06-103541City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Buillin g - Commercial Permit k 06- 103541 -00 -CO
Project Name: CLEARWIRE HOYTIE TOYTIE (WA -TAC 267C)
Project Address: 34024 HOYT RD SW
Inspection Request Line: (253) 835 -3050
Parcel Number: 308900 0320
Project Description: ALT - Replacement of utility pole. Extending light pole to accomodate wireless antennas
and microwave dish.
Owner
Applicant
Contractor
Lender
BRENT NICHOLSON
KEVIN FOY
EAGLE COMUNICATIONS
KEVIN FOY
HOTIE TOYTIE, LLC C/O
CLEARWIRE LLC
1026 26TH AVE NW SUITE C
CLEARWIRE LLC
NICHOLSON INVESTMENT
5808 LAKE WASHINGTON BLVD
GIG HARBOR WA 98335
5808 LAKE WASHINGTON BLVD
PROPERTIES INC.
KIRKLAND WA 98033
KIRKLAND WA 98033
2333 CARILLON PT
KIRKLAND WA
98033 -7353
Census Category: 437 - Commercial alt / add / conversion
Additional Permit Information
Mechanical to be Included? ...... .............................No Number of Stories .................................................. 0
Permit for Building Shell Only ? ............................ No Plumbing to be Included? ...................................... No
Special Inspection(s) Required ? . ............................Yes New / Additional Sq. Feet - Total..........................
Occupancy #I - Use ........................ .......................Radio /TV Stations Building Pre -con. Meeting Required ?................... No
Existing Sprinkler System in Building? .................No
No Fixtures Associated With This Permit 1!
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 17, 2006
0
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.
Owner or agent: Date: A 7 A,
v
� 1 �
THIS CARD IS TO MAIN ON -SITE -
Cliff of kommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 103541 -00 -CO
Owner: BRENT NICHOLSON
Address: 34024 HOYT RD SW
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.
❑ Footings /Setback (4110)
Approved to place c;7; e
I ooe
By Date U�
❑ Re -steel (4 15)
Approved to place concrete or grout
By ✓ Date g �%
❑ Floor Sheathing (4105)
Approved to install flooring
By Date
Final - Building (4050)
Approved
By L- Date 16 2 lf�
Foundation Wall (4115)
NOTE: Prior to scheduling a Framing (4120)
❑
Drainage/Downspout (4040)
Approved to place concrete
inspection; Electrical, Plumbing & Mechanical
Approved to backfill
By
Date
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. IBC lo9.3.4/UBC 108.5.4
By
Date
❑
Slab /Concrete Floor (4255)
[]
Underfloor Framing (4285)
Approved to place concrete
Insulation (4150)
Approved to sheath floor
By
Date
By
Date
Approved to drop file
By
Date
By Date
❑
Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install siding
[]
Approved to install roofing
By
Date
Final - Public Works (4080)
By
Date
Final - Building (4050)
Approved
By L- Date 16 2 lf�
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC lo9.3.4/UBC 108.5.4
By
Date
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop file
By
Date
By Date
By
Date
[]
Final - Fire Department (4060)
Final - Planning (4070)
❑
Final - Public Works (4080)
Approved
Approved
Approved
By
Date
By Date
By
Date
Final - Building (4050)
Approved
By L- Date 16 2 lf�
RECEIVE@
QTY of, 9
Federal way. 1 2006 PERMIT 1 t6
CONMUNITYDSYELOP1fBMM�$-�F FEDERAL WAY
333 FEDERAL,, W� 063 -260 LDING DEPAP PLI CATI O N
Z53- 835 -2607• FAX Z53. 835 -2609
vnuui. atuollcrterrdwn u, com
- an
•
SFMFc,MEELPLDEENFP
not be accepted. Please
SITE ADDRESS 314024 to &&0: rz > FEVERI►1 way -1$023 SUITE/UNIT #
ASSESSOR'S TAX /PARCEL #tZ i2 _ b Z D LOT SIZE (sj)
r
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
(Aeah tc ~fa length➢ legal deemfp ON
r
PROJECT • ' •
TYPE OF PERMIT .BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVEN'T`ION SYSTEM
{
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only!
c l i Ty �a G.,� 2ePl _,�'L�rtj' xtGND, n !, a h-t pD /e. ds+ T�
�{i Acco.�lu
' gcte -Z AZI -Mnnds and M,(e o4,jAVe, dish
PROJECT NAME (Name of Business or Owner Last Name) y/A — TA ci Z (v'4 — C✓ Hod T i G To y-rl le.-
CONTRACTOR
APPLICANT
CONTACT
LENDER
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
1
L. 4�.^ I` �. (}f• „+M.n,Gavi'�o'il .iG(•V, G <)
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! ^QMa•5 V t^a'1r� S
{/ / y
(7- J j �S 7 -Cl UIj
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
1024 24 }� 51- /V -:1L L
�.' fa��5�:- WA `1 X33 S
(� -S'J) �5)-v
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
-
B
L'
CONTRACTOR'S REGISTRATION NUMBER (oopY of card required with epeh application)
EXPIRATION DATE
COMPANY NAME
C Iecir vil e.0 L.(
US 4
APPLICANT NAME
1�E.v to { G 0!1
OFFICE PHONE '
( ) -
MAILING J512 t00 Dl k UJA54► �ri ta,i B1vICi 3
1�'1r1� t A WA q$b33
i H)N(ab�-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑` Tenant ^Agent ❑ Other (Describe)
1i.47[*lt<�w =' -� ■ r/ ��G��a�' ]'felr��l71�!71�a1.- r1.1�1!'�T1
7MAIUNGDDRESS t Y CITY, STATE, VP PHONE
Q k
EXISTING USE PROPOSED USE W ! %°&Z &0,A4&
EXISTING ASSESSED /APPRAISED VALUE 3(: VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES A NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ONO
• HIGHLINE o TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
0 •
PROJECT FLOOR AREAS
, RIPTION
waSTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODS (c a,,aw.A
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
OAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS Icoscy
MISC (Describe)
DECK(COVERED ?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
amrato
aaoeasm
Toni.
IAVS (s tbroom sh o
VACUUM BREAKERS
ELECTRIC WATER HEATERS
- NEWHOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $'
of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LAGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (c a,,aw.A
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
OAS PIPE OUTLETS
d
BATHTUBS jarTtb /sh~combn)
SHOWERS
WATER CLOSETS Icoscy
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
IAVS (s tbroom sh o
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(fy 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 cla&N, which may be made by any person, including the undersigned, and filed fled 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 iq formation supplied to the city as apart of
this application.
NAME /TITLE DATE
(signature) (Title)
RELATIONSHIP TO PROJECT q er fiLAgeat 17 Contractor ❑ Architect O Other
MALI:_ 41 ns � r_... t oMU De ,0 9 . fA AnnlirAtinn