. 0 Mechanical Rough-in(4165) 0 Gas Piping(4125) EA Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By,tr Date (it 1 P A RECEIOD • o.eralway FedDEC os 2004PERMIT oa - 1c/ 141K-3 SF MF COj L PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 33325 8TH AVENUE SOUTH•PO BOX IlsTY OF F E D E lr TO / FEDERAL WAY,WA 98063-9718 B U I LD I N L I C AT I O N 253-835-2607•FAX 253-835-2609 wwwcit uofederalwaa.corn The oliowin• is re•uired in ormation-an incom•lets a••lication will not be acre•ted. Please •rint le•ibl in ink or j•-. C' `•l PROPERTY INFORMATION SITE ADDRESS s�t�') S W Q 3p� � �-*� SUITE/UNIT# ASSESSOR'S TAX/PARCEL# U TS 1 - 1 0J - 7-1 4 `v LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 3Q e M 0. 0/ S�)c P4- (Attach separate page for lengthy legal description) El PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING 0 PLUMBING .MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this p it only) r\ t7L,l <Zo c. .12„ ,k no Eby t icw t '3 C43,1_04 u 0-0 K J/Q tO%4 4 Jet AT—Y PROJECT NAME(Name of Business or Owner Last Name) i(J(Jyr 1 Cr egi.k, II PEOPLE INFORMATION PROPERTY NAM ff ,,`` • PRIMARY PHONE 2 OWNER W L.f l.Ff'1 iLeA/ 630//' 0„,,,,,,,,--trlx,,), (z53 )$,3k �'/�4wMAILING ADDRESS ,STATE,ZIP 3' ) SW3Zv- St 4PL_�(va� I l.)A '1Z) CONTRACTOR COMPANY NAME APP T NAME OFFICE PHONE e d Inc. (y25 )(/ 3 -z/40 MAILING ADDRESS C STATE,ZI 14F1 I 'A Jc l ieive W 3c0..)5— ( 9'2s) 744,-3787 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _Q0-d3 -- © s ' ) 3_-B L (Z / 31 l © 41— (4.125 ) 4I.5c3 —2/12 CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE .13 Elc L L ML9_ E4P_ ft) 12 S/ 0e„, APPLICANT CO ANY NAME� APPLI NT NAME OF ICE PHONE t� l roc � �CITY,STATCELL PHONE i1iI /at- +//��re , 04 L (y2 7 -3)8? RELATIONS�P TO PROJECT - f FAX NUMBER 0 Architect 0 Tenant 0 Agent Other(Describe) 1 n..ae.^ FRO C'S3 —24�}� CONTACT N 0J PRI ARY P NE E-MAIL ADDRE C(A S1Q,31-Priv,ct i.. ( t�,')` �3 -214_6 l 4-() Cool eke toe nv+Q-il -4�+-1 LENDER Per RCW 19.37.095: Lender information is NAME required if project value exceeds*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? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.PT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 zw NUMBER OF FLOORS smro PROPOSED TOTAL TOTAL=STOW SP TOTAL PROPOSED S' TOTAL sr' **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. MECHAMCAL Value of Mechanicali� Work/rk$ �D _ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commec 1) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTub/shower combo( SHOWERS WATER CLOSETS(Toiler) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink. VACUUM BREAKERS ELECTRIC 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 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 c1/10(); U�L DATE Z �l011 (Signature) ( i e) y,y-� RELATIONSHIP TO PROJECT 0 Owner 0 Agent t Contractor 0 Arch tect ther t/�(4,/ eri ? R OFFICE ONLY,7 .��' o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application