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07-104945City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: VALOR HEALTHCARE INC Project Address: 34617 11TH PL S Project Description: Installation of intrusion alarm Electrical Permit #: 07a,184I5-00-EL Owner A ant ` HAZELETT FAMILY LLC II A D T SECURIT VICES 14258 SE 270TH PL 11824,lifiLTHCREEK N 105 KENT WA 98042-8001 LL WA 9 0 , / Service greater dd[nal Permit Info? \ n o Electrical Fixtures Inspe 'on Req 835-3050 N -I el N ber: 215470 0110 732 A MWI ILI Q41V1 0 T SECURITY SERVICES INC ADTSES103205 9/25/07 4 NORTHCREEK PKWY N SUITE 105 L BOTHELL WA 98055-2910 Low Voltage Bu Alarm - N 9,001 PERMIT EXPIRES Monday, September 1, 2008 Permit Issued on Friday, September 7, 2007 <th y certify that the above information is correct and that the construction on the above described property and cupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: a-3? _ Date: r THIS CARD IS TO REMAIN ON-SITE ,• CITY Of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -104945 -00 -EL Owner: Address: 34617 11TH PL S FEDERAL WAY, WA 98003-8706 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) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power (4275) Approved By Date ❑ Service (4235) Approved By Date ❑ Feeders/Sub-panels (4045) Approved By Date ❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final -,Electrical (4055) Approved Approved Approved By Date By Date By Date ❑ UFER Ground (4295) Approved By Date For i'nss ctor Rough Electrical Approved By Date reference O FINAL - Electrical Approved B Date 09/06/2007 03:28 4254885288 C O�� RECEIVED Federal Way PAGE 01/04 0 q 1-� coMMukrrvnPVFrorMsrvrsERVIc 9 PERMIT $E CO ME. E,� DT I- EN 39325 O AVENUE SOVlli • PO DOX 9;1$ E P 7 zXPPLICATION rrrRAI, WAY, sun 98053-A718 253•RPAX 33•YG07-FAXQOF FEDERAL WAY The following Its required tn)orntNon an incomplete application wiiI not be accepted. Please print Iegibty (in ink) or type. 1 -PROPERTY•• • SITE ADDRESS 3y G I I L l5 Pcar- SUITE/UNIT 0 ASSESSOR'S TAX/PARCEL # 2 1 S •j S D - Z) I a LOT SIZE (sj LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) 1EA1*4- CAMA.QLtS� t�%4AU Gl0QTWCL_ IMtwh separate ;=cfar tamthy Icaai dercrVuor0 PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING J PL MMING Q MECHANICAL ❑ DEMOLITION XLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCM[PTION (Provide detailed description of tuork Included on this nenn(t onl{ PROJECT NAME (Name oJBIlstrtess or Owller LgsWpmel V/C1..(x� G -S. 0c- PROPERTY OWNER CONTRACTOR C*" M rorq mquI MA with coh 1%voly loa APPLICANT PROJECT CONTACT LENDER =STING USE NAME LSI •� „LC- PRID4ARl PHONE ( ) - MAI INGADDRESS CnY, STATE, ZIP E-MAIL. ADDRESS COMPANY NAME bt' 6""W ty Stmv10E50 APPLICANTNAME 'Rota 90X OFFICE PHONE (417-s•) q$8 -62A MAILING ADDRESS �^ CITY. STATE, ZIP CELL MONF, 1W N• CPM.V 04R N. xE 05 86"0611- %A %0%) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXMRA77ON DATE FAX NUMBER 1a5§fF+ems FAX NUMBER ( - CONTRACTOIYS REGISTRATION NUMBR..R EXPIRATION DATE E-MAIL ADDRESS pprsESm is 3Zo5 172 s. 0'"+ COMPANY NAME SAME Ab tb Wjy& 0L APPLICANT NAME, OFFICE PHONE I ( ) - MAILING ADDRESS CITY. STA71;, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ 'I'cr,ant ❑ Agent D Otticr NAMS PRIMARY neon E-MAII. ADDRESS SAAW AS c W1*4t.Tb& I ( ) - NAME Per RCW 19.27.095: Lender Wonnation is required tf project value exceeds $5,000 MAILING APDRESS CTIY• 1,TTAT9. 71P PHONE EXISTING ASSESSED/.APPRAISED VALUE $^ SPRINKLERED BUII.Y'1ING? ❑ YES ❑ NO PROPOSED USE V.ALIIE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER O LAKEHAVEN ❑ IiIGIdMNE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERvim PROVIDER a LAKEHAVEN 0 HIORLINE ❑ PRIVATE (SEPTIC) A- 09/06/2007 03:28 4254885288 , • PAGE 02/04 AREA, DESCRIPTION F.Rmmum $9. FT. PROPOSED SQ. FT. TOTAL S . F'T. BASEMENT ❑ ALTERATION a REPAIR o TENANT I11+ MOVEMM11T FIRST BASIC PLAN? o 'YES n NO ZONING DESIGNATION SECOND CHANGE OF USZ? o YES ❑ NO NEW ADDRJ98S REsUIRED? o YES a NO THIRD ❑ NO PLATTED LOT? o YES o NO DEMO PERNLTT REQUIRED? a YES ADDITIONAL FWORS (AFSCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS ea &TM M11" to T"AL IML MIrma ma TOPAL PRQl WlD Sr "TAI, ar "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE R Indicate number of each type of t)xtltre to be totalled or relocated as part of this project . Do not include existing jUtures to remain. Value of Mechanical Work s (A COPY OF BID OR ESTDIIATE MUST BE INCLUDED WAIT] APPIJCA770N) AIR HANDLING UNITS 13339S BOILERS COMPRESSORS DUC'T'S BATHTUBS iiiensii/an„.rcomml DISHWASHERS DRINKING POUNITA►NS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATTVE COOLERS PANS FIREPLACE INSERTS FURNACES GAS LAG SILTS IAVS (PnUnvoa, �abl RAINWATER SYST SHOWERS S)NIt5 SUMPS. GAS PIPE OUTLETS WOODSTOVES GAS WATER HEATERS WSC (Describe) HOODS (Commcrc�d) RANGES REFRIG, SYSTEMS URINALS _ MISC (Dcacribe) VACUUM BREAKERS WATER CLOSET'S uw o WASHING MACMNES I certO 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 perforin the timrk for which the permit application is made, T further agree to hold harmless the City Qf raderal Way as to any claim (including Corte, expenses, and attorneys' fees incurred In the investigation and defense of such claiml, which mall be made by any person, including the unders%gned, and filed against the City of Federal Way, but onl(I where such claim arisas out of the mlianec of thr, city, including its officers and employees, upon the accuraeg of the ii► brmation supplied to the Citli as a part of this application. NA1KE/TITLET DATE ISipn�lurcl MOO RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 'Contractor O Arclitect ❑ Otho Bulletin #100 -January 1, 2007 Page 2 of 4 k\Handouu\Permit Application o NEW o ADDITION ❑ ALTERATION a REPAIR o TENANT I11+ MOVEMM11T BUU.DING SHELL ONLY? n YES ❑ NO BASIC PLAN? o 'YES n NO ZONING DESIGNATION CHANGE OF USZ? o YES ❑ NO NEW ADDRJ98S REsUIRED? o YES a NO YIP/SEPA/SU7 a YES ❑ NO PLATTED LOT? o YES o NO DEMO PERNLTT REQUIRED? a YES o NO Bulletin #100 -January 1, 2007 Page 2 of 4 k\Handouu\Permit Application 09/06/2007 03:28 4254885288 . , PAGE 03/04 ELECTRICAL PERMIT INFORKATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIALIMDUSTRiAL SERVICE ❑ Single Family Square Feet Service or Feeder Eneh Add'n. (First 1300 fta- $111.00: Mach add'n, 500 ft' -:4:35.50) ❑ 0 to 100 amp $120.50 $ 74.00 ❑ Detached outbuilding or garage ❑ 101 - 200 amp 149.50 94.60 (Inspected with service) $47.00 © 201 - 400 amp 230.00 111.00 ❑ Detached outbuilding or garage ❑ 401 - 600 amp 327.00 131.00 (Inspected separately) $174.00, ❑ 601 - 800 amp 423.00 179.00 ❑ 801 - 1000 amp 51.6.50 216.00 NEW MULTI -FAMILY (three units or more) ❑ Over 1000 amp 563.00 300.00 $e.nAce Feeder ❑ Up to 200 amp $1.20.50 $ 35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201 - 400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 ❑ 401 - 600 amp 205.00 102.00 NuwnnaCONIIVlERCIALQ ❑ 50.1 - 800 amp 262.00 140.50 -V-S=AL ❑ Ovcr $00 amp 375.50 280.50 Service or Feeder9 ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULT>< kAl►?1L ❑ 201 - 600 amp 230.50 ❑ 601. - 1000 amp 423.00 Service or Feeder ❑over 1000 amp 471.00 ❑ 0 to 200 amp $ 92.50 ❑ 201 - 600 amp 149.50 ❑ # of circwts to be added/altcrcd ❑ over 600 amp 225.50 (1-5 circuits - •94,60: Add'n circuits; 27.00/ ea) ❑ of circuits to be added/altered COMMERCIALZ Q_U6TRIAL. PLAN ar _# (1.4 circun;s474.00; Add'n circuit.% $7.00/ea) $94.50 plus 35% of Permit Fee Q Service - 1.,000 amps or greater ❑ Mast or meter repair $155.00 ❑ Medica)/k dueational/Inatitutionai Facility MANUFAM?,ED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.$0 TEMPORARY SERVICE MOBILE _HOJV)4E/RV PARK; Residentictl/MultiF'amily $65.00 ❑ # of service or feeders (First service/feeder-$74.00: cad] add'n 448.00) Commereiai/[ndustrial Service or ,Feeder Ampacity ❑ 0 - 100 amps $ 74.00 ❑ 101 - 200 amps 94.50 ❑ 201 - 400 amps 111.00 ❑ 401 - 600 amps 149.50 ❑ over 600 amps 167,.00 MISCELLANEOUS SERVICE/EQUIPMENT 0 iF of Thcrtxxvstats ❑ # of Signs (First -$55.00; add'n-$17.00/ea) (First sign -9655.00; add'n sign $26.00/ca) NrLow Voltage Square Feet to be Served by systems) 0� ❑ Swimming pool/hot tub ................ $111-00 (Includes additional circuit, if required) 13 Fire Alan++ System C3 Yard Pole meter loops ..................... $74.00 �a-Security Alarm Syntan ❑ Additional Flan Review $1.1.1.00/hour (❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 1A' 2500 NL$65.00; Each add'n 2500 112-17.00) • Per WAG 298-46.91005NbM & 10 Bulletin 4000 - January 1, 2007 Page 3 of 4 k\Handouts\Permit ,Application