07-106250City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
e 4
Electrical Permit #: 07 -106250 -00 -FL
Inspection Request Line: (253) 835-3050
Project Name: VALOR HEALTHCARE INC
Project Address: 34617 11TH PLS Parcel Number: 215470 0110
Project Description: L/V fire alarm wiring to 3rd floor tenant space and replaciinj4he fire alarm panel.
Owner
Applicant
Contractor
HAZELETT FAMILY LLC II
PACIFIC SECURITY ENGINEERING
PACIFIC SECURITY ENGINEERING
14258 SE 270TH PL
PO BOX 5156
PACIFICSE05 I B6 (1/25/09 )
KENT WA 98042-8001
LYNNWOOD WA 98046-5156
PO BOX 5156
LYNNWOOD WA 98046-5156
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low Voltage Fire Alarm - Commei 6,842
PERMIT EXPIRES Monday, November 10, 2008
Permit Issued on Friday, November 16, 2007
1 hereby certify that the above ormabon is correct and that the construction on the above described property and
the occupancy and tUeil' ein accordance with the laws, rules and regulations of the State of Washington
and the ity o F deral Way.
Owner or agent: Date: l a
THIS CARD IS TO REMAIN ON-SITE `
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106250 -00 -EL
Owner: HAZELETT FAMILY LLC II
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) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date 1 -Z-17—'6>7_
1
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AREA DESCRIPTION
WASTING
FT.
PROPOSED
SCL FT.
TOTAL
SQ. FT.
BASEMENT
IVLI
0 NEW o ADDITION
o ALTERATION
o REPAIR o TlCKA1rP
FIRST
BUHA)ING SEMEL ONLY? DYES ONO
BASIC PIAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
0 YES
0 NO
NEW ADDRESS REgUIREA? 0 YES 0 NO
ADDITIONAL FLOORS (DESCRIBE)
0 YES
0 NO
PIATTED LOT? o YES 0 NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
0 YES
ONO .
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
s
�
aorA,
rorer.awracasr
7DULMMO®fir
"OMMOV
"NEW HOMES ONLY" NUMBER OF BEDROOMS ES UdATED SELLING PRICE $
Mdioate number of each type off ewe to be tnstailed or rekwated as part of thfs prgWt Do rot Mc*uie ezfs&W _fb nes to rem.
Value of Mechanical Worm
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or RbblShow-C-."
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A OF BID OR LS7BMIE MUST BE JIVCLUDED W!1'H APPI]CA770r )
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FR2EPIACE INSERTS
FURNACES
GAS TAG SETS
IAVS (BethMMSlots)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
HOODS (c—mrcwU
RANGES
REFRLG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS ab&o
WASHING MACHINES
I cwft under penalty q(po ury that Tam the pupa owner or authorised agent of the property owner. I caft that to the bot of my
knowledge, the irlfarauation submitted In support e f this permit application Is true and correct. I cerft that I will comply with all applicable
City of Pederal Way regulations pertaining to the we, authorised bg the Issuance of a permit. I understand that the issuance of this permit
does not remove the owner's resporwibility,for compliance wfth local, state, orfederal laws regulating construction or environmental laws.
I fiorther ague to hour fess the Cit/ of Federal Way as to any claim (Including cots. expense, and attorneys' few incurred in the
invest
where such
and arise se of crelia oft hich Wil. incbe luding and employees, upon any persom including the the and against
supplied but �to
where such claim mise he reliance
the city as apart of trwlap n bn
7�4
Owner humor Authorized
/ / /6 Z -C -1
DB Vii.?
0 NEW o ADDITION
o ALTERATION
o REPAIR o TlCKA1rP
BUHA)ING SEMEL ONLY? DYES ONO
BASIC PIAN?
o YES
o NO
ZONING DESIGNATION
CSANGE OF UM?
0 YES
0 NO
NEW ADDRESS REgUIREA? 0 YES 0 NO
IIP/SEPA/SU?
0 YES
0 NO
PIATTED LOT? o YES 0 NO
DEMO PERiQT READ?
0 YES
ONO .
Bulletin #100 — August 16, 2007 Page 2 of 4 MandoutsWermit Application
RESIDENTIAL
CONMERCIAL
NEW RXSIDZWTIAL SERVICE
NEWCO /IIiD[iSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(Fhst 1300 ft2- $111.00; Each add'n 500 ftz- $35.50)
❑ O to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 1 Oi - 200 amp 149.50 94.50
(inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NNW WLTI-FAUMT (three units or mDie)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 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
❑ 601 - 800 amp 262.00 140.50
ALTERED COAL/II/DIJSTRIAi.
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED MNGLE/1AEULTI
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ O to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits. $7.00/ea)
❑ # of circuits to be added/altered
(1-4 cirewts474.00; Add n circuits $7.00/ea)
IAL1iPtD)OSTRiAL PLAY REVIEW
$94.50 plus 35% of Permit Fee
❑ Service - 1.000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
$$A WACI'URED HOPM
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
KOBUS 13OM/RV PARK
Reaidentiai/Mu1H Family $65.00
❑ # of service or feeders
Qtlrst service/feeder-$74.00; each add'n -$48.00)
Comnuwc1a1Andus;b- al. Service or Peeder Ampocity
❑ 0 - 100 amps $ 74.00
❑ 1 Ol - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First. 455.00: add'n-$17.00/ea)
Low Voltage�/
(First sign -$55.00; add'n sign $26.00/ea)
❑ Swimming pool/hot tab ................ $111.00
Square Feet to be served dry system(s) O 4
(Includes additional circuit, if required)
i Fire Alarm 9yst.
❑ Yard Pole meter loops ..................... $74.00
❑ security Alarm system
❑ Additionmi Pian Review $111.00/hour
❑ Voice Cabhng
(for modified submittals)
❑ Data cabling
❑ Automaltion Fee on an Permits .. $5.00
10 2500 ft7-$65.00;
Each add'n 2500 ft2-17.001 • Per WAC 298-4691 o(5)@)1Y & to
Bulletin #100 - August 16, 2007 Page 3 of 4 MHandoutsTemlit Application